21 CFR 1.328 - What definitions apply to this subpart?

Code of Federal Regulations, 2010 CFR

2010-04-01

... information and manufacturing instructions is not a recipe. Restaurant means a facility that prepares and sells food directly to consumers for immediate consumption. “Restaurant” does not include facilities..., are restaurants. (2) Pet shelters, kennels, and veterinary facilities in which food is directly...

Controlling VOCs and odor

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

Zmuda, J.

1994-07-01

Few environmental issues attract more attention than odor emissions. The odor source can quickly be identified, coming under immediate public scrutiny. Often, odor is not merely a public nuisance problem but can be indicative of volatile organic compound (VOC) control needs at the facility. In some cases, odor-producing compounds are VOCs regulated under different sections of federal, state or local law. Specific requirements for VOC or odor control depend on many factors, including the source and nature of the emissions, the quantity of emissions and the location of the facility. Many states impose specific odor-control requirements, in addition to themore » regulations of the Clean Air Act Amendments of 1990 (CAAA), under which odor-causing emissions may be regulated under Titles 1 and/or 3. Under Title 1, the non-attainment title, facilities located in major metropolitan areas not in attainment of the National Ambient Air Quality Standards (NAAQS) for ozone likely will be required to reduce emissions of VOCs.« less

Applicability of the Theory of Planned Behavior in Predicting Supportive Behaviors by Parents and Adult Siblings of Immediate Relatives with Intellectual Disability

ERIC Educational Resources Information Center

Rimmerman, Arie; Chen, Ariel

2012-01-01

This research examines the applicability of the Theory of Planned Behavior in predicting supportive behaviors by parents and adult siblings of immediate relatives with intellectual disability. Participants were 67 parents and 63 siblings whose immediate relatives with intellectual disability resided in two institutional care facilities. Three…

Renton's Quendall Terminals on List of EPA Superfund Sites Targeted for Immediate, Intense Attention

EPA Pesticide Factsheets

EPA released the list of Superfund sites that Administrator Pruitt has targeted for intense and immediate attention, including the Quendall Terminals Site, a former creosote facility on the shore of Lake Washington in Renton, Washington.

Factors Associated With Late Specialized Rehabilitation among Veterans with Lower Extremity Amputation Who Underwent Immediate Postoperative Rehabilitation

PubMed Central

Kurichi, Jibby E.; Xie, Dawei; Kwong, Pui L.; Bates, Barbara E.; Vogel, W. Bruce; Stineman, Margaret G.

2011-01-01

Objective To determine what patient- and facility-level characteristics drive late specialized rehabilitation among veterans who already received immediate postoperative services. Design Data were obtained from 8 administrative databases for 2,453 patients who underwent lower extremity amputation in Veterans Affairs Medical Centers in 2002-2004. A Cox proportional hazards model was used to determine the hazards ratios and 95% confidence intervals of the factors associated with days to readmission for late services after discharge from the surgical hospitalization. Results There were 2,304 patients who received only immediate postoperative services, while 152 also received late specialized rehabilitation. After adjustment, veterans who were less disabled physically, residing in the South Central compared to the Southeast region, and had their surgeries in CARF accredited facilities were all more likely to receive late services. The hazards ratios for type of immediate postoperative rehabilitation were not constant over time. At hospital discharge, there was no difference in receipt, however, after 3 months, those who received early specialized rehabilitation were significantly less likely to receive late services. Conclusion The factors associated with late specialized rehabilitation were due mainly to facility-level characteristics and care process variables. Knowledge of these factors may help with decision-making policies regarding CARF accredited units. PMID:21389847

Cross-sectional observational assessment of quality of newborn care immediately after birth in health facilities across six sub-Saharan African countries.

PubMed

de Graft-Johnson, Joseph; Vesel, Linda; Rosen, Heather E; Rawlins, Barbara; Abwao, Stella; Mazia, Goldy; Bozsa, Robert; Mwebesa, Winifrede; Khadka, Neena; Kamunya, Rosemary; Getachew, Ashebir; Tibaijuka, Gaudiosa; Rakotovao, Jean Pierre; Tekleberhan, Alemnesh

2017-03-27

To present information on the quality of newborn care services and health facility readiness to provide newborn care in 6 African countries, and to advocate for the improvement of providers' essential newborn care knowledge and skills. Cross-sectional observational health facility assessment. Ethiopia, Kenya, Madagascar, Mozambique, Rwanda and Tanzania. Health workers in 643 facilities. 1016 health workers were interviewed, and 2377 babies were observed in the facilities surveyed. Indicators of quality of newborn care included (1) provision of immediate essential newborn care: thermal care, hygienic cord care, and early and exclusive initiation of breast feeding; (2) actual and simulated resuscitation of asphyxiated newborn infants; and (3) knowledge of health workers on essential newborn care, including resuscitation. Sterile or clean cord cutting instruments, suction devices, and tables or firm surfaces for resuscitation were commonly available. 80% of newborns were immediately dried after birth and received clean cord care in most of the studied facilities. In all countries assessed, major deficiencies exist for essential newborn care supplies and equipment, as well as for health worker knowledge and performance of key routine newborn care practices, particularly for immediate skin-to-skin contact and breastfeeding initiation. Of newborns who did not cry at birth, 89% either recovered on their own or through active steps taken by the provider through resuscitation with initial stimulation and/or ventilation. 11% of newborns died. Assessment of simulated resuscitation using a NeoNatalie anatomic model showed that less than a third of providers were able to demonstrate ventilation skills correctly. The findings shared in this paper call attention to the critical need to improve health facility readiness to provide quality newborn care services and to ensure that service providers have the necessary equipment, supplies, knowledge and skills that are critical to save newborn lives. 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/.

Medicaid program; correction and reduction plans for intermediate care facilities for the mentally retarded--HCFA. Final rule.

PubMed

1991-07-05

This final rule amends the portions of the Medicaid regulations under which an intermediate care facility for the mentally retarded (ICF/MR) with substantial deficiencies that did not pose an immediate jeopardy to the health and safety of clients could continue participation in the Medicaid program. These regulations gave State Medicaid agencies the option of submitting written plans to either correct deficiencies or permanently reduce the number of beds in the certified portion of the facility. This rule removes all requirements for submitting, approving, and monitoring correction plans for ICFs/MR. The requirements for submitting and approving correction plans are being removed because the time limit for submission of these plans has passed. The provisions for monitoring correction plans are being removed because there are no remaining facilities for which these provisions apply. This final rule also removes requirements for submitting and approving reduction plans for ICFs/MR because the time limit for submitting these plans has passed. It retains and updates the requirements for monitoring and compliance that apply to those ICFs/MR for which reduction plans were approved by January 1, 1990.

42 CFR 442.117 - Termination of certification for ICFs/MR whose deficiencies pose immediate jeopardy.

Code of Federal Regulations, 2010 CFR

2010-10-01

... PAYMENT TO NURSING FACILITIES AND INTERMEDIATE CARE FACILITIES FOR THE MENTALLY RETARDED Certification of... provider agreement, follow the appeals process specified in part 431, subpart D of this chapter. [51 FR...

Gender differences in care-seeking behavior and healthcare consumption immediately after whiplash trauma

PubMed Central

Tenenbaum, Artur; Nordeman, Lena; Sunnerhagen, Katharina S.; Gunnarsson, Ronny

2017-01-01

Objective The aim was to study gender differences in care-seeking behavior and treatment provided immediately after whiplash trauma. Methods Participants were residents from a defined geographical area, Skaraborg County in the southwestern part of Sweden. A cohort of 3,368 persons exposed to whiplash trauma and attending a healthcare facility immediately after the trauma between 1999 and 2008 were identified in a database. Information about gender, age, time elapsed prior to seeking care, type of healthcare contact, initial treatment provided and eventual hospitalization time was retrieved. Results Women sought care later than men (p = 0.00074). Women consulted primary healthcare first more often than men, who more often first sought hospital care (p = 0.0060). There were no gender differences regarding the type of treatment after trauma. Women had longer hospital admission than men (p = 0.022), indicating their injuries were at least similar to or worse than men’s. Conclusion Women sought healthcare later than men after whiplash trauma. Although not directly investigated in this study, it raises the question if this may reduce their probability of getting financial compensation compared to men. PMID:28441465

33 CFR 154.730 - Persons in charge: Evidence of designation.

Code of Federal Regulations, 2011 CFR

2011-07-01

... evidence is immediately available at the facility. (Sec. 311(j)(1)(C) of the Federal Water Pollution Control Act (86 Stat. 816, 868); 33 U.S.C. 1161(j)(1)(C); EO 11548, 3 CFR, 1966-1970 Comp., p. 949; 49 CFR... SECURITY (CONTINUED) POLLUTION FACILITIES TRANSFERRING OIL OR HAZARDOUS MATERIAL IN BULK Facility...

33 CFR 154.730 - Persons in charge: Evidence of designation.

Code of Federal Regulations, 2010 CFR

2010-07-01

... evidence is immediately available at the facility. (Sec. 311(j)(1)(C) of the Federal Water Pollution Control Act (86 Stat. 816, 868); 33 U.S.C. 1161(j)(1)(C); EO 11548, 3 CFR, 1966-1970 Comp., p. 949; 49 CFR... SECURITY (CONTINUED) POLLUTION FACILITIES TRANSFERRING OIL OR HAZARDOUS MATERIAL IN BULK Facility...

78 FR 75657 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-12

... facility for executing and routing standardized equity and index options, to amend Routing Fees. While... other persons using any facility or system which NASDAQ operates or controls, and is not designed to...

77 FR 61826 - Pipeline Safety: Communication During Emergency Situations

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-11

... DEPARTMENT OF TRANSPORTATION Pipeline and Hazardous Materials Safety Administration [Docket No... liquefied natural gas pipeline facilities that operators should immediately and directly notify the Public.... Background Federal regulations for gas, liquefied natural gas (LNG), and hazardous liquid pipeline facilities...

42 CFR 483.364 - Monitoring of the resident in and immediately after seclusion.

Code of Federal Regulations, 2010 CFR

2010-10-01

... seclusion room, continually assessing, monitoring, and evaluating the physical and psychological well-being... permitted by the state and the facility to evaluate the resident's well-being and trained in the use of emergency safety interventions, must evaluate the resident's well-being immediately after the resident is...

Mohawk Tannery Hazardous Waste Site in New Hampshire included on EPA List of Targeted for Immediate Attention

EPA Pesticide Factsheets

Today, the U.S. Environmental Protection Agency released the list of Superfund sites that Administrator Pruitt has targeted for immediate and intense attention. The former Mohawk Tannery facility (a.k.a. Granite State Leathers) is one of the 21 sites on th

50 CFR 21.47 - Depredation order for double-crested cormorants at aquaculture facilities.

Code of Federal Regulations, 2010 CFR

2010-10-01

... order. Persons operating under this order must immediately report the take of a migratory bird species... Species Act. Persons operating under this order must immediately report the take of species protected... by that Agency or individual or if the long-term sustainability of double-crested cormorant...

An economic evaluation of the controlled temperature chain approach for vaccine logistics: evidence from a study conducted during a meningitis A vaccine campaign in Togo.

PubMed

Mvundura, Mercy; Lydon, Patrick; Gueye, Abdoulaye; Diaw, Ibnou Khadim; Landoh, Dadja Essoya; Toi, Bafei; Kahn, Anna-Lea; Kristensen, Debra

2017-01-01

A recent innovation in support of the final segment of the immunization supply chain is licensing certain vaccines for use in a controlled temperature chain (CTC), which allows excursions into ambient temperatures up to 40°C for a specific number of days immediately prior to administration. However, limited evidence exists on CTC economics to inform investments for labeling other eligible vaccines for CTC use. Using data collected during a MenAfriVac™ campaign in Togo, we estimated economic costs for vaccine logistics when using the CTC approach compared to full cold chain logistics (CCL) approach. We conducted the study in Togo's Central Region, where two districts were using the CTC approach and two relied on a fullCCL approach during the MenAfriVac™ campaign. Data to estimate vaccine logistics costs were obtained from primary data collected using costing questionnaires and from financial cost data from campaign microplans. Costs are presented in 2014 US dollars. Average logistics costs per dose were estimated at $0.026±0.032 for facilities using a CTC and $0.029±0.054 for facilities using the fullCCL approach, but the two estimates were not statistically different. However, if the facilities without refrigerators had not used a CTC but had received daily deliveries of vaccines, the average cost per dose would have increased to $0.063 (range $0.007 to $0.33), with larger logistics cost increases occurring for facilities that were far from the district. Using the CTC approach can reduce logistics costs for remote facilities without cold chain infrastructure, which is where CTC is designed to reduce logistical challenges of vaccine distribution.

An economic evaluation of the controlled temperature chain approach for vaccine logistics: evidence from a study conducted during a meningitis A vaccine campaign in Togo

PubMed Central

Mvundura, Mercy; Lydon, Patrick; Gueye, Abdoulaye; Diaw, Ibnou Khadim; Landoh, Dadja Essoya; Toi, Bafei; Kahn, Anna-Lea; Kristensen, Debra

2017-01-01

Introduction A recent innovation in support of the final segment of the immunization supply chain is licensing certain vaccines for use in a controlled temperature chain (CTC), which allows excursions into ambient temperatures up to 40°C for a specific number of days immediately prior to administration. However, limited evidence exists on CTC economics to inform investments for labeling other eligible vaccines for CTC use. Using data collected during a MenAfriVac™ campaign in Togo, we estimated economic costs for vaccine logistics when using the CTC approach compared to full cold chain logistics (CCL) approach. Methods We conducted the study in Togo’s Central Region, where two districts were using the CTC approach and two relied on a fullCCL approach during the MenAfriVac™ campaign. Data to estimate vaccine logistics costs were obtained from primary data collected using costing questionnaires and from financial cost data from campaign microplans. Costs are presented in 2014 US dollars. Results Average logistics costs per dose were estimated at $0.026±0.032 for facilities using a CTC and $0.029±0.054 for facilities using the fullCCL approach, but the two estimates were not statistically different. However, if the facilities without refrigerators had not used a CTC but had received daily deliveries of vaccines, the average cost per dose would have increased to $0.063 (range $0.007 to $0.33), with larger logistics cost increases occurring for facilities that were far from the district. Conclusion Using the CTC approach can reduce logistics costs for remote facilities without cold chain infrastructure, which is where CTC is designed to reduce logistical challenges of vaccine distribution. PMID:29296162

Translational models of infection prevention and control: lessons from studying high risk aging populations.

PubMed

Mody, Lona

2018-06-13

The present review describes our research experiences and efforts in advancing the field of infection prevention and control in nursing facilities including postacute and long-term care settings. There are over two million infections in postacute and long-term care settings each year in the United States and $4 billion in associated costs. To define a target group most amenable to infection prevention and control interventions, we sought to quantify the relation between indwelling device use and microbial colonization in nursing facility patients. Using various methodologies including survey methods, observational epidemiology, randomized controlled studies, and collaboratives, we showed that indwelling device type is related to the site of multidrug-resistant organism (MDRO) colonization; multianatomic site colonization with MDROs is common; community-associated methicillin-resistant Staphylococcus aureus (MRSA) appeared in the nursing facility setting almost immediately following its emergence in acute care; (4) MDRO prevalence and catheter-associated infection rates can be reduced through a multimodal targeted infection prevention intervention; and (5) using a collaborative approach, such an intervention can be successfully scaled up. Our work advances the infection prevention field through translational research utilizing various methodologies, including quantitative and qualitative surveys, patient-oriented randomized controlled trials, and clinical microbiologic and molecular methods. The resulting interventions employ patient-oriented methods to reduce infections and antimicrobial resistance, and with partnerships from major national entities, can be implemented nationally.

French Atomic Energy Commission Decommissioning Programme and Feedback Experience - 12230

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

Guiberteau, Ph.; Nokhamzon, J.G.

Since the French Atomic and Alternatives Energy Commission (CEA) was founded in 1945 to carry out research programmes on use of nuclear, and its application France has set up and run various types of installations: research or prototypes reactors, process study or examination laboratories, pilot installations, accelerators, nuclear power plants and processing facilities. Some of these are currently being dismantled or must be dismantled soon so that the DEN, the Nuclear Energy Division, can construct new equipment and thus have available a range of R and D facilities in line with the issues of the nuclear industry of the future.more » Since the 1960's and 1970's in all its centres, the CEA has acquired experience and know-how through dismantling various nuclear facilities. The dismantling techniques are nowadays operational, even if sometimes certain specific developments are necessary to reduce the cost of operations. Thanks to availability of techniques and guarantees of dismantling programme financing now from two dedicated funds, close to euro 15,000 M for the next thirty years, for current or projected dismantling operations, the CEA's Nuclear Energy Division has been able to develop, when necessary, its immediate dismantling strategy. Currently, nearly thirty facilities are being dismantled by the CEA's Nuclear Energy Division operational units with industrial partners. Thus the next decade will see completion of the dismantling and radioactive clean-up of the Grenoble site and of the facilities on the Fontenay-aux-Roses site. By 2016, the dismantling of the UP1 plant at Marcoule, the largest dismantling work in France, will be well advanced, with all the process equipment dismantled. After an overview of the French regulatory framework, the paper will describe the DD and R (Decontamination Decommissioning and Remediation) strategy, programme and feedback experience inside the CEA's Nuclear Energy Division. A special feature of dismantling operations at the CEA comes from the diversity of facilities to be dismantled, which are predominantly research facilities and therefore have no series advantage. There is tremendous operating feedback, however. For more than twenty years in all its centres, the CEA has acquired experience and know-how through dismantling research reactors or critical models and laboratories or plants. The dismantling techniques are nowadays operational, even if sometimes certain specific developments are necessary to reduce the cost of operations. Thanks to availability of techniques and guarantees of dismantling programme financing from two dedicated funds, close to euro 15,000 Millions for the next thirty years, for current or projected dismantling operations, the Nuclear Energy Division has been able to develop, when necessary, its immediate dismantling strategy. Currently, nearly thirty facilities are being dismantled by the CEA's Nuclear Energy Division operational units with industrial partners. Thus the next decade will see completion of the dismantling and radioactive clean-up of the Grenoble site and of the facilities on the Fontenay-aux-Roses site. By 2020, the dismantling of the UP1 plant at Marcoule, one of the largest dismantling works in the world, will be well advanced, with all the process equipment dismantled. (authors)« less

Using a quality improvement model to enhance providers' performance in maternal and newborn health care: a post-only intervention and comparison design.

PubMed

Ayalew, Firew; Eyassu, Gizachew; Seyoum, Negash; van Roosmalen, Jos; Bazant, Eva; Kim, Young Mi; Tekleberhan, Alemnesh; Gibson, Hannah; Daniel, Ephrem; Stekelenburg, Jelle

2017-04-12

The Standards Based Management and Recognition (SBM-R © ) approach to quality improvement has been implemented in Ethiopia to strengthen routine maternal and newborn health (MNH) services. This evaluation assessed the effect of the intervention on MNH providers' performance of routine antenatal care (ANC), uncomplicated labor and delivery and immediate postnatal care (PNC) services. A post-only evaluation design was conducted at three hospitals and eight health centers implementing SBM-R and the same number of comparison health facilities. Structured checklists were used to observe MNH providers' performance on ANC (236 provider-client interactions), uncomplicated labor and delivery (226 provider-client interactions), and immediate PNC services in the six hours after delivery (232 provider-client interactions); observations were divided equally between intervention and comparison groups. Main outcomes were provider performance scores, calculated as the percentage of essential tasks in each service area completed by providers. Multilevel analysis was used to calculate adjusted mean percentage performance scores and standard errors to compare intervention and comparison groups. There was no statistically significant difference between intervention and comparison facilities in overall mean performance scores for ANC services (63.4% at intervention facilities versus 61.0% at comparison facilities, p = 0.650) or in any specific ANC skill area. MNH providers' overall mean performance score for uncomplicated labor and delivery care was 11.9 percentage points higher in the intervention than in the comparison group (77.5% versus 65.6%; p = 0.002). Overall mean performance scores for immediate PNC were 22.2 percentage points higher at intervention than at comparison facilities (72.8% versus 50.6%; p = 0.001); and there was a significant difference of 22 percentage points between intervention and comparison facilities for each PNC skill area: care for the newborn and health check for the mother. The SBM-R quality improvement intervention made a significant positive impact on MNH providers' performance during labor and delivery and immediate PNC services, but not during ANC services. Scaling up the intervention to other facilities and regions may increase the availability of good quality MNH services across Ethiopia. The findings will also guide implementation of the government's five-year (2015-2020) health sector transformation plan and health care quality strategies needed to meet the country's MNH goals.

36 CFR Appendix A to Part 1234 - Minimum Security Standards for Level III Federal Facilities

Code of Federal Regulations, 2014 CFR

2014-07-01

... technology and blast standards. Immediate review of ongoing projects may generate savings in the... critical systems (alarm systems, radio communications, computer facilities, etc.) Required. Occupant... all exterior windows (shatter protection) Recommended. Review current projects for blast standards...

36 CFR Appendix A to Part 1234 - Minimum Security Standards for Level III Federal Facilities

Code of Federal Regulations, 2012 CFR

2012-07-01

... technology and blast standards. Immediate review of ongoing projects may generate savings in the... critical systems (alarm systems, radio communications, computer facilities, etc.) Required. Occupant... all exterior windows (shatter protection) Recommended. Review current projects for blast standards...

78 FR 53812 - Self-Regulatory Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-30

... Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate Effectiveness of a Proposed Rule Change... Proprietary Trader Program (S501) Continuing Education Regulatory Element Session on the BOX Market LLC (``BOX'') options facility. While changes to the fee schedule pursuant to this proposal will be effective upon...

78 FR 25329 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-30

...-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate Effectiveness of..., The NASDAQ Stock Market LLC (``NASDAQ'' or the ``Exchange'') filed with the Securities and Exchange..., including the Nasdaq Market Center, the FINRA/NASDAQ Trade Reporting Facility, and FINRA's OTCBB Service...

47 CFR 63.25 - Special provisions relating to temporary or emergency service by international carriers.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., and beyond the control of, the carrier. (b) Applicants seeking immediate authorization to provide... why such immediate authority is required; the nature of the emergency; the type of facilities proposed... were in continuous effect for a period of more than one week, the following information: (1) The type...

Cost effective development of a national test bed

NASA Technical Reports Server (NTRS)

Waites, H. B.; Jones, V. L.; Seltzer, S. M.

1988-01-01

For several years, the Marshall Space Flight Center has pursued the coordinated development of a Large Space Structures (LSS) National Test Bed for the investigation of numerous technical issues involved in the use of LSS in space. The origins of this development, the current status of the various test facilities and the plans laid down for the next five years' activities are described. Particular emphasis on the control and structural interaction issues has been paid so far; however, immediately emerging are user applications (such as the proposed pinhole occulter facility). In the immediate future, such emerging technologies as smart robots and multibody interactions will be studied. These areas are covered.

A facility monitoring system: The single most valuable and cost-effective tool available to an energy manager

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

Holmes, W.A.

Energy engineering and management combines engineering problem-solving and financial management techniques to reduce utility costs. At present, substantial amounts of time and money are being spent in order to attempt to quantify energy consumption and costs and define opportunities for savings. Unfortunately, accurate verification of results is often overlooked. Advances in technology during the last few years have made the installation of a permanent, PC-based monitoring system possible for any facility, often for no more than the cost of a detailed study. By investing initially in a monitoring system rather than audits or studies, the actual consumption and cost datamore » will be available on a continuing basis and can be used to produce immediate operational savings, more accurately analyze opportunities requiring capital investments, and to verify actual savings resulting from changes. A permanent monitoring system, installed as the first step in a utility cost reduction effort, to identify where and how energy is used in a facility on a dynamic and real-time basis, can provide the most valuable and cost-effective tool available to an energy manager. The resulting data allows energy consumption patterns and utility costs to be understood and managed in the same manner as all other costs within a facility.« less

40 CFR 52.1335 - Compliance schedules.

Code of Federal Regulations, 2010 CFR

2010-07-01

... June 20, 1979 July 20, 1979 Mar. 1, 1984. St. Joe Minerals Corp., Pea Ridge Iron Ore Facility... Ridge Iron Ore Facility ......do ......do Apr. 22, 1981 Dec. 28, 1981 July 1, 1985. Associated Electric... Immediately Oct. 27, 1984. AMAX Lead Co Boss, MO ......do ......do ......do Apr. 27, 1985. (b) The compliance...

75 FR 11605 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of Filing...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-11

...-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of Filing and Immediate... Reporting Facility and OTC Reporting Facility Fees March 4, 2010. Pursuant to Section 19(b)(1) of the... March 1, 2010, Financial Industry Regulatory Authority, Inc. (``FINRA'') filed with the Securities and...

77 FR 70837 - Biweekly Notice; Applications and Amendments to Facility Operating Licenses and Combined Licenses...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-27

... Facility Operating Licenses and Combined Licenses Involving No Significant Hazards Considerations... Commission the authority to issue and make immediately effective any amendment to an operating license or... Docket ID NRC-2012-0283. You may submit comments by the following methods: Federal rulemaking Web site...

77 FR 35069 - Biweekly Notice; Applications and Amendments to Facility Operating Licenses and Combined Licenses...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-12

... Facility Operating Licenses and Combined Licenses Involving No Significant Hazards Considerations... Commission the authority to issue and make immediately effective any amendment to an operating license or... ID NRC-2012-0131. You may submit comments by the following methods: Federal Rulemaking Web site: Go...

40 CFR 267.1106 - What do I do if I detect a release?

Code of Federal Regulations, 2012 CFR

2012-07-01

... WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE FACILITIES OPERATING UNDER A... procedures. (a) Upon detection of a condition that has lead to a release of hazardous waste (for example... the facility operating record; (2) Immediately remove the portion of the containment building affected...

40 CFR 267.1106 - What do I do if I detect a release?

Code of Federal Regulations, 2014 CFR

2014-07-01

... WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE FACILITIES OPERATING UNDER A... procedures. (a) Upon detection of a condition that has lead to a release of hazardous waste (for example... the facility operating record; (2) Immediately remove the portion of the containment building affected...

40 CFR 267.1106 - What do I do if I detect a release?

Code of Federal Regulations, 2011 CFR

2011-07-01

... WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE FACILITIES OPERATING UNDER A... procedures. (a) Upon detection of a condition that has lead to a release of hazardous waste (for example... the facility operating record; (2) Immediately remove the portion of the containment building affected...

40 CFR 267.1106 - What do I do if I detect a release?

Code of Federal Regulations, 2013 CFR

2013-07-01

... WASTES (CONTINUED) STANDARDS FOR OWNERS AND OPERATORS OF HAZARDOUS WASTE FACILITIES OPERATING UNDER A... procedures. (a) Upon detection of a condition that has lead to a release of hazardous waste (for example... the facility operating record; (2) Immediately remove the portion of the containment building affected...

21 CFR 1.227 - What definitions apply to this subpart?

Code of Federal Regulations, 2010 CFR

2010-04-01

... packaging the food. (10) Restaurant means a facility that prepares and sells food directly to consumers for immediate consumption. “Restaurant” does not include facilities that provide food to interstate conveyances... kitchens, day care kitchens, and nursing home kitchens are restaurants; and (ii) Pet shelters, kennels, and...

Take immediate action to protect communities and workers.

PubMed

Wilding, Roberta Chase; Lewis, Sharon E

2007-01-01

In many areas throughout America, thousands of industrial and military facilities and agricultural operations put large numbers of people at risk of serious injury or death due to accidental chemical releases, explosions, fires, and grossly inadequate occupational exposure standards. While some companies are moving toward "greener" production, many others do the minimum required by government agencies. As evidenced by the thousands of permit violations and accidental releases of hazardous chemicals, this means that facilities across the country consistently fail to meet regulations, incorporating the cost of fines and penalties into the cost of doing business and passing that cost on to consumers. Workers at such facilities and residents of the surrounding communities cannot wait for the eventual implementation and enforcement of federal environmental laws or adequate testing of the effect chemicals may have on the human population. Immediate action is needed to protect communities and workers at risk from chemical exposures that can compromise their health.

Nurses' knowledge and attitudes about pain in hospitalized patients.

PubMed

Jarrett, Anna; Church, Terri; Fancher-Gonzalez, Kim; Shackelford, Jamie; Lofton, Annelle

2013-01-01

The purpose of the study was to measure knowledge and attitudes of nursing about pain management in patients before education, immediately after, and 6 months later. The end-point measure was Hospital Consumer Assessment of Healthcare Providers and Systems quarterly scores and percentile rank. This longitudinal, quasi-experimental, quantitative study used survey method with pretest and posttest scores to measure immediate learning and 6 months later to measure sustained changes in knowledge and attitudes for nurses in this facility. The setting was a 360-bed acute care community hospital in the midsouth. The sample consisted of approximately 206 bedside nurses who worked in an acute care facility and 164 final posttest participants. The survey was used in a group setting immediately prior to a didactic learning experience. Immediately after the session, a posttest survey was administered. The 6-month follow-up occurred via an online module developed by the principal investigator. A repeated-measures analysis of variance, a pairwise comparison with a paired t test, and a Bonferroni correction were performed to determine if sustained knowledge and attitudes have changed. Posttest scores were significantly higher than pretest scores on the Knowledge and Attitudes Survey Regarding Pain immediately after a didactic education session and 6 months later (P < .017). Six months later, scores remained higher than pretest or immediate posttest scores. Nurses with a stronger knowledge base may lead to better pain management, improved outcomes, and higher patient satisfaction scores.

Effect of Educational Outreach Timing and Duration on Facility Performance for Infectious Disease Care in Uganda: A Trial with Pre-Post and Cluster Randomized Controlled Components

PubMed Central

Burnett, Sarah M.; Mbonye, Martin K.; Naikoba, Sarah; Zawedde-Muyanja, Stella; Kinoti, Stephen N.; Ronald, Allan; Rubashembusya, Timothy; Willis, Kelly S.; Colebunders, Robert; Manabe, Yukari C.; Weaver, Marcia R.

2015-01-01

Background Classroom-based learning is often insufficient to ensure high quality care and application of health care guidelines. Educational outreach is garnering attention as a supplemental method to enhance health care worker capacity, yet there is little information about the timing and duration required to improve facility performance. We sought to evaluate the effects of an infectious disease training program followed by either immediate or delayed on-site support (OSS), an educational outreach approach, on nine facility performance indicators for emergency triage, assessment, and treatment; malaria; and pneumonia. We also compared the effects of nine monthly OSS visits to extended OSS, with three additional visits over six months. Methods This study was conducted at 36 health facilities in Uganda, covering 1,275,960 outpatient visits over 23 months. From April 2010 to December 2010, 36 sites received infectious disease training; 18 randomly selected sites in arm A received nine monthly OSS visits (immediate OSS) and 18 sites in arm B did not. From March 2011 to September 2011, arm A sites received three additional visits every two months (extended OSS), while the arm B sites received eight monthly OSS visits (delayed OSS). We compared the combined effect of training and delayed OSS to training followed by immediate OSS to determine the effect of delaying OSS implementation by nine months. We also compared facility performance in arm A during the extended OSS to immediate OSS to examine the effect of additional, less frequent OSS. Results Delayed OSS, when combined with training, was associated with significant pre/post improvements in four indicators: outpatients triaged (44% vs. 87%, aRR = 1.54, 99% CI = 1.11, 2.15); emergency and priority patients admitted, detained, or referred (16% vs. 31%, aRR = 1.74, 99% CI = 1.10, 2.75); patients with a negative malaria test result prescribed an antimalarial (53% vs. 34%, aRR = 0.67, 99% CI = 0.55, 0.82); and pneumonia suspects assessed for pneumonia (6% vs. 27%, aRR = 2.97, 99% CI = 1.44, 6.17). Differences between the delayed OSS and immediate OSS arms were not statistically significant for any of the nine indicators (all adjusted relative RR (aRRR) between 0.76–1.44, all p>0.06). Extended OSS was associated with significant improvement in two indicators (outpatients triaged: aRR = 1.09, 99% CI = 1.01; emergency and priority patients admitted, detained, or referred: aRR = 1.22, 99% CI = 1.01, 1.38) and decline in one (pneumonia suspects assessed for pneumonia: aRR: 0.93; 99% CI = 0.88, 0.98). Conclusions Educational outreach held up to nine months after training had similar effects on facility performance as educational outreach started within one month post-training. Six months of bi-monthly educational outreach maintained facility performance gains, but incremental improvements were heterogeneous. PMID:26352257

75 FR 1101 - Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-08

... SECURITIES AND EXCHANGE COMMISSION [Release No. 34-61261; File No. SR-BX-2009-086] Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing and Immediate Effectiveness of Proposed Rule Change Relating to the Minimum Trading Increments on the Boston Options Exchange Facility December 30, 2009. Pursuant to Section 19(b)(1) of the...

76 FR 44614 - Biweekly Notice; Applications and Amendments to Facility Operating Licenses Involving No...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-26

... Facility Operating Licenses Involving No Significant Hazards Considerations Background Pursuant to Section... authority to issue and make immediately effective any amendment to an operating license upon a determination... electronic form will be posted on the NRC Web site and on the Federal rulemaking Web site http://www...

40 CFR 61.254 - Annual reporting requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... information: (1) The name and location of the mill. (2) The name of the person responsible for the operation of the facility and the name of the person preparing the report (if different). (3) The results of... dated by a corporate officer in charge of the facility and contain the following declaration immediately...

40 CFR 61.254 - Annual reporting requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... information: (1) The name and location of the mill. (2) The name of the person responsible for the operation of the facility and the name of the person preparing the report (if different). (3) The results of... dated by a corporate officer in charge of the facility and contain the following declaration immediately...

40 CFR 61.254 - Annual reporting requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... information: (1) The name and location of the mill. (2) The name of the person responsible for the operation of the facility and the name of the person preparing the report (if different). (3) The results of... dated by a corporate officer in charge of the facility and contain the following declaration immediately...

40 CFR 61.254 - Annual reporting requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... information: (1) The name and location of the mill. (2) The name of the person responsible for the operation of the facility and the name of the person preparing the report (if different). (3) The results of... dated by a corporate officer in charge of the facility and contain the following declaration immediately...

Impact of SMS/GPRS Printers in Reducing Time to Early Infant Diagnosis Compared With Routine Result Reporting: A Systematic Review and Meta-Analysis

PubMed Central

Markby, Jessica; Boeke, Caroline; Penazzato, Martina; Urick, Brittany; Ghadrshenas, Anisa; Harris, Lindsay; Ford, Nathan; Peter, Trevor

2017-01-01

Background: Despite significant gains made toward improving access, early infant diagnosis (EID) testing programs suffer from long test turnaround times that result in substantial loss to follow-up and mortality associated with delays in antiretroviral therapy initiation. These delays in treatment initiation are particularly impactful because of significant HIV-related infant mortality observed by 2–3 months of age. Short message service (SMS) and general packet radio service (GPRS) printers allow test results to be transmitted immediately to health care facilities on completion of testing in the laboratory. Methods: We conducted a systematic review and meta-analysis to assess the benefit of using SMS/GPRS printers to increase the efficiency of EID test result delivery compared with traditional courier paper–based results delivery methods. Results: We identified 11 studies contributing data for over 16,000 patients from East and Southern Africa. The test turnaround time from specimen collection to result received at the health care facility with courier paper–based methods was 68.0 days (n = 6835), whereas the test turnaround time with SMS/GPRS printers was 51.1 days (n = 6711), resulting in a 2.5-week (25%) reduction in the turnaround time. Conclusions: Courier paper–based EID test result delivery methods are estimated to add 2.5 weeks to EID test turnaround times in low resource settings and increase the risk that infants receive test results during or after the early peak of infant mortality. SMS/GPRS result delivery to health care facility printers significantly reduced test turnaround time and may reduce this risk. SMS/GPRS printers should be considered for expedited delivery of EID and other centralized laboratory test results. PMID:28825941

The NASA Energy Conservation Program

NASA Technical Reports Server (NTRS)

Gaffney, G. P.

1977-01-01

Large energy-intensive research and test equipment at NASA installations is identified, and methods for reducing energy consumption outlined. However, some of the research facilities are involved in developing more efficient, fuel-conserving aircraft, and tradeoffs between immediate and long-term conservation may be necessary. Major programs for conservation include: computer-based systems to automatically monitor and control utility consumption; a steam-producing solid waste incinerator; and a computer-based cost analysis technique to engineer more efficient heating and cooling of buildings. Alternate energy sources in operation or under evaluation include: solar collectors; electric vehicles; and ultrasonically emulsified fuel to attain higher combustion efficiency. Management support, cooperative participation by employees, and effective reporting systems for conservation programs, are also discussed.

A collaborative case study: The Office of Native Medicine.

PubMed

Joe, Jennie R; Young, Robert S; Moses, Jill; Knoki-Wilson, Ursula; Dennison, Johnson

2016-01-01

National concerns about reducing the persistent health disparities found among varying racial and ethnic populations have led to initiatives to improve health care delivery systems. Many of these initiatives also promote the cultural competence of health care providers as a way to meet unique patient needs that go beyond immediate health problems, and to account for other critical components of patient care, such as health literacy, health beliefs and behaviors, and cultural practices. This case study describes a patient-centered care model developed by the Chinle Comprehensive Health Care Facility on the Navajo Reservation in Arizona, a model that has added a cadre of traditional tribal practitioners as part of its hospital and other clinical service resources.

Atmospheric ammonia mixing ratios at an open-air cattle feeding facility.

PubMed

Hiranuma, Naruki; Brooks, Sarah D; Thornton, Daniel C O; Auvermann, Brent W

2010-02-01

Mixing ratios of total and gaseous ammonia were measured at an open-air cattle feeding facility in the Texas Panhandle in the summers of 2007 and 2008. Samples were collected at the nominally upwind and downwind edges of the facility. In 2008, a series of far-field samples was also collected 3.5 km north of the facility. Ammonium concentrations were determined by two complementary laboratory methods, a novel application of visible spectrophotometry and standard ion chromatography (IC). Results of the two techniques agreed very well, and spectrophotometry is faster, easier, and cheaper than chromatography. Ammonia mixing ratios measured at the immediate downwind site were drastically higher (approximately 2900 parts per billion by volume [ppbv]) than thos measured at the upwind site (< or = 200 ppbv). In contrast, at 3.5 km away from the facility, ammonia mixing ratios were reduced to levels similar to the upwind site (< or = 200 ppbv). In addition, PM10 (particulate matter < 10 microm in optical diameter) concentrations obtained at each sampling location using Grimm portable aerosol spectrometers are reported. Time-averaged (1-hr) volume concentrations of PM10 approached 5 x 10(12) nm3 cm(-3). Emitted ammonia remained largely in the gas phase at the downwind and far-field locations. No clear correlation between concentrations of ammonia and particles was observed. Overall, this study provides a better understanding of ammonia emissions from open-air animal feeding operations, especially under the hot and dry conditions present during these measurements.

26 CFR 1.132-7T - Treatment of employer-operated eating facilities-1985 through 1988 (temporary).

Code of Federal Regulations, 2010 CFR

2010-04-01

... (temporary). (a) In general—(1) General rule. The value of meals provided to employees at an employer... meals furnished at the facility are provided during, or immediately before or after, the employee's workday. For purposes of this section, the term “meals” means food, beverages, and related services...

26 CFR 1.132-7T - Treatment of employer-operated eating facilities-1985 through 1988 (temporary).

Code of Federal Regulations, 2011 CFR

2011-04-01

... (temporary). (a) In general—(1) General rule. The value of meals provided to employees at an employer... meals furnished at the facility are provided during, or immediately before or after, the employee's workday. For purposes of this section, the term “meals” means food, beverages, and related services...

78 FR 76344 - Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-17

... environment and on which they may test their automated systems that integrate with the Exchange. For example... Establish Fees Under Rule 7030(d) for Use of the Carteret Testing Facility Test Environment December 11... the Testing Facility (``NTF'') test environment located in Carteret, New Jersey, which will provide a...

10 CFR 1703.105 - Requests for board records not available through the public reading room (FOIA requests).

Code of Federal Regulations, 2014 CFR

2014-01-01

... public reading room (FOIA requests). 1703.105 Section 1703.105 Energy DEFENSE NUCLEAR FACILITIES SAFETY... address for such requests is: Designated FOIA Officer, Defense Nuclear Facilities Safety Board, 625... pertain to an immediate source of risk to the public health and safety or worker safety at a defense...

10 CFR 1703.105 - Requests for board records not available through the public reading room (FOIA requests).

Code of Federal Regulations, 2013 CFR

2013-01-01

... public reading room (FOIA requests). 1703.105 Section 1703.105 Energy DEFENSE NUCLEAR FACILITIES SAFETY... address for such requests is: Designated FOIA Officer, Defense Nuclear Facilities Safety Board, 625... pertain to an immediate source of risk to the public health and safety or worker safety at a defense...

10 CFR 1703.105 - Requests for board records not available through the public reading room (FOIA requests).

Code of Federal Regulations, 2012 CFR

2012-01-01

... public reading room (FOIA requests). 1703.105 Section 1703.105 Energy DEFENSE NUCLEAR FACILITIES SAFETY... address for such requests is: Designated FOIA Officer, Defense Nuclear Facilities Safety Board, 625... pertain to an immediate source of risk to the public health and safety or worker safety at a defense...

10 CFR 1703.105 - Requests for board records not available through the public reading room (FOIA requests).

Code of Federal Regulations, 2010 CFR

2010-01-01

... public reading room (FOIA requests). 1703.105 Section 1703.105 Energy DEFENSE NUCLEAR FACILITIES SAFETY... address for such requests is: Designated FOIA Officer, Defense Nuclear Facilities Safety Board, 625... pertain to an immediate source of risk to the public health and safety or worker safety at a defense...

10 CFR 1703.105 - Requests for board records not available through the public reading room (FOIA requests).

Code of Federal Regulations, 2011 CFR

2011-01-01

... public reading room (FOIA requests). 1703.105 Section 1703.105 Energy DEFENSE NUCLEAR FACILITIES SAFETY... address for such requests is: Designated FOIA Officer, Defense Nuclear Facilities Safety Board, 625... pertain to an immediate source of risk to the public health and safety or worker safety at a defense...

78 FR 76350 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC.; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-17

... switch port in the test environment. The test environment is designed to closely mirror the live equity... Change To Establish Fees Under the PHLX Pricing Schedule for Use of the Carteret Testing Facility Test... establish fees under the Pricing Schedule for use of the Testing Facility (``NTF'') test environment located...

78 FR 28272 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-14

... systems operated by NASDAQ, including the Nasdaq Market Center, the FINRA/NASDAQ Trade Reporting Facility... using any facility or system which the Exchange operates or controls. All similarly situated members are...) for use of VTE terminals. A VTE terminal is a basic front- end user interface used by NASDAQ members...

Draft Supplement to Final Environmental Statement on Continental United States (CONUS) Over-the-Horizon Backscatter (OTH-B) Radar System, Penobscot, Washington, Somerset Counties, Maine.

DTIC Science & Technology

1981-08-01

by psychological tests and EEG recordings. No statistically significant differences between the two groups were found. In our opinion, the lack of...phenomena. A jet engine test facility is located immediately south of the site. Engines are tested at the facility approximately 20 times a year. The...duration of each test is approximately 68 minutes. Noise monitoring data for operation of this facility are not available; however, it is clear that

Cancer inpatients morphine usage: a new England area survey.

PubMed

Trollor, John

2003-08-01

This is a one year study of the use of morphine in cancer patients in 10 inpatient facilities in the New England Area Health Service in the north-west of New South Wales. The study explored 170 admissions relating to 122 patients, most of whom were cared for by their general practitioners. The use of morphine in these cancer patients was compared with the recommendations made by the expert working group of the European Association of Palliative Care.1 Those items which matched the recommendations included the initial doses for new users of morphine and the subcutaneous route being the preferred parenteral route. The data in this study differed from the recommendations in that only half of the patients received the immediate release morphine when first given oral morphine, only 43% had orders for immediate release oral morphine for breakthrough pain (with a variable frequency) and a significant number of orders for parenteral and immediate release oral morphine for breakthrough pain were outside the recommended doses (100% and 86.2%, respectively). Written orders for immediate release oral and parenteral morphine involved a dose range in significant numbers while only 30% of patients had orders for parenteral morphine for breakthrough pain. There was a low use of fixed interval variable dose (FIVD) morphine charts despite these being available in most facilities.

Assessing delivery practices of mothers over time and over space in Uganda, 2003-2012.

PubMed

Sprague, Daniel A; Jeffery, Caroline; Crossland, Nadine; House, Thomas; Roberts, Gareth O; Vargas, William; Ouma, Joseph; Lwanga, Stephen K; Valadez, Joseph J

2016-01-01

It is well known that safe delivery in a health facility reduces the risks of maternal and infant mortality resulting from perinatal complications. What is less understood are the factors associated with safe delivery practices. We investigate factors influencing health facility delivery practices while adjusting for multiple other factors simultaneously, spatial heterogeneity, and trends over time. We fitted a logistic regression model to Lot Quality Assurance Sampling (LQAS) data from Uganda in a framework that considered individual-level covariates, geographical features, and variations over five time points. We accounted for all two-covariate interactions and all three-covariate interactions for which two of the covariates already had a significant interaction, were able to quantify uncertainty in outputs using computationally intensive cluster bootstrap methods, and displayed outputs using a geographical information system. Finally, we investigated what information could be predicted about districts at future time-points, before the next LQAS survey is carried out. To do this, we applied the model to project a confidence interval for the district level coverage of health facility delivery at future time points, by using the lower and upper end values of known demographics to construct a confidence range for the prediction and define priority groups. We show that ease of access, maternal age and education are strongly associated with delivery in a health facility; after accounting for this, there remains a significant trend towards greater uptake over time. We use this model together with known demographics to formulate a nascent early warning system that identifies candidate districts expected to have low prevalence of facility-based delivery in the immediate future. Our results support the hypothesis that increased development, particularly related to education and access to health facilities, will act to increase facility-based deliveries, a factor associated with reducing perinatal associated mortality. We provide a statistical method for using inexpensive and routinely collected monitoring and evaluation data to answer complex epidemiology and public health questions in a resource-poor setting. We produced a model based on this data that explained the spatial distribution of facility-based delivery in Uganda. Finally, we used this model to make a prediction about the future priority of districts that was validated by monitoring and evaluation data collected in the next year.

Field triage and patient maldistribution in a mass-casualty incident.

PubMed

Zoraster, Richard M; Chidester, Cathy; Koenig, William

2007-01-01

Management of mass-casualty incidents should optimize outcomes by appropriate prehospital care, and patient triage to the most capably facilities. The number of patients, the nature of injuries, transportation needs, distances, and hospital capabilities and availabilities are all factors to be considered. Patient maldistributions such as overwhelming individual facilities, or transport to facilities incapable of providing appropriate care should be avoided. This report is a critical view of the application of the START triage nomenclature in the prehospital arena following a train crash in Los Angeles County on 26 January 2005. A scheduled debriefing was held with the major fire and emergency medical services responders, Medical Alert Center staff, and hospitals to assess and review the response to the incident. Site visits were made to all of the hospitals involved. Follow-up questions were directed to emergency department staff that were on duty during the day of the incident. The five Level-I Trauma Centers responded to the poll with the capacity to receive a total of 12 "Immediate" patients, 2.4 patients per center, the eight Level-II Trauma Centers responded with capacity to receive 17 "Immediate" patients, two patients per center, while the 25 closest community hospitals offered to accept 75 "Immediate" patients, three patients per hospital. These community hospitals were typically about one-half of the size of the trauma centers (average 287 beds versus 548, average 8.7 operating rooms versus 16.6). Twenty-six patients were transported to a community hospital >15 miles from the scene, while eight closer community hospitals did not receive any patients. The debriefing summary of this incident concluded that there were no consistently used criteria to decide ultimate destination for "Immediates", and that they were distributed about equally between community hospitals and trauma centers.

36 CFR 14.78 - Applications.

Code of Federal Regulations, 2011 CFR

2011-07-01

... application should include a one-line diagram of the proposed line and the immediate interconnecting facilities including power plants and substations, a power flow diagram for proposed line and connecting...

36 CFR 14.78 - Applications.

Code of Federal Regulations, 2014 CFR

2014-07-01

... application should include a one-line diagram of the proposed line and the immediate interconnecting facilities including power plants and substations, a power flow diagram for proposed line and connecting...

36 CFR 14.78 - Applications.

Code of Federal Regulations, 2012 CFR

2012-07-01

... application should include a one-line diagram of the proposed line and the immediate interconnecting facilities including power plants and substations, a power flow diagram for proposed line and connecting...

36 CFR 14.78 - Applications.

Code of Federal Regulations, 2013 CFR

2013-07-01

... application should include a one-line diagram of the proposed line and the immediate interconnecting facilities including power plants and substations, a power flow diagram for proposed line and connecting...

Support to triage and public risk perception considering long-term response to a Cs-137 radiological dispersive device scenario.

PubMed

Andrade, Cristiane Ps; Souza, Cláudio J; Camerini, Eduardo Sn; Alves, Isabela S; Vital, Hélio C; Healy, Matthew Jf; Ramos De Andrade, Edson

2018-06-01

A radiological dispersive device (RDD) spreads radioactive material, complicates the treatment of physical injuries, raises cancer risk, and induces disproportionate fear. Simulating such an event enables more effective and efficient utilization of the triage and treatment resources of staff, facilities, and space. Fast simulation can give detail on events in progress or future events. The resources for triage and treatment of contaminated trauma victims can differ for pure exposure individuals, while discouraging the "worried well" from presenting in the crisis phase by media announcement would relieve pressure on hospital facilities. The proposed methodology integrates capabilities from different platforms in a convergent way composed of three phases: (a) scenario simulation, (b) data generation, and (c) risk assessment for triage focused on follow-up epidemiological assessment. Simulations typically indicate that most of the affected population does not require immediate medical assistance. Medical triage for the few severely injured and the radiological triage to diminish the contamination with radioactivity will always be the priority. For this study, however, higher priorities should be given to individuals from radiological "warm" and "hot" zones as required by risk criteria. The proposed methodology could thus help to (a) filter and reduce the number of individuals to be attended, (b) optimize the prioritization of medical care, (c) reduce or prepare for future costs, (d) effectively locate the operational triage site to avoid possible contamination on the main facility, and (e) provide the scientific data needed to develop an adequate approach to risk and its proper communication.

Low Gravity venting of Refrigerant 11

NASA Technical Reports Server (NTRS)

Labus, T. L.; Aydelott, J. C.; Lacovic, R. F.

1972-01-01

An experimental investigation was conducted in a five-second zero gravity facility to examine the effects of venting initially saturated Refrigerant 11 from a cylindrical container (15-cm diameter) under reduced gravitational conditions. The system Bond numbers studied were 0 (weightlessness), 9 and 63; the liquid exhibited a nearly zero-degree contact angle on the container surface. During the venting process, both liquid-vapor interface and liquid bulk vaporization occurred. The temperature of the liquid in the immediate vicinity of the liquid-vapor interface was found to decrease during venting, while the liquid bulk temperature remained constant. Qualitative observations of the effects of system acceleration, vent rate, and vapor volume presented. Quantitative information concerning the ullage pressure decay during low gravity venting is also included.

36 CFR 13.1 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... mechanical failure or accident cannot take off. Facility means buildings, structures, park roads as defined... travel on or immediately over land, water, sand, snow, ice, marsh, wetland or other natural terrain...

Nuclear Rocket Facility Decommissioning Project: Controlled Explosive Demolition of Neutron Activated Shield Wall

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

Michael R. Kruzic

2007-09-16

Located in Area 25 of the Nevada Test Site (NTS), the Test Cell A (TCA) Facility was used in the early to mid-1960s for the testing of nuclear rocket engines, as part of the Nuclear Rocket Development Program, to further space travel. Nuclear rocket testing resulted in the activation of materials around the reactors and the release of fission products and fuel particles in the immediate area. Identified as Corrective Action Unit 115, the TCA facility was decontaminated and decommissioned (D&D) from December 2004 to July 2005 using the Streamlined Approach for Environmental Restoration (SAFER) process, under the ''Federal Facilitymore » Agreement and Consent Order''. The SAFER process allows environmental remediation and facility closure activities (i.e., decommissioning) to occur simultaneously provided technical decisions are made by an experienced decision maker within the site conceptual site model, identified in the Data Quality Objective process. Facility closure involved a seven-step decommissioning strategy. Key lessons learned from the project included: (1) Targeted preliminary investigation activities provided a more solid technical approach, reduced surprises and scope creep, and made the working environment safer for the D&D worker. (2) Early identification of risks and uncertainties provided opportunities for risk management and mitigation planning to address challenges and unanticipated conditions. (3) Team reviews provided an excellent mechanism to consider all aspects of the task, integrated safety into activity performance, increase team unity and ''buy-in'' and promoted innovative and time saving ideas. (4) Development of CED protocols ensured safety and control. (5) The same proven D&D strategy is now being employed on the larger ''sister'' facility, Test Cell C.« less

Translating evidence into policy for cardiovascular disease control in India

PubMed Central

2011-01-01

Cardiovascular diseases (CVD) are leading causes of premature mortality in India. Evidence from developed countries shows that mortality from these can be substantially prevented using population-wide and individual-based strategies. Policy initiatives for control of CVD in India have been suggested but evidence of efficacy has emerged only recently. These initiatives can have immediate impact in reducing morbidity and mortality. Of the prevention strategies, primordial involve improvement in socioeconomic status and literacy, adequate healthcare financing and public health insurance, effective national CVD control programme, smoking control policies, legislative control of saturated fats, trans fats, salt and alcohol, and development of facilities for increasing physical activity through better urban planning and school-based and worksite interventions. Primary prevention entails change in medical educational curriculum and improved healthcare delivery for control of CVD risk factors-smoking, hypertension, dyslipidemia and diabetes. Secondary prevention involves creation of facilities and human resources for optimum acute CVD care and secondary prevention. There is need to integrate various policy makers, develop effective policies and modify healthcare systems for effective delivery of CVD preventive care. PMID:21306620

Modeling and HIL Simulation of Flight Conditions Simulating Control System for the Altitude Test Facility

NASA Astrophysics Data System (ADS)

Zhou, Jun; Shen, Li; Zhang, Tianhong

2016-12-01

Simulated altitude test is an essential exploring, debugging, verification and validation means during the development of aero-engine. Free-jet engine test can simulate actual working conditions of aero-engine more realistically than direct-connect engine test but with relatively lower cost compared to propulsion wind tunnel test, thus becoming an important developing area of simulated altitude test technology. The Flight Conditions Simulating Control System (FCSCS) is of great importance to the Altitude Test Facility (ATF) but the development of that is a huge challenge. Aiming at improving the design efficiency and reducing risks during the development of FCSCS for ATFs, a Hardware- in-the-Loop (HIL) simulation system was designed and the mathematical models of key components such as the pressure stabilizing chamber, free-jet nozzle, control valve and aero-engine were built in this paper. Moreover, some HIL simulation experiments were carried out. The results show that the HIL simulation system designed and established in this paper is reasonable and effective, which can be used to adjust control parameters conveniently and assess the software and hardware in the control system immediately.

Poster - Thur Eve - 05: Safety systems and failure modes and effects analysis for a magnetic resonance image guided radiation therapy system.

PubMed

Lamey, M; Carlone, M; Alasti, H; Bissonnette, J P; Borg, J; Breen, S; Coolens, C; Heaton, R; Islam, M; van Proojen, M; Sharpe, M; Stanescu, T; Jaffray, D

2012-07-01

An online Magnetic Resonance guided Radiation Therapy (MRgRT) system is under development. The system is comprised of an MRI with the capability of travel between and into HDR brachytherapy and external beam radiation therapy vaults. The system will provide on-line MR images immediately prior to radiation therapy. The MR images will be registered to a planning image and used for image guidance. With the intention of system safety we have performed a failure modes and effects analysis. A process tree of the facility function was developed. Using the process tree as well as an initial design of the facility as guidelines possible failure modes were identified, for each of these failure modes root causes were identified. For each possible failure the assignment of severity, detectability and occurrence scores was performed. Finally suggestions were developed to reduce the possibility of an event. The process tree consists of nine main inputs and each of these main inputs consisted of 5 - 10 sub inputs and tertiary inputs were also defined. The process tree ensures that the overall safety of the system has been considered. Several possible failure modes were identified and were relevant to the design, construction, commissioning and operating phases of the facility. The utility of the analysis can be seen in that it has spawned projects prior to installation and has lead to suggestions in the design of the facility. © 2012 American Association of Physicists in Medicine.

Feasibility study and verified design concept for new improved hot gas facility

NASA Technical Reports Server (NTRS)

1986-01-01

The MSFC Hot Gas Facility (HGF) was fabricated in 1975 as a temporary facility to provide immediate turnaround testing to support the SRB and ET TPS development. This facility proved to be very useful and was used to make more than 1300 runs, far more than ever intended in the original design. Therefore, it was in need of constant repair and needed to be replaced with a new improved design to support the continuing SRB/ET TPS product improvement and/or removal efforts. MSFC contracted with Lockheed-Huntsville to work on this improved design through contract NAS8-36304 Feasibility Study and Verified Design Concept for the New Improved Hot Gas Facility. The results of Lockheed-Huntsville's efforts under this contract are summarized.

42 CFR 483.364 - Monitoring of the resident in and immediately after seclusion.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 § 483... potentially hazardous conditions such as unprotected light fixtures and electrical outlets. (c) If the...

42 CFR 483.364 - Monitoring of the resident in and immediately after seclusion.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 § 483... potentially hazardous conditions such as unprotected light fixtures and electrical outlets. (c) If the...

42 CFR 483.364 - Monitoring of the resident in and immediately after seclusion.

Code of Federal Regulations, 2012 CFR

2012-10-01

... Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 § 483... potentially hazardous conditions such as unprotected light fixtures and electrical outlets. (c) If the...

42 CFR 483.364 - Monitoring of the resident in and immediately after seclusion.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Residential Treatment Facilities Providing Inpatient Psychiatric Services for Individuals Under Age 21 § 483... potentially hazardous conditions such as unprotected light fixtures and electrical outlets. (c) If the...

Health care delivery system for long duration manned space operations

NASA Technical Reports Server (NTRS)

Logan, J. S.; Shulman, E. L.; Johnson, P. C.

1983-01-01

Specific requirements for medical support of a long-duration manned facility in a low earth orbit derive from inflight medical experience, projected medical scenarios, mission related spacecraft and environmental hazards, health maintenance, and preventive medicine. A sequential buildup of medical capabilities tailored to increasing mission complexity is proposed. The space station health maintenance facility must provide preventive, diagnostic, and therapeutic medical support as immediate rescue capability may not exist.

Basic Military Justice Handbook. Revision

DTIC Science & Technology

1989-01-01

copies. Note: The accused will be escorted to the local medical facility for a preconfinement physical. This is a function of your master-at-arms...5004 of ref (a). a. Retrieved dependent ID cards. b. If not surrendered, notify local medical facilities and military activities. c. A terminate DD 1172...dental records, and secure physical immediately before trial (or notify medical people of need). B. POST-TRIAL MATTERS 1. Assure confinement order is

Mutagen Sensitivity, Apoptosis, and Polymorphism in DNA Repair as Measures of Prostate Cancer Risk

DTIC Science & Technology

2005-02-01

blood tubes are immediately refrigerated and delivered on ice within 6 hours to the GCRC core facility at Georgetown University for processing . Case...is CLIA certified. There is a centrally monitored storage facility with -80’C freezers. The established recruitment and optimized sample processing in...controls. We have established the recruitment procedures, sample collection, processing , repository, and data management. This is a substantial effort

KENNEDY SPACE CENTER, FLA. - Emergency crew members transport an “injured” astronaut during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - Emergency crew members transport an “injured” astronaut during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KENNEDY SPACE CENTER, FLA. - A helicopter approaches an orbiter crew compartment mock-up as part of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews will respond to the volunteer “astronauts” simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - A helicopter approaches an orbiter crew compartment mock-up as part of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews will respond to the volunteer “astronauts” simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Staged, High-Pressure Oxy-Combustion Technology: Development and Scale-Up

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

Axelbaum, Richard; Kumfer, Benjamin; Gopan, Akshay

The immediate need for a high efficiency, low cost carbon capture process has prompted the recent development of pressurized oxy-combustion. With a greater combustion pressure the dew point of the flue gas is increased, allowing for effective integration of the latent heat of flue gas moisture into the Rankine cycle. This increases the net plant efficiency and reduces costs. A novel, transformational process, named Staged, Pressurized Oxy-Combustion (SPOC), achieves additional step changes in efficiency and cost reduction by significantly reducing the recycle of flue gas. The research and development activities conducted under Phases I and II of this project (FE0009702)more » include: SPOC power plant cost and performance modeling, CFD-assisted design of pressurized SPOC boilers, theoretical analysis of radiant heat transfer and ash deposition, boiler materials corrosion testing, construction of a 100 kWth POC test facility, and experimental testing. The results of this project have advanced the technology readiness level (TRL) of the SPOC technology from 1 to 5.« less

Developing a community driven sustainable model of maternity waiting homes for rural Zambia.

PubMed

Lori, Jody R; Munro-Kramer, Michelle L; Mdluli, Eden Ahmed; Musonda Mrs, Gertrude K; Boyd, Carol J

2016-10-01

maternity waiting homes (MWHs) are residential dwellings located near health facilities where women in the late stages of pregnancy stay to await childbirth and receive immediate postpartum services. These shelters help overcome distance and transportation barriers that prevent women from receiving timely skilled obstetric care. the purpose of this study was to explore Zambian stakeholders' beliefs regarding the acceptability, feasibility, and sustainability of maternity waiting homes (MWHs) to inform a model for rural Zambia. a qualitative design using a semi-structured interview guide for data collection was used. two rural districts in the Eastern province of Zambia. individual interviews were conducted with community leaders (n=46). Focus groups were held with Safe Motherhood Action Groups, husbands, and women of childbearing age in two rural districts in Zambia (n=500). latent content analysis was used to analyze the data. participants were overwhelmingly in support of MWHs as a way to improve access to facility-based childbirth and address the barrier of distance. Data suggest that participants can describe features of high quality care, and the type of care they expect from a MWH. Stakeholders acknowledged the need to contribute to the maintenance of the MWH, and that community involvement was crucial to MWH sustainability. access to facility childbirth remains particularly challenging in rural Zambia and delays in seeking care exist. Maternity waiting homes offer a feasible and acceptable intervention to reduce delays in seeking care, thereby holding the potential to improve maternal outcomes. this study joins a growing literature on the acceptability, feasibility, and sustainability of MWHs. It is believed that MWHs, by addressing the distance and transportation barriers, will increase the use of skilled birth attendants, thereby reducing maternal and neonatal morbidity and mortality in rural, low resource areas of Zambia. We recommend that any initiative, such as MWHs, seeking to increase facility-based births with a skilled birth attendant also concurrently addresses any local deficiencies in quality of care. Copyright © 2016 Elsevier Ltd. All rights reserved.

25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

Code of Federal Regulations, 2012 CFR

2012-04-01

... reasons: (1) Because of unsafe conditions; (2) Because of natural disasters; (3) For fish or game...) Consultation is not required whenever the above conditions involve immediate safety or life-threatening...

25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

Code of Federal Regulations, 2011 CFR

2011-04-01

... reasons: (1) Because of unsafe conditions; (2) Because of natural disasters; (3) For fish or game...) Consultation is not required whenever the above conditions involve immediate safety or life-threatening...

25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

Code of Federal Regulations, 2014 CFR

2014-04-01

... reasons: (1) Because of unsafe conditions; (2) Because of natural disasters; (3) For fish or game...) Consultation is not required whenever the above conditions involve immediate safety or life-threatening...

25 CFR 170.813 - When can access to IRR transportation facilities be restricted?

Code of Federal Regulations, 2013 CFR

2013-04-01

... reasons: (1) Because of unsafe conditions; (2) Because of natural disasters; (3) For fish or game...) Consultation is not required whenever the above conditions involve immediate safety or life-threatening...

Autologous islet transplantation with remote islet isolation after pancreas resection for chronic pancreatitis.

PubMed

Tai, Denise S; Shen, Na; Szot, Gregory L; Posselt, Andrew; Feduska, Nicholas J; Habashy, Andrew; Clerkin, Barbara; Core, Erin; Busuttil, Ronald W; Hines, O Joe; Reber, Howard A; Lipshutz, Gerald S

2015-02-01

Autologous islet transplantation is an elegant and effective method for preserving euglycemia in patients undergoing near-total or total pancreatectomy for severe chronic pancreatitis. However, few centers worldwide perform this complex procedure, which requires interdisciplinary coordination and access to a sophisticated Food and Drug Administration-licensed islet-isolating facility. To investigate outcomes from a single institutional case series of near-total or total pancreatectomy and autologous islet transplantation using remote islet isolation. Retrospective cohort study between March 1, 2007, and December 31, 2013, at tertiary academic referral centers among 9 patients (age range, 13-47 years) with chronic pancreatitis and reduced quality of life after failed medical management. Pancreas resection, followed by transport to a remote facility for islet isolation using a modified Ricordi technique, with immediate transplantation via portal vein infusion. Islet yield, pain assessment, insulin requirement, costs, and transport time. Eight of nine patients had successful islet isolation after near-total or total pancreatectomy. Four of six patients with total pancreatectomy had islet yields exceeding 5000 islet equivalents per kilogram of body weight. At 2 months after surgery, all 9 patients had significantly reduced pain or were pain free. Of these patients, 2 did not require insulin, and 1 required low doses. The mean transport cost was $16,527, and the mean transport time was 3½ hours. Pancreatic resection with autologous islet transplantation for severe chronic pancreatitis is a safe and effective final alternative to ameliorate debilitating pain and to help prevent the development of surgical diabetes. Because many centers lack access to an islet-isolating facility, we describe our experience using a regional 2-center collaboration as a successful model to remotely isolate cells, with outcomes similar to those of larger case series.

Evaluation of Facility Management by Multivariate Statistics - Factor Analysis

NASA Astrophysics Data System (ADS)

Singovszki, Miloš; Vranayová, Zuzana

2013-06-01

Facility management is evolving, there is no exact than other sciences, although its development is fast forward. The knowledge and practical skills in facility management is not replaced, on the contrary, they complement each other. The existing low utilization of science in the field of facility management is mainly caused by the management of support activities are many variables and prevailing immediate reaction to the extraordinary situation arising from motives of those who have substantial experience and years of proven experience. Facility management is looking for a system that uses organized knowledge and will form the basis, which grows from a wide range of disciplines. Significant influence on its formation as a scientific discipline is the "structure, which follows strategy". The paper deals evaluate technology building as part of an facility management by multivariate statistic - factor analysis.

KSC-06pd0499

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, emergency personnel tend to "injured astronauts" during a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0493

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - In a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel tend to an "injured astronaut." Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0498

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, emergency personnel tend to "injured astronauts" during a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0487

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel get equipment ready for a simulated emergency rescue of a shuttle crew after landing. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0511

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, emergency personnel tend to "injured astronauts" during a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/George Shelton

Environmental Assessment for the Blair Lakes Bombing Range Facility Improvements

DTIC Science & Technology

2006-03-01

None of these sites would be impacted by range activities. In the event that historic or cultura l sites are discovered during range construction or...willow. These areas often contain seasonally persistent water bodies. Along stream courses (Willow and Dry Creek, and tributaries ) soils are...The only identified fish stream in the immediate facility area is an unnamed tributary of Clear Creek. The ADF&G has catalogued this stream as

Generating high Reynolds-number flows.

NASA Technical Reports Server (NTRS)

Russell, D. A.

1972-01-01

Present test facilities are seriously limited regarding investigations involving high Reynolds numbers due to financial considerations. Quasi-steady testing facilities offer a practical immediate solution to the problem of high-Re testing. A familiar example is the blowdown wind tunnel, but even more flexibility and economy may be provided by using shock-tube devices. The Ludwieg tube is the shock-tube device most often proposed as a means of generating high-Re flows. Two-stage nozzles may be used with a Ludwieg tube. Quasi-steady facilities will be useful only if the available test time exceeds that required to establish steady flow.

49 CFR 601.44 - Posting to the docket.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 24 hours a day, seven days a week, via the Internet at the docket facility's Web site at http://dms... or subgrantee needs to request immediate relief and does not have access to electronic means to...

78 FR 11257 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-15

... facility for executing and routing standardized equity and index options. The Exchange also proposes a... using the Financial Information Exchange (``FIX'') protocol. The Exchange also proposes to define the...

Egg Allergy

MedlinePlus

... your child has had to have an epinephrine shot because of an allergic reaction, go immediately to a medical facility or hospital emergency room so they can provide additional treatment if needed. Up to one third of anaphylactic reactions can have a second ...

42 CFR 1001.1301 - Failure to grant immediate access.

Code of Federal Regulations, 2010 CFR

2010-10-01

...)(3) of the Act; (J) An end-stage renal disease facility is meeting the requirements of section 1881(b...'s statutory functions; or (iv) A State Medicaid fraud control unit for the purpose of conducting its...

Analysis of the NASA White Sands Test Facility (WSTF) Test System for Friction-Ignition of Metallic Materials

NASA Technical Reports Server (NTRS)

Shoffstall, Michael S.; Wilson, D. Bruce; Stoltzfus, Joel M.

2000-01-01

Friction is a known ignition source for metals in oxygen-enriched atmospheres. The test system developed by the NASA White Sands Test Facility in response to ASTM G-94 has been used successfully to determine the relative ignition from friction of numerous metallic materials and metallic materials pairs. These results have been ranked in terms of a pressure-velocity product (PV) as measured under the prescribed test conditions. A high value of 4.1(exp 8) watts per square meter for Inconel MA 754 is used to imply resistance to friction ignition, whereas a low value of 1.04(exp 8) watts per square meter for stainless steel 304 is taken as indicating material susceptible to friction ignition. No attempt has been made to relate PV values to other material properties. This work reports the analysis of the WSTF friction-ignition test system for producing fundamental properties of metallic materials relating to ignition through friction. Three materials, aluminum, titanium, and nickel were tested in the WSTF frictional ignition instrument system under atmospheres of oxygen or nitrogen. Test conditions were modified to reach a steady state of operation, that is applied, the force was reduced and the rotational speed was reduced. Additional temperature measurements were made on the stator sample. The aluminum immediately galled on contact (reproducible) and the test was stopped. Titanium immediately ignited as a result of non-uniform contact of the stator and rotor. This was reproducible. A portion of the stator sampled burned, but the test continued. Temperature measurements on the stator were used to validate the mathematical model used for estimating the interface (stator/rotor) temperature. These interface temperature measurements and the associate thermal flux into the stator were used to distinguish material-phase transitions, chemical reaction, and mechanical work. The mechanical work was used to analyze surface asperities in the materials and to estimate a coefficient of fiction. The coefficient of fiction was analyzed in terms of material properties that is, hardness, Young's modulus and elasticity/plasticity of the material.

Ulinastatin Suppresses Burn-Induced Lipid Peroxidation and Reduces Fluid Requirements in a Swine Model

PubMed Central

Luo, Hong-Min; Du, Ming-Hua; Lin, Zhi-Long; Hu, Quan; Zhang, Lin; Ma, Li; Wang, Huan; Wen, Yu; Lv, Yi; Lin, Hong-Yuan; Pi, Yu-Li; Hu, Sen; Sheng, Zhi-Yong

2013-01-01

Objective. Lipid peroxidation plays a critical role in burn-induced plasma leakage, and ulinastatin has been reported to reduce lipid peroxidation in various models. This study aims to examine whether ulinastatin reduces fluid requirements through inhibition of lipid peroxidation in a swine burn model. Methods. Forty miniature swine were subjected to 40% TBSA burns and were randomly allocated to the following four groups: immediate lactated Ringer's resuscitation (ILR), immediate LR containing ulinastatin (ILR/ULI), delayed LR resuscitation (DLR), and delayed LR containing ulinastatin (DLR/ULI). Hemodynamic variables, net fluid accumulation, and plasma thiobarbituric acid reactive substances (TBARS) concentrations were measured. Heart, liver, lung, skeletal muscle, and ileum were harvested at 48 hours after burn for evaluation of TBARS concentrations, activities of antioxidant enzymes, and tissue water content. Results. Ulinastatin significantly reduced pulmonary vascular permeability index (PVPI) and extravascular lung water index (ELWI), net fluid accumulation, and water content of heart, lung, and ileum in both immediate or delayed resuscitation groups. Furthermore, ulinastatin infusion significantly reduced plasma and tissue concentrations of TBARS in both immediate or delayed resuscitation groups. Conclusions. These results indicate that ulinastatin can reduce fluid requirements through inhibition of lipid peroxidation. PMID:23738046

33 CFR 207.275 - McClellan-Kerr Arkansas River navigation system: use, administration, and navigation.

Code of Federal Regulations, 2014 CFR

2014-07-01

.... Vessels arriving at these markers or the mooring cells immediately upstream and downstream of the lock... mooring facilities at the junction of main stem and secondary channels are to provide temporary mooring...

KSC-06pd0489

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - In a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, an "astronaut" exits the orbiter mockup. Emergency rescue personnel are behind. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0501

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - During a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel carry an "injured astronaut" to a waiting helicopter. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0496

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - In a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel place an "injured astronaut" into a rescue vehicle. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0486

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - Equipment is in place at NASA Kennedy Space Center's Shuttle Landing Facility for a simulated emergency rescue of a shuttle crew after landing. At center is the orbiter mockup. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0491

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - In a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel place an "injured astronaut" onto a stretcher. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0500

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - During a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel carry an "injured astronaut" to a waiting helicopter. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0490

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - In a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel aid an "astronaut" who just left the orbiter mockup. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

KSC-06pd0513

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, emergency personnel tends to an "injured astronaut" inside a rescue vehicle during a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Jim Grossmann

KENNEDY SPACE CENTER, FLA. - Emergency crew members assess medical needs on “injured” astronauts removed from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - Emergency crew members assess medical needs on “injured” astronauts removed from the orbiter crew compartment mock-up during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Immediate and sustained effects of user fee exemption on healthcare utilization among children under five in Burkina Faso: A controlled interrupted time-series analysis.

PubMed

Zombré, David; De Allegri, Manuela; Ridde, Valéry

2017-04-01

Little is known about the long-term effects of user fee exemption policies on health care use in developing countries. We examined the association between user fee exemption and health care use among children under five in Burkina Faso. We also examined how factors related to characteristics of health facilities and their environment moderate this association. We used a multilevel controlled interrupted time-series design to examine the strength of effect and long term effects of user fee exemption policy on the rate of health service utilization in children under five between January 2004 and December 2014. The initiation of the intervention more than doubled the utilization rate with an immediate 132.596% increase in intervention facilities (IRR: 2.326; 95% CI: 1.980 to 2.672). The effect of the intervention was 32.766% higher in facilities with higher workforce density (IRR: 1.328; 95% CI (1.209-1.446)) and during the rainy season (IRR:1.2001; 95% CI: 1.0953-1.3149), but not significant in facilities with higher dispersed populations (IRR: 1.075; 95% CI: (0.942-1.207)). Although the intervention effect was substantially significant immediately following its inception, the pace of growth, while positive over a first phase, decelerated to stabilize itself three years and 7 months later before starting to decrease slowly towards the end of the study period. This study provides additional evidence to support user fee exemption policies complemented by improvements in health care quality. Future work should include an assessment of the impact of user fee exemption on infant morbidity and mortality and better discuss factors that could explain the slowdown in this upward trend of utilization rates three and a half years after the intervention onset. Copyright © 2017. Published by Elsevier Ltd.

Development and Validation of an Index to Measure the Quality of Facility-Based Labor and Delivery Care Processes in Sub-Saharan Africa

PubMed Central

Tripathi, Vandana; Stanton, Cynthia; Strobino, Donna; Bartlett, Linda

2015-01-01

Background High quality care is crucial in ensuring that women and newborns receive interventions that may prevent and treat birth-related complications. As facility deliveries increase in developing countries, there are concerns about service quality. Observation is the gold standard for clinical quality assessment, but existing observation-based measures of obstetric quality of care are lengthy and difficult to administer. There is a lack of consensus on quality indicators for routine intrapartum and immediate postpartum care, including essential newborn care. This study identified key dimensions of the quality of the process of intrapartum and immediate postpartum care (QoPIIPC) in facility deliveries and developed a quality assessment measure representing these dimensions. Methods and Findings Global maternal and neonatal care experts identified key dimensions of QoPIIPC through a modified Delphi process. Experts also rated indicators of these dimensions from a comprehensive delivery observation checklist used in quality surveys in sub-Saharan African countries. Potential QoPIIPC indices were developed from combinations of highly-rated indicators. Face, content, and criterion validation of these indices was conducted using data from observations of 1,145 deliveries in Kenya, Madagascar, and Tanzania (including Zanzibar). A best-performing index was selected, composed of 20 indicators of intrapartum/immediate postpartum care, including essential newborn care. This index represented most dimensions of QoPIIPC and effectively discriminated between poorly and well-performed deliveries. Conclusions As facility deliveries increase and the global community pays greater attention to the role of care quality in achieving further maternal and newborn mortality reduction, the QoPIIPC index may be a valuable measure. This index complements and addresses gaps in currently used quality assessment tools. Further evaluation of index usability and reliability is needed. The availability of a streamlined, comprehensive, and validated index may enable ongoing and efficient observation-based assessment of care quality during labor and delivery in sub-Saharan Africa, facilitating targeted quality improvement. PMID:26107655

What Are Nursing Facilities Doing to Reduce Potentially Avoidable Hospitalizations?

PubMed

Daras, Laura Coots; Wang, Joyce M; Ingber, Melvin J; Ormond, Catherine; Breg, Nathaniel W; Khatutsky, Galina; Feng, Zhanlian

2017-05-01

Hospitalizations among nursing facility residents are frequent and often potentially avoidable. A number of initiatives and interventions have been developed to reduce excessive hospitalizations; however, little is known about the specific approaches nursing facilities use to address this issue. The objective of this study is to better understand which types of interventions nursing facilities have introduced to reduce potentially avoidable hospitalizations of long-stay nursing facility residents. Cross-sectional survey. 236 nursing facilities from 7 states. Nursing facility administrators. Web-based survey to measure whether facilities introduced any policies or procedures designed specifically to reduce potentially avoidable hospitalizations of long-stay nursing facility residents between 2011 and 2015. We surveyed facilities about seven types of interventions and quality improvement activities related to reducing avoidable hospitalizations, including use of Interventions to Reduce Acute Care Transfers (INTERACT) and American Medical Directors Association tools. Ninety-five percent of responding nursing facilities reported having introduced at least one new policy or procedure to reduce nursing facility resident hospitalizations since January 2011. The most common practice reported was hospitalization rate tracking or review, followed by standardized communication tools, such as Situation, Background, Assessment, Recommendation (SBAR). We found some variation in the extent and types of these reported interventions. Nearly all facilities surveyed reported having introduced a variety of initiatives to reduce potentially avoidable hospitalizations, likely driven by federal, state, and corporate initiatives to decrease hospital admissions and readmissions. Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. All rights reserved.

Default operational intervention levels (OILs) for severe nuclear power plant or spent fuel pool emergencies.

PubMed

McKenna, T; Kutkov, V; Vilar Welter, P; Dodd, B; Buglova, E

2013-05-01

Experience and studies show that for an emergency at a nuclear power plant involving severe core damage or damage to the fuel in spent fuel pools, the following actions may need to be taken in order to prevent severe deterministic health effects and reduce stochastic health effects: (1) precautionary protective actions and other response actions for those near the facility (i.e., within the zones identified by the International Atomic Energy Agency) taken immediately upon detection of facility conditions indicating possible severe damage to the fuel in the core or in the spent fuel pool; and (2) protective actions and other response actions taken based on environmental monitoring and sampling results following a release. This paper addresses the second item by providing default operational intervention levels [OILs, which are similar to the U.S. derived response levels (DRLs)] for promptly assessing radioactive material deposition, as well as skin, food, milk and drinking water contamination, following a major release of fission products from the core or spent fuel pool of a light water reactor (LWR) or a high power channel reactor (RBMK), based on the International Atomic Energy Agency's guidance.

Control of microbially generated hydrogen sulfide in produced waters

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

Burger, E.D.; Vance, I.; Gammack, G.F.

1995-12-31

Production of hydrogen sulfide in produced waters due to the activity of sulfate-reducing bacteria (SRB) is a potentially serious problem. The hydrogen sulfide is not only a safety and environmental concern, it also contributes to corrosion, solids formation, a reduction in produced oil and gas values, and limitations on water discharge. Waters produced from seawater-flooded reservoirs typically contain all of the nutrients required to support SRB metabolism. Surface processing facilities provide a favorable environment in which SRB flourish, converting water-borne nutrients into biomass and H{sub 2}S. This paper will present results from a field trial in which a new technologymore » for the biochemical control of SRB metabolism was successfully applied. A slip stream of water downstream of separators on a produced water handling facility was routed through a bioreactor in a side-steam device where microbial growth was allowed to develop fully. This slip stream was then treated with slug doses of two forms of a proprietary, nonbiocidal metabolic modifier. Results indicated that H{sub 2}S production was halted almost immediately and that the residual effect of the treatment lasted for well over one week.« less

Medicaid program; correction and reduction plans for intermediate care facilities for the mentally retarded--HCFA. Final rule.

PubMed

1988-01-25

These final regulations provide States options under which an intermediate care facility for the mentally retarded (ICF/MR) found to have substantial deficiencies only in physical plant and staffing (or physical plant, staffing, and other minor deficiencies) that do not pose an immediate threat to the clients' health and safety may remedy those deficiencies. The regulations provide the State Medicaid agency with options to submit written plans either to correct the necessary staff and physical plant deficiencies, and all other minor deficiencies, within 6 months of the approval date of the plan, or to reduce permanently the number of beds in certified units within 36 months of the approval date of the plan. These regulations implement section 9516 of the Consolidated Omnibus Budget Reconciliation Act of 1985 and section 4217 of the Omnibus Budget Reconciliation Act of 1987. The purpose of the correction plan provision is to promote correction of deficiencies without having to exclude ICFs/MR from the Medicaid program. The reduction plan provision is intended to move Medicaid clients out of deficient ICFs/MR into licensed or certified (as applicable) community settings while maintaining the clients' quality of life and retaining their Medicaid eligibility.

Report: Early Warning Report: Main EPA Headquarters Warehouse in Landover, Maryland, Requires Immediate EPA Attention

EPA Pesticide Factsheets

Report #13-P-0272, May 31, 2013. Our initial research at the EPA’s Landover warehouse raised significant concerns with the lack of agency oversight of personal property and warehouse space at the facility.

Murderers among us.

PubMed

Berlin, Ellen

2010-01-01

Negative incidents involving your facility, even if they do not take place there, can present immediate and future public relations and public safety problems, especially in today's instant media coverage climate, the author relates, describing the impact of two high profile murders several years apart.

38 CFR 21.294 - Selecting the training or rehabilitation facility.

Code of Federal Regulations, 2014 CFR

2014-07-01

... has an interest is precluded, except for selection of a farm as provided in § 21.298. The term... veteran into a program if: (1) The veteran is immediately entered into a school with which a contract is...

38 CFR 21.294 - Selecting the training or rehabilitation facility.

Code of Federal Regulations, 2011 CFR

2011-07-01

... has an interest is precluded, except for selection of a farm as provided in § 21.298. The term... veteran into a program if: (1) The veteran is immediately entered into a school with which a contract is...

38 CFR 21.294 - Selecting the training or rehabilitation facility.

Code of Federal Regulations, 2012 CFR

2012-07-01

... has an interest is precluded, except for selection of a farm as provided in § 21.298. The term... veteran into a program if: (1) The veteran is immediately entered into a school with which a contract is...

Debriefing of the medical team after emergencies on cruise ships.

PubMed

Dahl, Eilif

2017-01-01

Done to improve safety and patient outcome but not to lay blame, debriefings on cruise ships should preferably be conducted as standard practice in the medical facility immediately after all critical events aboard. The key questions to be asked are: What went well, what could have gone better and what must participants do to improve care? Post-debriefing the ship's doctor might have to deal with team members' mental stress resulting both from the event and from debriefing it. Required by most cruise companies, standardised advanced life support courses teach effective high-performance team dynamics. They provide the multinational medical staff with a clearer understanding of the rescue sequence, which again will reduce the risk of mistakes and simplify post-event debriefings. Their systematic approach to the chain of survival is also helpful for post-event debriefings if something went wrong.

Implementing AORN recommended practices for sterilization.

PubMed

Graybill-D'Ercole, Patricia

2013-05-01

Any hospital or facility in which surgery and other invasive procedures are performed should have accommodations for cleaning, decontaminating, disinfecting, and sterilizing instruments, equipment, and other essential supplies that are used for patient procedures. Sterilization is essential to reducing or preventing the risk of surgical site infections. This is a collaborative process and should include all health care providers who handle these instruments, including perioperative nurses. The revised AORN "Recommended practices for sterilization," which became effective June 15, 2012, includes updates on sterilizing single-use items, inspecting critical items before sterilization, using low-temperature hydrogen peroxide vapor sterilization methods, and immediate use steam sterilization. This RP document is the first AORN document to be evidence rated and accepted for inclusion in the Agency for Healthcare Research and Quality National Guideline Clearinghouse. Copyright © 2013 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Possibility for ultra-bright electron beam acceleration in dielectric wakefield accelerators

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

Simakov, Evgenya I.; Carlsten, Bruce E.; Shchegolkov, Dmitry Yu.

2012-12-21

We describe a conceptual proposal to combine the Dielectric Wakefield Accelerator (DWA) with the Emittance Exchanger (EEX) to demonstrate a high-brightness DWA with a gradient of above 100 MV/m and less than 0.1% induced energy spread in the accelerated beam. We currently evaluate the DWA concept as a performance upgrade for the future LANL signature facility MaRIE with the goal of significantly reducing the electron beam energy spread. The preconceptual design for MaRIE is underway at LANL, with the design of the electron linear accelerator being one of the main research goals. Although generally the baseline design needs to bemore » conservative and rely on existing technology, any future upgrade would immediately call for looking into the advanced accelerator concepts capable of boosting the electron beam energy up by a few GeV in a very short distance without degrading the beam's quality. Scoping studies have identified large induced energy spreads as the major cause of beam quality degradation in high-gradient advanced accelerators for free-electron lasers. We describe simulations demonstrating that trapezoidal bunch shapes can be used in a DWA to greatly reduce the induced beam energy spread, and, in doing so, also preserve the beam brightness at levels never previously achieved. This concept has the potential to advance DWA technology to a level that would make it suitable for the upgrades of the proposed Los Alamos MaRIE signature facility.« less

The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda.

PubMed

Dhillon, Ranu S; Bonds, Matthew H; Fraden, Max; Ndahiro, Donald; Ruxin, Josh

2012-01-01

This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda of approximately 25,000 people divided among five 'imidugudu' or small villages. While comprehensive service upgrades were introduced in the Mayange Health Centre between April 2006 and February 2007, utilisation rates remained similar to comparison sites. Between February 2007 and April 2007, subsidies for mutuelle enrolment established virtually 100% coverage. Immediately after co-payments were eliminated in February 2007, patient visits levelled at a rate triple the previous value. Regression analyses using data from Mayange and two comparison sites indicate that removing financial barriers resulted in about 0.6 additional annual visits for curative care per capita. Although based on a single local pilot, these findings suggest that in order to achieve improved health outcomes, key short-term objectives include improved service delivery and reduced financial barriers. Based on this pilot, higher utilisation rates may be affected if broader swaths of the population are enrolled in mutuelle and co-payments are eliminated. Health leaders in Rwanda should consider further studies to determine if the impact of eliminating co-payments and increasing subsidies for mutuelle enrolment as seen in Mayange holds at greater levels of scale. Broader studies to better elucidate the impact of enrolment subsidies and co-payment subsidies on utilisation, health outcomes, and costs would also provide policy insights.

Evaluation of hands-on seminar for reduced port surgery using fresh porcine cadaver model.

PubMed

Poudel, Saseem; Kurashima, Yo; Shichinohe, Toshiaki; Kitashiro, Shuji; Kanehira, Eiji; Hirano, Satoshi

2016-01-01

The use of various biological and non-biological simulators is playing an important role in training modern surgeons with laparoscopic skills. However, there have been few reports of the use of a fresh porcine cadaver model for training in laparoscopic surgical skills. The purpose of this study was to report on a surgical training seminar on reduced port surgery using a fresh cadaver porcine model and to assess its feasibility and efficacy. The hands-on seminar had 10 fresh porcine cadaver models and two dry boxes. Each table was provided with a unique access port and devices used in reduced port surgery. Each group of 2 surgeons spent 30 min at each station, performing different tasks assisted by the instructor. The questionnaire survey was done immediately after the seminar and 8 months after the seminar. All the tasks were completed as planned. Both instructors and participants were highly satisfied with the seminar. There was a concern about the time allocated for the seminar. In the post-seminar survey, the participants felt that the number of reduced port surgeries performed by them had increased. The fresh cadaver porcine model requires no special animal facility and can be used for training in laparoscopic procedures.

Evaluation of hands-on seminar for reduced port surgery using fresh porcine cadaver model

PubMed Central

Poudel, Saseem; Kurashima, Yo; Shichinohe, Toshiaki; Kitashiro, Shuji; Kanehira, Eiji; Hirano, Satoshi

2016-01-01

BACKGROUND: The use of various biological and non-biological simulators is playing an important role in training modern surgeons with laparoscopic skills. However, there have been few reports of the use of a fresh porcine cadaver model for training in laparoscopic surgical skills. The purpose of this study was to report on a surgical training seminar on reduced port surgery using a fresh cadaver porcine model and to assess its feasibility and efficacy. MATERIALS AND METHODS: The hands-on seminar had 10 fresh porcine cadaver models and two dry boxes. Each table was provided with a unique access port and devices used in reduced port surgery. Each group of 2 surgeons spent 30 min at each station, performing different tasks assisted by the instructor. The questionnaire survey was done immediately after the seminar and 8 months after the seminar. RESULTS: All the tasks were completed as planned. Both instructors and participants were highly satisfied with the seminar. There was a concern about the time allocated for the seminar. In the post-seminar survey, the participants felt that the number of reduced port surgeries performed by them had increased. CONCLUSION: The fresh cadaver porcine model requires no special animal facility and can be used for training in laparoscopic procedures. PMID:27279391

KSC-06pd0517

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, an emergency rescue worker tends to an "injured astronaut" inside a rescue vehicle. Volunteers and emergency rescue workers are participating in a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Troy Cryder

KSC-06pd0516

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel gently place an "injured astronaut" onto a stretcher. Volunteers and emergency rescue workers are participating in a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Troy Cryder

KSC-06pd0519

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, volunteer Charlie Plain poses as an injured astronaut during a simulated emergency landing of a shuttle crew. Plain is a Public Affairs Web writer. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Troy Cryder

KSC-06pd0494

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - In a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, emergency rescue personnel tend to an "injured astronaut" on a stretcher at the bottom of the steps to the orbiter mockup. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

Draft Supplement to the Environmental Statement Fiscal Year 1975 Proposed Program : Facility Location Evaluation for San Juan Island Service : Decatur Land Line and East Lopez Island Substation Study Area 74-7.

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

United States. Bonneville Power Administration.

1974-03-08

Proposed construction of a 1.7-mile 34.5-kV double-circuit transmission line crossing Decatur Island from east to west. The new line would replace 0.7 of a mile of an existing BPA 24.5-kV line and would then parallel and existing 24.5-kV line for a distance of 1.0 mile. The proposal also requires the construction of a new substation to be located on the eastern side of Lopez Island, Washington. The additional easement required for the proposed transmission line would remove about 1.1 acres of forestland from timber production diverting it to nonforest uses compatable with the transmission line right-of-way. Depending upon the actualmore » site location the Lopez Island Substation could remove from 1 to 3.2 acres of forestland and 2 acres of pastureland from production. Disturbance of game in the immediate vicintiy of the transmission facilities will occur during construction, as will some soil erosion primarily during and immediately after construction, siltation in nearby streams, disturbance of nearby residents from noise and dust during construction, and some degradation of AM reception immediately adjacent to the right-of-way. 7 figs.« less

78 FR 66706 - Information Collections Being Reviewed by the Federal Communications Commission Under Delegated...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-06

... intention to initiate or change wireless operations and the likelihood of interference from the low power TV... immediately upon cessation of an emergency during which broadcast facilities were used for the transmission of... Establish Rules [[Page 66707

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...

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...

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...

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...

42 CFR 136.21 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the expense of the Indian Health Service from public or private medical or hospital facilities other than those of the Service. (f) Emergency means any medical condition for which immediate medical... tribe means any Indian tribe, band, nation, group, Pueblo, or community, including any Alaska Native...

77 FR 1111 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-09

... equity trading system. The Exchange ceased operation of the technology used to operate XLE on October 24... cleaning, HVAC and general maintenance. All other floor members would be assessed the Floor Facility Fee of...

17 CFR 3.42 - Termination.

Code of Federal Regulations, 2010 CFR

2010-04-01

... period specified in the rules of a contract market, registered derivatives transaction execution facility... markets which filed the certification described in § 3.40; (3) Immediately upon the withdrawal of the... award in an arbitration proceeding conducted pursuant to the rules of a designated contract market...

Rocket Launch-Induced Vibration and Ignition Overpressure Response

NASA Technical Reports Server (NTRS)

Caimi, Raoul; Margasahayam, Ravi; Nayfeh, Jamal; Thompson, Karen (Technical Monitor)

2001-01-01

Rocket-induced vibration and ignition overpressure response environments are predicted in the low-frequency (5 to 200 hertz) range. The predictions are necessary to evaluate their impact on critical components, structures, and facilities in the immediate vicinity of the rocket launch pad.

Women's social networks and use of facility delivery services for uncomplicated births in North West Ethiopia: a community-based case-control study.

PubMed

Asrese, Kerebih; Adamek, Margaret E

2017-12-28

High maternal mortality has remained an unmet public health challenge in the developing world. Maternal mortality in Ethiopia is among the highest in the world. Since most maternal deaths occur during labor, delivery, and the immediate postpartum period, facility delivery with skilled birth attendants is recommended to reduce maternal mortality. Nonetheless, the majority of women in Ethiopia give birth at home. Individual attributes and availability and accessibility of services deter service utilization. The role of social networks that may facilitate or constrain service use is not well studied. Community-based case-control study was conducted between February and March 2014 in Jabi Tehinan District, North West Ethiopia. Retrospective data were collected from 134 women who had uncomplicated births at health facilities and 140 women who had uncomplicated births at home within a year preceding the survey. Interviews were held with eight women who had uncomplicated births at health facilities and 11 who had uncomplicated births at home. The quantitative data were entered and analyzed using SPSS for Windows versions 16.0 and hierarchical logistic regression model was used for analysis. The qualitative data were transcribed verbatim and data were used to substantiate the quantitative data. The results indicated that social network variables were significantly associated with the use of health facilities for delivery. Taking social networks into account improved the explanation of facility use for delivery services over women's individual attributes. Women embedded within homogeneous network members (Adjusted OR 2.53; 95% CI: 1.26-5.06) and embedded within high SBA endorsement networks (Adjusted OR 7.97; 95% CI: 4.07-12.16) were more likely to deliver at health facilities than their counterparts. Women living in urban areas (Adjusted OR 3.32; 95% CI: 1.37-8.05) and had better knowledge of obstetric complications (Adjusted OR 3.01; 95% CI: 1.46-6.18) were more likely to deliver at health facilities. Social networks facilitate SBA utilization by serving as a reference for the behavior to deliver at health facilities. These findings inform health professionals and other stakeholders regarding the importance of considering women's social networks in designing intervention to increase the proportion of women who deliver at health facilities.

A Mechanism for Reducing Delay Discounting by Altering Temporal Attention

ERIC Educational Resources Information Center

Radu, Peter T.; Yi, Richard; Bickel, Warren K.; Gross, James J.; McClure, Samuel M.

2011-01-01

Rewards that are not immediately available are discounted compared to rewards that are immediately available. The more a person discounts a delayed reward, the more likely that person is to have a range of behavioral problems, including clinical disorders. This latter observation has motivated the search for ions that reduce discounting. One…

Immediate Postsession Feeding Reduces Operant Responding in Rats

ERIC Educational Resources Information Center

Smethells, John R.; Fox, Andrew T.; Andrews, Jennifer J.; Reilly, Mark P.

2012-01-01

Three experiments investigated the effects of immediate and delayed postsession feeding on progressive-ratio and variable-interval schedule performance in rats. During Experiments 1 and 2, immediate postsession feeding decreased the breakpoint, or largest completed ratio, under progressive-ratio schedules. Experiment 3 was conducted to extend the…

Edinburgh Emergency Asthma Admission Service: report on 10 years' experience.

PubMed Central

Crompton, G K; Grant, I W; Bloomfield, P

1979-01-01

In December 1968 an emergency service was begun in Edinburgh to expedite admission to hospital of patients with severe acute asthma. During the first 10 years requests were made to admit 112 patients to a respiratory unit with provision for intensive care on 360 occasions. Four of the patients died of their disease, one in hospital and three before admission. It was thought that the death rate would have been much higher had conventional admission procedures been observed. Owing to ethical objections to a controlled trial it was not possible to obtain substantive proof that the service reduced deaths from asthma. Nevertheless, there was strong circumstantial evidence that organised facilities for the immediate admission to hospital of patients with a history of life-threatening attacks would result in fewer deaths at home. Earlier admission also apparently reduced hospital mortality and the number of patients requiring tracheal intubation and mechanical ventilation. It is concluded that there is a prima facie case for an emergency asthma admission serivce similar to that operating in Edinburgh to be established in all cities and large towns. PMID:519358

KENNEDY SPACE CENTER, FLA. - An “injured” rescue worker is lifted into an M-113 armored personnel carrier provided for transportation during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - An “injured” rescue worker is lifted into an M-113 armored personnel carrier provided for transportation during a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KENNEDY SPACE CENTER, FLA. - Emergency crew members lower a volunteer “astronaut” from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - Emergency crew members lower a volunteer “astronaut” from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Hazardous Waste Cleanup: Akzo Nobel Polymer Chemicals, LLC, Burt, New York

EPA Pesticide Factsheets

Akzo Nobel Polymer Chemicals, LLC is located in northern Niagara County, south of Lake Ontario. The facility encompasses 350 acres, of which 30 acres are used for the production of organic peroxides. Eighteen Mile Creek is located immediately west of the

76 FR 72993 - Options Price Reporting Authority; Notice of Filing and Immediate Effectiveness of Proposed...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-28

... that act as ``hot'' back-up sites for each other, OPRA will consider the sites not to be DR facilities...-2011-05 on the subject line. Paper Comments Send paper comments in triplicate to Elizabeth M. Murphy...

23 CFR 668.203 - Definitions.

Code of Federal Regulations, 2014 CFR

2014-04-01

... facilities not existing prior to the natural disaster or catastrophic failure such as additional lanes... immediately after a natural disaster or catastrophic failure (1) to restore essential travel, (2) to protect... disaster over a wide area, or (2) a catastrophic failure. (g) Natural disaster. An unusual natural...

23 CFR 668.203 - Definitions.

Code of Federal Regulations, 2011 CFR

2011-04-01

... facilities not existing prior to the natural disaster or catastrophic failure such as additional lanes... immediately after a natural disaster or catastrophic failure (1) to restore essential travel, (2) to protect... disaster over a wide area, or (2) a catastrophic failure. (g) Natural disaster. An unusual natural...

23 CFR 668.203 - Definitions.

Code of Federal Regulations, 2013 CFR

2013-04-01

... facilities not existing prior to the natural disaster or catastrophic failure such as additional lanes... immediately after a natural disaster or catastrophic failure (1) to restore essential travel, (2) to protect... disaster over a wide area, or (2) a catastrophic failure. (g) Natural disaster. An unusual natural...

23 CFR 668.203 - Definitions.

Code of Federal Regulations, 2012 CFR

2012-04-01

... facilities not existing prior to the natural disaster or catastrophic failure such as additional lanes... immediately after a natural disaster or catastrophic failure (1) to restore essential travel, (2) to protect... disaster over a wide area, or (2) a catastrophic failure. (g) Natural disaster. An unusual natural...

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...

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...

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...

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...

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...

Career-Technical Education--The Immediate Need for Work-Based Curriculum.

ERIC Educational Resources Information Center

Nee, John G.

1994-01-01

Career-technical education may be informal on-the-job training, organized workplace education, community college or technical institute programs, or apprenticeships, internships, and cooperative agreements. Another alternative is polytechnical education: providing technical and general studies for adults in existing school facilities after school…

7 CFR 1493.320 - Recovery of losses.

Code of Federal Regulations, 2013 CFR

2013-01-01

... OF AGRICULTURE EXPORT PROGRAMS CCC EXPORT CREDIT GUARANTEE PROGRAMS CCC Facility Guarantee Program... or the exporter's assignee, CCC will notify the foreign bank of CCC's rights under the subrogation... bank or any other source whatsoever, such monies shall be immediately paid to the Treasurer, CCC. If...

7 CFR 1493.320 - Recovery of losses.

Code of Federal Regulations, 2014 CFR

2014-01-01

... OF AGRICULTURE EXPORT PROGRAMS CCC EXPORT CREDIT GUARANTEE PROGRAMS CCC Facility Guarantee Program... or the exporter's assignee, CCC will notify the foreign bank of CCC's rights under the subrogation... bank or any other source whatsoever, such monies shall be immediately paid to the Treasurer, CCC. If...

7 CFR 1493.320 - Recovery of losses.

Code of Federal Regulations, 2012 CFR

2012-01-01

... OF AGRICULTURE EXPORT PROGRAMS CCC EXPORT CREDIT GUARANTEE PROGRAMS CCC Facility Guarantee Program... or the exporter's assignee, CCC will notify the foreign bank of CCC's rights under the subrogation... bank or any other source whatsoever, such monies shall be immediately paid to the Treasurer, CCC. If...

Factors associated with the utilisation of postnatal care services among the mothers of Nepal: analysis of Nepal Demographic and Health Survey 2011

PubMed Central

2014-01-01

Background Postnatal care is essential to save the life of the mother and newborn. Knowledge on the determinants of postnatal care assists the policy makers to design, justify and implement appropriate interventions. The current study aimed to analyse the factors associated with utilisation of postnatal care services by mothers in Nepal based on the data from Nepal Demographic and Health Survey (NDHS) 2011. Methods This study utilised the data from NDHS 2011. The association between utilisation of at least one postnatal care visit (within 6 weeks of delivery) and immediate postnatal care (within 24 hours of delivery) with selected factors was examined by using Chi-square test (χ2), followed by multiple logistic regression. Result Of the 4079 mothers, 43.2% reported attending postnatal care within the first six weeks of birth, while 40.9% reported attending immediate postnatal care. Mothers who were from urban areas, from rich families, who were educated, whose partners were educated, who delivered in a health facility, who had attended a four or more antenatal visits, and whose delivery was attended by a skilled attendant were more likely to report attending at least one postnatal care visit. On the other hand, mothers who reported agricultural occupation, and whose partners performed agricultural occupation were less likely to have attended at least one postnatal care visit. Similarly, mothers who were from the urban areas, from rich families, who were educated, whose partners were educated, who had attended four or more antenatal visits, who delivered in a health facility and had delivered in the presence of a skilled birth attendant were more likely to report attending immediate postnatal care. Mothers who reported agricultural occupation, and whose partners performed agricultural occupation were less likely to attend immediate postnatal care. Conclusion The majority of postnatal mothers in Nepal did not seek postnatal care. Increasing utilisation of the recommended four or more antenatal visits, delivery at health facility and increasing awareness and access to services through community-based programs especially for the rural, poor, and less educated mothers may increase postnatal care attendance in Nepal. PMID:24484933

Effects of two prairie dog rodenticides on ground-dwelling invertebrates in western South Dakota

Treesearch

Michele S. Deisch; Daniel W. Uresk; Raymond L. Linder

1989-01-01

Immediate and long-term effects of 3 rodenticide treatments on nontarget invertebrates were evaluated on prairie dog colonies. Immediate impacts indicated zinc phosphide reduced ants, strychnine alone reduced wolf spiders, and prebaited strychnine had no impacts. Long-term changes showed increases in wolf spiders and ground beetles and densities were contributed to...

Propranolol reduces reference-dependence in intertemporal choice

PubMed Central

Lempert, Karolina M.; Lackovic, Sandra F.; Tobe, Russell H.; Glimcher, Paul W.

2017-01-01

Abstract In intertemporal choices between immediate and delayed rewards, people tend to prefer immediate rewards, often even when the delayed reward is larger. This is known as temporal discounting. It has been proposed that this tendency emerges because immediate rewards are more emotionally arousing than delayed rewards. However, in our previous research, we found no evidence for this but instead found that arousal responses (indexed with pupil dilation) in intertemporal choice are context-dependent. Specifically, arousal tracks the subjective value of the more variable reward option in the paradigm, whether it is immediate or delayed. Nevertheless, people tend to choose the less variable option in the choice task. In other words, their choices are reference-dependent and depend on variance in their recent history of offers. This suggests that there may be a causal relationship between reference-dependent choice and arousal, which we investigate here by reducing arousal pharmacologically using propranolol. Here, we show that propranolol reduces reference-dependence, leading to choices that are less influenced by recent history and more internally consistent. PMID:28992268

42 CFR 136a.10 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Service from public or private medical or hospital facilities other than those of the Service or those funded by the Service. Emergency means any medical condition for which immediate medical attention is... Indian tribe, band, nation, or other organized group or community, including any Alaska Native village or...

7 CFR 352.10 - Inspection; safeguards; disposal.

Code of Federal Regulations, 2010 CFR

2010-01-01

... facilities for immediate exportation. (x) Any other related factor which should be considered, such as intent...; safeguards; disposal. (a) Inspection and release. Prohibited and restricted products and articles subject to... restricted products and articles under this part shall be subject to such safeguards as may be prescribed in...

78 FR 4790 - Security Zone, Potomac and Anacostia Rivers; Washington, DC

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-23

... comprehensive port security regimes designed to safeguard human life, vessels, and waterfront facilities while... the need for immediate action, the restriction of vessel traffic is necessary to protect life... necessary to safeguard life and property on the navigable waters before, during, and after activities...

40 CFR 265.54 - Amendment of contingency plan.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Amendment of contingency plan. 265.54... DISPOSAL FACILITIES Contingency Plan and Emergency Procedures § 265.54 Amendment of contingency plan. The contingency plan must be reviewed, and immediately amended, if necessary, whenever: (a) Applicable regulations...

40 CFR 265.54 - Amendment of contingency plan.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Amendment of contingency plan. 265.54... DISPOSAL FACILITIES Contingency Plan and Emergency Procedures § 265.54 Amendment of contingency plan. The contingency plan must be reviewed, and immediately amended, if necessary, whenever: (a) Applicable regulations...

42 CFR 483.362 - Monitoring of the resident in and immediately after restraint.

Code of Federal Regulations, 2011 CFR

2011-10-01

... CARE FACILITIES Condition of Participation for the Use of Restraint or Seclusion in Psychiatric... use of emergency safety interventions must be physically present, continually assessing and monitoring... duration of the emergency safety intervention. (b) If the emergency safety situation continues beyond the...

42 CFR 483.362 - Monitoring of the resident in and immediately after restraint.

Code of Federal Regulations, 2010 CFR

2010-10-01

... CARE FACILITIES Condition of Participation for the Use of Restraint or Seclusion in Psychiatric... use of emergency safety interventions must be physically present, continually assessing and monitoring... duration of the emergency safety intervention. (b) If the emergency safety situation continues beyond the...

7 CFR 1901.204 - Compliance reviews.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Housing Project. (ii) The borrower's method of advertising the facility to the public, if there is any advertising, including how well these methods reach the minority community. (iii) Any records of request for... Director will immediately send a copy of the compliance review report to the Administrator, Attention...

40 CFR 265.54 - Amendment of contingency plan.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Amendment of contingency plan. 265.54... DISPOSAL FACILITIES Contingency Plan and Emergency Procedures § 265.54 Amendment of contingency plan. The contingency plan must be reviewed, and immediately amended, if necessary, whenever: (a) Applicable regulations...

High speed spectral measurements of IED detonation fireballs

NASA Astrophysics Data System (ADS)

Gordon, J. Motos; Spidell, Matthew T.; Pitz, Jeremey; Gross, Kevin C.; Perram, Glen P.

2010-04-01

Several homemade explosives (HMEs) were manufactured and detonated at a desert test facility. Visible and infrared signatures were collected using two Fourier transformspectrometers, two thermal imaging cameras, a radiometer, and a commercial digital video camera. Spectral emissions from the post-detonation combustion fireball were dominated by continuum radiation. The events were short-lived, decaying in total intensity by an order of magnitude within approximately 300ms after detonation. The HME detonation produced a dust cloud in the immediate area that surrounded and attenuated the emitted radiation from the fireball. Visible imagery revealed a dark particulate (soot) cloud within the larger surrounding dust cloud. The ejected dust clouds attenuated much of the radiation from the post-detonation combustion fireballs, thereby reducing the signal-to-noise ratio. The poor SNR at later times made it difficult to detect selective radiation from by-product gases on the time scale (~500ms) in which they have been observed in other HME detonations.

Pre-hospital care in burn injury

PubMed Central

Shrivastava, Prabhat; Goel, Arun

2010-01-01

The care provided to the victims of burn injury immediately after sustaining burns can largely affect the extent and depth of the wound. Although standard guidelines have been formulated by various burn associations, they are still not well known to public at large in our country. In burn injuries, most often, the bystanders are the first care providers. The swift implementation of the measures described in this article for first aid in thermal, chemical, electrical and inhalational injuries in the practical setting, within minutes of sustaining the burn, plays a vital role and can effectively reduce the morbidity and mortality to a great extent. In case of burn disasters, triage needs to be carried out promptly as per the defined protocols. Proper communication and transport from the scene of the accident to the primary care centre and onto the burn care facility greatly influences the execution of the management plans PMID:21321651

Prisons and public health: emerging issues in HIV treatment adherence.

PubMed

Frank, L

1999-01-01

Correctional facilities in the United States are faced with challenges in providing appropriate and timely HIV treatment to incarcerated HIV-infected inmates. Prison and jails, due to their structure, operation, and staff, may present many barriers to HIV treatment and adherence to complicated and expensive HIV treatment regimens. Changes and modifications of prison health care delivery are required to accommodate the needs of HIV-infected inmates. Approaches to improving correctional HIV care and treatment include training health care personnel, prevention education for inmates, increasing access to voluntary HIV testing, comprehensive treatment planning, and continuity of care. Policy changes for correctional systems include adopting current HIV care standards and immediate evaluation for and access to HIV treatment upon entry into the institution. These changes can have a significant impact on the quality of care for inmates, ultimately improving their quality of life and reducing the morbidity and mortality of HIV disease for incarcerated populations.

Immediate and Distal Effects of the Good Behavior Game

ERIC Educational Resources Information Center

Donaldson, Jeanne M.; Wiskow, Katie M.; Soto, Paul L.

2015-01-01

The Good Behavior Game (GBG) has been demonstrated to reduce disruptive student behavior during implementation. The effects of playing the GBG on disruption immediately before and after the GBG are unknown. The current study evaluated the effects of the GBG on disruption in 5 kindergarten classes immediately before, during, and after GBG…

An improved car-following model considering velocity fluctuation of the immediately ahead car

NASA Astrophysics Data System (ADS)

Yu, Shaowei; Huang, Mengxing; Ren, Jia; Shi, Zhongke

2016-05-01

To better describe car-following behaviors in the adaptive cruise control strategy and further increase roadway traffic mobility and reduce fuel consumptions, the linkage between velocity fluctuation of the immediately ahead car and the following car's acceleration or deceleration is explored with respect to the measured car-following data by employing the gray correlation analysis theory and then an improved car-following model considering velocity fluctuation of the immediately ahead car on basis of the full velocity difference model is proposed. Numerical simulations are carried out and the effects of velocity fluctuation of the immediately ahead car on each car's velocity, acceleration, vehicular gap, fuel consumptions and the total fuel consumptions of the whole car-following system with different time window lengths are investigated in detail. The results show that velocity fluctuation of the immediately ahead car has significant effects on car-following behaviors and fuel consumptions, and that considering velocity fluctuation of the immediately ahead car in designing the adaptive cruise control system can improve traffic flow stability and reduce fuel consumptions.

KSC-06pd0509

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - Inside the orbiter mockup at NASA Kennedy Space Center's Shuttle Landing Facility, volunteer "astronaut" Charlie Plain, with InDyne Inc., gets settled in a seat with the help of United Space Alliance Insertion Tech Mike Thompson before a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/George Shelton

KSC-06pd0515

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - At NASA Kennedy Space Center's Shuttle Landing Facility, emergency personnel lower an "injured astronaut" on a stretcher down the stairs of the orbiter mockup. Volunteers and emergency rescue workers are participating in a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Jim Grossmann

KSC-06pd0508

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - Inside the orbiter mockup at NASA Kennedy Space Center's Shuttle Landing Facility, volunteer "astronaut" Jeremy Garcia, with United Space Alliance (USA), is helped with his launch and entry suit by USA Insertion Tech George Brittingham before a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/George Shelton

KSC-06pd0502

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - During a simulated emergency landing of a shuttle crew at NASA Kennedy Space Center's Shuttle Landing Facility, medevac personnel tend to an "injured astronaut" in the helicopter. The astronaut will be taken to an area hospital participating in the simulation. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/Kim Shiflett

Improving access to HbA1c in sub-Saharan Africa (IA3) cohort: cohort profile.

PubMed

Balde, Naby; Camara, Alioune; Sobngwi-Tambekou, Joelle; Balti, Eric Vounsia; Tchatchoua, Alain; Fezeu, Leopold; Limen, Serge; Ngamani, Sylvie; Ngapout, Suzanne; Kengne, Andre Pascal; Sobngwi, Eugene

2017-01-01

Glycated haemoglobin (HbA1c) is the best surrogate of average blood glucose control in diabetic patients, and lowering HbA1c significantly reduces diabetes complications. Moreover, immediate feedback of HbA1c measurement to patients may improve control. However, HbA1c is unavailable in most parts of Africa, a continent with one of the highest burden of diabetes. To translate these evidences, we are conducting a multicentric project in 10 health care facilities in Guinea and Cameroon to evaluate the feasibility and one-year benefit of affordable HbA1c measurement with immediate feedback to patients on diabetes control and related outcomes. We consecutively enrolled patients with diabetes mellitus independently of the type of disease. We hypothesised an average 1%-decrease in HbA1c in a 1000-patient study population, with a 20% increase in the number of patients reaching treatment goals within 12 months of intervention and follow-up. A total of 1, 349 diabetic patients aged 56.2±12.6 years are enrolled (813 in Cameroon and 536 in Guinea) of whom 59.8% are women. The mean duration of diabetes is 7.4±6.3 years and baseline HbA1c is 9.7±2.6% in Guinea and 8.6±2.5% in Cameroon. To investigate whether the introduction of routine HbA1c measurement with immediate feedback to patients and provision of relevant education would improve diabetes control after one year. The impact of the intervention on diabetes associated-complications and mortality warrant further assessment in the long term.

Rubber-like Quasi-thermosetting Polyetheramine-cured Epoxy Asphalt Composites Capable of Being Opened to Traffic Immediately

NASA Astrophysics Data System (ADS)

Kang, Yang; Wu, Qiang; Jin, Rui; Yu, Pengfei; Cheng, Jixiang

2016-01-01

This paper reports the facile preparation, mechanical performance and linear viscoelasticity of polyetheramine-cured rubber-like epoxy asphalt composites (EACs) with different asphalt contents. Compared with previous EACs prepared via complex chemical reactions and time-consuming high-temperature curing, the EACs reported here were obtained by using a compatible, bi-functional polyetheramine and a simple physical co-blend process, which make the EACs feasibly scalable for production at a lower cost. The EACs were cured for 1 h at 160 °C and 3 d at 60 °C therefore, these composites can be opened to traffic immediately. The EACs have a much greater temperature stability than common thermoplastic polymer-modified asphalt composites from -30 °C to 120 °C, but their complex shear moduli at higher temperatures slightly decrease instead of remaining constant when temperatures are greater than 80 °C, especially for the higher asphalt content composites; that is, these composites are quasi-thermosetting. Wicket plots illustrate that the EACs reported here are thermorheological simple materials, and the master curves are constructed and well-fitted by generalized logistic sigmoidal model functions. This research provides a facile, low-cost method for the preparation of polyetheramine-cured EACs that can be opened to traffic immediately, and the concept of quasi-thermosetting may facilitate the development of cheaper EACs for advanced applications.

Rubber-like Quasi-thermosetting Polyetheramine-cured Epoxy Asphalt Composites Capable of Being Opened to Traffic Immediately.

PubMed

Kang, Yang; Wu, Qiang; Jin, Rui; Yu, Pengfei; Cheng, Jixiang

2016-01-06

This paper reports the facile preparation, mechanical performance and linear viscoelasticity of polyetheramine-cured rubber-like epoxy asphalt composites (EACs) with different asphalt contents. Compared with previous EACs prepared via complex chemical reactions and time-consuming high-temperature curing, the EACs reported here were obtained by using a compatible, bi-functional polyetheramine and a simple physical co-blend process, which make the EACs feasibly scalable for production at a lower cost. The EACs were cured for 1 h at 160 °C and 3 d at 60 °C; therefore, these composites can be opened to traffic immediately. The EACs have a much greater temperature stability than common thermoplastic polymer-modified asphalt composites from -30 °C to 120 °C, but their complex shear moduli at higher temperatures slightly decrease instead of remaining constant when temperatures are greater than 80 °C, especially for the higher asphalt content composites; that is, these composites are quasi-thermosetting. Wicket plots illustrate that the EACs reported here are thermorheological simple materials, and the master curves are constructed and well-fitted by generalized logistic sigmoidal model functions. This research provides a facile, low-cost method for the preparation of polyetheramine-cured EACs that can be opened to traffic immediately, and the concept of quasi-thermosetting may facilitate the development of cheaper EACs for advanced applications.

Rubber-like Quasi-thermosetting Polyetheramine-cured Epoxy Asphalt Composites Capable of Being Opened to Traffic Immediately

PubMed Central

Kang, Yang; Wu, Qiang; Jin, Rui; Yu, Pengfei; Cheng, Jixiang

2016-01-01

This paper reports the facile preparation, mechanical performance and linear viscoelasticity of polyetheramine-cured rubber-like epoxy asphalt composites (EACs) with different asphalt contents. Compared with previous EACs prepared via complex chemical reactions and time-consuming high-temperature curing, the EACs reported here were obtained by using a compatible, bi-functional polyetheramine and a simple physical co-blend process, which make the EACs feasibly scalable for production at a lower cost. The EACs were cured for 1 h at 160 °C and 3 d at 60 °C; therefore, these composites can be opened to traffic immediately. The EACs have a much greater temperature stability than common thermoplastic polymer-modified asphalt composites from −30 °C to 120 °C, but their complex shear moduli at higher temperatures slightly decrease instead of remaining constant when temperatures are greater than 80 °C, especially for the higher asphalt content composites; that is, these composites are quasi-thermosetting. Wicket plots illustrate that the EACs reported here are thermorheological simple materials, and the master curves are constructed and well-fitted by generalized logistic sigmoidal model functions. This research provides a facile, low-cost method for the preparation of polyetheramine-cured EACs that can be opened to traffic immediately, and the concept of quasi-thermosetting may facilitate the development of cheaper EACs for advanced applications. PMID:26733315

The costs of accessing abortion in South Africa: women's costs associated with second-trimester abortion services in Western Cape Province.

PubMed

Lince-Deroche, Naomi; Constant, Deborah; Harries, Jane; Blanchard, Kelly; Sinanovic, Edina; Grossman, Daniel

2015-10-01

To assess women's costs of accessing second-trimester labor induction and dilation and evacuation (D&E) services at four public hospitals in Western Cape Province, South Africa. From April to August 2010, in interviews immediately after completion of their abortion, we asked women about specific direct and indirect costs incurred. We collected information on recurring costs (i.e., per visit) and one-time expenditures and calculated total costs. In total, 194 patients participated (136 D&E; 58 induction). Their median age was 26; 37.6% reported being employed or doing paid work. Most (73.2%) women visited two different facilities, including the study facility, while seeking the procedure. Induction women reported a median of three required visits [interquartile range (IQR) 2.0-3.0] to the study facility, while D&E women reported two required visits [IQR 1.0-2.0]. Twenty-seven percent of women missed work due to the procedure, and few (4.6%) paid for childcare. At each visit, almost all women (180, 92.8%) paid for transportation costs and reported additional one-time costs (177, 91.2%) such as sanitary supplies or doctor's fees. The total median cost incurred per woman was $21.23 [IQR 11.94-44.68]. Roughly half (49.0%) received help with these costs. Although technically offered freely or low cost in the public sector, women accessing second-trimester abortion lost income and incurred costs for transport, fees, supplies and childcare. Their total costs could be reduced by minimizing the number of required visits to facilities and freely offering supplies such as sanitary pads and pregnancy tests. Limited access to second-trimester, safe abortion services in South Africa may result in some women incurring unnecessary costs. Women make multiple visits in attempting to obtain an abortion, often because of facility or health systems requirements, and incur costs for lost income, child care, transport, fees and supplies. Copyright © 2015 Elsevier Inc. All rights reserved.

The relationship of age and place of delivery with postpartum contraception prior to discharge in Mexico: A retrospective cohort study.

PubMed

Darney, Blair G; Sosa-Rubi, Sandra G; Servan-Mori, Edson; Rodriguez, Maria I; Walker, Dilys; Lozano, Rafael

2016-06-01

To test the association of age (adolescents vs. older women) and place of delivery with receipt of immediate postpartum contraception in Mexico. Retrospective cohort study, Mexico, nationally representative sample of women 12-39years old at last delivery. We used multivariable logistic regression to test the association of self-reported receipt of postpartum contraception prior to discharge with age and place of delivery (public, employment based, private, or out of facility). We included individual and household-level confounders and calculated relative and absolute multivariable estimates of association. Our analytic sample included 7022 women (population, N=9,881,470). Twenty percent of the population was 12-19years old at last birth, 55% aged 20-29 and 25% 30-39years old. Overall, 43% of women reported no postpartum contraceptive method. Age was not significantly associated with receipt of a method, controlling for covariates. Women delivering in public facilities had lower odds of receipt of a method (Odds Ratio=0.52; 95% Confidence Interval (CI)=0.40-0.68) compared with employment-based insurance facilities. We estimated 76% (95% CI=74-78%) of adolescents (12-19years) who deliver in employment-based insurance facilities leave with a method compared with 59% (95% CI=56-62%) who deliver in public facilities. Both adolescents and women ages 20-39 receive postpartum contraception, but nearly half of all women receive no method. Place of delivery is correlated with receipt of postpartum contraception, with lower rates in the public sector. Lessons learned from Mexico are relevant to other countries seeking to improve adolescent health through reducing unintended pregnancy. Adolescents receive postpartum contraception as often as older women in Mexico, but half of all women receive no method. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

33 CFR 140.4 - Relationship to other law.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) OUTER CONTINENTAL SHELF ACTIVITIES GENERAL General § 140.4 Relationship to other law. (a) Design and... the regulations and orders of the U.S. Geological Survey applicable to those facilities. (b) Any... of the U.S. Geological Survey should immediately be brought to the attention of the Officer in Charge...

33 CFR 140.4 - Relationship to other law.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) OUTER CONTINENTAL SHELF ACTIVITIES GENERAL General § 140.4 Relationship to other law. (a) Design and... the regulations and orders of the U.S. Geological Survey applicable to those facilities. (b) Any... of the U.S. Geological Survey should immediately be brought to the attention of the Officer in Charge...

33 CFR 140.4 - Relationship to other law.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) OUTER CONTINENTAL SHELF ACTIVITIES GENERAL General § 140.4 Relationship to other law. (a) Design and... the regulations and orders of the U.S. Geological Survey applicable to those facilities. (b) Any... of the U.S. Geological Survey should immediately be brought to the attention of the Officer in Charge...

33 CFR 140.4 - Relationship to other law.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) OUTER CONTINENTAL SHELF ACTIVITIES GENERAL General § 140.4 Relationship to other law. (a) Design and... the regulations and orders of the U.S. Geological Survey applicable to those facilities. (b) Any... of the U.S. Geological Survey should immediately be brought to the attention of the Officer in Charge...

33 CFR 140.4 - Relationship to other law.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) OUTER CONTINENTAL SHELF ACTIVITIES GENERAL General § 140.4 Relationship to other law. (a) Design and... the regulations and orders of the U.S. Geological Survey applicable to those facilities. (b) Any... of the U.S. Geological Survey should immediately be brought to the attention of the Officer in Charge...

75 FR 27606 - Self-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of Filing...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-17

...-Regulatory Organizations; Financial Industry Regulatory Authority, Inc.; Notice of Filing and Immediate Effectiveness of Proposed Rule Change Relating to the Trade Reporting Facility Limited Liability Company...\\ and Rule 19b-4 thereunder,\\2\\ notice is hereby given that on April 27, 2010, the Financial Industry...

32 CFR 228.7 - Prohibition on weapons and explosives.

Code of Federal Regulations, 2010 CFR

2010-07-01

... entering or while on protected property shall carry or possess, either openly or concealed, firearms, any... of Security or his designee at each Agency facility. The use of chemical agents (Mace, tear gas, etc.) on protected property in circumstances that do not include an immediate and unlawful threat of...

77 FR 76572 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-28

... Substance of the Proposed Rule Change NASDAQ proposes to modify Chapter XV, entitled ``Options Pricing,'' governing pricing for NASDAQ members using the NASDAQ Options Market (``NOM''), NASDAQ's facility for... modify Chapter XV, entitled ``Options Pricing,'' at Section 3 entitled ``NASDAQ Options Market--Access...

33 CFR 62.65 - Procedure for reporting defects and discrepancies.

Code of Federal Regulations, 2012 CFR

2012-07-01

... HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.65 Procedure for reporting defects and discrepancies. (a) Mariners should notify the nearest Coast Guard facility immediately of any observed aids to navigation defects or...

33 CFR 62.65 - Procedure for reporting defects and discrepancies.

Code of Federal Regulations, 2011 CFR

2011-07-01

... HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.65 Procedure for reporting defects and discrepancies. (a) Mariners should notify the nearest Coast Guard facility immediately of any observed aids to navigation defects or...

33 CFR 62.65 - Procedure for reporting defects and discrepancies.

Code of Federal Regulations, 2013 CFR

2013-07-01

... HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.65 Procedure for reporting defects and discrepancies. (a) Mariners should notify the nearest Coast Guard facility immediately of any observed aids to navigation defects or...

33 CFR 62.65 - Procedure for reporting defects and discrepancies.

Code of Federal Regulations, 2014 CFR

2014-07-01

... HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.65 Procedure for reporting defects and discrepancies. (a) Mariners should notify the nearest Coast Guard facility immediately of any observed aids to navigation defects or...

17 CFR 1.31 - Books and records; keeping and inspection.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Commission or the Department of Justice, facilities for immediate, easily readable projection or production... the request. (ii) Develop and maintain written operational procedures and controls (an “audit system... electronic storage media such that: (A) The results of such audit system are available at all times for...

75 FR 57532 - In the Matter of: Stone & Webster Construction, Inc.; Confirmatory Order (Effective Immediately)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-21

... to working in the nuclear industry for workers coming in without nuclear experience; New Hire... employees in its Nuclear Services (i.e., construction) and Nuclear Maintenance Divisions working at nuclear... (i.e., construction) and Nuclear Maintenance Divisions working at nuclear facilities addressing: (a...

33 CFR 62.65 - Procedure for reporting defects and discrepancies.

Code of Federal Regulations, 2010 CFR

2010-07-01

... HOMELAND SECURITY AIDS TO NAVIGATION UNITED STATES AIDS TO NAVIGATION SYSTEM Public Participation in the Aids to Navigation System § 62.65 Procedure for reporting defects and discrepancies. (a) Mariners should notify the nearest Coast Guard facility immediately of any observed aids to navigation defects or...

78 FR 1753 - Security Zone, Potomac and Anacostia Rivers; Washington, DC

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-09

... immediate action, the restriction of vessel traffic is necessary to protect life, property and the... of the Port the ability to implement comprehensive port security regimes designed to safeguard human life, vessels, and waterfront facilities while still sustaining the flow of commerce. The Captain of...

40 CFR 264.54 - Amendment of contingency plan.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Amendment of contingency plan. 264.54... Contingency Plan and Emergency Procedures § 264.54 Amendment of contingency plan. The contingency plan must be reviewed, and immediately amended, if necessary, whenever: (a) The facility permit is revised; (b) The plan...

40 CFR 264.54 - Amendment of contingency plan.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Amendment of contingency plan. 264.54... Contingency Plan and Emergency Procedures § 264.54 Amendment of contingency plan. The contingency plan must be reviewed, and immediately amended, if necessary, whenever: (a) The facility permit is revised; (b) The plan...

An image, looking southeast down the passage between E Building ...

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

An image, looking southeast down the passage between E Building and M Building immediately to the east. The east entrance and the south wing of the building are visible - Department of Energy, Mound Facility, Electronics Laboratory Building (E Building), One Mound Road, Miamisburg, Montgomery County, OH

40 CFR 265.34 - Access to communications or alarm system.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Access to communications or alarm..., STORAGE, AND DISPOSAL FACILITIES Preparedness and Prevention § 265.34 Access to communications or alarm... involved in the operation must have immediate access to an internal alarm or emergency communication device...

40 CFR 264.34 - Access to communications or alarm system.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Access to communications or alarm... FACILITIES Preparedness and Prevention § 264.34 Access to communications or alarm system. (a) Whenever... operation must have immediate access to an internal alarm or emergency communication device, either directly...

Enhanced Extinction of Aversive Memories by High-Frequency Stimulation of the Rat Infralimbic Cortex

PubMed Central

Maroun, Mouna; Kavushansky, Alexandra; Holmes, Andrew; Wellman, Cara; Motanis, Helen

2012-01-01

Electrical stimulation of the rodent medial prefrontal cortex (mPFC), including the infralimbic cortex (IL), immediately prior to or during fear extinction training facilitates extinction memory. Here we examined the effects of high-frequency stimulation (HFS) of the rat IL either prior to conditioning or following retrieval of the conditioned memory, on extinction of Pavlovian fear and conditioned taste aversion (CTA). IL-HFS applied immediately after fear memory retrieval, but not three hours after retrieval or prior to conditioning, subsequently reduced freezing during fear extinction. Similarly, IL-HFS given immediately, but not three hours after, retrieval of a CTA memory reduced aversion during extinction. These data indicate that HFS of the IL may be an effective method for reducing both learned fear and learned aversion. PMID:22586453

The effect of foot massage on long-term care staff working with older people with dementia: a pilot, parallel group, randomized controlled trial.

PubMed

Moyle, Wendy; Cooke, Marie; O'Dwyer, Siobhan T; Murfield, Jenny; Johnston, Amy; Sung, Billy

2013-02-18

Caring for a person with dementia can be physically and emotionally demanding, with many long-term care facility staff experiencing increased levels of stress and burnout. Massage has been shown to be one way in which nurses' stress can be reduced. However, no research has been conducted to explore its effectiveness for care staff working with older people with dementia in long-term care facilities. This was a pilot, parallel group, randomized controlled trial aimed at exploring feasibility for a larger randomized controlled trial. Nineteen staff, providing direct care to residents with dementia and regularly working ≥ two day-shifts a week, from one long-term care facility in Queensland (Australia), were randomized into either a foot massage intervention (n=9) or a silent resting control (n=10). Each respective session lasted for 10-min, and participants could receive up to three sessions a week, during their allocated shift, over four-weeks. At pre- and post-intervention, participants were assessed on self-report outcome measures that rated mood state and experiences of working with people with dementia. Immediately before and after each intervention/control session, participants had their blood pressure and anxiety measured. An Intention To Treat framework was applied to the analyses. Individual qualitative interviews were also undertaken to explore participants' perceptions of the intervention. The results indicate the feasibility of undertaking such a study in terms of: recruitment; the intervention; timing of intervention; and completion rates. A change in the intervention indicated the importance of a quiet, restful environment when undertaking a relaxation intervention. For the psychological measures, although there were trends indicating improvement in mood there was no significant difference between groups when comparing their pre- and post- scores. There were significant differences between groups for diastolic blood pressure (p= 0.04, partial η2=0.22) and anxiety (p= 0.02, partial η2=0.31), with the foot massage group experiencing greatest decreases immediately after the session. The qualitative interviews suggest the foot massage was well tolerated and although taking staff away from their work resulted in some participants feeling guilty about taking time out, a 10-min foot massage was feasible during a working shift. This pilot trial provides data to support the feasibility of the study in terms of recruitment and consent, the intervention and completion rates. Although the outcome data should be treated with caution, the pilot demonstrated the foot massage intervention showed trends in improved mood, reduced anxiety and lower blood pressure in long-term care staff working with older people with dementia. A larger study is needed to build on these promising, but preliminary, findings. ACTRN: ACTRN12612000659808.

The impact of reducing financial barriers on utilisation of a primary health care facility in Rwanda

PubMed Central

Dhillon, Ranu S.; Bonds, Matthew H.; Fraden, Max; Ndahiro, Donald; Ruxin, Josh

2011-01-01

This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda of approximately 25,000 people divided among five ‘imidugudu’ or small villages. While comprehensive service upgrades were introduced in the Mayange Health Centre between April 2006 and February 2007, utilisation rates remained similar to comparison sites. Between February 2007 and April 2007, subsidies for mutuelle enrolment established virtually 100% coverage. Immediately after co-payments were eliminated in February 2007, patient visits levelled at a rate triple the previous value. Regression analyses using data from Mayange and two comparison sites indicate that removing financial barriers resulted in about 0.6 additional annual visits for curative care per capita. Although based on a single local pilot, these findings suggest that in order to achieve improved health outcomes, key short-term objectives include improved service delivery and reduced financial barriers. Based on this pilot, higher utilisation rates may be affected if broader swaths of the population are enrolled in mutuelle and co-payments are eliminated. Health leaders in Rwanda should consider further studies to determine if the impact of eliminating co-payments and increasing subsidies for mutuelle enrolment as seen in Mayange holds at greater levels of scale. Broader studies to better elucidate the impact of enrolment subsidies and co-payment subsidies on utilisation, health outcomes, and costs would also provide policy insights. PMID:21732708

"Who'll do all these if I'm not around?": Bonding social capital and health and well-being of inpatients.

PubMed

Amoah, Padmore Adusei; Koduah, Adwoa Owusuaa; Gyasi, Razak Mohammed

2018-12-01

Although social capital influences health-related decisions and behavioural patterns in many developing countries, minimal attention has been paid to the nuances of its effect on healthcare. This paper examines how bonding social capital affects healthcare delivery for inpatients in Ghana. Semi-structured in-depth interviews were used and thematic analysis method employed to analyse the data. Interviews were conducted with health professionals and relatives and close friends of inpatients in three public health facilities in Ashanti region. Relatives and close friends of inpatients were a critical source of instrumental support such as provision of meals, laundry services, running errands and financial assistance as well as emotional support. These functions-that were both 'expected' and 'encouraged'- reduced the burden on the health facilities, which apparently had limited resources to offer adequate care. However, the relatives of inpatients sometimes inadvertently obstructed efficient healthcare delivery through actions such as extending 'unapproved' alternative care to patients. Moreover, the process of contributing towards health and well-being of the sick exposed the relatives to health risks due to poor living conditions. A well-defined and befitting role must be devised for at least an immediate social relation of inpatients to improve the positive effects of bonding social capital on healthcare delivery.

The effect on physical performance of a functional assessment and immediate rehabilitation of acutely admitted elderly patients with reduced functional performance: the design of a randomised clinical trial

PubMed Central

Bruun, Inge Hansen; Nørgaard, Birgitte; Maribo, Thomas; Schiøttz-Christensen, Berit; Mogensen, Christian Backer

2014-01-01

Introduction Illness and hospitalisation, even of short duration, pose separate risks for permanently reduced functional performance in elderly medical patients. Functional assessment in the acute pathway will ensure early detection of declining performance and form the basis for mobilisation during hospitalisation and subsequent rehabilitation. For optimal results rehabilitation should begin immediately after discharge.The aim of this study is to investigate the effect of a systematic functional assessment in the emergency department (ED) of elderly medical patients with reduced functional performance when combined with immediate postdischarge rehabilitation. Method and analysis The study is a two-way factorial randomised clinical trial. Participants will be recruited among patients admitted to the ED who are above 65 years of age with reduced functional performance. Patients will be randomly assigned to one of four groups: (1) functional assessment and immediate rehabilitation; (2) functional assessment and rehabilitation as usual; (3) assessment as usual and immediate rehabilitation; (4) assessment and rehabilitation as usual. Primary outcome 30 s chair-stand test administered at admission and 3 weeks after discharge. Ethics and dissemination The study has been approved by the Regional Scientific Ethical Committees of Southern Denmark in February 2014. The study findings will be published in peer-reviewed journals and presented at national and international conferences. Trial registration number: ClinicalTrials.gov Identifier: NCT02062541. PMID:24939812

Mothers' feelings about breastfeeding their premature babies in a rooming-in facility.

PubMed

Davim, Rejane Marie Barbosa; Enders, Bertha Cruz; da Silva, Richardson Augusto Rosendo

2010-09-01

This study aimed at learning about the feelings experienced by mothers while breastfeeding their premature babies in a rooming-in facility, by means of individual interviews with 33 mothers during the period of February to April 2006, at a maternity hospital in Natal/RN/Brazil. The main feelings referred by the mothers regarding their inability to breastfeed their premature babies immediately after delivery were: sorrow, guilt, disappointment, frustration, insecurity, and fear of touching, holding or harming the delicate babies while breastfeeding. However, the mother-child bond that was formed when the baby was discharged from the Neonatal Intensive Care Unit and taken to the rooming-in facility was reflected by feelings of fulfillment, pride, and satisfaction at experiencing the first breastfeeding.

KENNEDY SPACE CENTER, FLA. - Emergency crew members on the ground take hold of a volunteer “astronaut” lowered from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - Emergency crew members on the ground take hold of a volunteer “astronaut” lowered from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KENNEDY SPACE CENTER, FLA. - Emergency crew members help a volunteer “astronaut” onto the ground after being lowered from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - Emergency crew members help a volunteer “astronaut” onto the ground after being lowered from the top of the orbiter crew compartment mock-up that is the scene of a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Neonatal care in the home in northern rural Honduras: a qualitative study of the role of traditional birth attendants.

PubMed

Sacks, Emma; Bailey, Joanne Motiño; Robles, Chayla; Low, Lisa Kane

2013-01-01

Traditional birth attendants (TBAs) have limited ability to reduce maternal mortality, but may be able to have a significant impact on neonatal survival. This qualitative study explores TBAs' (possessive) experience with neonatal care in a rural Honduran community. In 6 semistructured focus groups, TBAs described services they routinely provide to newborns. Using Atlas.ti, Version 6.0. (ATLAS.ti Scientific Software Development GmbH, University of Berlin), transcripts were coded by bilingual researchers and analyzed by thematic content. TBAs demonstrated limited knowledge of newborn physiology, yet were aware of many internationally recommended practices. Despite attempts to follow recommendations, all TBAs expressed difficulty due to resource constraints. TBAs were strong advocates of immediate breast-feeding and skin-to-skin care, but they did not demonstrate knowledge regarding delayed bathing and thermal care. Most TBAs stated that a sick neonate could be identified immediately at birth; thus, infections or other illnesses developed in later days may be missed. TBAs did not believe they could have averted neonatal complications or deaths that had occurred under their care. For most healthy newborns, TBAs are the primary providers until the 2-month vaccine visit at the healthcare clinic. Improved TBA training focused on infection symptomotology, physiology, and thermoregulation for newborns may increase opportunities for improved health and timely referrals to healthcare facilities.

[Pre-hospital management of adults with life-threatening emergencies].

PubMed

Wattel, Francis; Dubois, François

2012-01-01

In France, acute life-threatening situations are handled by the French Secours a Personne (assistance to persons) and emergency medical facilities. An unequivocal success, this early management of life-threatening emergency situations relies upon centralized call reception, medical dispatching, and immediate on-site emergency medical care. We describe the different emergency care providers and steps involved in the response to emergency situations. Each call centre (Samu, phone number 15; Sapeurs-Pompiers, 18) provides a response tailored to the nature of incoming calls for assistance. A check-list of grounds for an "automatic response" by the SDIS (Service Départemental d'Incendie et de Secours--the French fire brigade) is in use, ensuring that firefighters are often the first on the spot, while the knowledge and skills of the dispatching physician are essential to ascertain the patient's needs, to preserve life and vital functions, and to ensure the patient is sent to the appropriate emergency healthcare facility. In life-threatening emergency situations, patients must be brought straight to the appropriate reference emergency healthcare facility, as quickly as possible, without prior admittance to an emergency department. This is the procedure for extremely acute emergency situations in the following areas: trauma (multiple trauma and/or uncontrolled bleeding, spinal cord trauma), delivery bleeding, other life-threatening situations such as ischemic heart disease, cardiac arrest (sudden death), cerebrovascular stroke and ensuing brain damage, some acute respiratory situations such as anaphylactic shock, foreign-body inhalation, electrocution, drowning, drug overdose, certain forms of poisoning, and conditions requiring initial hyperbaric oxygen (diving accidents, acute carbon monoxide and smoke poisoning). The reasons for suboptimal emergency care in life-threatening situations are currently a major issue, with medical facilities being reduced in some areas, fewer voluntary firemen, hospital reorganization, tight funding, difficulties of medical dispatching, and the varying skills of "first-on-the-scene "emergency workers. Grievances include late emergency responses, inappropriate medical care, and dispatching to the wrong facility. This raises the question of equal opportunity for all in a country with widely varying geographic features and population density. Improvement in the system's efficiency will require a series of objectives to be met in varied and complementary--Enhanced functional coordination, by speeding up the deployment of the ANTARES digital radio-frequency transmission network (Adaptation Nationale des Transmissions Aux Risques Et aux Secours).--Implementation of a network of emergency services with varying degrees of emergency healthcare management related to the technical nature of the facilities. Three levels of emergency healthcare must be made available: level 1 is provided by local hospitals, level 2 includes support facilities available in general hospitals (not necessarily the nearest hospital), and level 3 provides specialized healthcare in large and/or training hospitals with specialized departments. Life-threatening emergency situations are to be handled by level 2 or 3 facilities. Specific facilities must be selected as reference centers. In France, the ARS (Agences Régionales de Santé) is in charge of this procedure, as it provide funding for healthcare continuity--Reducing inequalities in access to emergency care. This will involve improving the network of SDIS brigades, making local medical facilities more responsive, delegating more medical procedures, on-site telemedicine, providing more helicopters equipped with healthcare facilities, more automated external defibrillators, and more dedicated neuro-vascular units.--First aid training must be made widely available. The French National Academy of Medicine has approved ten recommendations regarding organization and facilities.

Propulsion Ground Testing: Planning for the Future

NASA Technical Reports Server (NTRS)

Bruce, Robert

2003-01-01

Advanced planners are constantly being asked to plan for the provision of future test capability. Historically, this capability is provided either by substantial investment in new test facility capabilities, or in the substantial investment in the modification of pre-exiting test facilities. The key words in the previous sentence are 'substantial investment.' In the evolving environment of increasingly constrained resources, how is an advanced planner to plan for the provisions of such capabilities? Additionally, the conundrum exists that program formulation decisions are being made based on both life cycle cost decisions in an environment in which the more immediate challenge of front-end capital investment oftentimes is the linchpin upon which early decisions are made. In such an environment, how are plans and decisions made? This paper cites examples of decisions made in the past in the area of both major test facility upgrades, as well as major new test facility investment.

Systems and methods for harvesting and storing materials produced in a nuclear reactor

DOEpatents

Heinold, Mark R.; Dayal, Yogeshwar; Brittingham, Martin W.

2016-04-05

Systems produce desired isotopes through irradiation in nuclear reactor instrumentation tubes and deposit the same in a robust facility for immediate shipping, handling, and/or consumption. Irradiation targets are inserted and removed through inaccessible areas without plant shutdown and placed in the harvesting facility, such as a plurality of sealable and shipping-safe casks and/or canisters. Systems may connect various structures in a sealed manner to avoid release of dangerous or unwanted matter throughout the nuclear plant, and/or systems may also automatically decontaminate materials to be released. Useable casks or canisters can include plural barriers for containment that are temporarily and selectively removable with specially-configured paths inserted therein. Penetrations in the facilities may limit waste or pneumatic gas escape and allow the same to be removed from the systems without over-pressurization or leakage. Methods include processing irradiation targets through such systems and securely delivering them in such harvesting facilities.

The contribution to immediate serial recall of rehearsal, search speed, access to lexical memory, and phonological coding: an investigation at the construct level.

PubMed

Tehan, Gerald; Fogarty, Gerard; Ryan, Katherine

2004-07-01

Rehearsal speed has traditionally been seen to be the prime determinant of individual differences in memory span. Recent studies, in the main using young children as the participant population, have suggested other contributors to span performance. In the present research, we used structural equation modeling to explore, at the construct level, individual differences in immediate serial recall with respect to rehearsal, search, phonological coding, and speed of access to lexical memory. We replicated standard short-term phenomena; we showed that the variables that influence children's span performance influence adult performance in the same way; and we showed that speed of access to lexical memory and facility with phonological codes appear to be more potent sources of individual differences in immediate memory than is either rehearsal speed or search factors.

Building 9401-2 Plating Shop Surveillance and Maintenance Plan

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

None

1999-05-01

This document provides a plan for implementing surveillance and maintenance (S and M) activities to ensure that Building 9401-2 Plating Shop is maintained in a cost effective and environmentally secure configuration until subsequent closure during the final disposition phase of decommissioning. U.S. Department of Energy (DOE) G430.1A-2, Surveillance and Maintenance During Facility Disposition (1997), was used as guidance in the development of this plan. The S and M Plan incorporates DOE O 430.1A, Life Cycle Asset Management (LCAM) (1998a) direction to provide for conducting surveillance and maintenance activities required to maintain the facility and remaining hazardous and radioactive materials, wastes,more » and contamination in a stable and known condition pending facility disposition. Recommendations in the S and M plan have been made that may not be requirement-based but would reduce the cost and frequency of surveillance and maintenance activities. During the course of S and M activities, the facility's condition may change so as to present an immediate or developing hazard or unsatisfactory condition. Corrective action should be coordinated with the appropriate support organizations using the requirements and guidance stated in procedure Y10-202, Rev. 1, Integrated Safety Management Program, (Lockheed Martin Energy Systems, Inc. (LMES), 1998a) implemented at the Oak Ridge Y-12 Plant and the methodology of the Nuclear Operations Conduct of Operations Manual (LMES, 1999) for the Depleted Uranium Operations (DUO) organization. The key S and M objectives applicable to the Plating Shop are to: Ensure adequate containment of remaining residual material in exhaust stacks and outside process piping, stored chemicals awaiting offsite shipment, and items located in the Radioactive Material Area (RMA); Provide access control into the facility and physical safety to S and M personnel; Maintain the facility in a manner that will protect the public, the environment, and the S and M personnel; Provide an S and M plan which identifies and complies with applicable environmental, safety, and health safeguards and security requirements; and Provide a cost effective S and M program for the plating shop, Building 9401-2.« less

Correlation between hospital-level antibiotic consumption and incident health care facility-onset Clostridium difficile infection.

PubMed

Crew, Page E; Rhodes, Nathaniel J; O'Donnell, J Nicholas; Miglis, Cristina; Gilbert, Elise M; Zembower, Teresa R; Qi, Chao; Silkaitis, Christina; Sutton, Sarah H; Scheetz, Marc H

2018-03-01

The purpose of this single-center, ecologic study is to characterize the relationship between facility-wide (FacWide) antibiotic consumption and incident health care facility-onset Clostridium difficile infection (HO-CDI). FacWide antibiotic consumption and incident HO-CDI were tallied on a monthly basis and standardized, from January 2013 through April 2015. Spearman rank-order correlation coefficients were calculated using matched-months analysis and a 1-month delay. Regression analyses were performed, with P < .05 considered statistically significant. FacWide analysis identified a matched-months correlation between ceftriaxone and HO-CDI (ρ = 0.44, P = .018). A unit of stem cell transplant recipients did not have significant correlation between carbapenems and HO-CDI in matched months (ρ = 0.37, P = .098), but a significant correlation was observed when a 1-month lag was applied (ρ = 0.54, P = .014). Three statistically significant lag associations were observed between FacWide/unit-level antibiotic consumption and HO-CDI, and 1 statistically significant nonlagged association was observed FacWide. Antibiotic consumption may convey extended ward-level risk for incident CDI. Consumption of antibiotic agents may have immediate and prolonged influence on incident CDI. Additional studies are needed to investigate the immediate and delayed associations between antibiotic consumption and C difficile colonization, infection, and transmission at the hospital level. Published by Elsevier Inc.

78 FR 28912 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-16

... Proposed Rule Change Relating to Penny Pilot Options and Non-Penny Pilot Options May 10, 2013. Pursuant to... ``Options Pricing,'' at Section 2 governing pricing for NASDAQ members using the NASDAQ Options Market (``NOM''), NASDAQ's facility for executing and routing standardized equity and index options...

50 CFR 21.47 - Depredation order for double-crested cormorants at aquaculture facilities.

Code of Federal Regulations, 2014 CFR

2014-10-01

... protected by the Endangered Species Act. Persons operating under this order must immediately report the take of species protected under the Endangered Species Act to the Service. (i) To protect wood storks, the following conservation measures must be observed anywhere Endangered Species Act protection applies to this...

50 CFR 21.51 - Depredation order for resident Canada geese at agricultural facilities.

Code of Federal Regulations, 2014 CFR

2014-10-01

... activities adversely affect other migratory birds or species designated as endangered or threatened under the authority of the Endangered Species Act. Persons operating under this order must immediately report the take of any species protected under the Endangered Species Act to the Service. Further, to protect certain...

50 CFR 21.51 - Depredation order for resident Canada geese at agricultural facilities.

Code of Federal Regulations, 2013 CFR

2013-10-01

... activities adversely affect other migratory birds or species designated as endangered or threatened under the authority of the Endangered Species Act. Persons operating under this order must immediately report the take of any species protected under the Endangered Species Act to the Service. Further, to protect certain...

50 CFR 21.51 - Depredation order for resident Canada geese at agricultural facilities.

Code of Federal Regulations, 2011 CFR

2011-10-01

... activities adversely affect other migratory birds or species designated as endangered or threatened under the authority of the Endangered Species Act. Persons operating under this order must immediately report the take of any species protected under the Endangered Species Act to the Service. Further, to protect certain...

50 CFR 21.51 - Depredation order for resident Canada geese at agricultural facilities.

Code of Federal Regulations, 2012 CFR

2012-10-01

... activities adversely affect other migratory birds or species designated as endangered or threatened under the authority of the Endangered Species Act. Persons operating under this order must immediately report the take of any species protected under the Endangered Species Act to the Service. Further, to protect certain...

40 CFR 264.256 - Special requirements for ignitable or reactive waste.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., AND DISPOSAL FACILITIES Waste Piles § 264.256 Special requirements for ignitable or reactive waste. Ignitable or reactive waste must not be placed in a waste pile unless the waste and waste pile satisfy all... immediately after placement in the pile so that: (1) The resulting waste, mixture, or dissolution of material...

77 FR 68877 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-16

... pricing for NASDAQ members using the NASDAQ Options Market (``NOM''), NASDAQ's facility for executing and... recoup costs that the Exchange incurs for routing and executing certain orders in equity options to the International Securities Exchange, LLC (``ISE''). The Exchange's Pricing Schedule at Chapter XV, Section 2(4...

30 CFR 285.802 - What must I do if I discover a potential archaeological resource while conducting my approved...

Code of Federal Regulations, 2011 CFR

2011-07-01

... OF OCEAN ENERGY MANAGEMENT, REGULATION, AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE RENEWABLE ENERGY ALTERNATE USES OF EXISTING FACILITIES ON THE OUTER CONTINENTAL SHELF Environmental and... your project, you must: (1) Immediately halt all seafloor-disturbing activities within the area of the...

Environmental Curiosity Sampler 2: For Use with Environmental Study Areas in Illinois.

ERIC Educational Resources Information Center

Stehney, Virginia A.

The Sampler provides ideas and lists resources for an interdisciplinary study of environment in terms of a person's immediate surroundings, distant sites, and facilities. Although it was developed for use by parents, teachers, youth group leaders, students, and interested individuals in the state of Illinois, many of the activities would be…

75 FR 78271 - Self-Regulatory Organizations; EDGX Exchange, Inc.; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-15

... be excessive. The proposed rule change reflects a competitive pricing structure designed to incent... its facilities. The Exchange notes that it operates in a highly competitive market in which market... credits remain competitive with those charged by other venues and therefore continue to be reasonable and...

77 FR 67040 - Self-Regulatory Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-08

... Proposal Regarding Quote Mitigation November 2, 2012. Pursuant to Section 19(b)(1) under the Securities... (Quote Mitigation) and refine the current quote mitigation strategy for its options trading facility, BOX Market LLC (``BOX'') by replacing the current quote mitigation rule with a ``holdback timer'' mechanism...

77 FR 6162 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-07

... facility or system which the Exchange operates or controls. The Exchange believes that the fee is... system, and, in general, protect investors and the public interest. The Exchange believes the proposed... SECURITIES AND EXCHANGE COMMISSION [Release No. 34-66284; File No. SR-Phlx-2012-04] Self...

21 CFR 211.50 - Sewage and refuse.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Sewage and refuse. 211.50 Section 211.50 Food and... CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Buildings and Facilities § 211.50 Sewage and refuse. Sewage, trash, and other refuse in and from the building and immediate premises shall be...

76 FR 76792 - Self-Regulatory Organizations; The Options Clearing Corporation; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-08

... Euro Interest Rate Futures will be settled in Euros. OCC already clears futures contracts that are settled in Euros, and management believes that the facilities and procedures established in connection with the settlement of the existing Euro-settled futures will generally be sufficient to permit the...

40 CFR 267.54 - When must I amend the contingency plan?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 28 2013-07-01 2013-07-01 false When must I amend the contingency plan... STANDARDIZED PERMIT Contingency Plan and Emergency Procedures § 267.54 When must I amend the contingency plan? You must review, and immediately amend the contingency plan, if necessary, whenever: (a) The facility...

40 CFR 267.54 - When must I amend the contingency plan?

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 28 2012-07-01 2012-07-01 false When must I amend the contingency plan... STANDARDIZED PERMIT Contingency Plan and Emergency Procedures § 267.54 When must I amend the contingency plan? You must review, and immediately amend the contingency plan, if necessary, whenever: (a) The facility...

40 CFR 267.54 - When must I amend the contingency plan?

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 27 2014-07-01 2014-07-01 false When must I amend the contingency plan... STANDARDIZED PERMIT Contingency Plan and Emergency Procedures § 267.54 When must I amend the contingency plan? You must review, and immediately amend the contingency plan, if necessary, whenever: (a) The facility...

Final Environmental Assessment Addressing New Construction and Demolition at Beale Air Force Base, California

DTIC Science & Technology

2014-04-01

architecture, or prehistory , and includes both publicly and privately owned properties. The NRHP list is administered by the National Park Service...Warning System (PAVE PAWS) facility (Beale AFB 2011c). The immediate area’s early prehistory is not well known. By roughly 500 A.D., the region was

77 FR 18287 - Self-Regulatory Organizations; C2 Options Exchange, Incorporated; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-27

... Exchange currently lists on its Fees Schedule the fingerprint processing fees that are collected and... facilities. The proposed change is reasonable because the fees for fingerprint processing will now be lower... new, lower fingerprint processing fees will apply to all eligible parties. Further, this fee is not...

Anma massage (Japanese massage) therapy for patients with Parkinson's disease in geriatric health services facilities: Effectiveness on limited range of motion of the shoulder joint.

PubMed

Suoh, Sachie; Donoyama, Nozomi; Ohkoshi, Norio

2016-04-01

To determine the efficacy of Anma massage therapy for patients with Parkinson's disease (PD) in geriatric health services facilities. (1) Immediate treatment effects: 10 PD patients, in the intervention period with Hoehn and Yahr (H&Y) scale at stage 5, received 30-40 min sessions of Anma massage therapy. In the non-intervention period, six PD patients did not undergo this therapy. The shoulder joint range of motion (ROM) was measured before and after each session. (2) Continuous treatment effects: Six PD patients in the intervention period received the same massage sessions once a week continuously for seven weeks. One week after the completion of the treatment, the ROM of the shoulder joints was measured. (1) Shoulder abduction on the more affected side showed immediate significant improvements. (2) Shoulder abduction on the more affected side and less affected side showed notable effects of continuous treatment procedure leading to significant improvement. The above results suggested the efficacy of successive Anma massage therapy. Copyright © 2015 Elsevier Ltd. All rights reserved.

Immediate Antiretroviral Therapy Reduces Risk of Infection-Related Cancer During Early HIV Infection.

PubMed

Borges, Álvaro H; Neuhaus, Jacqueline; Babiker, Abdel G; Henry, Keith; Jain, Mamta K; Palfreeman, Adrian; Mugyenyi, Peter; Domingo, Pere; Hoffmann, Christian; Read, Tim R H; Pujari, Sanjay; Meulbroek, Michael; Johnson, Margaret; Wilkin, Timothy; Mitsuyasu, Ronald

2016-12-15

 In the Strategic Timing of Antiretroviral Treatment (START) study, immediate combination antiretroviral therapy (cART) initiation reduced cancer risk by 64%. We hypothesized that risk reduction was higher for infection-related cancer and determined by differences in CD4 cell counts and human immunodeficiency virus (HIV) RNA between the study arms.  Incident malignancies in START were categorized into infection-related and infection-unrelated cancer. We used Cox models to assess factors associated with both cancer categories. We used sequential adjustment for baseline covariates, cancer risk factors, and HIV-specific variables to investigate potential mediators of cancer risk reduction with immediate cART.  There were 14 cancers among persons randomized to immediate cART (6 infection-related and 8 infection-unrelated) and 39 cancers in the deferred arm (23 infection-related and 16 infection-unrelated); hazard ratios of immediate vs deferred cART initiation were 0.26 (95% confidence interval [CI], .11-.64) for infection-related and 0.49 (95% CI, .21-1.15) for infection-unrelated cancer. Independent predictors of infection-related cancer were older age, higher body mass index, low- to middle-income region, HIV RNA, and baseline CD8 cell count. Older age and baseline CD8 cell count were independent predictors of infection-unrelated cancer. Adjustment for latest HIV RNA level had little impact on the protective effect of immediate cART on infection-related cancer. Adjustment for latest HIV RNA level, but not for CD4 cell count or cancer risk factors, attenuated the effect of immediate cART on infection-unrelated cancer.  Immediate cART initiation significantly reduces risk of cancer. Although limited by small sample size, this benefit does not appear to be solely attributable to HIV RNA suppression and may be also mediated by other mechanisms. © The Author 2016. Published by Oxford University Press for the Infectious Diseases Society of America. All rights reserved. For permissions, e-mail journals.permissions@oup.com.

Transmission of methicillin-resistant Staphylococcus aureus in long-term care facilities and their related healthcare networks.

PubMed

Harrison, Ewan M; Ludden, Catherine; Brodrick, Hayley J; Blane, Beth; Brennan, Gráinne; Morris, Dearbháile; Coll, Francesc; Reuter, Sandra; Brown, Nicholas M; Holmes, Mark A; O'Connell, Brian; Parkhill, Julian; Török, M Estee; Cormican, Martin; Peacock, Sharon J

2016-10-03

Long-term care facilities (LTCF) are potential reservoirs for methicillin-resistant Staphylococcus aureus (MRSA), control of which may reduce MRSA transmission and infection elsewhere in the healthcare system. Whole-genome sequencing (WGS) has been used successfully to understand MRSA epidemiology and transmission in hospitals and has the potential to identify transmission between these and LTCF. Two prospective observational studies of MRSA carriage were conducted in LTCF in England and Ireland. MRSA isolates were whole-genome sequenced and analyzed using established methods. Genomic data were available for MRSA isolated in the local healthcare systems (isolates submitted by hospitals and general practitioners). We sequenced a total of 181 MRSA isolates from the two study sites. The majority of MRSA were multilocus sequence type (ST)22. WGS identified one likely transmission event between residents in the English LTCF and three putative transmission events in the Irish LTCF. WGS also identified closely related isolates present in colonized Irish residents and their immediate environment. Based on phylogenetic reconstruction, closely related MRSA clades were identified between the LTCF and their healthcare referral network, together with putative MRSA acquisition by LTCF residents during hospital admission. These data confirm that MRSA is transmitted between residents of LTCF and is both acquired and transmitted to others in referral hospitals and beyond. Our data present compelling evidence for the importance of environmental contamination in MRSA transmission, reinforcing the importance of environmental cleaning. The use of WGS in this study highlights the need to consider infection control in hospitals and community healthcare facilities as a continuum.

SNL Five-Year Facilities & Infrastructure Plan FY2015-2019

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

Cipriani, Ralph J.

2014-12-01

Sandia’s development vision is to provide an agile, flexible, safer, more secure, and efficient enterprise that leverages the scientific and technical capabilities of the workforce and supports national security requirements in multiple areas. Sandia’s Five-Year Facilities & Infrastructure Planning program represents a tool to budget and prioritize immediate and short-term actions from indirect funding sources in light of the bigger picture of proposed investments from direct-funded, Work for Others and other funding sources. As a complementary F&I investment program, Sandia’s indirect investment program supports incremental achievement of the development vision within a constrained resource environment.

Reduction of pasteurization temperature leads to lower bacterial outgrowth in pasteurized fluid milk during refrigerated storage: a case study.

PubMed

Martin, N H; Ranieri, M L; Wiedmann, M; Boor, K J

2012-01-01

Bacterial numbers over refrigerated shelf-life were enumerated in high-temperature, short-time (HTST) commercially pasteurized fluid milk for 15 mo before and 15 mo after reducing pasteurization temperature from 79.4°C (175°F) [corrected] to 76.1°C (169°F). Total bacterial counts were measured in whole fat, 2% fat, and fat-free milk products on the day of processing as well as throughout refrigerated storage (6°C) at 7, 14, and 21 d postprocessing. Mean total bacterial counts were significantly lower immediately after processing as well as at 21 d postprocessing in samples pasteurized at 76.1°C versus samples pasteurized at 79.4°C. In addition to mean total bacterial counts, changes in bacterial numbers over time (i.e., bacterial growth) were analyzed and were lower during refrigerated storage of products pasteurized at the lower temperature. Lowering the pasteurization temperature for unflavored fluid milk processed in a commercial processing facility significantly reduced bacterial growth during refrigerated storage. Copyright © 2012 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Automation of electromagnetic compatability (EMC) test facilities

NASA Technical Reports Server (NTRS)

Harrison, C. A.

1986-01-01

Efforts to automate electromagnetic compatibility (EMC) test facilities at Marshall Space Flight Center are discussed. The present facility is used to accomplish a battery of nine standard tests (with limited variations) deigned to certify EMC of Shuttle payload equipment. Prior to this project, some EMC tests were partially automated, but others were performed manually. Software was developed to integrate all testing by means of a desk-top computer-controller. Near real-time data reduction and onboard graphics capabilities permit immediate assessment of test results. Provisions for disk storage of test data permit computer production of the test engineer's certification report. Software flexibility permits variation in the tests procedure, the ability to examine more closely those frequency bands which indicate compatibility problems, and the capability to incorporate additional test procedures.

Site-specific standard request for Underground Storage Tanks 1219-U, 1222-U, 2082-U, and 2068-U at the Rust Garage Facility Buildings 9754-1 and 9720-15

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

Not Available

1994-08-01

This document is a site-specific standard request for underground storage tanks located at the Rust Garage Facility. These standards are justified based on conclusion derived from the exposure assessment that indicates there is no current or forseeable future human health risk associated with petroleum contaminants on the site, that current and future ecological risks would be generally limited to subsurface species and plant life with roots extending into the area, and that most of the impacted area at the site is covered by asphalt or concrete. The vertical and horizontal extent of soil and ground water contamination are limited tomore » immediate area of the Rust Garage Facility.« less

An analysis of shoot and scoot tactics

DTIC Science & Technology

2017-03-01

firing multiple shots in the same location is preferable to moving immediately after firing one shot . Moving frequently reduces risk to artillery, but...preferable to moving immediately after firing one shot . Moving frequently reduces risk to artillery, but limits the artillery’s ability to inflict damage... study here. Thanks to his mistake (it might not be), I have completed a very tough matrix of 71 credits (56 grad level credits) in only one year. I

KENNEDY SPACE CENTER, FLA. - In the Launch Control Center, officials monitor the “Mode VII” emergency landing simulation being conducted at Kennedy Space Center and managed and directed from the LCC. From left are Dr. Luis Moreno and Dr. David Reed, with Bionetics Life Sciences, and Dr. Philip Scarpa, with the KSC Safety, Occupational Health and Environment Division. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - In the Launch Control Center, officials monitor the “Mode VII” emergency landing simulation being conducted at Kennedy Space Center and managed and directed from the LCC. From left are Dr. Luis Moreno and Dr. David Reed, with Bionetics Life Sciences, and Dr. Philip Scarpa, with the KSC Safety, Occupational Health and Environment Division. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer “astronauts” who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KENNEDY SPACE CENTER, FLA. - Volunteers from the KSC Fire-Rescue team dressed in launch and entry suits settle into seats in an orbiter crew compartment mock-up under the guidance of George Brittingham, USA suit technician on the Closeout Crew. Brittingham is helping Catherine Di Biase, a nurse with Bionetics Life Sciences. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews will respond to the volunteer “astronauts” simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - Volunteers from the KSC Fire-Rescue team dressed in launch and entry suits settle into seats in an orbiter crew compartment mock-up under the guidance of George Brittingham, USA suit technician on the Closeout Crew. Brittingham is helping Catherine Di Biase, a nurse with Bionetics Life Sciences. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews will respond to the volunteer “astronauts” simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

77 FR 47894 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-10

... Change To Modify Phlx's Fee Schedule Governing Order Execution on its NASDAQ OMX PSX Facility August 6...'') filed with the Securities and Exchange Commission (``Commission'') a proposed rule change as described... publishing this notice to solicit comments on the proposed rule change from interested persons. \\1\\ 15 U.S.C...

78 FR 69485 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-19

... in the test environment. The test environment is designed to closely mirror the live trading... Test Environment November 13, 2013. Pursuant to Section 19(b)(1) of the Securities Exchange Act of 1934... fees under Rule 7030(d) for use of the NASDAQ Testing Facility (``NTF'') test environment located in...

77 FR 21130 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-09

... proposes to modify Chapter XV, Options Pricing, Section 2, of the Options Rules portion of the NASDAQ Rulebook governing pricing for NASDAQ members using The NASDAQ Options Market (``NOM''), NASDAQ's facility... certain Customer Routing Fees to recoup costs incurred by the Exchange in routing to away markets. While...

29 CFR 4062.8 - Liability pursuant to section 4062(e).

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Liability amount. If, pursuant to section 4062(e) of ERISA, an employer ceases operations at a facility in any location and, as a result of such cessation of operations, more than 20% of the total number of... been terminated by the PBGC immediately after the date of the cessation of operations, multiplied by a...

United States’ Grand Strategy through the Lens of Lebanon in 1983 and Iraq in 2003

DTIC Science & Technology

2012-06-08

developing cyanide gas, toxic poisons, and ricin for potential use against Europe and the United States. The Joint Chiefs of Staff unanimously supported...74 some of the ricin made at the Ansar facility.229 At that point, Secretary Rumsfeld urged President Bush to authorize an immediate attack to seize

77 FR 6164 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-07

... to systems operated by NASDAQ, including the Nasdaq Market Center, the FINRA/NASDAQ Trade Reporting... front-end system for low volume users. NASDAQ proposes to increase the monthly fee assessed for greater... using any facility or system that NASDAQ operates or controls, and it does not unfairly discriminate...

78 FR 57191 - Self-Regulatory Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-17

... transactions in the BOX Price Improvement Period (``PIP'') on the BOX Market LLC (``BOX'') options facility... to a PIP auction, and the retention rates of Initiating Participants and those market makers who... believes that in the aggregate, the long term data trends demonstrate there has not been a decline in...

21 CFR 110.20 - Plant and grounds.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 2 2012-04-01 2012-04-01 false Plant and grounds. 110.20 Section 110.20 Food and... Facilities § 110.20 Plant and grounds. (a) Grounds. The grounds about a food plant under the control of the... litter and waste, and cutting weeds or grass within the immediate vicinity of the plant buildings or...

76 FR 20426 - Self-Regulatory Organizations; Notice of Filing and Immediate Effectiveness of Proposed Rule...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-12

... provides for the equitable allocation of reasonable dues, fees, and other charges among its members and other persons using its facilities. The Exchange believes the proposal is an equitable allocation of... equitable allocation of reasonable credits among BOX Options Participants. \\5\\ 15 U.S.C. 78f(b). \\6\\ 15 U.S...

75 FR 54935 - Self-Regulatory Organizations; Notice of Filing and Immediate Effectiveness of Proposed Rule...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-09

... Rules 104 and 1000. In addition, the Exchange implemented a system change that allowed DMMs to create a... with interest and provide price improvement to orders in the Exchange's system. This schedule is known.... \\12\\ The Display Book system is an order management and execution facility. The Display Book system...

42 CFR 488.438 - Civil money penalties: Amount of penalty.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., immediate jeopardy, or result in the death of a resident; (v) The civil money penalty was not imposed for a... 42 Public Health 5 2012-10-01 2012-10-01 false Civil money penalties: Amount of penalty. 488.438... Enforcement of Compliance for Long-Term Care Facilities with Deficiencies § 488.438 Civil money penalties...

42 CFR 488.438 - Civil money penalties: Amount of penalty.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., immediate jeopardy, or result in the death of a resident; (v) The civil money penalty was not imposed for a... 42 Public Health 5 2014-10-01 2014-10-01 false Civil money penalties: Amount of penalty. 488.438... Enforcement of Compliance for Long-Term Care Facilities with Deficiencies § 488.438 Civil money penalties...

42 CFR 488.438 - Civil money penalties: Amount of penalty.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., immediate jeopardy, or result in the death of a resident; (v) The civil money penalty was not imposed for a... 42 Public Health 5 2011-10-01 2011-10-01 false Civil money penalties: Amount of penalty. 488.438... Enforcement of Compliance for Long-Term Care Facilities with Deficiencies § 488.438 Civil money penalties...

42 CFR 488.438 - Civil money penalties: Amount of penalty.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., immediate jeopardy, or result in the death of a resident; (v) The civil money penalty was not imposed for a... 42 Public Health 5 2013-10-01 2013-10-01 false Civil money penalties: Amount of penalty. 488.438... Enforcement of Compliance for Long-Term Care Facilities with Deficiencies § 488.438 Civil money penalties...

Female Wistar rats tested during late proestrus or during pregnancy and ovariectomized rats tested after receiving progesterone or allopregnanolone displayed reduced conflict behavior.

PubMed

Molina-Hernandez, Miguel; Perez, Julian Garcia; Olivera Lopez, Jorge Ivan

2002-06-01

In a conflict test based on the rat's choice between an immediate punished reinforcer or a delayed nonpunished reinforcer, anxiolytic drugs increase the number of immediate punished reinforcers. In this study, two hypotheses were tested: first, during late proestrus or during midpregnancy, female rats will display an elevated amount of immediate punished reinforcers; second, ovariectomized rats will display an elevated amount of immediate punished reinforcers when they receive anxiolytic doses of neurosteroids. Thus, female rats (n = 15) were tested repeatedly during late proestrus, diestrus, and pregnancy in the aforementioned conflict task. They displayed an elevated amount of immediate punished reinforcers during late proestrus (P < .05) and during the 14th (P < .05) and 17th (P < .05) days of pregnancy compared to diestrus or 3rd, 7th, or 20th days of pregnancy. Likewise, ovariectomized rats (n = 90) displayed an elevated amount of immediate punished reinforcers compared to control rats only when they received anxiolytic doses of progesterone (1.0-2.0 mg/kg, P < .05) or allopregnanolone (1.0-2.0 mg/kg, P < .05). In conclusion, female rats displayed reduced conflict behavior during late proestrus and pregnancy, or after received anxiolytic doses of neurosteroids.

Immediate Implants: Clinical Guidelines for Esthetic Outcomes

PubMed Central

Javaid, Mohammad A.; Khurshid, Zohaib; Zafar, Muhammad S.; Najeeb, Shariq

2016-01-01

Research has shown that tooth loss results in morphological changes in alveolar ridge that may influence the subsequent implant placement. Immediate implant placement was introduced as a possible means to limit bone resorption and reduce the number of surgical procedures following tooth extraction. Histological and clinical evidence from human clinical studies showing efficacy of immediate implants has come to light over the last decade or so. However, immediate implant placement is a challenging surgical procedure and requires proper case selection and surgical technique. Furthermore, there appears to be a lack of clinical guidelines for immediate implant placement case selection. Therefore, the aim of this mini-review is to analyze critical evidence from human studies in order to establish clinical guidelines which may help clinicians in case selection when considering immediate implant placement protocol. PMID:29563463

Impact of training traditional birth attendants on maternal mortality and morbidity in Sub-Saharan Africa.

PubMed

Kayombo, Edmund J

2013-04-01

This paper presents discussion on impact of training traditional birth attendants (TBAs) on overall improvement of reproductive health care with focus on reducing the high rate of maternal and new-born mortality in rural settings in sub-Saharan Africa. The importance of TBAs for years has been denied by professional western trained health practitioners and other scientists until during the late 1980s, when World Health Organization through Safe motherhood 1987 found TBAs have a significant role in reducing maternal and new-born mortality. Trained TBAs in sub-Sahara Africa can have positive impact on reducing maternal and new-born mortality if the programme is well implemented with systematic follow-up after training. This could be done through joint meeting between health workers and TBAs as feed and learning experience from problem encountered in process of providing child delivery services. TBAs can help to break socio-cultural barriers on intervention on reproductive health programmes. However projects targeting TBAs should not be of hit and run; but gradually familiarize with the target group, build trust, transparency, and tolerance, willing to learn and creating rappour with them. In this paper, some case studies are described on how trained TBAs can be fully utilized in reducing maternal and new-born mortality rate in rural areas. What is needed is to identify TBAs, map their distribution and train them on basic primary healthcare related to child deliveries and complications which need to be referred to conventional health facilities immediately.

An analysis of decommissioning costs for the AFRRI TRIGA reactor facility

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

Forsbacka, Matt

1990-07-01

A decommissioning cost analysis for the AFRRI TRIGA Reactor Facility was made. AFRRI is not at this time suggesting that the AFRRI TRIGA Reactor Facility be decommissioned. This report was prepared to be in compliance with paragraph 50.33 of Title 10, Code of Federal Regulations which requires the assurance of availability of future decommissioning funding. The planned method of decommissioning is the immediate decontamination of the AFRRI TRIGA Reactor site to allow for restoration of the site to full public access - this is called DECON. The cost of DECON for the AFRRI TRIGA Reactor Facility in 1990 dollars ismore » estimated to be $3,200,000. The anticipated ancillary costs of facility site demobilization and spent fuel shipment is an additional $600,000. Thus the total cost of terminating reactor operations at AFRRI will be about $3,800,000. The primary basis for this cost estimate is a study of the decommissioning costs of a similar reactor facility that was performed by Battelle Pacific Northwest Laboratory (PNL) as provided in USNRC publication NUREG/CR-1756. The data in this study were adapted to reflect the decommissioning requirements of the AFRRI TRIGA. (author)« less

KSC-04PD-0222

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. In a Mode VII emergency landing simulation at Kennedy Space Center, a helicopter crew helps rescued astronauts. The purpose of Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2- 1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0220

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. A helicopter approaches an orbiter crew compartment mock-up as part of a Mode VII emergency landing simulation at Kennedy Space Center. The purpose is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2- 1/2 miles south of Runway 33. Emergency crews will respond to the volunteer astronauts simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0231

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members transport an injured astronaut during a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Wetland-based passive treatment systems for gold ore processing effluents containing residual cyanide, metals and nitrogen species.

PubMed

Alvarez, R; Ordóñez, A; Loredo, J; Younger, P L

2013-10-01

Gold extraction operations generate a variety of wastes requiring responsible disposal in compliance with current environmental regulations. During recent decades, increased emphasis has been placed on effluent control and treatment, in order to avoid the threat to the environment posed by toxic constituents. In many modern gold mining and ore processing operations, cyanide species are of most immediate concern. Given that natural degradation processes are known to reduce the toxicity of cyanide over time, trials have been made at laboratory and field scales into the feasibility of using wetland-based passive systems as low-cost and environmentally friendly methods for long-term treatment of leachates from closed gold mine tailing disposal facilities. Laboratory experiments on discrete aerobic and anaerobic treatment units supported the development of design parameters for the construction of a field-scale passive system at a gold mine site in northern Spain. An in situ pilot-scale wetland treatment system was designed, constructed and monitored over a nine-month period. Overall, the results suggest that compost-based constructed wetlands are capable of detoxifying cyanidation effluents, removing about 21.6% of dissolved cyanide and 98% of Cu, as well as nitrite and nitrate. Wetland-based passive systems can therefore be considered as a viable technology for removal of residual concentrations of cyanide from leachates emanating from closed gold mine tailing disposal facilities.

Optimizing the interventional cardiology facility: services integration in routine workflow.

PubMed

Gortzis, Lefteris; Kalogeropoulos, A; Alexopoulos, D; Nikiforidis, G

2007-01-01

Integration of administrative and clinical data, imaging, and expert services, although challenging,is a key requirement in contemporary interventional cardiology facilities (ICF). We propose a workflow-oriented hybrid system to support the ICF and investigate its feasibility and effectiveness ina referral medical center. We have developed a Java-powered hybrid system (NetCARDIO), able to support over web synchronous and asynchronous data management, realtime multimedia data telemonitoring and continuous telementoring. Data regarding procedural rates, treatment planning and radiation exposure were collected over a two-year period of routine NetCARDIO implementation(July 2002 to June 2004) and compared with data from an immediately preceding period of equal duration (January 2000 to December 2001). During the NetCARDIO period, 163 +/- 17 coronary procedures per month were performed vs.77 +/- 15 during the control period (p <0.001). Percutaneous coronary intervention was delivered 'ad hoc' in 88% of eligible patients vs. 45% (p <0.001). Mean fluoroscopy time per coronary lesion treated decreased from 594 +/- 82 s to 540 +/- 94 s(p < 0.001). Annual radiation exposure of expert interventionists was decreased by 22%. Electronic storage significantly reduced archiving costs. Real-time multimodal services sharing combined with powerful database capabilities is feasible through a web-based structure, significantly enhancing performance and cost-effectiveness of ICF. Further research is needed to promote integration of additional data sources and services.

Changes in pulse rate, respiratory rate, blood oxygenation, perfusion index, skin conductance, and their variability induced during and after grounding human subjects for 40 minutes.

PubMed

Chevalier, Gaetan

2010-01-01

Previous studies have shown that grounding produces quantifiable physiologic changes. This study was set up to reproduce and expand earlier electrophysiologic and physiologic parameters measured immediately after grounding with improved methodology and state-of-the-art equipment. A multiparameter double-blind experiment was conducted with 14 men and 14 women (age range: 18-80) in relatively good health. Subjects were screened for health problems using a commonly used health questionnaire. They were seated in a comfortable recliner and measured during 2-hour grounding sessions, leaving time for signals to stabilize before, during, and after grounding (40 minutes for each period). Sham 2-hour grounding sessions were also recorded with the same subjects as controls. This report presents results for 5 of the 18 parameters measured. The parameters reported here are: skin conductance (SC), blood oxygenation (BO), respiratory rate (RR), pulse rate (PR), and perfusion index (PI). This study was performed in a rented facility in Encinitas, California. The facility was chosen in a quiet area for its very low electromagnetic noise. For each session, statistical analyses were performed on four 10-minute segments: before and after grounding (sham grounding for control session) and before and after ungrounding (sham ungrounding). There was an immediate decrease in SC at grounding and an immediate increase at ungrounding on all subjects. RR increased during grounding, and the effect lasted after ungrounding. RR variance increased immediately after grounding then decreased. BO variance decreased during grounding, followed by a dramatic increase after ungrounding. PR and PI variances increased toward the end of the grounding period, and this change persisted after ungrounding. These results warrant further research to determine how grounding affects the body. Grounding could become important for relaxation, health maintenance and disease prevention.

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

Greenberg, Raymond; Wright, Kyle A.; McCaw, Erica E.

The Global Threat Reduction Initiative (GTRI) reduces and protects vulnerable nuclear and radiological material located at civilian sites worldwide. Internationally, over 40 countries are cooperating with GTRI to enhance the security of these materials. The GTRI program has worked successfully with foreign countries to remove and protect nuclear and radioactive materials, including orphaned and disused high-activity sources. GTRI began cooperation with the Republic of Colombia in April 2004. This cooperation has been a resounding success by securing forty high-risk sites, consolidating disused/orphan sources at an interim secure national storage facility, and developing a comprehensive approach to security, training, and sustainability.more » In 2005 the Colombian Ministry of Mines and Energy requested the Department of Energy’s support in the construction of a new Central Storage Facility (CSF). In December 2005, the Ministry selected to construct this facility at the Institute of Geology and Mining (Ingeominas) site in Bogota. This site already served as Colombia’s national repository, where disused sources were housed in various buildings around the complex. The CSF project was placed under contract in May 2006, but environmental issues and public protests, which led to a class action lawsuit against the Colombian Government, forced the Ministry to quickly suspend activities, thereby placing the project in jeopardy. Despite these challenges, however, the Ministry of Mines and Energy worked closely with public and environmental authorities to resolve these issues, and continued to be a strong advocate of the GTRI program. In June 2008, the Ministry of Mines and Energy was granted the construction and environmental licenses. As a result, construction immediately resumed and the CSF was completed by December 2008. A commissioning ceremony was held for the new facility in January 2009, which was attended by representatives from the Department of Energy, U.S. Embassy, and the Ministry of Mines and Energy, including the Minister and Vice Minister.« less

The 1983 Beirut Airport terrorist bombing. Injury patterns and implications for disaster management.

PubMed

Frykberg, E R; Tepas, J J; Alexander, R H

1989-03-01

The casualty profile and results of the medical care provided for the survivors of the terrorist truck bombing of the U.S. Marine Corps facility in Beirut, Lebanon, in 1983 were reviewed to determine the factors that influenced casualty survival. This explosion resulted in 346 casualties, of whom 234 (68%) were immediately killed. The spectrum of injury was determined in 85 survivors using the Injury Severity Score (ISS). There were seven (6.3%) deaths among the 112 immediate survivors. All deaths occurred among the 19 (17%) victims who were critically injured (ISS greater than 15), giving a mortality in this population of 37 per cent. Six (86%) of the seven deaths were associated with an initial delay in treatment. Head injury was the most common fatal injury among both immediate fatalities (71.4%) and immediate survivors (57%). Thoracic injury and burns each accounted for 29 per cent of survivor deaths. Triage efficiency, as determined by the rates of overtriage (80%) and undertriage (0), did not appear adversely to affect mortality. Critical analysis of disasters such as this can contribute to improvements in preparation and casualty care in the event of future disasters.

Lionfish envenomation.

PubMed

Kasdan, M L; Kasdan, A S; Hamilton, D L

1987-10-01

Correct and immediate care can significantly reduce the debilitating effects of Scorpaenidae evenomation. The lack of immediate heat application to the wound in our case report may have contributed to the complications and eventual loss of motion in the affected area, since the toxic ingredient, a nondialyzable protein, remained active.

Systems development of a stall/spin research facility using remotely controlled/augmented aircraft models. Volume 1: Systems overview

NASA Technical Reports Server (NTRS)

Montoya, R. J.; Jai, A. R.; Parker, C. D.

1979-01-01

A ground based, general purpose, real time, digital control system simulator (CSS) is specified, developed, and integrated with the existing instrumentation van of the testing facility. This CSS is built around a PDP-11/55, and its operational software was developed to meet the dual goal of providing the immediate capability to represent the F-18 drop model control laws and the flexibility for expansion to represent more complex control laws typical of control configured vehicles. Overviews of the two CSS's developed are reviewed as well as the overall system after their integration with the existing facility. Also the latest version of the F-18 drop model control laws (REV D) is described and the changes needed for its incorporation in the digital and analog CSS's are discussed.

Computer-assisted surgery and intraoral welding technique for immediate implant-supported rehabilitation of the edentulous maxilla: case report and technical description.

PubMed

Albiero, Alberto Maria; Benato, Renato

2016-09-01

Complications are frequently reported when combining computer assisted flapless surgery with an immediate loaded prefabricated prosthesis. The authors have combined computer-assisted surgery with the intraoral welding technique to obtain a precise passive fit of the immediate loading prosthesis. An edentulous maxilla was rehabilitated with four computer assisted implants welded together intraorally and immediately loaded with a provisional restoration. A perfect passive fit of the metal framework was obtained that enabled proper osseointegration of implants. Computer assisted preoperative planning has been shown to be effective in reducing the intraoperative time of the intraoral welding technique. No complications were observed at 1 year follow-up. This guided-welded approach is useful to achieve a passive fit of the provisional prosthesis on the inserted implants the same day as the surgery, reducing intraoperative time with respect to the traditional intraoral welding technique. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

Asset management in theory and practice.

PubMed

Mace, J D

1998-01-01

Managing capital-intensive imaging environments continues to be a challenge for nearly all administrators. Asset management, the strategic management of equipment inventory, must include planning, assessment, procurement, utilization review, maintenance, repair and disposal of equipment to reduce costs and improve efficiency. It must involve some shared risk between the facility and the provider, whether an original equipment manufacturer (OEM) or independent service organization (ISO). An absence of risk in the arrangement implies the provider is offering service management or consulting. A case study reports on three hospitals in the OhioHealth system. Their immediate goal, as they began to investigate asset management: cut costs immediately. A cross-functional team from the three hospitals began its investigation of various options, including working with ISOs, OEMs and development of inhouse clinical engineering. After developing a process to evaluate vendors, the team was able to score each against their cost-reduction potential, quality and implementation skills. The team narrowed its selection quickly to two multivendor service providers. An initial contract guaranteed savings of 20 percent of the annual budget, with a projected two to five percent additional savings. OEM relationships were moved to a time-and-materials basis, and ISOs were used in selected areas. In addition, the internal inhouse clinical engineering services group was moved into a "first call" approach in some areas. That expanded role resulted in savings and improved response time. The process, although not without its problems, was viewed favorably overall.

Operations of cleanrooms during a forest fire including protocols and monitoring results

NASA Astrophysics Data System (ADS)

Matheson, Bruce A.; Egges, Joanne; Pirkey, Michael S.; Lobmeyer, Lynette D.

2012-10-01

Contamination-sensitive space flight hardware is typically built in cleanroom facilities in order to protect the hardware from particle contamination. Forest wildfires near the facilities greatly increase the number of particles and amount of vapors in the ambient outside air. Reasonable questions arise as to whether typical cleanroom facilities can adequately protect the hardware from these adverse environmental conditions. On Monday September 6, 2010 (Labor Day Holiday), a large wildfire ignited near the Boulder, Colorado Campus of Ball Aerospace. The fire was approximately 6 miles from the Boulder City limits. Smoke levels from the fire stayed very high in Boulder for the majority of the week after the fire began. Cleanroom operations were halted temporarily on contamination sensitive hardware, until particulate and non-volatile residue (NVR) sampling could be performed. Immediate monitoring showed little, if any effect on the cleanroom facilities, so programs were allowed to resume work while monitoring continued for several days and beyond in some cases. Little, if any, effect was ever noticed in the monitoring performed.

Interpreting signals from astrophysical transient experiments.

PubMed

O'Brien, Paul T; Smartt, Stephen J

2013-06-13

Time-domain astronomy has come of age with astronomers now able to monitor the sky at high cadence, both across the electromagnetic spectrum and using neutrinos and gravitational waves. The advent of new observing facilities permits new science, but the ever-increasing throughput of facilities demands efficient communication of coincident detections and better subsequent coordination among the scientific community so as to turn detections into scientific discoveries. To discuss the revolution occurring in our ability to monitor the Universe and the challenges it brings, on 25-26 April 2012, a group of scientists from observational and theoretical teams studying transients met with representatives of the major international transient observing facilities at the Kavli Royal Society International Centre, UK. This immediately followed the Royal Society Discussion Meeting 'New windows on transients across the Universe' held in London. Here, we present a summary of the Kavli meeting at which the participants discussed the science goals common to the transient astronomy community and analysed how to better meet the challenges ahead as ever more powerful observational facilities come on stream.

Effect of therapeutic Swedish massage on anxiety level and vital signs of Intensive Care Unit patients.

PubMed

Alves da Silva, Tatiana; Stripari Schujmann, Debora; Yamada da Silveira, Leda Tomiko; Caromano, Fátima Aparecida; Fu, Carolina

2017-07-01

To evaluate how Swedish massage affects the level of anxiety and vital signs of Intensive Care Unit (ICU) patients. Quasi-experimental study. ICU patients, 18-50 years old, cooperative, respiratory and hemodynamic stable, not under invasive mechanical ventilation. allergic to massage oil, vascular or orthopedic post-operative, skin lesions, thrombosis, fractures. A 30-min Swedish massage was applied once. arterial pressure, heart rate, respiratory rate, S-STAI questionnaire. Timing of evaluation: pre-massage, immediately post-massage, 30 min post-massage. Comparison: T-test, corrected by Bonferroni method, level of significance of 5%, confidence interval of 95%. 48 patients included, 30 (62.5%) female, mean age 55.46 (15.70) years old. Mean S-STAI pre-massage: 42.51 (9.48); immediately post-massage: 29.34 (6.37); 30 min post-massage: 32.62 (8.56), p < 0.001 for all comparison. Mean vital signs achieved statistical significance between pre-massage and immediately post-massage. Swedish massage reduced anxiety of ICU patients immediately and 30 min post-massage. Vital signs were reduced immediately post-massage. Copyright © 2016 Elsevier Ltd. All rights reserved.

Stockpiles and food availability in feeding facilities after the Great East Japan Earthquake.

PubMed

Nozue, Miho; Ishikawa-Takata, Kazuko; Sarukura, Nobuko; Sako, Kazuko; Tsuboyama-Kasaoka, Nobuyo

2014-01-01

Food stockpiles and methods of ensuring food availability after the Great East Japan Earthquake of March 11, 2011 have been studied. Questionnaires were sent to 1911 registered dietitians and general dietitians who were members of the Japan Dietetic Association in August 2012. Four hundred thirty-five dietitians (22.8%) completed the questionnaire about work involved in feeding facilities, types and administration of meals, and food stockpiles. Methods of ensuring food availability, preparation, and accommodating food for special dietary uses were recorded for the three-day period immediately following the earthquake, and the period from 4 days to one month after the earthquake. Three days after the earthquake, differences in administration of meals at feeding facilities providing three meals daily, food stockpiles, organization, contactable facilities, and how to contact them for food items were assessed. Sixty-nine percent of all feeding facilities in this study had stockpiles of food before the Great East Japan Earthquake. Administration of meals in feeding facilities and the possibility of contact with cooperative feeding facilities were found to correlate positively with ensuring the availability of food groups. Food scores were higher in facilities providing three meals daily by direct administration of meals and with accessible public administrators, cooperative facilities and suppliers, and facilities that were contactable by landline telephone, mobile phone, fax or email. The necessity for natural disaster-readiness through continuous stockpiling food at feeding facilities is confirmed. Each prospective feeding facility must be required to plan its stockpiles, their turnover and replaceability to maximise food security in the face of disaster.

Third of three panoramic views of North Base as seen ...

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

Third of three panoramic views of North Base as seen from top of Building 4500, Control Tower. View looks west (268°) at ancillary structures surrounding Building 4505. In immediate foreground is Building 4499 Loading Ramp. To the far upper left is Building 4497 Guard House, adjacent to Building 4496 Security Facility. At the extreme right of the view is the chimney and western corner of Building 4505 to which is attached a large light-colored wing used as offices and workspaces; to the immediate southwest of this wing stands Building 4498 Supply Warehouse. In the background, just above Building 4498 in view, stands Building 4494 Cafeteria. The round drum to the right of Building 4494 is Building 4503, a 500,000 gallon water tank which supplies the firefighting system; to the immediate right of the tank is Building 4504 Deluge Water Pumping Station which contains large pumps for firefighting. Just visible above the water tank is Building 4493 Gymnasium. - Edwards Air Force Base, North Base, North Base Road, Boron, Kern County, CA

76 FR 12161 - Self-Regulatory Organizations; New York Stock Exchange LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-04

... Proposed Rule Change Amending Exchange Rule 1600 (New York Block Exchange \\SM\\) To Add Provisions on Short... York Block Exchange \\SM\\) (``NYBX'' or the ``Facility'') to add provisions on short sales in order to... Sale Period, New York Block Exchange Market Pegging Orders, as defined in Rule 1600(c)(2)(A)(iii), to...

Penetrating mine injury to the heart with a pericardial tamponade.

PubMed

Maye, J; Marshall, N E

1996-02-01

Cardiac tamponade is a life-threatening emergency. Immediate recognition and surgical intervention is essential to preserve myocardial function and maintain cardiac output. The following is a case report of a penetrating mine injury to the heart with a resulting pericardial tamponade. The positive outcome and the facilities in which the resuscitation and surgical repair occurred make this a unique case report.

Sub-Saharan Africa Report.

DTIC Science & Technology

1987-04-27

doctors, four nurses, and auxiliary personnel are being built nearby. Soviet medical specialists are assigned to the facility, but travel to Luanda...with various rehabilitation projects. In the medical field, the program recommends the immediate assignment of technical personnel, steps to promote...protection, food, shelter, clothing and medical attention. Statistical data from 1980 reveal that about 50 percent of the total population of Cabo

78 FR 41174 - Self-Regulatory Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-09

... (Technology Fees) July 2, 2013. Pursuant to Section 19(b)(1) under the Securities Exchange Act of 1934 (the... Section V (Technology Fees) on the BOX Market LLC (``BOX'') options facility. Changes to the fee schedule... Exchange proposes to amend the Fee Schedule for trading on BOX to update and clarify the technology fees...

78 FR 30357 - Self-Regulatory Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-22

... proposed change is designed to create an appropriate fee structure for Complex Orders on the Exchange. The... because it is designed to allow the Exchange to better compete with other exchanges for Complex Order flow... To Create a New Fee Structure for Complex Orders on the BOX Market LLC Options Facility May 16, 2013...

From Negative Expectations to Positive School Improvement in Urban Schools: Bridging the Gap

ERIC Educational Resources Information Center

Callon, Uretka

2009-01-01

When people hear the term "urban", they immediately associate it with negative attributes such as poverty stricken students and families, ill-prepared students, run down facilities, and an inconsistency in teachers. When compared to any kind of school whether its' private or public, urban school districts have the worst label of all. Why is there…

30 CFR 254.46 - Whom do I notify if an oil spill occurs?

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 2 2011-07-01 2011-07-01 false Whom do I notify if an oil spill occurs? 254.46..., DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE... oil spill occurs? (a) You must immediately notify the National Response Center (1-800-424-8802) if you...

Making Advanced Scientific Algorithms and Big Scientific Data Management More Accessible

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

Venkatakrishnan, S. V.; Mohan, K. Aditya; Beattie, Keith

2016-02-14

Synchrotrons such as the Advanced Light Source (ALS) at Lawrence Berkeley National Laboratory are known as user facilities. They are sources of extremely bright X-ray beams, and scientists come from all over the world to perform experiments that require these beams. As the complexity of experiments has increased, and the size and rates of data sets has exploded, managing, analyzing and presenting the data collected at synchrotrons has been an increasing challenge. The ALS has partnered with high performance computing, fast networking, and applied mathematics groups to create a"super-facility", giving users simultaneous access to the experimental, computational, and algorithmic resourcesmore » to overcome this challenge. This combination forms an efficient closed loop, where data despite its high rate and volume is transferred and processed, in many cases immediately and automatically, on appropriate compute resources, and results are extracted, visualized, and presented to users or to the experimental control system, both to provide immediate insight and to guide decisions about subsequent experiments during beam-time. In this paper, We will present work done on advanced tomographic reconstruction algorithms to support users of the 3D micron-scale imaging instrument (Beamline 8.3.2, hard X-ray micro-tomography).« less

Short stick exercises for fall prevention among older adults: a cluster randomized trial.

PubMed

Yokoi, Katsushi; Yoshimasu, Kouichi; Takemura, Shigeki; Fukumoto, Jin; Kurasawa, Shigeki; Miyashita, Kazuhisa

2015-01-01

To investigate the effects of short stick exercise (SSEs) on fall prevention and improvement of physical function in older adults. A cluster randomized trial was conducted in five residential care facilities. The intervention group (n = 51) practiced SSEs for six months, followed by routine care for six more months. The control group (n = 54) received ordinary care for 12 months. The primary outcome measure was the number of fallers, taking into account the time to first fall using the Kaplan-Meier method. The secondary outcome measures were physical and mental functions. The number of fallers was significantly lower in the intervention group (n = 6) than in the control group (n = 16) during the 12 months. The adjusted hazard ratio for a first fall in the intervention group compared with the control group was 0.15 (CI, 0.03 to 0.74, p = 0.02). The fall-free period was significantly longer in the intervention group than in controls (mean ± SD, 10.1 ± 3.0 versus 9.0 ± 4.1 months, p = 0.027). The functional reach and sit and reach tests were significantly improved at three and six months. The SSEs appeared effective for fall prevention and improvement of physical function in older adults. Implications for Rehabilitation The newly developed short stick exercises appear an effective means of reducing falls among older adults in residential care facilities. The short stick exercises seem to have an immediate effect on improving physical functions. Effects gained by performing the short stick exercises, such as static balance, flexibility and agility may last for six months. The short stick exercises were found to be easy for older adults to practice continuously in residential care facilities.

Money for Research, Not for Energy Bills: Finding Energy and Cost Savings in High Performance Computer Facility Designs

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

Drewmark Communications; Sartor, Dale; Wilson, Mark

2010-07-01

High-performance computing facilities in the United States consume an enormous amount of electricity, cutting into research budgets and challenging public- and private-sector efforts to reduce energy consumption and meet environmental goals. However, these facilities can greatly reduce their energy demand through energy-efficient design of the facility itself. Using a case study of a facility under design, this article discusses strategies and technologies that can be used to help achieve energy reductions.

A Cost-Utility Analysis of 5 Strategies for the Management of Acute Otitis Media in Children.

PubMed

Shaikh, Nader; Dando, Emily E; Dunleavy, Mark L; Curran, Dorothy L; Martin, Judith M; Hoberman, Alejandro; Smith, Kenneth J

2017-10-01

To assess whether antimicrobial therapy in young children with acute otitis media reduces time to resolution of symptoms, overall symptom burden, and persistence of otoscopic evidence of infection. We used a cost-utility model to evaluate whether immediate antimicrobial treatment seems to be worthwhile, and if so, which antimicrobial agent is most cost effective. We compared the cost per quality-adjusted life-day of 5 treatment regimens in children younger than 2 years of age with acute otitis media: immediate amoxicillin/clavulanate, immediate amoxicillin, immediate cefdinir, watchful waiting, and delayed prescription (DP) for antibiotic. The 5 treatment regimens, listed in order from least effective to most effective were DP, watchful waiting, immediate cefdinir, immediate amoxicillin, and immediate amoxicillin/clavulanate. Listed in order from least costly to most costly, the regimens were DP, immediate amoxicillin, watchful waiting, immediate amoxicillin/clavulanate, and immediate cefdinir. The incremental cost-utility ratio of immediate amoxicillin compared with DP was $101.07 per quality-adjusted life-day gained. The incremental cost-utility ratio of immediate amoxicillin/clavulanate compared with amoxicillin was $2331.28 per quality-adjusted life-day gained. In children younger than 2 years of age with acute otitis media and no recent antibiotic exposure, immediate amoxicillin seems to be the most cost-effective initial treatment. Copyright © 2017 Elsevier Inc. All rights reserved.

Immediate or early skin-to-skin contact after a Caesarean section: a review of the literature.

PubMed

Stevens, Jeni; Schmied, Virginia; Burns, Elaine; Dahlen, Hannah

2014-10-01

The World Health Organization and the United Nations International Children's Emergency Fund recommends that mothers and newborns have skin-to-skin contact immediately after a vaginal birth, and as soon as the mother is alert and responsive after a Caesarean section. Skin-to-skin contact can be defined as placing a naked infant onto the bare chest of the mother. Caesarean birth is known to reduce initiation of breastfeeding, increase the length of time before the first breastfeed, reduce the incidence of exclusive breastfeeding, significantly delay the onset of lactation and increase the likelihood of supplementation. The aim of this review is to evaluate evidence on the facilitation of immediate (within minutes) or early (within 1 h) skin-to-skin contact following Caesarean section for healthy mothers and their healthy term newborns, and identify facilitators, barriers and associated maternal and newborn outcomes. A range of electronic databases were searched for papers reporting research findings published in English between January 2003 and October 2013. Seven papers met the criteria. This review has provided some evidence that with appropriate collaboration skin-to-skin contact during Caesarean surgery can be implemented. Further evidence was provided, albeit limited, that immediate or early skin-to-skin contact after a Caesarean section may increase breastfeeding initiation, decrease time to the first breastfeed, reduce formula supplementation in hospital, increase bonding and maternal satisfaction, maintain the temperature of newborns and reduce newborn stress. © 2014 John Wiley & Sons Ltd.

5 CFR 847.902 - How does an election to credit NAFI service for immediate CSRS or FERS retirement under subpart H...

Code of Federal Regulations, 2010 CFR

2010-01-01

... elects to use NAFI service to qualify for an immediate CSRS or FERS retirement benefit will be reduced to ensure the present value of the benefits payable will be actuarially equivalent to those that would have...

Facilitating nutrient aquisition of black walnut and other hardwoods at plantation establishment

Treesearch

Douglass F. Jacobs; John R. Seifert

2004-01-01

Bareroot hardwood seedlings typically undergo transplant shock immediately following planting before root systems are established. Fertilization at planting may act to minimize transplant shock by reducing nutrient stresses. However, previous work with fertilization of hardwoods at planting has generally relied on fertilizers with nutrient forms immediately available....

The Accuracy of Computer-Assisted Feedback and Students' Responses to It

ERIC Educational Resources Information Center

Lavolette, Elizabeth; Polio, Charlene; Kahng, Jimin

2015-01-01

Various researchers in second language acquisition have argued for the effectiveness of immediate rather than delayed feedback. In writing, truly immediate feedback is impractical, but computer-assisted feedback provides a quick way of providing feedback that also reduces the teacher's workload. We explored the accuracy of feedback from…

Factors influencing immediate post-release survival of spectacled eiders following surgical implantation of transmitters with percutaneous antennae

USGS Publications Warehouse

Sexson, Matthew G.; Mulcahy, Daniel M.; Spriggs, Maria; Myers, Gwen E.

2014-01-01

Surgically implanted transmitters are a common method for tracking animal movements. Immediately following surgical implantation, animals pass through a critical recovery phase when behaviors may deviate from normal and the likelihood of individual survival may be reduced. Therefore, data collected during this period may be censored to minimize bias introduced by surgery-related behaviors or mortality. However, immediate post-release mortalities negate a sampling effort and reduce the amount of data potentially collected after the censoring period. Wildlife biologists should employ methods to support an animal’s survival through this period, but factors contributing to immediate post-release survival have not been formally assessed. We evaluated factors that potentially influenced the immediate post-release survival of 56 spectacled eiders (Somateria fischeri) marked with coelomically implanted satellite transmitters with percutaneous antennae in northern Alaska in 2010 and 2011. We modeled survival through the first 14 days following release and assessed the relative importance and effect of 15 covariates hypothesized to influence survival during this immediate post-release period. Estimated daily survival rate increased over the duration of the immediate post-release period; the probability of mortality was greatest within the first 5 days following release. Our top-ranking model included the effect of 2 blood analytes, pH and hematocrit, measured prior to surgical implantation of a transmitter. We found a positive response to pH; eiders exhibiting acidemia (low pH) prior to surgery were less likely to survive the immediate post-release period. We found a curvilinear response to hematocrit; eiders exhibiting extremely low or high pre-surgery hematocrit were also less likely to survive the immediate post-release period. In the interest of maximizing the survival of marked birds following release, hematological data obtained prior to surgical implantation of telemetry equipment may be useful when screening for optimal surgical candidates or informing appropriate response to mitigate potentially deleterious disorders such as acidemia.

Cancer prevention in the Asia Pacific region.

PubMed

Yoo, Keun-Young

2010-01-01

Cancer incidences as well as the most prevalent cancer types vary greatly across Asian countries since people have differing health behaviors as well as lifestyle factors related to cancer risk. Countries have varying systems of government organization, laws, resources, facilities, and management strategies for addressing the cancer burden. Examples such as Korea and Japan with existing national cancer control programs need to focus on early screening and detection and quality of screening methods. If screening and detection increase to cover more than 50% of the target population, survival rate increases and thus the number of cancer patients detected increases resulting in higher medical cost. Thus, expansion of cancer screening, in addition to smoking prevention, immunization increase, and diet control awareness, are needed for cancer prevention strategies. Countries such as Thailand, China, Malaysia, and Turkey need to begin organized efforts to reduce cancer deaths through state-wide cancer screening programs. Strategies focused on increasing survival among cancer patients are also needed. In addition, government organizations and law regulations need to be in place as the first step towards cancer prevention. For the countries such as Nepal, Pakistan, Mongolia, and Iraq which do not have any cancer-related organizations in place, the first step that is needed is to raise public awareness about cancer; a public awareness campaign is the number one priority and should begin immediately. The easiest and most feasible step at this point is dissemination of cancer education materials during school health education and physical health screening. This must be started immediately because we need to avoid the development of existing cancers where patients will need to seek specialized cancer treatment facilities that are non-existent in these regions. In addition, hospitals need to take a step further and start undergoing registration of cancer prevalence and incidence cases beginning at the regional level. Through the hospital census, countries will be able to determine the magnitude of the cancer burden. Moreover, countries with professionals and researchers with advanced cancer research, education, and training also need to contribute through international cooperation.

Redesign of a fixture mount to be used as an impression coping and a provisional abutment as well

PubMed Central

Chang, Glenn Hsuan-Chen; Tian, Chen; Hung, Yuen-Siang

2011-01-01

Purpose: An integrated fixture mount/impression coping/ temporary abutment can provide many advantages for immediate loading of dental implants, such as simpler procedure, less chair time, cost reduction, and comfort for the patients. Materials and Methods: A newly designed dental implant fixture mount (DIFMA) can be used as an impression coping for taking an immediate impression. An immediate load provisional prosthesis can then be fabricated shortly after implant placement to immediately load the implants. This fixture mount can also serve as a temporary abutment for immediate chair-side fabrication of provisional prosthesis. Two clinical cases are presented. Results: A clinical case utilizing the fixture mount abutment (DIFMA)/implant assembly is presented. The precision of fitting between the impression copings and implants is secured with this system. The chair time for taking an immediate impression is greatly reduced. Less cost for the restoration is provided and patient comfort is delivered. Conclusions: More patient satisfaction can be conferred by employing the fixture mount in the process of immediate impression taking and as an immediate provisional abutment. PMID:22090763

A randomised controlled trial on evaluation of the clinical efficacy of massage therapy in a multisensory environment for residents with severe and profound intellectual disabilities: a pilot study.

PubMed

Chan, J S L; Chien, W T

2017-06-01

Recent literature has suggested that relaxation activities can reduce the challenging behaviours of people with intellectual disabilities, particularly in severe and profound grades, due to the counteractive effect of muscle relaxation on emotional frustration or psychological distress. Despite having inconclusive evidence, multisensory environment (MSE) and massage therapy (MT) are the commonly used approaches to relaxation among these people. However, these two approaches have not yet practised or tested in combination for reducing these people's challenging behaviours. A preliminary clinical efficacy trial was conducted to evaluate the effects of MT, MSE and their combined use for residents with intellectual disabilities in a long-term care facility on reducing their challenging behaviours. Eligible residents were recruited and randomly assigned to one of the four study groups (n = 11-12 per group), that is, MT in MSE, MSE alone, MT alone or usual care, for a 10-week intervention after a 1-month washout period. Outcome measures, including the Behaviour Problem Inventory, pulse and respiration rates, Behaviour Checklist and Alertness Observation Checklist, were assessed at recruitment and immediately following the interventions. A total of 42 participants (17 men and 25 women) completed the study. There were no significant differences in frequency and severity of challenging behaviours and most of the outcome measures between the four groups at post-test. Nevertheless, there were statistical significant differences on the active and inactive state (Alertness Observation Checklist) between the three treatment and control groups. Many participants in the three treatment groups changed from an active to inactive state (i.e. reduced activity levels) throughout the interventions, especially the MT in MSE. Such inactivity might suggest the participants' brief exhaustion followed by a period of alertness during the treatment activities. But their attention span and social contact to the immediate environment could still be maintained. Participants of MT in multisensory environment acquired more inactive state than the other study groups. This inactive state indicates a state of 'passive alertness', which is more likely in a relaxing manner. © 2017 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

Propulsion Ground Testing: Planning for the Future

NASA Technical Reports Server (NTRS)

Bruce, Robert

2003-01-01

Advanced planners are constantly being asked to plan for the provision of future test capability. Historically, this capability is provided either by substantial investment in new test facility capabilities, or in the substantial investment in the modification of pre- existing test capabilities. The key words in the previous sentence are "substantial investment". In the evolving environment of increasingly constrained resources, how is an advanced planner to plan for the provisions of such capabilities? Additionally, the conundrum exists that program formulation decisions are being made based upon both life cycle cost decisions in an environment in which the more immediate challenge of "front-end" capital investment? Often times is the linch-pin upon which early decisions are made. In such an environment, how are plans and decisions made? This paper cites examples of decisions made in the past in the area of both major test facility upgrades, as well as major new test facility investment.

Planning for progress, productivity, and performance.

PubMed

Benedict, J M

1983-10-01

A project is described for the interim renovation of a labor intensive existing foodservice facility. The renovated area will provide effective food management during the hospital's redevelopment period, including a new foodservice. Objectives of the interim project were to conserve labor while emphasizing control and centralization, provide economic foodservices with improved quality, and incorporate one tray distribution system throughout the hospital complex. Immediate measures were necessary in order to generate funds to proceed. Renovations had to occur without disrupting food-service to patients. The project was planned over a three year period and included an ingredient control area, two patient tray service centres, a renewed production kitchen and test kitchen facility. Each phase has been financed on the understanding that the costs of construction and equipment will be repaid within one fiscal year of operating the renovated facility. Positive results are being achieved, attributable to the support and encouragement received from staff during the change process.

Mindful attention predicts greater recovery from negative emotions, but not reduced reactivity.

PubMed

Cho, Sinhae; Lee, Hyejeen; Oh, Kyung Ja; Soto, José A

2017-09-01

This study investigated the role of dispositional mindful attention in immediate reactivity to, and subsequent recovery from, laboratory-induced negative emotion. One hundred and fourteen undergraduates viewed blocks of negative pictures followed by neutral pictures. Participants' emotional responses to negative pictures and subsequent neutral pictures were assessed via self-reported ratings. Participants' emotional response to negative pictures was used to index level of emotional reactivity to unpleasant stimuli; emotional response to neutral pictures presented immediately after the negative pictures was used to index level of emotional recovery from pre-induced negative emotion (residual negativity). Results indicated that mindful attention was not associated with the emotional response to negative pictures, but it was associated with reduced negative emotion in response to the neutral pictures presented immediately after the negative pictures, suggesting better recovery as opposed to reduced reactivity. This effect was especially pronounced in later experimental blocks when the accumulation of negative stimuli produced greater negative emotion from which participants had to recover. The current study extends previous findings on the relationship between dispositional mindfulness and reduced negative emotion by demonstrating that mindful attention may facilitate better recovery from negative emotion, possibly through more effective disengagement from previous stimuli.

78 FR 37259 - Self-Regulatory Organizations; NYSE MKT LLC; Notice of Filing and Immediate Effectiveness of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-20

... Broad Street, New York, New York, commonly known as the ``Blue Room'', and amend NYSE MKT Rule 6A, which... access the Blue Room. \\5\\ See Securities Exchange Act Release Nos. 68996 (February 27, 2013), 78 FR 14378... to 7 a.m., access the Blue Room via the Exchange's 11 Wall Street facilities, which would entail...

Environmental control and life support testing at the Marshall Space Flight Center

NASA Technical Reports Server (NTRS)

Schunk, Richard G.; Humphries, William R.

1987-01-01

The Space Station Environmental Control and Life Support System (ECLSS) test program at the Marshall Space Flight Center (MSFC) is addressed. The immediate goals and current activities of the test program are discussed. Also described are the Core Module Integration Facility (CMIF) and the initial ECLSS test configuration. Future plans for the ECLSS test program and the CMIF are summarized.

Energy Conservation at the West Dover, Vermont, Water Pollution Control Facility.

DTIC Science & Technology

1982-11-01

chlorination of oxidation ditch effluent ---- 8 Discontinue aerobic digestion --------------------------- 8 Discharge contents of holding pond into...Immediate Discontinue aerobic digestion Instead of aerobically digesting the waste activated sludge, it may be possible to mix it directly with pond...elimi- nated by replacing the oxidation ditches with facultative ponds. Also, this would eliminate the need for aerobic digestion , in-plant process water

View looking southeast from the roof of OSW Building, toward ...

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

View looking southeast from the roof of OSW Building, toward E Building (center ground of image). Part of H Building is in the immediate foreground. This photograph shows the relationship between E Building and others adjacent to it as well as some of the panorama of the site - Department of Energy, Mound Facility, Electronics Laboratory Building (E Building), One Mound Road, Miamisburg, Montgomery County, OH

30 CFR 254.46 - Whom do I notify if an oil spill occurs?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Whom do I notify if an oil spill occurs? 254.46... Outer Continental Shelf Facilities § 254.46 Whom do I notify if an oil spill occurs? (a) You must immediately notify the National Response Center (1-800-424-8802) if you observe: (1) An oil spill from your...

KSC-04PD-0227

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members rescue an astronaut from inside the orbiter crew compartment mock-up that is the scene of a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2- 1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0221

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. A helicopter is landing near rescue team members taking part in a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0233

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members rescue an injured astronaut from the orbiter crew compartment mock-up during a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0237

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members assess medical needs on injured astronauts removed from the orbiter crew compartment mock-up during a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0239

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members transport an injured astronaut during a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0234

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members help an injured astronaut after removing him from the orbiter crew compartment mock-up during a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2- 1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0236

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members help an injured astronaut who was removed from the orbiter crew compartment mock- up during a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2- 1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0223

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crews leave the scene after a helicopter removed rescued astronauts from the scene. They are taking part in a Mode VII emergency landing simulation at Kennedy Space Center, in order to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts simulating various injuries inside an orbiter crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0235

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members help an injured astronaut from the orbiter crew compartment mock-up during a Mode VII emergency landing simulation at Kennedy Space Center. Another is on the ground. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2- 1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0232

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members rescue an injured astronaut from the orbiter crew compartment mock-up during a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Methodological approach towards the definition of new storage conditions for inert wastes.

PubMed

Perrodin, Y; Méhu, J; Grelier-Volatier, L; Charbonnierb, P; Baranger, P; Thoraval, L

2002-01-01

In 1997, the French Ministry of Environment launched studies aiming to define a specific regulation concerning inert waste disposal in order to limit potential impact of such facilities on the environment by fixing minimum requirements. A model (chemical model/hydrodynamic model) was developed to determine dumping conditions. This model was then applied on two defined scenarios (landfill surface, effective rainfalls...) in order to study the sulphate concentrations in aquifer system immediately downstream from the storage facility. Results allow us to determine in which conditions the sulphates concentrations are compatibles with the potentially drinkable character of the groundwater. They more specifically concern the nature of the waste disposed of, the efficient rainfalls and the landfill area.

Controlled lecithin release from a hierarchical architecture on blood-contacting surface to reduce hemolysis of stored red blood cells.

PubMed

Shi, Qiang; Fan, Qunfu; Ye, Wei; Hou, Jianwen; Wong, Shing-Chung; Xu, Xiaodong; Yin, Jinghua

2014-06-25

Hemolysis of red blood cells (RBCs) caused by implant devices in vivo and nonpolyvinyl chloride containers for RBC preservation in vitro has recently gained much attention. To develop blood-contacting biomaterials with long-term antihemolysis capability, we present a facile method to construct a hydrophilic, 3D hierarchical architecture on the surface of styrene-b-(ethylene-co-butylene)-b-styrene elastomer (SEBS) with poly(ethylene oxide) (PEO)/lecithin nano/microfibers. The strategy is based on electrospinning of PEO/lecithin fibers onto the surface of poly [poly(ethylene glycol) methyl ether methacrylate] [P(PEGMEMA)]-modified SEBS, which renders SEBS suitable for RBC storage in vitro. We demonstrate that the constructed 3D architecture is composed of hydrophilic micro- and nanofibers, which transforms to hydrogel networks immediately in blood; the controlled release of lecithin is achieved by gradual dissolution of PEO/lecithin hydrogels, and the interaction of lecithin with RBCs maintains the membrane flexibility and normal RBC shape. Thus, the blood-contacting surface reduces both mechanical and oxidative damage to RBC membranes, resulting in low hemolysis of preserved RBCs. This work not only paves new way to fabricate high hemocompatible biomaterials for RBC storage in vitro, but provides basic principles to design and develop antihemolysis biomaterials for implantation in vivo.

Validation of acid washes as critical control points in hazard analysis and critical control point systems.

PubMed

Dormedy, E S; Brashears, M M; Cutter, C N; Burson, D E

2000-12-01

A 2% lactic acid wash used in a large meat-processing facility was validated as an effective critical control point (CCP) in a hazard analysis and critical control point (HACCP) plan. We examined the microbial profiles of beef carcasses before the acid wash, beef carcasses immediately after the acid wash, beef carcasses 24 h after the acid wash, beef subprimal cuts from the acid-washed carcasses, and on ground beef made from acid-washed carcasses. Total mesophilic, psychrotrophic, coliforms, generic Escherichia coli, lactic acid bacteria, pseudomonads, and acid-tolerant microorganisms were enumerated on all samples. The presence of Salmonella spp. was also determined. Acid washing significantly reduced all counts except for pseudomonads that were present at very low numbers before acid washing. All other counts continued to stay significantly lower (P < 0.05) than those on pre-acid-washed carcasses throughout all processing steps. Total bacteria, coliforms, and generic E. coli enumerated on ground beef samples were more than 1 log cycle lower than those reported in the U.S. Department of Agriculture Baseline data. This study suggests that acid washes may be effective CCPs in HACCP plans and can significantly reduce the total number of microorganisms present on the carcass and during further processing.

Blanketing effect of expansion foam on liquefied natural gas (LNG) spillage pool.

PubMed

Zhang, Bin; Liu, Yi; Olewski, Tomasz; Vechot, Luc; Mannan, M Sam

2014-09-15

With increasing consumption of natural gas, the safety of liquefied natural gas (LNG) utilization has become an issue that requires a comprehensive study on the risk of LNG spillage in facilities with mitigation measures. The immediate hazard associated with an LNG spill is the vapor hazard, i.e., a flammable vapor cloud at the ground level, due to rapid vaporization and dense gas behavior. It was believed that high expansion foam mitigated LNG vapor hazard through warming effect (raising vapor buoyancy), but the boil-off effect increased vaporization rate due to the heat from water drainage of foam. This work reveals the existence of blocking effect (blocking convection and radiation to the pool) to reduce vaporization rate. The blanketing effect on source term (vaporization rate) is a combination of boil-off and blocking effect, which was quantitatively studied through seven tests conducted in a wind tunnel with liquid nitrogen. Since the blocking effect reduces more heat to the pool than the boil-off effect adds, the blanketing effect contributes to the net reduction of heat convection and radiation to the pool by 70%. Water drainage rate of high expansion foam is essential to determine the effectiveness of blanketing effect, since water provides the boil-off effect. Copyright © 2014 Elsevier B.V. All rights reserved.

Impulsivity and temporal frame: Reducing frequency of snacking by highlighting immediate health benefits.

PubMed

Pavey, Louisa; Churchill, Sue

2017-08-01

The current study aimed to examine the effect of giving temporally framed health information regarding either the immediate or long-term health consequences of consuming high-calorie snacks, for people with high Negative Urgency (a dimension of impulsivity), and for those primed with impulsivity. We expected that for participants with high Negative Urgency, and those primed with impulsivity, information which detailed the immediate health benefits of avoiding snack consumption would be more effective than information which detailed long-term health benefits. Participants (N=110) completed a measure of Negative Urgency, reported their snacking frequency over the previous seven days, and completed either an impulsivity or neutral prime task. Following this, they read information detailing either the immediate or long-term health benefits of avoiding high-calorie snacks. High-calorie snack consumption was reported 7days later. The results showed a significant three-way interaction between Negative Urgency, prime task, and temporal frame. Participants who were primed with impulsivity and those high in Negative Urgency showed a greater reduction in snacking frequency after being given information about the immediate vs. long-term health benefits of snacking. The results suggest that the immediacy of health consequences should be considered when designing health information to reduce impulsive snacking behaviour. Copyright © 2017. Published by Elsevier Ltd.

NASA's Dryden Flight Research Center is situated immediately adjacent to the compass rose on the bed of Rogers Dry Lake at Edwards Air Force Base, Calif.

NASA Image and Video Library

2001-07-25

Since the 1940s the Dryden Flight Research Center, Edwards, California, has developed a unique and highly specialized capability for conducting flight research programs. The organization, made up of pilots, scientists, engineers, technicians, and mechanics, has been and will continue to be leaders in the field of advanced aeronautics. Located on the northwest "shore" of Rogers Dry Lake, the complex was built around the original administrative-hangar building constructed in 1954. Since then many additional support and operational facilities have been built including a number of unique test facilities such as the Thermalstructures Research Facility, Flow Visualization Facility, and the Integrated Test Facility. One of the most prominent structures is the space shuttle program's Mate-Demate Device and hangar in Area A to the north of the main complex. On the lakebed surface is a Compass Rose that gives pilots an instant compass heading. The Dryden complex originated at Edwards Air Force Base in support of the X-1 supersonic flight program. As other high-speed aircraft entered research programs, the facility became permanent and grew from a staff of five engineers in 1947 to a population in 2006 of nearly 1100 full-time government and contractor employees.

Patient‐friendly hospital environments: exploring the patients’ perspective

PubMed Central

Douglas, Calbert H.; Douglas, Mary R.

2004-01-01

Abstract Objective  To investigate the perceptions and attitudes of patients to the built environments of NHS Trust hospitals, in order to inform design excellence so as to make future hospitals places and spaces responsive to patient needs. Design  An exploratory study of patients perceptions based on qualitative semi‐structured personal interviews. Setting and participants  Fifty one‐to‐one interviews held with hospital in‐patients across the four directorates of surgery, medicine, care of the elderly and maternity at Salford Royal Hospitals NHS Trust, Salford, UK. Results  The research found that there was much similarity in the priorities, issues and concerns raised by patients in each of the four directorates. Patients perceived the built environment of the hospital as a supportive environment. Their accounts in each area pointed to the significance of the factors that immediately impacted on them and their families. Patients identified having a need for personal space, a homely welcoming atmosphere, a supportive environment, good physical design, access to external areas and provision of facilities for recreation and leisure. Responses suggest that patient attitudes and perceptions to the built environment of hospital facilities relates to whether the hospital provides a welcoming homely space for themselves and their visitors that promotes health and wellbeing. Conclusions  The findings have important implications for capital development teams, clinical staff, managers and NHS Estates personnel. Although the study has immediate relevance for Salford Royal Hospitals Trust, findings and recommendations reported provide NHS Estates and other relevant stakeholders with evidence‐based knowledge and understanding of patients’ perceptions and expectations of and preferences for particular facilities and estates provision in NHS hospitals. PMID:14982500

77 FR 15163 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-14

... troubling trend of reduced participation in the equity markets by individual investors, and that nearly 30... different asset classes within a single strategy. NASDAQ also notes that cash equities and options markets...-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate Effectiveness of...

77 FR 33256 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-05

...-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate Effectiveness of... is hereby given that on May 22, 2012, The NASDAQ Stock Market LLC (``NASDAQ'' or ``Exchange'') filed... Order Fee,\\3\\ aimed at reducing inefficient order entry practices of certain market participants that...

The impact of alcohol hand sanitizer use on infection rates in an extended care facility.

PubMed

Fendler, E J; Ali, Y; Hammond, B S; Lyons, M K; Kelley, M B; Vowell, N A

2002-06-01

Nosocomial infections are a major problem in health care facilities, resulting in extended durations of care and substantial morbidity. Since alcohol gel hand sanitizers combine high immediate antimicrobial efficacy with ease of use, this study was carried out to determine the effect of the use of alcohol gel hand sanitizer by caregivers on infection types and rates in an extended care facility. Infection rate and type data were collected in a 275-bed extended care facility for 34 months (July 1997 to May 2000), during which an alcohol gel hand sanitizer was used by the caregivers in 2 units of the facility. The primary infection types found were urinary tract with Foley catheter, respiratory tract, and wound infections. Comparison of the infection types and rates for the units where hand sanitizer was used with those for the control units where the hand sanitizer was not used showed a 30.4% decrease in infection rates for the 34-month period in the units where hand sanitizer was used. This study indicates that use of an alcohol gel hand sanitizer can decrease infection rates and provide an additional tool for an effective infection control program.

Variations in pretransfusion practices.

PubMed

Padget, B J; Hannon, J L

2003-01-01

A variety of pretransfusion tests have been developed to improve the safety and effectiveness of transfusion. Recently, a number of traditional tests have been shown to offer limited clinical benefit and have been eliminated in many facilities. A survey of pretransfusion test practices was distributed to 116 hospital transfusion services. Routine test practices and facility size were analyzed. Ninety-one responses were received. Many smaller laboratories include tests such as anti-A,B, an autocontrol, and DAT, and immediate spin and 37 degrees Celsius microscopic readings. Nine percent never perform an Rh control with anti-D typing on patient samples. Various antibody screening and crossmatch methods are utilized. Individual laboratory test practices should be periodically assessed to ensure that they comply with standards, represent the recognized best practice, and are cost-effective. The survey responses indicate that many laboratories perform tests that are not necessary or cost-effective. These facilities should review their processes to determine which tests contribute to transfusion safety. Smaller facilities may be reluctant to change or lack the expertise necessary for this decision making and often continue to perform tests that have been eliminated in larger facilities. Consultation with larger hospital transfusion services may provide guidance for this change.

Providing Reliability Services through Demand Response: A Prelimnary Evaluation of the Demand Response Capabilities of Alcoa Inc.

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

Starke, Michael R; Kirby, Brendan J; Kueck, John D

2009-02-01

Demand response is the largest underutilized reliability resource in North America. Historic demand response programs have focused on reducing overall electricity consumption (increasing efficiency) and shaving peaks but have not typically been used for immediate reliability response. Many of these programs have been successful but demand response remains a limited resource. The Federal Energy Regulatory Commission (FERC) report, 'Assessment of Demand Response and Advanced Metering' (FERC 2006) found that only five percent of customers are on some form of demand response program. Collectively they represent an estimated 37,000 MW of response potential. These programs reduce overall energy consumption, lower greenmore » house gas emissions by allowing fossil fuel generators to operate at increased efficiency and reduce stress on the power system during periods of peak loading. As the country continues to restructure energy markets with sophisticated marginal cost models that attempt to minimize total energy costs, the ability of demand response to create meaningful shifts in the supply and demand equations is critical to creating a sustainable and balanced economic response to energy issues. Restructured energy market prices are set by the cost of the next incremental unit of energy, so that as additional generation is brought into the market, the cost for the entire market increases. The benefit of demand response is that it reduces overall demand and shifts the entire market to a lower pricing level. This can be very effective in mitigating price volatility or scarcity pricing as the power system responds to changing demand schedules, loss of large generators, or loss of transmission. As a global producer of alumina, primary aluminum, and fabricated aluminum products, Alcoa Inc., has the capability to provide demand response services through its manufacturing facilities and uniquely through its aluminum smelting facilities. For a typical aluminum smelter, electric power accounts for 30% to 40% of the factory cost of producing primary aluminum. In the continental United States, Alcoa Inc. currently owns and/or operates ten aluminum smelters and many associated fabricating facilities with a combined average load of over 2,600 MW. This presents Alcoa Inc. with a significant opportunity to respond in areas where economic opportunities exist to help mitigate rising energy costs by supplying demand response services into the energy system. This report is organized into seven chapters. The first chapter is the introduction and discusses the intention of this report. The second chapter contains the background. In this chapter, topics include: the motivation for Alcoa to provide demand response; ancillary service definitions; the basics behind aluminum smelting; and a discussion of suggested ancillary services that would be particularly useful for Alcoa to supply. Chapter 3 is concerned with the independent system operator, the Midwest ISO. Here the discussion examines the evolving Midwest ISO market structure including specific definitions, requirements, and necessary components to provide ancillary services. This section is followed by information concerning the Midwest ISO's classifications of demand response parties. Chapter 4 investigates the available opportunities at Alcoa's Warrick facility. Chapter 5 involves an in-depth discussion of the regulation service that Alcoa's Warrick facility can provide and the current interactions with Midwest ISO. Chapter 6 reviews future plans and expectations for Alcoa providing ancillary services into the market. Last, chapter 7, details the conclusion and recommendations of this paper.« less

Capabilities and constraints of NASA's ground-based reduced gravity facilities

NASA Technical Reports Server (NTRS)

Lekan, Jack; Neumann, Eric S.; Sotos, Raymond G.

1993-01-01

The ground-based reduced gravity facilities of NASA have been utilized to support numerous investigations addressing various processes and phenomina in several disciplines for the past 30 years. These facilities, which include drop towers, drop tubes, aircraft, and sounding rockets are able to provide a low gravity environment (gravitational levels that range from 10(exp -2)g to 10(exp -6)g) by creating a free fall or semi-free fall condition where the force of gravity on an experiment is offset by its linear acceleration during the 'fall' (drop or parabola). The low gravity condition obtained on the ground is the same as that of an orbiting spacecraft which is in a state of perpetual free fall. The gravitational levels and associated duration times associated with the full spectrum of reduced gravity facilities including spaced-based facilities are summarized. Even though ground-based facilities offer a relatively short experiment time, this available test time has been found to be sufficient to advance the scientific understanding of many phenomena and to provide meaningful hardware tests during the flight experiment development process. Also, since experiments can be quickly repeated in these facilities, multistep phenomena that have longer characteristic times associated with them can sometimes be examined in a step-by-step process. There is a large body of literature which has reported the study results achieved through using reduced-gravity data obtained from the facilities.

Emergency department physician activation of the catheterization laboratory and immediate transfer to an immediately available catheterization laboratory reduce door-to-balloon time in ST-elevation myocardial infarction.

PubMed

Khot, Umesh N; Johnson, Michele L; Ramsey, Curtis; Khot, Monica B; Todd, Randall; Shaikh, Saeed R; Berg, William J

2007-07-03

Consensus guidelines and hospital quality-of-care programs recommend that ST-elevation myocardial infarction patients achieve a door-to-balloon time of < or = 90 minutes. However, there are limited prospective data on specific measures to significantly reduce door-to-balloon time. We prospectively determined the impact on median door-to-balloon time of a protocol mandating (1) emergency department physician activation of the catheterization laboratory and (2) immediate transfer of the patient to an immediately available catheterization laboratory by an in-house transfer team consisting of an emergency department nurse, a critical care unit nurse, and a chest pain unit nurse. We collected door-to-balloon time for 60 consecutive ST-elevation myocardial infarction patients undergoing emergency percutaneous intervention within 24 hours of presentation from October 1, 2004, through August 31, 2005, and compared this group with 86 consecutive ST-elevation myocardial infarction patients from September 1, 2005, through June 26, 2006, after protocol implementation. Median door-to-balloon time decreased overall (113.5 versus 75.5 minutes; P<0.0001), during regular hours (83.5 versus 64.5 minutes; P=0.005), during off-hours (123.5 versus 77.5 minutes; P<0.0001), and with transfer from an outside affiliated emergency department (147 versus 85 minutes; P=0.0006). Treatment within 90 minutes increased from 28% to 71% (P<0.0001). Mean infarct size decreased (peak creatinine kinase, 2623+/-3329 versus 1517+/-1556 IU/L; P=0.0089), as did hospital length of stay (5+/-7 versus 3+/-2 days; P=0.0097) and total hospital costs per admission ($26,826+/-29,497 versus $18,280+/-8943; P=0.0125). Emergency department physician activation of the catheterization laboratory and immediate transfer of the patient to an immediately available catheterization laboratory reduce door-to-balloon time, leading to a reduction in myocardial infarct size, hospital length of stay, and total hospital costs.

Delivering information: A descriptive study of Australian women’s information needs for decision-making about birth facility

PubMed Central

2012-01-01

Background Little information is known about what information women want when choosing a birth facility. The objective of this study was to inform the development of a consumer decision support tool about birth facility by identifying the information needs of maternity care consumers in Queensland, Australia. Methods Participants were 146 women residing in both urban and rural areas of Queensland, Australia who were pregnant and/or had recently given birth. A cross-sectional survey was administered in which participants were asked to rate the importance of 42 information items to their decision-making about birth facility. Participants could also provide up to ten additional information items of interest in an open-ended question. Results On average, participants rated 30 of the 42 information items as important to decision-making about birth facility. While the majority of information items were valued by most participants, those related to policies about support people, other women’s recommendations about the facility, freedom to choose one’s preferred position during labour and birth, the aesthetic quality of the facility, and access to on-site neonatal intensive care were particularly widely valued. Additional items of interest frequently focused on postnatal care and support, policies related to medical intervention, and access to water immersion. Conclusions The women surveyed had significant and diverse information needs for decision-making about birth facility. These findings have immediate applications for the development of decision support tools about birth facility, and highlight the need for tools which provide a large volume of information in an accessible and user-friendly format. These findings may also be used to guide communication and information-sharing by care providers involved in counselling pregnant women and families about their options for birth facility or providing referrals to birth facilities. PMID:22708648

Delivering information: a descriptive study of Australian women's information needs for decision-making about birth facility.

PubMed

Thompson, Rachel; Wojcieszek, Aleena M

2012-06-18

Little information is known about what information women want when choosing a birth facility. The objective of this study was to inform the development of a consumer decision support tool about birth facility by identifying the information needs of maternity care consumers in Queensland, Australia. Participants were 146 women residing in both urban and rural areas of Queensland, Australia who were pregnant and/or had recently given birth. A cross-sectional survey was administered in which participants were asked to rate the importance of 42 information items to their decision-making about birth facility. Participants could also provide up to ten additional information items of interest in an open-ended question. On average, participants rated 30 of the 42 information items as important to decision-making about birth facility. While the majority of information items were valued by most participants, those related to policies about support people, other women's recommendations about the facility, freedom to choose one's preferred position during labour and birth, the aesthetic quality of the facility, and access to on-site neonatal intensive care were particularly widely valued. Additional items of interest frequently focused on postnatal care and support, policies related to medical intervention, and access to water immersion. The women surveyed had significant and diverse information needs for decision-making about birth facility. These findings have immediate applications for the development of decision support tools about birth facility, and highlight the need for tools which provide a large volume of information in an accessible and user-friendly format. These findings may also be used to guide communication and information-sharing by care providers involved in counselling pregnant women and families about their options for birth facility or providing referrals to birth facilities.

Quality of the delivery services in health facilities in Northern Ethiopia.

PubMed

Fisseha, Girmatsion; Berhane, Yemane; Worku, Alemayehu; Terefe, Wondwossen

2017-03-09

Substantial improvements have been observed in the coverage of and access to maternal health service, especially in skilled birth attendants, in Ethiopia. However, the quality of care has been lagging behind. Therefore, this study investigated the status of the quality of delivery services in Northern Ethiopia. A facility based survey was conducted from December 2014 to February 2015 in Northern Ethiopia. The quality of delivery service was assessed in 32 health facilities using a facility audit checklist, by reviewing delivery, by conducting in-depth interview and observation, and by conducting exit interviews with eligible mothers. Facilities were considered as 'good quality' if they scored positively on 75% of the quality indicators set in the national guidelines for all the three components; input (materials, infrastructure, and human resource), process (adherence to standard care procedures during intrapartum and immediate postpartum periods) and output (the mothers' satisfaction and utilization of lifesaving procedures). Overall 2 of 32 (6.3%) of the study facilities fulfilled all the three quality components; input, process and output. Two of the three components were assessed as good in 11 of the 32 (34.4%) health facilities. The input quality was the better of the other quality components; which was good in 21 out of the 32 (65.6%) health facilities. The process and output quality was good in only 10 of the 32 (31.3%) facilities. Only 6.3% of the studied health facilities had good quality in all three dimensions of quality measures that was done in accordance to the national delivery service guidelines. The most compromised quality component was the process. Systematic and sustained efforts need to be strengthened to improve all dimensions of quality in order to achieve the desired quality of delivery services and increase the proportion of births occurring in health facilities.

Risk factors associated with traffic violations and accident severity in China.

PubMed

Zhang, Guangnan; Yau, Kelvin K W; Chen, Guanghan

2013-10-01

With the recent economic boom in China, vehicle volume and the number of traffic accident fatalities have become the highest in the world. Meanwhile, traffic accidents have become the leading cause of death in China. Systematically analyzing road safety data from different perspectives and applying empirical methods/implementing proper measures to reduce the fatality rate will be an urgent and challenging task for China in the coming years. In this study, we analyze the traffic accident data for the period 2006-2010 in Guangdong Province, China. These data, extracted from the Traffic Management Sector-Specific Incident Case Data Report, are the only officially available and reliable source of traffic accident data (with a sample size>7000 per year). In particular, we focus on two outcome measures: traffic violations and accident severity. Human, vehicle, road and environmental risk factors are considered. First, the results establish the role of traffic violations as one of the major risks threatening road safety. An immediate implication is: if the traffic violation rate could be reduced or controlled successfully, then the rate of serious injuries and fatalities would be reduced accordingly. Second, specific risk factors associated with traffic violations and accident severity are determined. Accordingly, to reduce traffic accident incidence and fatality rates, measures such as traffic regulations and legislation-targeting different vehicle types/driver groups with respect to the various human, vehicle and environment risk factors-are needed. Such measures could include road safety programs for targeted driver groups, focused enforcement of traffic regulations and road/transport facility improvements. Data analysis results arising from this study will shed lights on the development of similar (adjusted) measures to reduce traffic violations and/or accident fatalities and injuries, and to promote road safety in other regions. Copyright © 2013 Elsevier Ltd. All rights reserved.

Reiki improves heart rate homeostasis in laboratory rats.

PubMed

Baldwin, Ann Linda; Wagers, Christina; Schwartz, Gary E

2008-05-01

To determine whether application of Reiki to noise-stressed rats can reduce their heart rates (HRs) and blood pressures. In a previous study, we showed that exposure of rats to 90 dB white noise for 15 minutes caused their HRs and blood pressures to significantly increase. Reiki has been shown to significantly decrease HR and blood pressure in a small group of healthy human subjects. However, use of humans in such studies has the disadvantage that experimental interpretations are encumbered by the variable of belief or skepticism regarding Reiki. For that reason, noise-stressed rats were used as an animal model to test the efficacy of Reiki in reducing elevated HR and blood pressure. Three unrestrained, male Sprague-Dawley rats implanted with radiotelemetric transducers were exposed daily for 8 days to a 15-minute white noise regimen (90 dB). For the last 5 days, the rats received 15 minutes of Reiki immediately before the noise and during the noise period. The experiment was repeated on the same animals but using sham Reiki. The animals were housed in a quiet room in University of Arizona Animal Facility. Mean HRs and blood pressure were determined before Reiki/sham Reiki, during Reiki/sham Reiki, and during the noise in each case. Reiki, but not sham Reiki, significantly reduced HR compared to initial values. With Reiki, there was a high correlation between change in HR and initial HR, suggesting a homeostatic effect. Reiki, but not sham Reiki, significantly reduced the rise in HR produced by exposure of the rats to loud noise. Neither Reiki nor sham Reiki significantly affected blood pressure. Reiki is effective in modulating HR in stressed and unstressed rats, supporting its use as a stress-reducer in humans.

CONNECT for better fall prevention in nursing homes: results from a pilot intervention study.

PubMed

Colon-Emeric, Cathleen S; McConnell, Eleanor; Pinheiro, Sandro O; Corazzini, Kirsten; Porter, Kristie; Earp, Kelly M; Landerman, Lawrence; Beales, Julie; Lipscomb, Jeffrey; Hancock, Kathryn; Anderson, Ruth A

2013-12-01

To determine whether an intervention that improves nursing home (NH) staff connections, communication, and problem solving (CONNECT) would improve implementation of a falls reduction education program (FALLS). Cluster randomized trial. Community (n=4) and Veterans Affairs (VA) NHs (n=4). Staff in any role with resident contact (n=497). NHs received FALLS alone (control) or CONNECT followed by FALLS (intervention), each delivered over 3 months. CONNECT used storytelling, relationship mapping, mentoring, self-monitoring, and feedback to help staff identify communication gaps and practice interaction strategies. FALLS included group training, modules, teleconferences, academic detailing, and audit and feedback. NH staff completed surveys about interactions at baseline, 3 months (immediately after CONNECT or control period), and 6 months (immediately after FALLS). A random sample of resident charts was abstracted for fall risk reduction documentation (n=651). Change in facility fall rates was an exploratory outcome. Focus groups were conducted to explore changes in organizational learning. Significant improvements in staff perceptions of communication quality, participation in decision-making, safety climate, caregiving quality, and use of local interaction strategies were observed in intervention community NHs (treatment-by-time effect P=.01) but not in VA NHs, where a ceiling effect was observed. Fall risk reduction documentation did not change significantly, and the direction of change in individual facilities did not relate to observed direction of change in fall rates. Fall rates did not change in control facilities (falls/bed per year: baseline, 2.61; after intervention, 2.64) but decreased by 12% in intervention facilities (falls/bed per year: baseline, 2.34; after intervention, 2.06); the effect of treatment on rate of change was 0.81 (95% confidence interval=0.55-1.20). CONNECT has the potential to improve care delivery in NHs, but the trend toward improving fall rates requires confirmation in a larger ongoing study. © 2013, Copyright the Authors Journal compilation © 2013, The American Geriatrics Society.

Interpreting signals from astrophysical transient experiments

PubMed Central

O’Brien, Paul T.; Smartt, Stephen J.

2013-01-01

Time-domain astronomy has come of age with astronomers now able to monitor the sky at high cadence, both across the electromagnetic spectrum and using neutrinos and gravitational waves. The advent of new observing facilities permits new science, but the ever-increasing throughput of facilities demands efficient communication of coincident detections and better subsequent coordination among the scientific community so as to turn detections into scientific discoveries. To discuss the revolution occurring in our ability to monitor the Universe and the challenges it brings, on 25–26 April 2012, a group of scientists from observational and theoretical teams studying transients met with representatives of the major international transient observing facilities at the Kavli Royal Society International Centre, UK. This immediately followed the Royal Society Discussion Meeting ‘New windows on transients across the Universe’ held in London. Here, we present a summary of the Kavli meeting at which the participants discussed the science goals common to the transient astronomy community and analysed how to better meet the challenges ahead as ever more powerful observational facilities come on stream. PMID:23630383

[Information and facilities recommendations concerning trial of labour in the context of scarred womb].

PubMed

Gallot, D; Delabaere, A; Desvignes, F; Vago, C; Accoceberry, M; Lémery, D

2012-12-01

To precise key elements concerning facilities and patient information prior to trial of labour in the context of scarred womb. Bibliographic search restricted to French and English languages using Medline database and recommendations of medical societies. Only expert's opinions are available. Patient information should present both trial of labour and elective cesarean section. Counselling should be influenced by individual risk of failed vaginal birth and uterine rupture. Mode of delivery should be planned the latest at 8 months of gestation. Patient should be aware of obstetrical and anesthetic facilities. Trial of labour should be presented as the first option for patients with no additional risk factors. Immediate presence of obstetrician and anesthesiologist is not required except in the context of increased risk for failed trial of labour or uterine rupture. Elective cesarean section on maternal request is acceptable after extensive counselling and delay of reflexion. Individual patient information should be initiated early and mode of delivery should be planned at 8 months of gestation. Resources and facilities recommendations aim to facilitate prompt cesarean section. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

6. Credit GE. Photographic copy of photograph, view looking east ...

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

6. Credit GE. Photographic copy of photograph, view looking east at Test Stand 'A' during test firing of a liquid-fueled Corporal engine. Structure in immediate left foreground of view appears to be a propellant tank enclosure (JPL negative no. 383-1225, July 1945); compare HAER CA-163-A-7 for enclosure. - Jet Propulsion Laboratory Edwards Facility, Test Stand A, Edwards Air Force Base, Boron, Kern County, CA

75 FR 76058 - Options Price Reporting Authority; Notice of Filing and Immediate Effectiveness of Proposed...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-07

... facilities are in use. However, there are no codes in Sections 4.04 and 4.15 to indicate that one side of a... the affected exchange and OPRA could indicate that one side of a quote is firm and the other side is... would incorrectly indicate that neither side of the quote is firm. In the absence of a one-side only non...

Environmental Assessment for the Aeromedical Evacuation Formal Training Unit, Wright-Patterson Air Force Base

DTIC Science & Technology

2012-05-01

adverse health effects (HHS 2010). However, propylene glycol requires oxygen for breakdown, which can deplete surface waters of dissolved oxygen ...and the Human Effectiveness Directorate (RH), plus supporting functions. Facility 20840 contains a high-bay area that houses two C-130 training...aircrew training program that develops and maintains a high state of mission readiness for immediate and effective deployments across the range of

Operationally Responsive Space: Creating Responsive Space for America

DTIC Science & Technology

2008-06-20

programs. Items identified for improvement include: 1 ) Fractured management and accounting , 2 ) Satellite availability, 3) Facilities (Processing...enveloped by our three output tiers. The three tiers: • Tier 1 is an immediate response taking minutes to days. • Tier 2 is a mid term response taking...needs to improve. 2 . Develop a philosophy. 3. Set a direction with specific goals (Fuchs 1 -7). The Department of Space should follow these

Jordan Country Analysis Brief

EIA Publications

2014-01-01

Jordan, unlike its immediate neighbors, does not possess significant energy resources. As of January 2014, the Oil & Gas Journal estimated Jordan's proved oil reserves at just 1 million barrels and its proved natural gas reserves at slightly more than 200 billion cubic feet (Bcf). Oil shale resources have the potential to increase Jordan's reserves significantly, and the country plans to build the first oil shale-fired electricity generation facility in the Middle East after 2017.

From diagnosis to case investigation for malaria elimination in Swaziland: is reporting and response timely?

PubMed

Dlamini, N; Zulu, Z; Kunene, S; Geoffroy, E; Ntshalintshali, N; Owiti, P; Sikhondze, W; Makadzange, K; Zachariah, R

2018-04-25

Background: Swaziland is one of the southern African countries that aim to eliminate malaria by 2020. In 2010, the country introduced an Immediate Disease Notification System (IDNS) for immediate reporting of notifiable diseases, including malaria. Health facilities are to report malaria cases within 24 h through a toll-free telephone number (977), triggering an alert for case investigation at the patient's household within 48 h. We assessed the completeness of reporting in the IDNS, the subsequent case investigation, and whether it was done within the stipulated timelines. Methods: A cross-sectional study using routine country-wide data. Results: Of 1991 malaria cases notified between July 2011 and June 2015, 76% were reported in the IDNS, of which 68% were investigated-a shortfall of 24% in reporting and 32% in case investigations. Of the 76% of cases reported through the IDNS, 62% were reported within 24 h and 20% were investigated within 48 h. These shortcomings were most pronounced in hospitals and private facilities. Investigated cases ( n = 1346) were classified as follows: 60% imported, 35% local and 5% undetermined. Conclusion: The utilisation of the IDNS for case reporting to trigger investigation is crucial for active surveillance. There is a need to address the reporting and investigation gaps identified to ensure that malaria cases receive appropriate interventions.

Neonatal resuscitation in low-resource settings: What, who, and how to overcome challenges to scale up?

PubMed Central

Wall, Stephen N.; Lee, Anne CC; Niermeyer, Susan; English, Mike; Keenan, William J.; Carlo, Wally; Bhutta, Zulfiqar A.; Bang, Abhay; Narayanan, Indira; Ariawan, Iwan; Lawn, Joy E.

2009-01-01

Background Each year approximately 10 million babies do not breathe immediately at birth, of which about 6 million require basic neonatal resuscitation. The major burden is in low-income settings, where health system capacity to provide neonatal resuscitation is inadequate. Objective To systematically review the evidence for neonatal resuscitation content, training and competency, equipment and supplies, cost, and key program considerations, specifically for resource-constrained settings. Results Evidence from several observational studies shows that facility-based basic neonatal resuscitation may avert 30% of intrapartum-related neonatal deaths. Very few babies require advanced resuscitation (endotracheal intubation and drugs) and these newborns may not survive without ongoing ventilation; hence, advanced neonatal resuscitation is not a priority in settings without neonatal intensive care. Of the 60 million nonfacility births, most do not have access to resuscitation. Several trials have shown that a range of community health workers can perform neonatal resuscitation with an estimated effect of a 20% reduction in intrapartum-related neonatal deaths, based on expert opinion. Case studies illustrate key considerations for scale up. Conclusion Basic resuscitation would substantially reduce intrapartum-related neonatal deaths. Where births occur in facilities, it is a priority to ensure that all birth attendants are competent in resuscitation. Strategies to address the gap for home births are urgently required. More data are required to determine the impact of neonatal resuscitation, particularly on long-term outcomes in low-income settings. PMID:19815203

Global Screening of Salmonella enterica Serovar Typhimurium Genes for Desiccation Survival

PubMed Central

Mandal, Rabindra K.; Kwon, Young M.

2017-01-01

Salmonella spp., one of the most common foodborne bacterial pathogens, has the ability to survive under desiccation conditions in foods and food processing facilities for years. This raises the concerns of Salmonella infection in humans associated with low water activity foods. Salmonella responds to desiccation stress via complex pathways involving immediate physiological actions as well as coordinated genetic responses. However, the exact mechanisms of Salmonella to resist desiccation stress remain to be fully elucidated. In this study, we screened a genome-saturating transposon (Tn5) library of Salmonella Typhimurium (S. Typhimurium) 14028s under the in vitro desiccation stress using transposon sequencing (Tn-seq). We identified 61 genes and 6 intergenic regions required to overcome desiccation stress. Salmonella desiccation resistance genes were mostly related to energy production and conversion; cell wall/membrane/envelope biogenesis; inorganic ion transport and metabolism; regulation of biological process; DNA metabolic process; ABC transporters; and two component system. More than 20% of the Salmonella desiccation resistance genes encode either putative or hypothetical proteins. Phenotypic evaluation of 12 single gene knockout mutants showed 3 mutants (atpH, atpG, and corA) had significantly (p < 0.02) reduced survival as compared to the wild type during desiccation survival. Thus, our study provided new insights into the molecular mechanisms utilized by Salmonella for survival against desiccation stress. The findings might be further exploited to develop effective control strategies against Salmonella contamination in low water activity foods and food processing facilities. PMID:28943871

Patient, Program, and System Barriers and Facilitators to Detoxification Services in the U.S. Veterans Health Administration: A Qualitative Study of Provider Perspectives.

PubMed

Schultz, Nicole R; Martinez, Rociel; Cucciare, Michael A; Timko, Christine

2016-08-23

Because substance use disorder (SUD) treatment is expanding, and detoxification (detox) is often the entry point to SUD treatment, it is critical to provide ready access to detox services. The purpose of the current study was to examine patient, program, and system barriers or facilitators to detox access within an integrated health care system with variable rates of detox utilization across facilities. Inpatient and outpatient providers from 31 different U.S. Veterans Health Administration detox programs were interviewed. Qualitative analyses identified six facilitators and 11 barriers to detox access. Facilitators included program staff and program characteristics such as encouragement and immediate access, as well as systemic cooperation and patient circumstances. Barriers to detox included programmatic and systemic problems, including lack of available detox services, program rules or admission requirements, funding shortages, stigma related to a SUD diagnosis or receiving detox services, and a deficiency of education and training. Other major barriers pertained to patients' lack of motivation and competing responsibilities. To improve detox access, health care settings should consider enhancing supportive relationships by emphasizing outreach, engagement, and rapport-building with patients, improving systemic communication and teamwork, educating patients on available detox services and the detox process, and addressing patient centered barriers such as resistance to detox or competing responsibilities. In addition, programs should consider open-door and immediate-admission policies. These approaches may improve detox access, which is important for increasing the likelihood of transitioning patients to SUD treatment, thus improving outcomes and reducing utilization of high-cost services.

Visual speech influences speech perception immediately but not automatically.

PubMed

Mitterer, Holger; Reinisch, Eva

2017-02-01

Two experiments examined the time course of the use of auditory and visual speech cues to spoken word recognition using an eye-tracking paradigm. Results of the first experiment showed that the use of visual speech cues from lipreading is reduced if concurrently presented pictures require a division of attentional resources. This reduction was evident even when listeners' eye gaze was on the speaker rather than the (static) pictures. Experiment 2 used a deictic hand gesture to foster attention to the speaker. At the same time, the visual processing load was reduced by keeping the visual display constant over a fixed number of successive trials. Under these conditions, the visual speech cues from lipreading were used. Moreover, the eye-tracking data indicated that visual information was used immediately and even earlier than auditory information. In combination, these data indicate that visual speech cues are not used automatically, but if they are used, they are used immediately.

Commercial Decommissioning at DOE's Rocky Flats

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

Freiboth, C.; Sandlin, N.; Schubert, A.

2002-02-25

Due in large part to the number of nuclear facilities that make up the DOE complex, DOE-EM work has historically been paperwork intensive and driven by extensive regulations. Requirements for non-nuclear facilities are often grouped with those of nuclear facilities, driving up costs. Kaiser-Hill was interested in applying a commercial model to demolition of these facilities and wanted to apply necessary and sufficient standards to the work activities, but avoid applying unnecessary requirements. Faced with demolishing hundreds of uncontaminated or non-radiologically contaminated facilities, Kaiser-Hill has developed a subcontracting strategy to drastically reduce the cost of demolishing these facilities at Rockymore » Flats. Aiming to tailor the demolition approach of such facilities to more closely follow commercial practices, Kaiser-Hill recently released a Request for Proposals (RFP) for the demolition of the site's former central administration facility. The RFP significantly reduced requirements for compliance with specific DOE directives. Instead, the RFP required subcontractors to comply with health and safety requirements commonly found in the demolition of similar facilities in a commercial setting. This resulted in a number of bids from companies who have normally not bid on DOE work previously and at a reduced cost over previous approaches. This paper will discuss the details of this subcontracting strategy.« less

Integrated Component-based Data Acquisition Systems for Aerospace Test Facilities

NASA Technical Reports Server (NTRS)

Ross, Richard W.

2001-01-01

The Multi-Instrument Integrated Data Acquisition System (MIIDAS), developed by the NASA Langley Research Center, uses commercial off the shelf (COTS) products, integrated with custom software, to provide a broad range of capabilities at a low cost throughout the system s entire life cycle. MIIDAS combines data acquisition capabilities with online and post-test data reduction computations. COTS products lower purchase and maintenance costs by reducing the level of effort required to meet system requirements. Object-oriented methods are used to enhance modularity, encourage reusability, and to promote adaptability, reducing software development costs. Using only COTS products and custom software supported on multiple platforms reduces the cost of porting the system to other platforms. The post-test data reduction capabilities of MIIDAS have been installed at four aerospace testing facilities at NASA Langley Research Center. The systems installed at these facilities provide a common user interface, reducing the training time required for personnel that work across multiple facilities. The techniques employed by MIIDAS enable NASA to build a system with a lower initial purchase price and reduced sustaining maintenance costs. With MIIDAS, NASA has built a highly flexible next generation data acquisition and reduction system for aerospace test facilities that meets customer expectations.

KSC-04PD-0226

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members prepare to rescue another astronaut from inside the orbiter crew compartment mock-up that is the scene of a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0224

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members return to the orbiter crew compartment mock-up that is the scene of a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts simulating various injuries inside the mock-up compartment. Rescuers have had to remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0229

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members on the ground take hold of a volunteer astronaut lowered from the top of the orbiter crew compartment mock-up that is the scene of a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0225

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members prepare to rescue another astronaut from inside the orbiter crew compartment mock-up that is the scene of a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0238

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. An injured rescue worker is lifted into an M-113 armored personnel carrier provided for transportation during a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2- 1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0230

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members help a volunteer astronaut onto the ground after being lowered from the top of the orbiter crew compartment mock-up that is the scene of a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0242

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. A helicopter rescue team prepares another injured astronaut for transportation to a local hospital. They are all taking part in a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0241

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. A helicopter rescue team prepares another injured astronaut for transportation to a local hospital. They are all taking part in a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

KSC-04PD-0228

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. Emergency crew members lower a volunteer astronaut from the top of the orbiter crew compartment mock-up that is the scene of a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Quantifying the impact of new freeway segments.

DOT National Transportation Integrated Search

2013-05-01

Many freeway users complain that new freeway segments immediately fill up with traffic after they are constructed. This : diminishes the advantages of reduced costs and reduced driving time that would make freeways theoretically superior to : arteria...

Water Data Report: An Annotated Bibliography

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

Dunham Whitehead, Camilla; Melody, Moya

2007-05-01

This report and its accompanying Microsoft Excel workbooksummarize water data we found to support efforts of the EnvironmentalProtection Agency s WaterSense program. WaterSense aims to extend theoperating life of water and wastewater treatment facilities and prolongthe availability of water resourcesby reducing residential andcommercial water consumption through the voluntary replacement ofinefficient water-using products with more efficient ones. WaterSense hasan immediate need for water consumption data categorized by sector and,for the residential sector, per capita data available by region. Thisinformation will assist policy makers, water and wastewater utilityplanners, and others in defining and refining program possibilities.Future data needs concern water supply, wastewatermore » flow volumes, waterquality, and watersheds. This report focuses primarily on the immediateneed for data regarding water consumption and product end-use. We found avariety of data on water consumption at the national, state, andmunicipal levels. We also found several databases related towater-consuming products. Most of the data are available in electronicform on the Web pages of the data-collecting organizations. In addition,we found national, state, and local data on water supply, wastewater,water quality, and watersheds.« less

The effect of intermittent use of occlusal splint devices on sleep bruxism: a 4-week observation with a portable electromyographic recording device.

PubMed

Matsumoto, H; Tsukiyama, Y; Kuwatsuru, R; Koyano, K

2015-04-01

This randomised controlled study investigated the effect of intermittent use of occlusal splints on sleep bruxism compared with that of continuous use by measuring masseter muscle electromyographic activity using a portable electromyographic recording system. Twenty bruxers were randomly allocated to the continuous group and intermittent group. Subjects in the continuous group wore stabilisation splints during sleep for 29 nights continuously, whereas those in the intermittent group wore splints during sleep every other week, that is they used splints on the 1st-7th, 15th-21st and 29th nights. Electromyographic activity of the masseter muscle during sleep was recorded for the following six time points: before (baseline), immediately after, and 1, 2, 3 and 4 weeks after the insertion of a stabilisation splint. The number of nocturnal masseter electromyographic events, duration and the total activity of sleep bruxism were analysed. In the continuous group, nocturnal masseter electromyographic events were significantly reduced immediately and 1 week after the insertion of the stabilisation splint, and duration was reduced immediately after the insertion (P < 0·05, Dunnett's test), but no reduction was observed at 2, 3 and 4 weeks after insertion. In the intermittent group, nocturnal masseter electromyographic events and duration were significantly reduced immediately after and also 4 weeks after insertion of the stabilisation splint (P < 0·05, Dunnett's test). The obtained results of the present exploratory trial indicate that the intermittent use of stabilisation splints may reduce sleep bruxism activity for a longer period compared with that of continuous use. © 2014 John Wiley & Sons Ltd.

78 FR 26836 - Self-Regulatory Organizations; NYSE Arca, Inc.; Notice of Filing and Immediate Effectiveness of...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-08

... SECURITIES AND EXCHANGE COMMISSION [Release No. 34-69503; File No. SR-NYSEArca-2013-44] Self-Regulatory Organizations; NYSE Arca, Inc.; Notice of Filing and Immediate Effectiveness of Proposed Rule Change Amending Its Schedule of Fees and Charges for Exchange Services To Amend Step Up Tier 2 to Reduce the Volume Threshold Requirements Needed To...

Diagnostic delay amongst tuberculosis patients in Jogjakarta Province, Indonesia is related to the quality of services in DOTS facilities.

PubMed

Ahmad, Riris Andono; Mahendradhata, Yodi; Utarini, Adi; de Vlas, Sake J

2011-04-01

To understand determinants of care-seeking patterns and diagnostic delay amongst tuberculosis (TB) patients diagnosed at direct observed treatment short course (DOTS) facilities in Jogjakarta, Indonesia. Cross-sectional survey amongst newly diagnosed TB patients in 89 DOTS facilities whose history of care-seeking was reconstructed through retrospective interviews gathering data on socio-demographic determinants, onset of TB symptoms, type of health facilities visited, duration of each care-seeking action were recorded. Two hundred and fifty-three TB patients were included in the study whose median duration of patients' delay was 1 week and whose total duration of diagnostic delay was 5.4 weeks. The median number of visits was 4. Many of the patients' socio-demographic determinants were not associated with the care-seeking patterns, and no socio-demographic determinants were associated with the duration of diagnostic delay. More than 60% of TB patients started their care-seeking processes outside DOTS facilities, but the number of visits in DOTS facilities was greater during the overall care-seeking process. Surprisingly, patient's immediate visits to a DOTS facility did not correspond to shorter diagnostic delay. Diagnostic delay in Jogjakarta province was not associated with patients' socio demographic factors, but rather with the health system providing DOTS services. This suggests that strengthening the health system and improving diagnostic quality within DOTS services is now a more rational strategy than expanding the TB programme to engage more providers. © 2010 Blackwell Publishing Ltd.

Community Seismic Network

NASA Astrophysics Data System (ADS)

Clayton, R. W.; Kohler, M. D.; Massari, A.; Heaton, T. H.; Guy, R.; Chandy, M.; Bunn, J.; Strand, L.

2014-12-01

The CSN is now in its 3rdyear of operation and has expanded to 400 stations in the Los Angeles region. The goal of the network is to produce a map of strong shaking immediately following a major earthquake as a proxy for damage and a guide for first responders. We have also instrumented a number of buildings with the goal of determining the state of health of these structures before and after they have been shaken. In one 15-story structure, our sensors distributed two per floor, and show body waves propagating in the structure after a moderate local earthquake (M4.4 in Encino, CA). Sensors in a 52-story structure, which we plan to instrument with two sensors per floor as well, show the modes of the building (see Figure) down to the fundamental mode at 5 sec due to a M5.1 earthquake in La Habra, CA. The CSN utilizes a number of technologies that will likely be important in building robust low-cost networks. These include: Distributed computing - the sensors themselves are smart-sensors that perform the basic detection and size estimation in the onboard computers and send the results immediately (without packetization latency) to the central facility. Cloud computing - the central facility is housed in the cloud, which means it is more robust than a local site, and has expandable computing resources available so that it can operate with minimal resources during quiet times but still be able to exploit an very large computing facility during an earthquake. Low-cost/low-maintenance sensors - the MEM sensors are capable of staying onscale to +/- 2g, and can measure events in the Los Angeles Basin a low as magnitude 3.

An Astrophysical Laboratory: Understanding and Exploiting the Young Massive Cluster Westerlund 1

NASA Astrophysics Data System (ADS)

Clark, S.; Negueruela, I.; Ritchie, B.; Najarro, P.; Langer, N.; Crowther, P.; Bartlett, L.; Fenech, D.; González-Fernández, C.; Goodwin, S.; Lohr, M.; Prinja, R.

2015-03-01

Westerlund 1 provides a unique opportunity to probe the physics of massive stars, from birth to death and beyond, as well as the formation and evolution of a super star cluster that appears destined to evolve into a globular cluster. We highlight the result of current studies of this cluster, its diverse stellar constituents and immediate environment, concluding with a summary of future research avenues enabled by ESO facilities.

Influence of processing steps in cold-smoked salmon production on survival and growth of persistent and presumed non-persistent Listeria monocytogenes.

PubMed

Porsby, Cisse Hedegaard; Vogel, Birte Fonnesbech; Mohr, Mona; Gram, Lone

2008-03-20

Cold-smoked salmon is a ready-to-eat product in which Listeria monocytogenes sometimes can grow to high numbers. The bacterium can colonize the processing environment and it is believed to survive or even grow during the processing steps. The purpose of the present study was to determine if the steps in the processing of cold-smoked salmon affect survival and subsequent growth of a persistent strain of L. monocytogenes to a lesser degree than presumed non-persistent strains. We used a sequence of experiments increasing in complexity: (i) small salmon blocks salted, smoked or dried under model conditions, (ii) fillets of salmon cold-smoked in a pilot plant and finally, (iii) assessment of the bacterial levels before and after processing during commercial scale production. L. monocytogenes proliferated on salmon blocks that were brined or dipped in liquid smoke and left at 25 degrees C in a humidity chamber for 24 h. However, combining brining and liquid smoke with a drying (25 degrees C) step reduced the bacterium 10-100 fold over a 24 h period. Non-salted, brine injected or dry salted salmon fillets were surface inoculated with L. monocytogenes and cold-smoked in a pilot plant. L. monocytogenes was reduced from 10(3) to 10-10(2) CFU/cm(2) immediately after cold-smoking. The greatest reductions were observed in dry salted and brine injected fillets as compared to cold-smoking of non-salted fresh fillets. Levels of L. monocytogenes decreased further when the cold-smoked fish was vacuum-packed and stored at 5 degrees C. A similar decline was seen when inoculating brine injected fillets after cold-smoking. High phenol concentrations are a likely cause of this marked growth inhibition. In a commercial production facility, the total viable count of salmon fillets was reduced 10-1000 fold by salting, cold-smoking and process-freezing (a freezing step after smoking and before slicing). The prevalence of L. monocytogenes in the commercial production facility was too low to determine any quantitative effects, however, one of nine samples was positive before processing and none after. Taken together, the processing steps involved in cold-smoking of salmon are bactericidal and reduce, but do not eliminate L. monocytogenes. A persistent strain was no less sensitive to the processing steps than a clinical strain or strain EGD.

Can a quality improvement project impact maternal and child health outcomes at scale in northern Ghana?

PubMed

Singh, Kavita; Brodish, Paul; Speizer, Ilene; Barker, Pierre; Amenga-Etego, Issac; Dasoberi, Ireneous; Kanyoke, Ernest; Boadu, Eric A; Yabang, Elma; Sodzi-Tettey, Sodzi

2016-06-16

Quality improvement (QI) interventions are becoming more common in low- and middle-income countries, yet few studies have presented impact evaluations of these approaches. In this paper, we present an impact evaluation of a scale-up phase of 'Project Fives Alive!', a QI intervention in Ghana that aims to improve maternal and child health outcomes. 'Project Fives Alive!' employed a QI methodology to recognize barriers to care-seeking and care provision at the facility level and then to identify, test and implement simple and low-cost local solutions that address the barriers. A quasi-experimental design, multivariable interrupted time series analysis, with data coming from 744 health facilities and controlling for potential confounding factors, was used to study the effect of the project. The key independent variables were the change categories (interventions implemented) and implementation phase - Wave 2a (early phase) versus Wave 2b (later phase). The outcomes studied were early antenatal care (ANC), skilled delivery, facility-level under-five mortality and attendance of underweight infants at child welfare clinics. We stratified the analysis by facility type, namely health posts, health centres and hospitals. Several of the specific change categories were significantly associated with improved outcomes. For example, three of five change categories (early ANC, four or more ANC visits and skilled delivery/immediate postnatal care (PNC)) for health posts and two of five change categories (health education and triage) for hospitals were associated with increased skilled delivery. These change categories were associated with increases in skilled delivery varying from 28% to 58%. PNC changes for health posts and health centres were associated with greater attendance of underweight infants at child welfare clinics. The triage change category was associated with increased early antenatal care in hospitals. Intensity, the number of change categories tested, was associated with increased skilled delivery in health centres and reduced under-five mortality in hospitals. Using an innovative evaluation technique we determined that 'Project Fives Alive!' demonstrated impact at scale for the outcomes studied. The QI approach used by this project should be considered by other low- and middle-income countries in their efforts to improve maternal and child health.

Geological Disposal of Nuclear Waste: Investigating the Thermo-Hygro-Mechanical-Chemical (THMC) Coupled Processes at the Waste Canister- Bentonite Barrier Interface

NASA Astrophysics Data System (ADS)

Davies, C. W.; Davie, D. C.; Charles, D. A.

2015-12-01

Geological disposal of nuclear waste is being increasingly considered to deal with the growing volume of waste resulting from the nuclear legacy of numerous nations. Within the UK there is 650,000 cubic meters of waste safely stored and managed in near-surface interim facilities but with no conclusive permanent disposal route. A Geological Disposal Facility with incorporated Engineered Barrier Systems are currently being considered as a permanent waste management solution (Fig.1). This research focuses on the EBS bentonite buffer/waste canister interface, and experimentally replicates key environmental phases that would occur after canister emplacement. This progresses understanding of the temporal evolution of the EBS and the associated impact on its engineering, mineralogical and physicochemical state and considers any consequences for the EBS safety functions of containment and isolation. Correlation of engineering properties to the physicochemical state is the focus of this research. Changes to geotechnical properties such as Atterberg limits, swelling pressure and swelling kinetics are measured after laboratory exposure to THMC variables from interface and batch experiments. Factors affecting the barrier, post closure, include corrosion product interaction, precipitation of silica, near-field chemical environment, groundwater salinity and temperature. Results show that increasing groundwater salinity has a direct impact on the buffer, reducing swelling capacity and plasticity index by up to 80%. Similarly, thermal loading reduces swelling capacity by 23% and plasticity index by 5%. Bentonite/steel interaction studies show corrosion precipitates diffusing into compacted bentonite up to 3mm from the interface over a 4 month exposure (increasing with temperature), with reduction in swelling capacity in the affected zone, probably due to the development of poorly crystalline iron oxides. These results indicate that groundwater conditions, temperature and corrosion may affect the engineering performance of the bentonite buffer such that any interfaces between bentonite blocks that may be present immediately following buffer emplacement may persist in the longer term.

Velocity, force, power, and Ca2+ sensitivity of fast and slow monkey skeletal muscle fibers

NASA Technical Reports Server (NTRS)

Fitts, R. H.; Bodine, S. C.; Romatowski, J. G.; Widrick, J. J.

1998-01-01

In this study, we determined the contractile properties of single chemically skinned fibers prepared from the medial gastrocnemius (MG) and soleus (Sol) muscles of adult male rhesus monkeys and assessed the effects of the spaceflight living facility known as the experiment support primate facility (ESOP). Muscle biopsies were obtained 4 wk before and immediately after an 18-day ESOP sit, and fiber type was determined by immunohistochemical techniques. The MG slow type I fiber was significantly smaller than the MG type II, Sol type I, and Sol type II fibers. The ESOP sit caused a significant reduction in the diameter of type I and type I/II (hybrid) fibers of Sol and MG type II and hybrid fibers but no shift in fiber type distribution. Single-fiber peak force (mN and kN/m2) was similar between fiber types and was not significantly different from values previously reported for other species. The ESOP sit significantly reduced the force (mN) of Sol type I and MG type II fibers. This decline was entirely explained by the atrophy of these fiber types because the force per cross-sectional area (kN/m2) was not altered. Peak power of Sol and MG fast type II fiber was 5 and 8.5 times that of slow type I fiber, respectively. The ESOP sit reduced peak power by 25 and 18% in Sol type I and MG type II fibers, respectively, and, for the former fiber type, shifted the force-pCa relationship to the right, increasing the Ca2+ activation threshold and the free Ca2+ concentration, eliciting half-maximal activation. The ESOP sit had no effect on the maximal shortening velocity (Vo) of any fiber type. Vo of the hybrid fibers was only slightly higher than that of slow type I fibers. This result supports the hypothesis that in hybrid fibers the slow myosin heavy chain would be expected to have a disproportionately greater influence on Vo.

Immediate therapist self-disclosure bolsters the effect of brief integrative psychotherapy on psychiatric symptoms and the perceptions of therapists: A randomized clinical trial.

PubMed

Ziv-Beiman, Sharon; Keinan, Giora; Livneh, Elad; Malone, Patrick S; Shahar, Golan

2017-09-01

We report a first randomized clinical trial examining the effect of immediate and non-immediate therapist self-disclosure in the context of a brief integrative psychotherapy for mild to moderate distress. A total of 86 patients with mild to moderate forms of distress were randomly divided into three 12-session integrative psychotherapy conditions based primarily on [Hill, C. E. (2009). Helping skills: Facilitating, exploration, insight, and action (3rd ed.). Washington, DC: American Psychological Association.] three-stage model. Therapists trained in this treatment modality were instructed to use either immediate self-disclosure (expressing feelings towards the patient/treatment/therapeutic relationship) or non-immediate self-disclosure (expressing personal or factual information regarding the therapist's life outside the treatment). In the comparison condition, the therapists were instructed to refrain from self-disclosure altogether. Immediate therapist self-disclosure reduced psychiatric symptoms among patients with elevated pretreatment symptoms (as assessed by the Brief Symptoms Inventory) and bolstered a favorable perception of the therapist. Therapists in both the immediate and non-immediate self-disclosure group evaluated themselves more favorably than their counterparts in the non-disclosure group. Therapist self-disclosure, particularly of the immediate type, might enhance the effect of brief integrative treatment on psychiatric symptoms of high symptomatic patients and contribute to favorable perception of therapists.

Dynamic high energy density plasma environments at the National Ignition Facility for nuclear science research

NASA Astrophysics Data System (ADS)

Cerjan, Ch J.; Bernstein, L.; Berzak Hopkins, L.; Bionta, R. M.; Bleuel, D. L.; Caggiano, J. A.; Cassata, W. S.; Brune, C. R.; Frenje, J.; Gatu-Johnson, M.; Gharibyan, N.; Grim, G.; Hagmann, Chr; Hamza, A.; Hatarik, R.; Hartouni, E. P.; Henry, E. A.; Herrmann, H.; Izumi, N.; Kalantar, D. H.; Khater, H. Y.; Kim, Y.; Kritcher, A.; Litvinov, Yu A.; Merrill, F.; Moody, K.; Neumayer, P.; Ratkiewicz, A.; Rinderknecht, H. G.; Sayre, D.; Shaughnessy, D.; Spears, B.; Stoeffl, W.; Tommasini, R.; Yeamans, Ch; Velsko, C.; Wiescher, M.; Couder, M.; Zylstra, A.; Schneider, D.

2018-03-01

The generation of dynamic high energy density plasmas in the pico- to nano-second time domain at high-energy laser facilities affords unprecedented nuclear science research possibilities. At the National Ignition Facility (NIF), the primary goal of inertial confinement fusion research has led to the synergistic development of a unique high brightness neutron source, sophisticated nuclear diagnostic instrumentation, and versatile experimental platforms. These novel experimental capabilities provide a new path to investigate nuclear processes and structural effects in the time, mass and energy density domains relevant to astrophysical phenomena in a unique terrestrial environment. Some immediate applications include neutron capture cross-section evaluation, fission fragment production, and ion energy loss measurement in electron-degenerate plasmas. More generally, the NIF conditions provide a singular environment to investigate the interplay of atomic and nuclear processes such as plasma screening effects upon thermonuclear reactivity. Achieving enhanced understanding of many of these effects will also significantly advance fusion energy research and challenge existing theoretical models.

Impact of Facility- and Community-Based Peer Support Models on Maternal Uptake and Retention in Malawi's Option B+ HIV Prevention of Mother-to-Child Transmission Program: A 3-Arm Cluster Randomized Controlled Trial (PURE Malawi).

PubMed

Phiri, Sam; Tweya, Hannock; van Lettow, Monique; Rosenberg, Nora E; Trapence, Clement; Kapito-Tembo, Atupele; Kaunda-Khangamwa, Blessings; Kasende, Florence; Kayoyo, Virginia; Cataldo, Fabian; Stanley, Christopher; Gugsa, Salem; Sampathkumar, Veena; Schouten, Erik; Chiwaula, Levison; Eliya, Michael; Chimbwandira, Frank; Hosseinipour, Mina C

2017-06-01

Many sub-Saharan African countries have adopted Option B+, a prevention of mother-to-child transmission approach providing HIV-infected pregnant and lactating women with immediate lifelong antiretroviral therapy. High maternal attrition has been observed in Option B+. Peer-based support may improve retention. A 3-arm stratified cluster randomized controlled trial was conducted in Malawi to assess whether facility- and community-based peer support would improve Option B+ uptake and retention compared with standard of care (SOC). In SOC, no enhancements were made (control). In facility-based and community-based models, peers provided patient education, support groups, and patient tracing. Uptake was defined as attending a second scheduled follow-up visit. Retention was defined as being alive and in-care at 2 years without defaulting. Attrition was defined as death, default, or stopping antiretroviral therapy. Generalized estimating equations were used to estimate risk differences (RDs) in uptake. Cox proportional hazards regression with shared frailties was used to estimate hazard of attrition. Twenty-one facilities were randomized and enrolled 1269 women: 447, 428, and 394 in facilities that implemented SOC, facility-based, and community-based peer support models, respectively. Mean age was 27 years. Uptake was higher in facility-based (86%; RD: 6%, confidence interval [CI]: -3% to 15%) and community-based (90%; RD: 9%, CI: 1% to 18%) models compared with SOC (81%). At 24 months, retention was higher in facility-based (80%; RD: 13%, CI: 1% to 26%) and community-based (83%; RD: 16%, CI: 3% to 30%) models compared with SOC (66%). Facility- and community-based peer support interventions can benefit maternal uptake and retention in Option B+.

Special Considerations for Mass Violence Events in Senior Living Facilities: A Case Report on the Pinelake Health and Rehab Center Shooting.

PubMed

Martin, Cody; Powell, David

2017-02-01

The 2009 Pinelake Health and Rehab Center shooting in Carthage, North Carolina, presents a unique case study for examining the specific considerations for mass violence events in senior living facilities. A variety of factors, including reduced sensory perception, reduced mobility, and cognitive decline, may increase the vulnerability of the populations of senior living facilities during mass violence events. Management of response aspects such as evacuation, relocation, and reunification also require special consideration in the context of mass violence at senior living facilities. Better awareness of these vulnerabilities and response considerations can assist facility administrators and emergency managers when preparing for potential mass violence events at senior living facilities. (Disaster Med Public Health Preparedness. 2017;11:150-152).

Defensive freezing links Hypothalamic-Pituitary-Adrenal-axis activity and internalizing symptoms in humans.

PubMed

Niermann, Hannah C M; Figner, Bernd; Tyborowska, Anna; van Peer, Jacobien M; Cillessen, Antonius H N; Roelofs, Karin

2017-08-01

The Hypothalamic-Pituitary-Adrenal (HPA)-axis plays an important role in the expression of defensive freezing. Adaptive freezing reactivity, characterized by an immediate increase in acute stress and timely termination upon threat offset or need to act, is essential for adequate stress coping. Blunted HPA-axis activity in animals is associated with blunted freezing reactivity and internalizing symptoms. Despite their potential relevance, it remains unknown whether these mechanisms apply to humans and human psychopathology. Using a well-established method combining electrocardiography and posturography, we assessed freezing before, immediately after, and one hour after a stress induction in 92 human adolescents. In line with animal models, human adolescents showed stress-induced freezing, as quantified by relative reductions in heart rate and body sway after, as compared to before, stress. Moreover, relatively lower basal cortisol was associated with reduced stress-induced freezing reactivity (i.e., less immediate freezing and less recovery). Path analyses showed that decreased freezing recovery in individuals with reduced cortisol levels was associated with increased levels of internalizing symptoms. These findings suggest that reduced freezing recovery may be a promising marker for the etiology of internalizing symptoms. Copyright © 2017 Elsevier Ltd. All rights reserved.

Can exercise ameliorate treatment toxicity during the initial phase of testosterone deprivation in prostate cancer patients? Is this more effective than delayed rehabilitation?

PubMed Central

2012-01-01

Background There has been substantial increase in use of androgen deprivation therapy as adjuvant management of prostate cancer. However, this leads to a range of musculoskeletal toxicities including reduced bone mass and increased skeletal fractures compounded with rapid metabolic alterations, including increased body fat, reduced lean mass, insulin resistance and negative lipoprotein profile, increased incidence of cardiovascular and metabolic morbidity, greater distress and reduced quality of life. Numerous research studies have demonstrated certain exercise prescriptions to be effective at preventing or even reversing these treatment toxicities. However, all interventions to date have been of rehabilitative intent being implemented after a minimum of 3 months since initiation of androgen deprivation, by which time considerable physical and psychological health problems have manifested. The pressing question is whether it is more efficacious to commence exercise therapy at the same time as initiating androgen deprivation, so treatment induced adverse effects can be immediately attenuated or indeed prevented. Methods/design We are proposing a multi-site randomized controlled trial with partial crossover to examine the effects of timing of exercise implementation (immediate or delayed) on preserving long-term skeletal health, reversing short- and long-term metabolic and cardiovascular risk factors, and supporting mental health in men receiving androgen deprivation therapy. 124 men who are about to initiate androgen deprivation for prostate cancer will be randomized to immediate or delayed groups. Immediate will commence a 6-month exercise program within 7–10 days of their first dose. Delayed will receive usual care for 6 months and then commence the exercise program for 6 months (partial cross-over). Immediate will be free to adopt the lifestyle of their choosing following the initial 6-month intervention. Measurements for primary and secondary endpoints will take place at baseline, 6 months and 12 months. Discussion This project is unique as it explores a fundamental question of when exercise implementation will be of most benefit and addresses both physical and psychological consequences of androgen deprivation initiation. The final outcome may be adjunct treatment which will reduce if not prevent the toxicities of androgen deprivation, ultimately resulting in reduced morbidity and mortality for men with prostate cancer. Trial registration ACTRN12612000097842 PMID:23013489

Modern technology for landfill waste placement

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

Hansen, D.L.

1995-12-31

The City of Albany, New York, together with the principals of Landfill Service Corporation, proposed in November 1991 to demonstrate the successful practice of biostabilized solid waste placement in the newly constructed, double composite lined Interim Landfill located at Rapp Road in the City of Albany. This is a small facility, only 12 acres in area, which is immediately adjacent to residential neighbors. Significant advancements have been made for the control of environmental factors (odors, vectors, litter) while successfully achieving waste stabilization and air space conservations goals. Also, the procedure consumes a significant quantity of landfill leachate. The benefits ofmore » this practice include a dramatic improvement in the orderlines of waste placement with significant reduction of windblown dust and litter. The biostabilization process also reduces the presence of typical landfill vectors such as flies, crows, seagulls and rodents. All of these factors can pose serious problems for nearby residents to the City of Albany`s Interim landfill site. The physically and biologically uniform character of the stabilized waste mass can result in more uniform future landfill settlement and gas production properties. This can allow for more accurate prediction of postclosure conditions and reduction or elimination of remedial costs attendant to post closure gross differential settlement. Recent research in Europe indicates that aerobic pretreatment of waste also reduces contaminant loading of leachate.« less

Reduced detection by Ziehl-Neelsen method of acid-fast bacilli in sputum samples preserved in cetylpyridinium chloride solution.

PubMed

Selvakumar, N; Sudhamathi, S; Duraipandian, M; Frieden, T R; Narayanan, P R

2004-02-01

Twelve health facilities implementing the DOTS strategy, and the Tuberculosis Research Centre (TRC), Chennai, India. To determine the detection rates using Ziehl-Neelsen (ZN) and auramine-phenol to stain acid-fast bacilli (AFB) in sputum samples stored in cetylpyridinium chloride (CPC) solution. Two smears were prepared from each of 988 sputum samples collected in CPC and randomly allocated, one to ZN and the other to auramine-phenol staining. All samples were processed for culture of Mycobacterium tuberculosis. A significantly higher proportion of samples were negative using the ZN method compared to the auramine-phenol method (74.5% vs. 61.8%, McNamara's paired chi2 test; P < 0.001). Among 377 samples that were positive using auramine-phenol, 44% were negative using ZN. There were more culture-positive, smear-negative samples in ZN (52.7%) than in auramine-phenol (30%); the difference attained statistical significance (McNemar's paired chi2 test; P < 0.00004). Using ZN, of the 104 smears made immediately after collection, 52 were positive for AFB, of which only 35 (67.3%) were positive after storage in CPC; the reduction in the number of positive smears attained statistical significance (McNemar's paired chi2 test; P = 0.004). Detection of AFB in sputum samples preserved in CPC is significantly reduced using ZN staining.

EMU Shoulder Injury Tiger Team Report

NASA Technical Reports Server (NTRS)

Williams, David R.; Johnson, Brian J.

2003-01-01

The number and complexity of extravehicular activities required for the completion and maintenance of the International Space Station is unprecedented. It is not surprising that training to perform these space walks presents a risk of overuse musculoskeletal injuries. The goal of this tiger team, created in December 2002, was to identify the different factors contributing to the risk of EVA training-related shoulder injury in the Neutral Buoyancy Lab at the Sonny Carter Training Facility and to make recommendations that would either significantly reduce or eliminate those risks. Since 1999, concerns have been expressed about the risk of shoulder injury associated with EVA training at the NBL, particularly in inverted body positions (McMonigal, 1999). A survey was developed and administered to 42 astronauts and astronaut candidates; the results suggest a causal relationship between EVA training at the NBL and the observed injuries. Also, during the tiger team review, it became evident that training in the extravehicular mobility unit may also result in other types of injuries, including fingernail delamination, elbow pain, knee pain, foot pain, and nerve compression leading to transient loss of sensation in certain areas of the upper or lower extremity. A multi-directorate team to detect, evaluate and respond to the medical issues associated with EVA training should be implemented immediately and given the appropriate resources and authority to reduce the risk of injury to crew during training to a level as low as reasonably achievable.

Highly Integrated Quality Assurance – An Empirical Case

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

Drake Kirkham; Amy Powell; Lucas Rich

2011-02-01

Highly Integrated Quality Assurance – An Empirical Case Drake Kirkham1, Amy Powell2, Lucas Rich3 1Quality Manager, Radioisotope Power Systems (RPS) Program, Idaho National Laboratory, P.O. Box 1625 M/S 6122, Idaho Falls, ID 83415-6122 2Quality Engineer, RPS Program, Idaho National Laboratory 3Quality Engineer, RPS Program, Idaho National Laboratory Contact: Voice: (208) 533-7550 Email: Drake.Kirkham@inl.gov Abstract. The Radioisotope Power Systems Program of the Idaho National Laboratory makes an empirical case for a highly integrated Quality Assurance function pertaining to the preparation, assembly, testing, storage and transportation of 238Pu fueled radioisotope thermoelectric generators. Case data represents multiple campaigns including the Pluto/New Horizons mission,more » the Mars Science Laboratory mission in progress, and other related projects. Traditional Quality Assurance models would attempt to reduce cost by minimizing the role of dedicated Quality Assurance personnel in favor of either functional tasking or peer-based implementations. Highly integrated Quality Assurance adds value by placing trained quality inspectors on the production floor side-by-side with nuclear facility operators to enhance team dynamics, reduce inspection wait time, and provide for immediate, independent feedback. Value is also added by maintaining dedicated Quality Engineers to provide for rapid identification and resolution of corrective action, enhanced and expedited supply chain interfaces, improved bonded storage capabilities, and technical resources for requirements management including data package development and Certificates of Inspection. A broad examination of cost-benefit indicates highly integrated Quality Assurance can reduce cost through the mitigation of risk and reducing administrative burden thereby allowing engineers to be engineers, nuclear operators to be nuclear operators, and the cross-functional team to operate more efficiently. Applicability of this case extends to any high-value, long-term project where traceability and accountability are determining factors.« less

Establishment of minimum operational parameters for a high-volume static chamber steam pasteurization system (SPS 400-SC) for beef carcasses to support HACCP programs.

PubMed

Retzlaff, Deanna; Phebus, Randall; Kastner, Curtis; Marsden, James

2005-01-01

A static chamber steam pasteurization unit (SPS 400-SC()) was installed in a high-volume commercial beef slaughter facility. The SPS 400-SC consists of a three-phase carcass treatment cycle of water removal, steam pasteurization, and water chilling. Seven chamber temperatures (71.1, 73.9, 76.7, 79.4, 82.2, 85.0, and 87.8 degrees C) were evaluated at the midline area of pre-rigor beef carcasses. For each temperature evaluated, 20 carcass sides were randomly selected and aseptically sampled by tissue excision immediately before and after steam pasteurization to determine total aerobic bacteria, Enterobacteriaceae, generic E. coli, and total coliform populations. The 87.8 and 85.0 degrees C treatment temperatures were highly effective at reducing total aerobic bacterial populations, with log(10) reductions of 1.4 and 1.5 CFU/cm(2), respectively, from pretreatment mean population levels of 1.7 and 1.9 log10 CFU/cm(2). These temperatures also reduced Enterobacteriaceae, total coliforms, and generic E. coli to undetectable levels (<0.4 CFU/cm(2)) on all carcasses sampled. Treatment at 82.2 was marginally effective at reducing bacterial populations, while 71.1, 73.9, 76.7, and 79.4 degrees C treatments were ineffective at reducing microbial populations. In a Hazard Analysis Critical Control Points (HACCP)-based system employing steam pasteurization of carcasses as a critical control point, a critical limit of 85.0 degrees C as a minimum chamber temperature should be established, with a targeted operating temperature of 87.8 degrees C providing optimum antimicrobial activity.

Quality of clinical care and bypassing of primary health centers in India.

PubMed

Rao, Krishna D; Sheffel, Ashley

2018-06-01

In many low and middle-income countries patients often bypass the nearest government health center offering free or subsidized services and seek more expensive care elsewhere. This study examines the role of quality of care, in particular clinician competence and structural quality of the health center, on bypassing behavior. Data for this study comes from a survey of 136 primary health centers (PHCs) and 3517 individuals living in the PHC's immediate vicinity in rural Chhattisgarh, India. Overall, the majority (67%) of patients bypassed the local PHC when seeking treatment. Bypassing decreased as provider competence increased, up to a point, after which, improvements in competency did not reduce bypassing. The clinical competence of the health care provider had a greater effect on reducing bypassing compared to PHC structural quality such as the building condition and drug stock-outs. However, the regular presence of clinical providers in the PHC was associated with lower bypassing. Patients that visited the local PHC spent half as much out-of-pocket as those that were treated at private clinics. Poor patients were less likely to bypass the local PHC compared to non-poor patients. These findings suggest that improving structural quality is not sufficient to reduce bypassing of PHCs. While better provider competency can substantially reduce bypassing, beyond a threshold competency level there is little effect. Efforts to strengthen facility-based primary care services need to go beyond simply focusing on improving infrastructure or quality of clinical care. There is a need to rethink how PHCs can be made more relevant to the health care needs of the communities they serve. Copyright © 2018 Elsevier Ltd. All rights reserved.

Immediate effect of sukha pranayama on cardiovascular variables in patients of hypertension.

PubMed

Bhavanani, Ananda Balayogi; Sanjay, Zeena; Madanmohan

2011-01-01

Hypertension is one of the most common health disorders, and yoga has been shown to be an effective adjunct therapy in its management. Earlier studies have reported blood pressure (BP)-lowering effects of slow, deep breathing after 3 weeks and 3 months of training and beneficial immediate effects of slow, deep breathing in reducing premature ventricular complexes and lowering blood pressure. None of these immediate studies used the concept of pranayama, involving conscious internal awareness of the whole breathing process. This study was undertaken to determine the immediate cardiovascular effects of sukha pranayama in hypertensive patients. Twenty-three hypertensive patients attending the Yoga OPD at JIPMER were recruited for the study and instructed to perform sukha pranayama for 5 minutes at the rate of 6 breaths/min. This pranayama involves conscious, slow and deep breathing with equal duration for inhalation and exhalation. Heart rate (HR) and BP were recorded before and immediately after the intervention. Post-intervention statistical analysis revealed a significant (p < .05) reduction in HR and a highly significant (p < .001) reduction in systolic pressure, pulse pressure, mean arterial pressure, rate-pressure product, and double product with an insignificant fall in diastolic pressure. It is concluded that sukha pranayama at the rate of 6 breaths/minute can reduce HR and BP in hypertensive patients within 5 minutes of practice. This may be due to a normalization of autonomic cardiovascular rhythms as a result of increased vagal modulation and/or decreased sympathetic activity and improved baroreflex sensitivity. Further studies are required to understand possible mechanisms underlying this beneficial immediate effect and to determine how long such a beneficial effect persists.

THE IMPACT OF EPA'S GREEN POWER PURCHASES

EPA Science Inventory

All federal agencies, including EPA, are required to reduce life-cycle greenhouse gas emissions attributed to facility energy use by 30% below 1990 levels by 2010. A key approach to reducing facility greenhouse gas emissions, employed by EPA, involves the purchase of "green power...

Effects of wastewater disinfection on waterborne bacteria and viruses

USGS Publications Warehouse

Blatchley, E. R.; Gong, W.-L.; Alleman, J.E.; Rose, J.B.; Huffman, D.E.; Otaki, M.; Lisle, J.T.

2007-01-01

Wastewater disinfection is practiced with the goal of reducing risks of human exposure to pathogenic microorganisms. In most circumstances, the efficacy of a wastewater disinfection process is regulated and monitored based on measurements of the responses of indicator bacteria. However, inactivation of indicator bacteria does not guarantee an acceptable degree of inactivation among other waterborne microorganisms (e.g., microbial pathogens). Undisinfected effluent samples from several municipal wastewater treatment facilities were collected for analysis. Facilities were selected to provide a broad spectrum of effluent quality, particularly as related to nitrogenous compounds. Samples were subjected to bench-scale chlorination and dechlorination and UV irradiation under conditions that allowed compliance with relevant discharge regulations and such that disinfectant exposures could be accurately quantified. Disinfected samples were subjected to a battery of assays to assess the immediate and long-term effects of wastewater disinfection on waterborne bacteria and viruses. In general, (viable) bacterial populations showed an immediate decline as a result of disinfectant exposure; however, incubation of disinfected samples under conditions that were designed to mimic the conditions in a receiving stream resulted in substantial recovery of the total bacterial community. The bacterial groups that are commonly used as indicators do not provide an accurate representation of the response of the bacterial community to disinfectant exposure and subsequent recovery in the environment. UV irradiation and chlorination/dechlorination both accomplished measurable inactivation of indigenous phage; however, the extent of inactivation was fairly modest under the conditions of disinfection used in this study. UV irradiation was consistently more effective as a virucide than chlorination/dechlorination under the conditions of application, based on measurements of virus (phage) diversity and concentration. Taken together, and when considered in conjunction with previously published research, the results of these experiments illustrate several important limitations of common disinfection processes as applied in the treatment of municipal wastewaters. In general, it is not clear that conventional disinfection processes, as commonly implemented, are effective for control of the risks of disease transmission, particularly those associated with viral pathogens. Microbial quality in receiving streams may not be substantially improved by the application of these disinfection processes; under some circumstances, an argument can be made that disinfection may actually yield a decrease in effluent and receiving water quality. Decisions regarding the need for effluent disinfection must account for site-specific characteristics, but it is not clear that disinfection of municipal wastewater effluents is necessary or beneficial for all facilities. When direct human contact or ingestion of municipal wastewater effluents is likely, disinfection may be necessary. Under these circumstances, UV irradiation appears to be superior to chlorination in terms of microbial quality and chemistry and toxicology. This advantage is particularly evident in effluents that contain appreciable quantities of ammonia-nitrogen or organic nitrogen.

The Influence of Process Equipment on the Properties of Suspension Plasma Sprayed Yttria-Stabilized Zirconia Coatings

NASA Astrophysics Data System (ADS)

Marr, Michael; Waldbillig, David; Kesler, Olivera

2013-03-01

Suspension plasma-sprayed YSZ coatings were deposited at lab-scale and production-type facilities to investigate the effect of process equipment on coating properties. The target application for these coatings is solid oxide fuel cell (SOFC) electrolytes; hence, dense microstructures with low permeability values were preferred. Both facilities had the same torch but different suspension feeding systems, torch robots, and substrate holders. The lab-scale facility had higher torch-substrate relative speeds compared with the production-type facility. On porous stainless steel substrates, permeabilities and microstructures were comparable for coatings from both facilities, and no segmentation cracks were observed. Coating permeability was further reduced by increasing substrate temperatures during deposition or reducing suspension feed rates. On SOFC cathode substrates, coatings made in the production-type facility had higher permeabilities and more segmentation cracks compared with coatings made in the lab-scale facility. Increased cracking in coatings from the production-type facility was likely caused mainly by its lower torch-substrate relative speed.

Risk factors for heat illness among British soldiers in the hot Collective Training Environment

PubMed Central

Moore, Alice C; Stacey, M J; Bailey, K G H; Bunn, R J; Woods, D R; Haworth, K J; Brett, S J; Folkes, S E F

2016-01-01

Background Heat illness is a preventable disorder in military populations. Measures that protect vulnerable individuals and contribute to effective Immediate Treatment may reduce the impact of heat illness, but depend upon adequate understanding and awareness among Commanders and their troops. Objective To assess risk factors for heat illness in British soldiers deployed to the hot Collective Training Environment (CTE) and to explore awareness of Immediate Treatment responses. Methods An anonymous questionnaire was distributed to British soldiers deployed in the hot CTEs of Kenya and Canada. Responses were analysed to determine the prevalence of individual (Intrinsic) and Command-practice (Extrinsic) risk factors for heat illness and the self-reported awareness of key Immediate Treatment priorities (recognition, first aid and casualty evacuation). Results The prevalence of Intrinsic risk factors was relatively low in comparison with Extrinsic risk factors. The majority of respondents were aware of key Immediate Treatment responses. The most frequently reported factors in each domain were increased risk by body composition scoring, inadequate time for heat acclimatisation and insufficient briefing about casualty evacuation. Conclusions Novel data on the distribution and scale of risk factors for heat illness are presented. A collective approach to risk reduction by the accumulation of ‘marginal gains’ is proposed for the UK military. This should focus on limiting Intrinsic risk factors before deployment, reducing Extrinsic factors during training and promoting timely Immediate Treatment responses within the hot CTE. PMID:26036822

Final closure plan for the high-explosives open burn treatment facility at Lawrence Livermore National Laboratory Experimental Test Site 300

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

Mathews, S.

This document addresses the interim status closure of the HE Open Bum Treatment Facility, as detailed by Title 22, Division 4.5, Chapter 15, Article 7 of the Califonia Code of Regulations (CCR) and by Title 40, Code of Federal Regulations (CFR) Part 265, Subpart G, ``Closure and Post Closure.`` The Closure Plan (Chapter 1) and the Post- Closure Plan (Chapter 2) address the concept of long-term hazard elimination. The Closure Plan provides for capping and grading the HE Open Bum Treatment Facility and revegetating the immediate area in accordance with applicable requirements. The Closure Plan also reflects careful consideration ofmore » site location and topography, geologic and hydrologic factors, climate, cover characteristics, type and amount of wastes, and the potential for contaminant migration. The Post-Closure Plan is designed to allow LLNL to monitor the movement, if any, of pollutants from the treatment area. In addition, quarterly inspections will ensure that all surfaces of the closed facility, including the cover and diversion ditches, remain in good repair, thus precluding the potential for contaminant migration.« less

KSC-04PD-0243

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. A helicopter rescue team carries another injured astronaut to a helicopter for transportation to a local hospital. They are all taking part in a Mode VII emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Ohio Senator John Glenn tours the SPACEHAB Payload Processing Facility in Cape Canaveral

NASA Technical Reports Server (NTRS)

1998-01-01

Ohio Senator John Glenn, center, enjoys a tour of the SPACEHAB Payload Processing Facility in Cape Canaveral. On his immediate left is Dale Steffey, SPACEHAB vice president, operations, and at the right of the photograph is Michael Lounge, SPACEHAB vice president, flight systems development. Senator Glenn arrived at KSC on Jan. 20 to tour KSC operational areas and to view the launch of STS-89 later this week. Glenn, who made history in 1962 as the first American to orbit the Earth, completing three orbits in a five-hour flight aboard Friendship 7, will fly his second space mission aboard Space Shuttle Discovery this October. Glenn is retiring from the Senate at the end of this year and will be a payload specialist aboard STS-95.

Soft x-ray scattering facility at the Advanced Light Source with real-time data processing and analysis

NASA Astrophysics Data System (ADS)

Gann, E.; Young, A. T.; Collins, B. A.; Yan, H.; Nasiatka, J.; Padmore, H. A.; Ade, H.; Hexemer, A.; Wang, C.

2012-04-01

We present the development and characterization of a dedicated resonant soft x-ray scattering facility. Capable of operation over a wide energy range, the beamline and endstation are primarily used for scattering from soft matter systems around the carbon K-edge (˜285 eV). We describe the specialized design of the instrument and characteristics of the beamline. Operational characteristics of immediate interest to users such as polarization control, degree of higher harmonic spectral contamination, and detector noise are delineated. Of special interest is the development of a higher harmonic rejection system that improves the spectral purity of the x-ray beam. Special software and a user-friendly interface have been implemented to allow real-time data processing and preliminary data analysis simultaneous with data acquisition.

KSC-03pd0578

NASA Image and Video Library

2003-03-04

KENNEDY SPACE CENTER, FLA. -- -- Lifting their shovels for the groundbreaking of the Operations Support Building II are (left to right) Bill Pickavance, Vice President & Deputy Program Manager Florida Operations, United Space Alliance; Mike Wetmore, director of Shuttle Processing; Miguel Morales, chief, Facilities Division, Spaceport Services; Mike Sumner, chief of operations, Spaceport Services; David Wolfberg, designer of the facility, with Architect and Engineers Wolfberg, Alvarez and Partners of Coral Gables; Roy Bridges, KSC director; and Don Minderman, OSB II project manager, Spaceport Services. Not shown: David Boland, David Boland Inc.(construction company). The new building will replace modular housing constructed more than 20 years ago and house NASA and contractor support staff for shuttle operations. The demolition of the modular buildings has begun and construction will immediately follow. The new structure is projected to be ready in April 2005.

KSC-03PD-0578

NASA Technical Reports Server (NTRS)

2003-01-01

KENNEDY SPACE CENTER, FLA. -- -- Lifting their shovels for the groundbreaking of the Operations Support Building II are (left to right) Bill Pickavance, Vice President & Deputy Program Manager Florida Operations, United Space Alliance; Mike Wetmore, director of Shuttle Processing; Miguel Morales, chief, Facilities Division, Spaceport Services; Mike Sumner, chief of operations, Spaceport Services; David Wolfberg, designer of the facility, with Architect and Engineers Wolfberg, Alvarez and Partners of Coral Gables; Roy Bridges, KSC director; and Don Minderman, OSB II project manager, Spaceport Services. Not shown: David Boland, David Boland Inc.(construction company). The new building will replace modular housing constructed more than 20 years ago and house NASA and contractor support staff for shuttle operations. The demolition of the modular buildings has begun and construction will immediately follow. The new structure is projected to be ready in April 2005.

A campaign to reduce impaired driving through retail-oriented enforcement in Washington State

DOT National Transportation Integrated Search

2008-04-01

The Washington State Liquor Control Board (WSLCB) launched its DUI Reduction Program in 2002 with the immediate goal of reducing sales to intoxicated people through enforcement directed at bars and restaurants. The program targets those establishment...

Reducing newborn mortality in the Asia-Pacific region: Quality hospital services and community-based care.

PubMed

Milner, Kate M; Duke, Trevor; Bucens, Ingrid

2013-07-01

Improving newborn health and survival is an essential part of progression toward Millennium Development Goal 4 in the World Health Organization Western Pacific and South East Asian regions. Both community and facility-based services are required. Strategies to improve the quality of care provided for newborns in health clinics and district- and referral-level hospitals have been relatively neglected in most countries in the region and in the published literature. Indirect historical evidence suggests that improving facility-based care will be an increasing priority for improving newborn survival in Asia and the Pacific as newborn mortality rates decrease and health systems contexts change. There are deficiencies in many aspects of newborn care, including immediate care and care for seriously ill newborns, which contribute substantially to regional newborn morbidity and mortality. We propose a practical quality improvement approach, based on models and standards of newborn care for primary-, district- and referral-level heath facilities and incorporated within existing maternal, newborn and child health programmes. There are examples where such approaches are being used effectively. There is a need to produce more nurses, community health workers and doctors with skills in care of the well and the sick newborn, and there are World Health Organization models of training to support this, including guidelines on emergency obstetric and newborn care and the Pocket Book of Hospital Care for Children. There are also simple data collection and analysis programmes that can assist in auditing outcomes, problem identification and health services planning. Finally, with increased survival rates there are gaps in follow-up care for newborns at high risk of long-term health and developmental impairments, and addressing this will be necessary to ensure optimal developmental and health outcomes for these children. © 2013 The Authors. Journal of Paediatrics and Child Health © 2013 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

Mammalian Toxicology Testing: Problem Definition Study. Capability Modules.

DTIC Science & Technology

1981-04-01

Department of the Army position unless so designated by other authorized documents 82 U, - 042 SECURITY CLASSIFICATION OF THIS PAGE (When Daoes ntoree0...immediate to ten or more years in the future. Of the many assumptions used, a major one was not to design the Facility for a specific capability, capacity or... design flexibility and to establish capability option. This will enable the Army’s decision-makers the greatest latitude in selecting the final

American Indian Access to Department of Defense Facilities: Source Documents and Bibliography (Legacy Resource Management Program)

DTIC Science & Technology

1993-09-01

who under the terms of the Archeological and Historic Preservation Act must respond within 48 hours of notification. The DCA may render an immediate...1965 The Surviving Chumash. UCLA Archaeological Survey Annual Reports 65:277-302. Grant, Campbell 1973a Chuirash: Introduction. In R.F. Heizer , ed...Coastal Chumash. In R.F. Heizer , et., California. Volume 8, Handbook of North American"Indians, William C. Sturtevant, General Editor. Washington

From diagnosis to case investigation for malaria elimination in Swaziland: is reporting and response timely?

PubMed Central

Zulu, Z.; Kunene, S.; Geoffroy, E.; Ntshalintshali, N.; Owiti, P.; Sikhondze, W.; Makadzange, K.; Zachariah, R.

2018-01-01

Background: Swaziland is one of the southern African countries that aim to eliminate malaria by 2020. In 2010, the country introduced an Immediate Disease Notification System (IDNS) for immediate reporting of notifiable diseases, including malaria. Health facilities are to report malaria cases within 24 h through a toll-free telephone number (977), triggering an alert for case investigation at the patient's household within 48 h. We assessed the completeness of reporting in the IDNS, the subsequent case investigation, and whether it was done within the stipulated timelines. Methods: A cross-sectional study using routine country-wide data. Results: Of 1991 malaria cases notified between July 2011 and June 2015, 76% were reported in the IDNS, of which 68% were investigated—a shortfall of 24% in reporting and 32% in case investigations. Of the 76% of cases reported through the IDNS, 62% were reported within 24 h and 20% were investigated within 48 h. These shortcomings were most pronounced in hospitals and private facilities. Investigated cases (n = 1346) were classified as follows: 60% imported, 35% local and 5% undetermined. Conclusion: The utilisation of the IDNS for case reporting to trigger investigation is crucial for active surveillance. There is a need to address the reporting and investigation gaps identified to ensure that malaria cases receive appropriate interventions. PMID:29713587

Effects of EMF emissions from undersea electric cables on coral reef fish.

PubMed

Kilfoyle, Audie K; Jermain, Robert F; Dhanak, Manhar R; Huston, Joseph P; Spieler, Richard E

2018-01-01

The objective of this study was to determine if electromagnetic field (EMF) emissions from undersea power cables impacted local marine life, with an emphasis on coral reef fish. The work was done at the South Florida Ocean Measurement Facility of Naval Surface Warfare Center in Broward County, Florida, which has a range of active undersea detection and data transmission cables. EMF emissions from a selected cable were created during non-destructive visual fish surveys on SCUBA. During surveys, the transmission of either alternating current (AC), direct current (DC), or none (OFF) was randomly initiated by the facility at a specified time. Visual surveys were conducted using standardized transect and point-count methods to acquire reef fish abundances and species richness prior to and immediately after a change in transmission frequency. The divers were also tasked to note the reaction of the reef fish to the immediate change in EMF during a power transition. In general, analysis of the data did not find statistical differences among power states and any variables. However, this may be a Type II error as there are strong indications of a potential difference of a higher abundance of reef fish at the sites when the power was off, and further study is warranted. Bioelectromagnetics. 39:35-52, 2018. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

75 FR 54627 - Best Management Practices for Unused Pharmaceuticals at Health Care Facilities

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-08

... at Health Care Facilities AGENCY: Environmental Protection Agency (EPA). ACTION: Notice. SUMMARY: EPA... Unused Pharmaceuticals at Health Care Facilities. The guidance is targeted at hospitals, medical clinics... drafted a guidance document for health care facilities, which describes: Techniques for reducing or...

Why Integrate Educational and Community Facilities?

ERIC Educational Resources Information Center

Fessas-Emmanouil, Helen D.

1978-01-01

Discusses coordination of educational and community facilities in order to encourage more rational investments and more efficient use of premises. Such coordination may reduce the economic burden imposed upon citizens for the provision of separate facilities for school and community. However, implementation of such a facility presupposes radical…

Model-Scale Aerodynamic Performance Testing of Proposed Modifications to the NASA Langley Low Speed Aeroacoustic Wind Tunnel

NASA Technical Reports Server (NTRS)

Booth, Earl R., Jr.; Coston, Calvin W., Jr.

2005-01-01

Tests were performed on a 1/20th-scale model of the Low Speed Aeroacoustic Wind Tunnel to determine the performance effects of insertion of acoustic baffles in the tunnel inlet, replacement of the existing collector with a new collector design in the open jet test section, and addition of flow splitters to the acoustic baffle section downstream of the test section. As expected, the inlet baffles caused a reduction in facility performance. About half of the performance loss was recovered by addition the flow splitters to the downstream baffles. All collectors tested reduced facility performance. However, test chamber recirculation flow was reduced by the new collector designs and shielding of some of the microphones was reduced owing to the smaller size of the new collector. Overall performance loss in the facility is expected to be a 5 percent top flow speed reduction, but the facility will meet OSHA limits for external noise levels and recirculation in the test section will be reduced.

Infection control in delivery care units, Gujarat state, India: A needs assessment

PubMed Central

2011-01-01

Background Increasingly, women in India attend health facilities for childbirth, partly due to incentives paid under government programs. Increased use of health facilities can alleviate the risks of infections contracted in unhygienic home deliveries, but poor infection control practices in labour and delivery units also cause puerperal sepsis and other infections of childbirth. A needs assessment was conducted to provide information on procedures and practices related to infection control in labour and delivery units in Gujarat state, India. Methods Twenty health care facilities, including private and public primary health centres and referral hospitals, were sampled from two districts in Gujarat state, India. Three pre-tested tools for interviewing and for observation were used. Data collection was based on existing infection control guidelines for clean practices, clean equipment, clean environment and availability of diagnostics and treatment. The study was carried out from April to May 2009. Results Seventy percent of respondents said that standard infection control procedures were followed, but a written procedure was only available in 5% of facilities. Alcohol rubs were not used for hand cleaning and surgical gloves were reused in over 70% of facilities, especially for vaginal examinations in the labour room. Most types of equipment and supplies were available but a third of facilities did not have wash basins with "hands-free" taps. Only 15% of facilities reported that wiping of surfaces was done immediately after each delivery in labour rooms. Blood culture services were available in 25% of facilities and antibiotics are widely given to women after normal delivery. A few facilities had data on infections and reported rates of 3% to 5%. Conclusions This study of current infection control procedures and practices during labour and delivery in health facilities in Gujarat revealed a need for improved information systems, protocols and procedures, and for training and research. Simply incentivizing the behaviour of women to use health facilities for childbirth via government schemes may not guarantee safe delivery. PMID:21599924

Reduction of Tunnel Dynamics at the National Transonic Facility (Invited)

NASA Technical Reports Server (NTRS)

Kilgore, W. A.; Balakrishna, S.; Butler, D. H.

2001-01-01

This paper describes the results of recent efforts to reduce the tunnel dynamics at the National Transonic Facility. The results presented describe the findings of an extensive data analysis, the proposed solutions to reduce dynamics and the results of implementing these solutions. These results show a 90% reduction in the dynamics around the model support structure and a small impact on reducing model dynamics. Also presented are several continuing efforts to further reduce dynamics.

Life-Cycle Assessments of Selected NASA Ground-Based Test Facilities

NASA Technical Reports Server (NTRS)

Sydnor, George Honeycutt

2012-01-01

In the past two years, two separate facility-specific life cycle assessments (LCAs) have been performed as summer student projects. The first project focused on 13 facilities managed by NASA s Aeronautics Test Program (ATP), an organization responsible for large, high-energy ground test facilities that accomplish the nation s most advanced aerospace research. A facility inventory was created for each facility, and the operational-phase carbon footprint and environmental impact were calculated. The largest impacts stemmed from electricity and natural gas used directly at the facility and to generate support processes such as compressed air and steam. However, in specialized facilities that use unique inputs like R-134a, R-14, jet fuels, or nitrogen gas, these sometimes had a considerable effect on the facility s overall environmental impact. The second LCA project was conducted on the NASA Ames Arc Jet Complex and also involved creating a facility inventory and calculating the carbon footprint and environmental impact. In addition, operational alternatives were analyzed for their effectiveness at reducing impact. Overall, the Arc Jet Complex impact is dominated by the natural-gas fired boiler producing steam on-site, but alternatives were provided that could reduce the impact of the boiler operation, some of which are already being implemented. The data and results provided by these LCA projects are beneficial to both the individual facilities and NASA as a whole; the results have already been used in a proposal to reduce carbon footprint at Ames Research Center. To help future life cycle projects, several lessons learned have been recommended as simple and effective infrastructure improvements to NASA, including better utility metering and data recording and standardization of modeling choices and methods. These studies also increased sensitivity to and appreciation for quantifying the impact of NASA s activities.

Can experiential-didactic training improve clinical STD practices?

PubMed

Dreisbach, Susan; Devine, Sharon; Fitch, John; Anderson, Teri; Lee, Terry; Rietmeijer, Cornelis; Corbett, Kitty K

2011-06-01

High rates of sexually transmitted diseases (STDs) present an ongoing costly public health challenge. One approach to reduce STD transmission is to increase the number of clinicians adopting the Centers for Disease Control and Prevention's STD Treatment Guidelines. This evaluation assesses the effectiveness of a 3-day experiential and didactic training to translate recommendations into practice by increasing clinician knowledge and skills and helping participants anticipate and overcome barriers to implementation. Between 2001 and 2004, 110 direct care clinicians from 10 states participated in one of 27 standardized 3-day interactive trainings offered by the Denver STD/human immunodeficiency virus (HIV) Prevention Training Center. STD/HIV knowledge and clinical skills were measured before, immediately after, and 6 months after training. Practice patterns were assessed before training and after 6 months. Structural barriers to implementation were identified 6 months post-training. Trainees demonstrated significant post-training gains in mean knowledge scores immediately post-training (P < 0.001) and 6 months post-training (P = 0.002). After 6 months, self-reported mean skill levels remained significantly improved compared to precourse (P < 0.05) for each of 27 skills including STD risk assessment, clinical examination, diagnosis, and treatment. Self-reported improvement in practice patterns was significant for 23 of 35 practices (P < 0.05) 6 months post-training. Participants indicated that inadequate time (52.9%), facilities/equipment (51.5%), and staffing (47.1%) interfered with implementation of recommended practices. Experiential-didactic STD/HIV training can modestly improve knowledge, clinical skills, and implementation of STD recommended practices 6 months after training. Further research is needed to identify the impact of improved clinical practices on STD/HIV transmission.

Implementation of an Initial Training Program for New Employees in a Profoundly Mentally and Physically Handicapped Children and Adult Residential Facility.

ERIC Educational Resources Information Center

Hoeft, Linda A.

A project was designed to reduce the turnover of direct care staff in a community-based residential facility that provides a home and educational or adult day training services for 54 severely or profoundly mentally and physically handicapped children and adults. The project sought to reduce total staff turnover by 40%, reduce employee…

Burnable absorber arrangement for fuel bundle

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

Crowther, R.L.; Townsend, D.B.

1986-12-16

This patent describes a boiling water reactor core whose operation is characterized by a substantial proportion of steam voids with concomitantly reduced moderation toward the top of the core when the reactor is in its hot operating condition. The reduced moderation leads to slower burnup and greater conversion ratio in an upper core region so that when the reactor is in its cold shut down condition the resulting relatively increased moderation in the upper core region is accompanied by a reactivity profile that peaks in the upper core region. A fuel assembly is described comprising; a component of fissile materialmore » distributed over a substantial axial extent of the fuel assembly; and a component of neutron absorbing material having an axial distribution characterized by an enhancement in an axial zone of the fuel assembly, designated the cold shutdown control zone, corresponding to at least a portion of the axial region of the core when the cold shutdown reactivity peaks. The aggregate amount of neutron absorbing material in the cold shutdown zone of the fuel assembly is greater than the aggregate amount of neutron absorbing material in the axial zones of the fuel assembly immediately above and immediately below the cold shutdown control zone whereby the cold shutdown reactivity peak is reduced relative to the cold shutdown reactivity in the zones immediately above and immediately below the cold shutdown control zone. The cold shutdown zone has an axial extent measured from the bottom of the fuel assembly in the range between 68-88 percent of the height of the fissile material in the fuel assembly.« less

The autophagy marker LC3 strongly predicts immediate mortality after surgical resection for hepatocellular carcinoma.

PubMed

Lin, Chih-Wen; Lin, Chih-Che; Lee, Po-Huang; Lo, Gin-Ho; Hsieh, Pei-Min; Koh, Kah Wee; Lee, Chih-Yuan; Chen, Yao-Li; Dai, Chia-Yen; Huang, Jee-Fu; Chuang, Wang-Long; Chen, Yaw-Sen; Yu, Ming-Lung

2017-11-03

The remnant liver's ability to regenerate may affect post-hepatectomy immediate mortality. The promotion of autophagy post-hepatectomy could enhance liver regeneration and reduce mortality. This study aimed to identify predictive factors of immediate mortality after surgical resection for hepatocellular carcinoma (HCC). A total of 535 consecutive HCC patients who had undergone their first surgical resection in Taiwan were enrolled between 2010 and 2014. Clinicopathological data and immediate mortality, defined as all cause-mortality within three months after surgery, were analyzed. The expression of autophagy proteins (LC3, Beclin-1, and p62) in adjacent non-tumor tissues was scored by immunohistochemical staining. Approximately 5% of patients had immediate mortality after surgery. The absence of LC3, hypoalbuminemia (<3.5 g/dl), high alanine aminotransferase, and major liver surgery were significantly associated with immediate mortality in univariate analyses. Multivariate logistic regression demonstrated that absence of LC3 (hazard ratio/95% confidence interval: 40.8/5.14-325) and hypoalbuminemia (2.88/1.11-7.52) were significantly associated with immediate mortality. The 3-month cumulative incidence of mortality was 12.1%, 13.0%, 21.4% and 0.4%, respectively, among patients with absence of LC3 expression, hypoalbuminemia, both, or neither of the two. In conclusion, the absence of LC3 expression in adjacent non-tumor tissues and hypoalbuminemia were strongly predictive of immediate mortality after resection for HCC.

Immediate vs non-immediate loading post-extractive implants: a comparative study of implant stability quotient (ISQ)

PubMed Central

MILILLO, L.; FIANDACA, C.; GIANNOULIS, F.; OTTRIA, L.; LUCCHESE, A.; SILVESTRE, F.; PETRUZZI, M.

2016-01-01

SUMMARY Purpose This study aims to evaluate differences in implant stability between post-extractive implants vs immediately placed post-extractive implants by resonance frequency analysis (RFA). Materials and methods Patients were grouped into two different categories. In Group A 10 patients had an immediate post-extractive implant, then a provisional, acrylic resin crown was placed (immediate loading). In Group B (control group) 10 patients only had an immediate post-extractive implant. Both upper and lower premolars were chosen as post-extractive sites. Implant Stability Quotient (ISQ) was measured thanks to RFA measurements (Osstell®). Five intervals were considered: immediately after surgery (T0) and every four weeks, until five months after implant placement (T1, T2, T3, T4,T5). A statistical analysis by means of Student’s T-test (significance set at p<0.05) for independent sample was carried out in order to compare Groups A and B. Results The ISQ value between the two groups showed a statistically significant difference (p<0.02) at T1. No statistically significant difference in ISQ was assessed at T0, T2, T3, T4 and T5. Conclusions After clinical assessment it is possible to confirm that provisional and immediate prosthetic surgery in post-extraction sites with cone-shaped implants, platform-switching abutment and bioactive surface can facilitate osseointegration, reducing healing time. PMID:28042440

Design Process Overview

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

Halkjaer-Knudsen, Vibeke

2014-11-01

For the purposes of this paper, a Biocontainment facility is a laboratory, production facility, or similar building that handles contagious biological materials in a safe and responsible manner. This specialized facility, also called a containment facility or a high containment facility reduces the potential for biological agents to be released into the environment, provides a safe work environment for the employees, and supports good laboratory practices.

Trends in Maternity Care Practice Skin-to-Skin Contact Indicators: United States, 2007-2015.

PubMed

Boundy, Ellen O; Perrine, Cria G; Barrera, Chloe M; Li, Ruowei; Hamner, Heather C

2018-05-21

Mother-infant skin-to-skin contact (SSC) immediately after birth helps transition infants to the post-uterine environment and increases the likelihood of breastfeeding initiation and duration. This study examines trends in U.S. maternity practices related to SSC, and variations by facility demographics. Data were from the Maternity Practices in Infant Nutrition and Care (mPINC) surveys (2007-2015), a biennial assessment of all U.S. maternity facilities. Facilities reported how often patients were encouraged to practice mother-infant SSC for ≥30 minutes within 1 hour of uncomplicated vaginal birth and 2 hours of uncomplicated cesarean birth, and how often routine infant procedures are performed while in SSC. We calculated the percentage of maternity facilities reporting these indicators for ≥90% of patients across the United States for each survey year. Estimates by facility characteristics (size, type, and state) were calculated for 2015 only. The percentage of facilities reporting "Most (≥90%)" women, which were encouraged to practice early SSC, increased from 2007 to 2015 following both vaginal (40.4% to 83.0%) and cesarean (29.3% to 69.9%) births. The percentage of facilities reporting routine infant procedures were performed "Almost always (≥90%)," while mother and infant were SSC increased from 16.6% to 49.5% (2007 to 2015) for vaginal births and from 2.2% to 10.7% (2009 to 2015) for cesarean births. Variations in SSC practice by facility type, size, and state were noted. Significant progress has been made in increasing hospital encouragement of early SSC for both vaginal and cesarean births. Continued efforts to support evidence-based maternity practices are needed.

Space Nuclear Facility test capability at the Baikal-1 and IGR sites Semipalatinsk-21, Kazakhstan

NASA Astrophysics Data System (ADS)

Hill, T. J.; Stanley, M. L.; Martinell, J. S.

1993-01-01

The International Space Technology Assessment Program was established 1/19/92 to take advantage of the availability of Russian space technology and hardware. DOE had two delegations visit CIS and assess its space nuclear power and propulsion technologies. The visit coincided with the Conference on Nuclear Power Engineering in Space Nuclear Rocket Engines at Semipalatinsk-21 (Kurchatov, Kazakhstan) on Sept. 22-25, 1992. Reactor facilities assessed in Semipalatinski-21 included the IVG-1 reactor (a nuclear furnace, which has been modified and now called IVG-1M), the RA reactor, and the Impulse Graphite Reactor (IGR), the CIS version of TREAT. Although the reactor facilities are being maintained satisfactorily, the support infrastructure appears to be degrading. The group assessment is based on two half-day tours of the Baikals-1 test facility and a brief (2 hr) tour of IGR; because of limited time and the large size of the tour group, it was impossible to obtain answers to all prepared questions. Potential benefit is that CIS fuels and facilities may permit USA to conduct a lower priced space nuclear propulsion program while achieving higher performance capability faster, and immediate access to test facilities that cannot be available in this country for 5 years. Information needs to be obtained about available data acquisition capability, accuracy, frequency response, and number of channels. Potential areas of interest with broad application in the U.S. nuclear industry are listed.

Practice of skin-to-skin contact, exclusive breastfeeding and other newborn care interventions in Ethiopia following promotion by facility and community health workers: results from a prospective outcome evaluation.

PubMed

Callaghan-Koru, Jennifer A; Estifanos, Abiy Seifu; Sheferaw, Ephrem Daniel; de Graft-Johnson, Joseph; Rosado, Carina; Patton-Molitors, Rachel; Worku, Bogale; Rawlins, Barbara; Baqui, Abdullah

2016-12-01

To assess the effects of a facility and community newborn intervention package on coverage of early skin-to-skin contact (SSC) and exclusive breastfeeding - the therapeutic components of kangaroo mother care. A multilevel community and facility intervention in Ethiopia trained health workers in 10 health centres and the surrounding communities to promote early SSC and exclusive breastfeeding for all babies born at home or in the facility. Changes in SSC and exclusive breastfeeding were assessed by comparing baseline and endline household surveys. Overall practice of SSC at any time following delivery increased significantly from 13.1 to 44.1% of mothers. Coverage of immediate SSC also increased significantly from 8.4 to 24.1%. Breastfeeding within the first hour increased from 51.4 to 67.9% and exclusive breastfeeding within the first three days increased from 86 to 95.8%. At endline, SSC was significantly higher among facility births than home births and community health workers had limited contact with mothers. While targeted behaviours improved overall, the programme did not achieve adequate increases in SSC and exclusive breastfeeding among home deliveries to expect a reduction in mortality for low birthweight babies. Newborn care programs in Ethiopia should continue to encourage facility delivery while strengthening coverage of community programmes. ©2016 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Steam versus hot-water scalding in reducing bacterial loads on the skin of commercially processed poultry.

PubMed

Patrick, T E; Goodwin, T L; Collins, J A; Wyche, R C; Love, B E

1972-04-01

A comparison of two types of scalders was conducted to determine their effectiveness in reducing bacterial contamination of poultry carcasses. A conventional hot-water scalder and a prototype model of a steam scalder were tested under commercial conditions. Total plate counts from steam-scalded birds were significantly lower than the counts of water-scalded birds immediately after scalding and again after picking. No differences in the two methods could be found after chilling. Coliform counts from steam-scalded birds were significantly lower than the counts from water-scalded birds immediately after scalding. No significant differences in coliform counts were detected when the two scald methods were compared after defeathering and chilling.

Vehicle underbody fairing

DOEpatents

Ortega, Jason M.; Salari, Kambiz; McCallen, Rose

2010-11-09

A vehicle underbody fairing apparatus for reducing aerodynamic drag caused by a vehicle wheel assembly, by reducing the size of a recirculation zone formed under the vehicle body immediately downstream of the vehicle wheel assembly. The fairing body has a tapered aerodynamic surface that extends from a front end to a rear end of the fairing body with a substantially U-shaped cross-section that tapers in both height and width. Fasteners or other mounting devices secure the fairing body to an underside surface of the vehicle body, so that the front end is immediately downstream of the vehicle wheel assembly and a bottom section of the tapered aerodynamic surface rises towards the underside surface as it extends in a downstream direction.

KENNEDY SPACE CENTER, FLA. - A rescue team carries an “injured” astronaut toward the helicopter for transportation to a local hospital. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

NASA Image and Video Library

2004-02-18

KENNEDY SPACE CENTER, FLA. - A rescue team carries an “injured” astronaut toward the helicopter for transportation to a local hospital. They are all taking part in a “Mode VII” emergency landing simulation at Kennedy Space Center. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

High-severity wildfire effects on carbon stocks and emissions in fuels treated and untreated forest

Treesearch

Malcolm P. North; Matthew D. Hurteau

2011-01-01

Forests contain the world's largest terrestrial carbonstocks, but in seasonally dry environments stock stability can be compromised if burned by wildfire, emitting carbon back to the atmosphere. Treatments to reduce wildfireseverity can reduce emissions, but with an immediate cost of reducing carbonstocks. In this study we examine the tradeoffs in...

A public health initiative for reducing access to pesticides as a means to committing suicide: findings from a qualitative study.

PubMed

Mohanraj, Rani; Kumar, Shuba; Manikandan, Sarojini; Kannaiyan, Veerapandian; Vijayakumar, Lakshmi

2014-08-01

Widespread use of pesticides among farmers in rural India, provides an easy means for suicide. A public health initiative involving storage of pesticides in a central storage facility could be a possible strategy for reducing mortality and morbidity related to pesticide poisoning. This qualitative study explored community perceptions towards a central pesticide storage facility in villages in rural South India. Sixteen focus group discussions held with consenting adults from intervention and control villages were followed by eight more a year after initiation of the storage facility. Analysis revealed four themes, namely, reasons for committing suicide and methods used, exposure to pesticides and first-aid practices, storage and disposal of pesticides, and perceptions towards the storage facility. The facility was appreciated as a means of preventing suicides and for providing a safe haven for pesticide storage. The participatory process that guided its design, construction and location ensured its acceptability. Use of qualitative methods helped provide deep insights into the phenomenon of pesticide suicide and aided the understanding of community perceptions towards the storage facility. The study suggests that communal storage of pesticides could be an important step towards reducing pesticide suicides in rural areas.

The Power of the Virtual Ideal Self in Weight Control: Weight-Reduced Avatars Can Enhance the Tendency to Delay Gratification and Regulate Dietary Practices.

PubMed

Kuo, Hsu-Chan; Lee, Chun-Chia; Chiou, Wen-Bin

2016-02-01

The tendency to discount larger future benefits in favor of smaller immediate gains (i.e., temporal discounting) is relevant to the issue of obesity. Successful weight loss requires individuals to sacrifice immediate culinary pleasures in favor of future health gains. Based on the notion that increasing the vividness of one's future self may mitigate temporal discounting and promote the ability to delay gratification, we examined whether viewing one's weight-reduced self (i.e., the ideal self) in a virtual environment can decrease temporal discounting and lead to better regulation of dietary practices. Seventy-six undergraduates who had reported an intention to lose weight were recruited to participate in a laboratory experiment and were randomly assigned to interact with either the weight-reduced self (experimental condition) or the present self (control condition) by looking into a dressing mirror in a virtual fitting room. A temporal-discounting task and a taste test were subsequently administered. Results showed that, compared with control participants, participants who viewed their weight-reduced avatars ate less ice cream in a taste test and were more likely to choose a sugar-free drink as a reward. The discounting rate mediated the association between the avatar manipulation and the amount of ice cream eaten in the subsequent taste test. Overall, our findings suggest that a computer-generated image of one's weight-reduced self may assist in resisting impulses that promote immediate gratification over delayed benefits. This research provides a new approach for controlling impulsive behavior such as dietary regulation and weight control.

77 FR 6178 - FY 2012 Discretionary Funding Opportunities: Bus and Bus Facilities Programs (State of Good...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-07

... and green building initiatives for transit facilities and equipment. 3. For transit asset management... efficiency or reduces energy consumption/green house gas emissions. Proposers are encouraged to provide... to: 1. Improve energy efficiency or reduce energy consumption/green house gas emissions. Proposers...

40 CFR 90.704 - Maintenance of records; submission of information.

Code of Federal Regulations, 2014 CFR

2014-07-01

... paper) or reduced to microfilm, floppy disk, or some other method of data storage, depending upon the..., associated storage facility or port facility, and the date the engine was received at the testing facility...

40 CFR 90.704 - Maintenance of records; submission of information.

Code of Federal Regulations, 2013 CFR

2013-07-01

... paper) or reduced to microfilm, floppy disk, or some other method of data storage, depending upon the..., associated storage facility or port facility, and the date the engine was received at the testing facility...

40 CFR 90.704 - Maintenance of records; submission of information.

Code of Federal Regulations, 2011 CFR

2011-07-01

... paper) or reduced to microfilm, floppy disk, or some other method of data storage, depending upon the..., associated storage facility or port facility, and the date the engine was received at the testing facility...

40 CFR 90.704 - Maintenance of records; submission of information.

Code of Federal Regulations, 2012 CFR

2012-07-01

... paper) or reduced to microfilm, floppy disk, or some other method of data storage, depending upon the..., associated storage facility or port facility, and the date the engine was received at the testing facility...

Army Corrosion Prevention and Control (CPC) Program for Facilities and Infrastructure

DTIC Science & Technology

2010-02-01

FY2009 - 2011 • Benefits: Reduced corrosion due to elimination of metallic rebar , reduced weight equates to reduced dead load and increased dynamic...Decks as Replacement for Steel Reinforced Concrete Decks F09AR04: Corrosion Resistant Roofs with Integrated Sustainable PV Power Systems • Where...Army Corrosion Prevention and Control (CPC) Program for Facilities and Infrastructure Dr. Craig E. College Deputy Assistant Chief of Staff for

Facility Management as a Way of Reducing Costs in Transport Companies

NASA Astrophysics Data System (ADS)

Matusova, Dominika; Gogolova, Martina

2017-10-01

For facility management exists a several interpretations. These interpretations emerged progressively. At the time of the notion of facility management was designed to manage an administrative building, in the United States (US). They can ensure their operation and maintenance. From the US, this trend is further moved to Europe and now it start becoming a current and actual topic also in Slovakia. Facility management is contractually agreed scheme of services, semantically recalls traditional building management. There by finally pushed for activities related to real estates. For facility management is fundamental - certification and certification systems. Therefore, is essential to know, the cost structure of certification. The most commonly occurring austerity measures include: heat pumps, use of renewable energy, solar panels and water savings. These measures can reduce the cost.

Dealing with the difficult older patient.

PubMed

Laurence, M K

1986-05-15

Physicians are often asked to intervene when elderly patients in acute or long-term care facilities are disruptive, demanding or abusive. Though medication may be the immediate response, it often fails to solve the problem, which, being situational and behavioural, calls for a situational and behavioural solution. An organized approach to solving such problems is presented that takes into account the interactions among the patient, family, staff, setting and circumstances. The role of the physician as leader in the process is also discussed.

Logistic Planning for the Low Intensity Conflict Environment

DTIC Science & Technology

1987-02-25

language capability and a bag of money so that they can do good things immediately. On a long deployment spending thousands up front on such things as...products appear in the dining facilities. - Although some things are available on the local economy, don’t think that means that you are going to be able...Organization of the Joint Chiefs of Staff, Washington. OC 20301-5000. PREFACE On 25 February 1987 the J-4 Studies. Concepts, and Analysis Division of

Test results: Halon 1301 versus water sprinkler fire protection for essential electronic equipment

NASA Astrophysics Data System (ADS)

Reichelt, E. F.; Walker, J. L.; Vickers, R. N.; Kwan, A. J.

1982-07-01

This report describes results of testing two contending extinguishants, Halon 1301 and water, for fire protection of essential electronic equipment. A series of controlled fires in a facility housing an operational electronic data processing system sought to establish immediate and long term effects of exposure of sensitive electronic equipment and stored data to fire extinguishment atmospheres. Test results lead to the conclusion that Halon 1301 is superior to water as an extinguishant for fires occurring in essential electronic equipment installations.

Photographic copy of photograph, view of rail launcher used for ...

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

Photographic copy of photograph, view of rail launcher used for 'Baby Corporal E' missiles on 6 and 7 May 1946 at JPL-Muroc Army Air Base (later Edwards Air Force Base) (This launcher was also used for 'Baby WAC' missiles at Goldstone, Fort Irwin, California in 1945). Photocopy of 35mm photograph made in December 1994, looking west with Test Stand 'A' immediately behind the rail launcher. - Jet Propulsion Laboratory Edwards Facility, Edwards Air Force Base, Boron, Kern County, CA

Installation Restoration Program. Remedial Investigation Report. Minnesota Air National Guard Base Duluth International Airport, Duluth, Minnesota. Volume 1

DTIC Science & Technology

1990-01-01

There are three above ground storage tanks for the storage of JP-4 jet fuel with ancillary piping, pumps, loading and unloading facilities, and...time daily basis. Workers are present to transfer jet fuel from delivery tncks to the storage tanks and from the storage tanks to fueling trucks...Ground-water flow and contaminant migration at Site 4, the fuel storage area, is generally toward the drainage ditch located immediately north of the

Unveiling the uncatalyzed reaction of alkynes with 1,2-dipoles for the room temperature synthesis of cyclobutenes.

PubMed

Alcaide, Benito; Almendros, Pedro; Fernández, Israel; Lázaro-Milla, Carlos

2015-02-25

2-(Pyridinium-1-yl)-1,1-bis(triflyl)ethanides have been used as 1,2-dipole precursors in a metal-free direct [2+2] cycloaddition reaction of alkynes. Starting from stable zwitterionic pyridinium salts, the electron deficient olefin 1,1-bis(trifluoromethylsulfonyl)ethene is generated in situ and immediately reacted at room temperature with an alkyne to afford substituted cyclobutenes. Remarkably, this mild and facile uncatalyzed protocol requires neither irradiation nor heating.

KSC-06pd0505

NASA Image and Video Library

2006-03-15

KENNEDY SPACE CENTER, FLA. - Charlie Plain, a Public Affairs Web writer with InDyne Inc., is one of many workers at NASA's Kennedy Space Center posing as astronauts during a simulated emergency landing of a shuttle crew. Known as a Mode VI exercise, the operation uses volunteer workers from the Center to pose as astronauts. The purpose of the simulation is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. Photo credit: NASA/George Shelton

KSC-04PD-0870

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. In the Orbiter Processing Facility, United Space Alliance workers Ross Neubarth and Paul Ogletree (foreground, left and right) look at the monitor for results of thermography on Discoverys nose cap. Behind them is Ken Tauer. Thermography is one type of inspection to verify integrity of hardware before flight. This procedure uses high intensity light to heat areas that are immediately scanned with an infrared camera to check for internal flaws. Discovery is the vehicle assigned to the Return to Flight mission, STS-114.

Assessing Locally Focused Stability Operations

DTIC Science & Technology

2014-01-01

Detailed Theory -of-Change Chart RAND RR387-4.2 LFSO actions Immediate goals LFSO main goal Higher -level goals Sustainable stability in region Reduced...projects in the vil- lage, and laying the groundwork for starting a village council. At the higher level, the Theory of Change now documents the assumption... Theory of Change RAND RR387-4.5 LFSO actions Immediate goals Chain of consequences LFSO main goal Higher -level goals HN commandos targeting INS 13

Immediate effect of passive static stretching versus resistance exercises on postprandial blood sugar levels in type 2 diabetes mellitus: a randomized clinical trial.

PubMed

Gurudut, Peeyoosha; Rajan, Abey P

2017-10-01

The prevalence of diabetes is rapidly rising all over the globe at an alarming rate. In India, more than 61.3 million people have been presently diagnosed with type 2 diabetes mellitus. It is possible to control the circulating blood glucose levels by reducing life style risk factors through physical activities comprising of muscle stretches, aerobic training, resistance exercises (REs), yoga, etc. The aim of this study is to identify and compare the immediate effect of passive static stretching (PSS) versus RE on blood glucose level in individuals with type 2 diabetes mellitus. The present study included 51 participants between the age of 40-65 years with type 2 diabetes mellitus, to study the immediate effect of 60-min PSS (n=25) and 60-min RE (n=26). The outcome measure was blood glucose level which was checked by glucometer (free-style neo). Blood sugar was assessed at 3 points of time that included fasting blood sugar level, 2 hr after the meal and immediately after the exercise regimen. Results of this study showed significant reduction in blood glucose level in subjects according to glucometer with PSS ( P =0.000) and RE ( P =0.00). However, both groups demonstrated equal effect in terms of lowering blood sugar level immediately after the exercise. The conclusion is both PSS and RE are effective in reducing postprandial blood glucose level in type 2 diabetes mellitus and must be prescribed for the patients who demonstrate difficulty in controlling post prandial spike.

Immediate effects of thermal-tactile stimulation on timing of swallow in idiopathic Parkinson's disease.

PubMed

Regan, Julie; Walshe, Margaret; Tobin, W Oliver

2010-09-01

Oropharyngeal dysphagia frequently presents in people with idiopathic Parkinson's disease (IPD). Clinical sequelae of dysphagia in this group include weight loss and aspiration pneumonia, the latter of which is the leading cause of hospital admissions and death in IPD. Thermal-tactile stimulation (TTS) is a sensory technique whereby stimulation is provided to the anterior faucial pillars to speed up the pharyngeal swallow. The effects of TTS on swallowing have not yet been investigated in IPD. The aim of this study was to investigate the immediate effects of TTS on the timing of swallow in a cohort of people with IPD and known oropharyngeal dysphagia. Thirteen participants with IPD and known dysphagia attended for videofluoroscopy during which standardised volumes of liquid barium and barium paste were administered preceding and immediately subsequent to TTS. The immediate effects of TTS on swallowing were examined using oral, pharyngeal, and total transit times and pharyngeal delay times as outcome measures. TTS significantly reduced median pharyngeal transit time on fluids (0.20 s, 95% CI = 0.12-0.28, p = 0.004) and on paste (0.3 s, 95% CI = 0.08-0.66, p = 0.01). Median total transit time was also reduced on fluids (0.48 s, 95% CI = 0.00-1.17, p = 0.049) and on paste (0.52 s, 95% CI = 0.08-1.46, p = 0.033). Median pharyngeal delay time was reduced on fluids (0.20 s, 95% CI = 0.12-0.34, p = 0.002). TTS did not significantly alter median oral transit time on either fluid or paste consistency. TTS significantly reduced temporal measures of the pharyngeal phase of swallowing in the IPD population. Significant results may be attributed to the role of sensory stimulation in improving motor function in IPD, with emphasis on the impaired glossopharyngeal and vagus nerves in this population. It is still unclear whether these findings will translate into a clinically beneficial effect.

Stop and revive? The effectiveness of nap and active rest breaks for reducing driver sleepiness.

PubMed

Watling, Christopher N; Smith, Simon S; Horswill, Mark S

2014-11-01

The purpose of this study was to compare the effects of two commonly utilized sleepiness countermeasures: a nap break and an active rest break. The effects of the countermeasures were evaluated by physiological (EEG), subjective, and driving performance measures. Participants completed 2 h of simulated driving, followed by a 15-min nap break or a 15-min active rest break, then completed the final hour of simulated driving. The nap break reduced EEG and subjective sleepiness. The active rest break did not reduce EEG sleepiness, with sleepiness levels eventually increasing, and resulted in an immediate reduction of subjective sleepiness. No difference was found between the two breaks for the driving performance measure. The immediate reduction of subjective sleepiness after the active rest break could leave drivers with erroneous perceptions of their sleepiness, particularly with increases of physiological sleepiness after the break. Copyright © 2014 Society for Psychophysiological Research.

Immediate effects of foot orthoses on pain during functional tasks in people with patellofemoral osteoarthritis: A cross-over, proof-of-concept study.

PubMed

Collins, Natalie J; Hinman, Rana S; Menz, Hylton B; Crossley, Kay M

2017-01-01

The purpose of the study was to determine whether prefabricated foot orthoses immediately reduce pain during functional tasks in people with patellofemoral osteoarthritis, compared to flat insoles and shoes alone. Eighteen people with predominant lateral patellofemoral osteoarthritis (nine women; mean [SD] age 59 [10]years; body mass index 27.9 [3.2]kg/m 2 ) performed functional tasks wearing running sandals, and then wearing foot orthoses and flat insoles (random order). Participants rated knee pain during each task (11-point numerical rating scales), ease of performance and knee stability (five-point Likert scales), and comfort (100mm visual analogue scales). Compared to shoes alone, foot orthoses (p=0.002; median difference 1.5 [IQR 3]) and flat insoles (p<0.001; 2 [3]) significantly reduced pain during step-downs; foot orthoses reduced pain during walking (p=0.008; 1 [1.25]); and flat insoles reduced pain during stair ambulation (p=0.001; 1 [1.75]). No significant differences between foot orthoses and flat insoles were observed for pain severity, ease of performance or knee stability. Foot orthoses were less comfortable than flat insoles and shoes alone (p<0.05). In people with patellofemoral osteoarthritis, immediate pain-relieving effects of prefabricated, contoured foot orthoses are equivalent to flat insoles. Further studies should investigate whether similar outcomes occur with longer-term wear or different orthosis designs. Copyright © 2016 Elsevier B.V. All rights reserved.

Timing of Initiation of Antiretroviral Therapy in Human Immunodeficiency Virus (HIV)–Associated Tuberculous Meningitis

PubMed Central

Török, M. Estee; Yen, Nguyen Thi Bich; Chau, Tran Thi Hong; Mai, Nguyen Thi Hoang; Phu, Nguyen Hoan; Mai, Pham Phuong; Dung, Nguyen Thi; Van Vinh Chau, Nguyen; Bang, Nguyen Duc; Tien, Nguyen Anh; Minh, N. H.; Hien, Nguyen Quang; Thai, Phan Vuong Khac; Dong, Doan The; Anh, Do Thi Tuong; Thoa, Nguyen Thi Cam; Hai, Nguyen Ngoc; Lan, Nguyen Ngoc; Lan, Nguyen Thi Ngoc; Quy, Hoang Thi; Dung, Nguyen Huy; Hien, Tran Tinh; Chinh, Nguyen Tran; Simmons, Cameron Paul; de Jong, Menno; Wolbers, Marcel; Farrar, Jeremy James

2015-01-01

Background The optimal time to initiate antiretroviral therapy (ART) in human immunodeficiency virus (HIV)–associated tuberculous meningitis is unknown. Methods We conducted a randomized, double-blind, placebo-controlled trial of immediate versus deferred ART in patients with HIV-associated tuberculous meningitis to determine whether immediate ART reduced the risk of death. Antiretroviral drugs (zidovudine, lamivudine, and efavirenz) were started either at study entry or 2 months after randomization. All patients were treated with standard antituberculosis treatment, adjunctive dexamethasone, and prophylactic co-trimoxazole and were followed up for 12 months. We conducted intention-to-treat, per-protocol, and prespecified subgroup analyses. Results A total of 253 patients were randomized, 127 in the immediate ART group and 126 in the deferred ART group; 76 and 70 patients died within 9 months in the immediate and deferred ART groups, respectively. Immediate ART was not significantly associated with 9-month mortality (hazard ratio [HR], 1.12; 95% confidence interval [CI], .81–1.55; P = .50) or the time to new AIDS events or death (HR, 1.16; 95% CI, .87–1.55; P = .31). The percentage of patients with severe (grade 3 or 4) adverse events was high in both arms (90% in the immediate ART group and 89% in the deferred ART group; P = .84), but there were significantly more grade 4 adverse events in the immediate ART arm (102 in the immediate ART group vs 87 in the deferred ART group; P = .04). Conclusions Immediate ART initiation does not improve outcome in patients presenting with HIV-associated tuberculous meningitis. There were significantly more grade 4 adverse events in the immediate ART arm, supporting delayed initiation of ART in HIV-associated tuberculous meningitis. Clinical Trials Registration ISRCTN63659091. PMID:21596680

Can psychiatric liaison reduce neuroleptic use and reduce health service utilization for dementia patients residing in care facilities.

PubMed

Ballard, Clive; Powell, Ian; James, Ian; Reichelt, Katharina; Myint, Pat; Potkins, Dawn; Bannister, Carol; Lana, Marisa; Howard, Robert; O'Brien, John; Swann, Alan; Robinson, Damian; Shrimanker, Jay; Barber, Robert

2002-02-01

The quality of care and overuse of neuroleptic medication in care environments are major issues in the care of elderly people with dementia. The quality of care (Dementia Care Mapping), the severity of Behavioural and Psychological Symptoms (BPSD--Neuropsychiatric Inventory), expressive language skills (Sheffield Acquired Language Disorder scale), service utilization and use of neuroleptic drugs was compared over 9 months between six care facilities receiving a psychiatric liaison service and three facilities receiving the usual clinical support, using a single blind design. There was a significant reduction in neuroleptic usage in the facilities receiving the liaison service (McNemar test p<0.0001), but not amongst those receiving standard clinical support (McNemar test p=0.07). There were also significantly less GP contacts (t=3.9 p=0.0001) for residents in the facilities receiving the liaison service, and a three fold reduction in psychiatric in-patient bed usage (Bed days per person 0.6 vs. 1.5). Residents in care facilities receiving the liaison service experienced significantly less deterioration in expressive language skills (t=2.2 p=0.03), but there were no significant differences in BPSD or wellbeing. A resource efficient psychiatric liaison service can reduce neuroleptic drug use and reduce some aspects of health service utilization; but a more extensive intervention is probably required to improve the overall quality of care. Copyright 2002 John Wiley & Sons, Ltd.

KSC-04PD-0244

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. In the Launch Control Center, Robert Holl (left), Landing Recovery directo, and Donald Hammel, from the Shuttle Project Office, are in contact with the leaders of the Mode VII emergency landing simulation at Kennedy Space Center. The simulation is being managed and directed from the LCC. The purpose of the Mode VII is to exercise emergency preparedness personnel, equipment and facilities in rescuing astronauts from a downed orbiter and providing immediate medical attention. This simulation presents an orbiter that has crashed short of the Shuttle Landing Facility in a wooded area 2-1/2 miles south of Runway 33. Emergency crews are responding to the volunteer astronauts who are simulating various injuries inside the crew compartment mock-up. Rescuers must remove the crew, provide triage and transport to hospitals those who need further treatment. Local hospitals are participating in the exercise.

Research of advanced techniques for X-ray detectors and telescopes with applications to rockets and the LAMAR facility

NASA Technical Reports Server (NTRS)

Gorenstein, P.

1985-01-01

A program for the development of high throughput instrumentation for X-ray astronomy based upon focusing optics is being carried out by the Smithsonian Astrophysical Observatory. The instrumentation is applicable to investigations requiring large area focusing optics for direct imaging or dispersive spectroscopy. The long range goals of this program are the development of telescopes and gratings for future major X-ray astronomy facilities, including additions to the LAMAR OSS-2/SHEAL experiment after the initial flights. Tests of the devices and their more immediate utilization in scientific investigations can be carried out with SPARTAN payloads deployed and retrieved by the Space Shuttle. However, the present backlog of approved SPARTAN missions is longer than the three-year duration of the program described in this program. Laboratory studies and breadboarding of instrumentation are discussed.

Aerial view of Launch Complex 39

NASA Technical Reports Server (NTRS)

1998-01-01

In this aerial view looking south can be seen Launch Complex (LC) 39 area, where assembly, checkout and launch of the Space Shuttle Orbiter and its External Tank and twin Solid Rocket Boosters take place. Central to the complex is the tallest building at the center, the Vehicle Assembly Building (VAB). To the immediate left, from top to bottom, are the Orbiter Processing Facility (OPF) High Bay 3 and new engine shop (north side), OPF Modular Office Building, Thermal Protection System Facility, and a crawler-transporter (to its left). In front of the VAB are OPF 1 and OPF 2. At right is the Processing Control Center. West of OPF 3 is the Mobile Launch Platform. In the upper left corner is Launch Pad B; at the far right is the turn basin, with the Press Site located just below it to the right.

Soft x-ray scattering facility at the Advanced Light Source with real-time data processing and analysis.

PubMed

Gann, E; Young, A T; Collins, B A; Yan, H; Nasiatka, J; Padmore, H A; Ade, H; Hexemer, A; Wang, C

2012-04-01

We present the development and characterization of a dedicated resonant soft x-ray scattering facility. Capable of operation over a wide energy range, the beamline and endstation are primarily used for scattering from soft matter systems around the carbon K-edge (∼285 eV). We describe the specialized design of the instrument and characteristics of the beamline. Operational characteristics of immediate interest to users such as polarization control, degree of higher harmonic spectral contamination, and detector noise are delineated. Of special interest is the development of a higher harmonic rejection system that improves the spectral purity of the x-ray beam. Special software and a user-friendly interface have been implemented to allow real-time data processing and preliminary data analysis simultaneous with data acquisition. © 2012 American Institute of Physics

Personalized technologist dose audit feedback for reducing patient radiation exposure from CT.

PubMed

Miglioretti, Diana L; Zhang, Yue; Johnson, Eric; Lee, Choonsik; Morin, Richard L; Vanneman, Nicholas; Smith-Bindman, Rebecca

2014-03-01

The aim of this study was to determine whether providing radiologic technologists with audit feedback on doses from CT examinations they conduct and education on dose-reduction strategies reduces patients' radiation exposure. This prospective, controlled pilot study was conducted within an integrated health care system from November 2010 to October 2011. Ten technologists at 2 facilities received personalized dose audit reports and education on dose-reduction strategies; 9 technologists at a control facility received no intervention. Radiation exposure was measured by the dose-length product (DLP) from CT scans performed before (n = 1,630) and after (n = 1,499) the intervention and compared using quantile regression. Technologists were surveyed before and after the intervention. For abdominal CT, DLPs decreased by 3% to 12% at intervention facilities but not at the control facility. For brain CT, DLPs significantly decreased by 7% to 12% at one intervention facility; did not change at the second intervention facility, which had the lowest preintervention DLPs; and increased at the control facility. Technologists were more likely to report always thinking about radiation exposure and associated cancer risk and optimizing settings to reduce exposure after the intervention. Personalized audit feedback and education can change technologists' attitudes about, and awareness of, radiation and can lower patient radiation exposure from CT imaging. Copyright © 2014 American College of Radiology. All rights reserved.

Inositol polyphosphate multikinase is a coactivator for serum response factor-dependent induction of immediate early genes

PubMed Central

Kim, Eunha; Tyagi, Richa; Lee, Joo-Young; Park, Jina; Kim, Young-ran; Beon, Jiyoon; Chen, Po Yu; Cha, Jiyoung Y.; Snyder, Solomon H.; Kim, Seyun

2013-01-01

Inositol polyphosphate multikinase (IPMK) is a notably pleiotropic protein. It displays both inositol phosphate kinase and phosphatidylinositol kinase catalytic activities. Noncatalytically, IPMK stabilizes the mammalian target of rapamycin complex 1 and acts as a transcriptional coactivator for CREB-binding protein/E1A binding protein p300 and tumor suppressor protein p53. Serum response factor (SRF) is a major transcription factor for a wide range of immediate early genes. We report that IPMK, in a noncatalytic role, is a transcriptional coactivator for SRF mediating the transcription of immediate early genes. Stimulation by serum of many immediate early genes is greatly reduced by IPMK deletion. IPMK stimulates expression of these genes, an influence also displayed by catalytically inactive IPMK. IPMK acts by binding directly to SRF and thereby enhancing interactions of SRF with the serum response element of diverse genes. PMID:24248338

Patient blood management in orthopaedic surgery: a four-year follow-up of transfusion requirements and blood loss from 2008 to 2011 at the Balgrist University Hospital in Zurich, Switzerland

PubMed Central

Theusinger, Oliver M.; Kind, Stephanie L.; Seifert, Burkhardt; Borgeat, lain; Gerber, Christian; Spahn, Donat R.

2014-01-01

Background The aim of this study was to investigate the impact of the introduction of a Patient Blood Management (PBM) programme in elective orthopaedic surgery on immediate pre-operative anaemia, red blood cell (RBC) mass loss, and transfusion. Materials and methods Orthopaedic operations (hip, n=3,062; knee, n=2,953; and spine, n=2,856) performed between 2008 and 2011 were analysed. Period 1 (2008), was before the introduction of the PBM programme and period 2 (2009 to 2011) the time after its introduction. Immediate pre-operative anaemia, RBC mass loss, and transfusion rates in the two periods were compared. Results In hip surgery, the percentage of patients with immediate pre-operative anaemia decreased from 17.6% to 12.9% (p<0.001) and RBC mass loss was unchanged, being 626±434 vs 635±450 mL (p=0.974). Transfusion rate was significantly reduced from 21.8% to 15.7% (p<0.001). The number of RBC units transfused remained unchanged (p=0.761). In knee surgery the prevalence of immediate pre-operative anaemia decreased from 15.5% to 7.8% (p<0.001) and RBC mass loss reduced from 573±355 to 476±365 mL (p<0.001). The transfusion rate dropped from 19.3% to 4.9% (p<0.001). RBC transfusions decreased from 0.53±1.27 to 0.16±0.90 units (p<0.001). In spine surgery the prevalence of immediate pre-operative anaemia remained unchanged (p=0.113), RBC mass loss dropped from 551±421 to 404±337 mL (p<0.001), the transfusion rate was reduced from 18.6 to 8.6% (p<0.001) and RBC transfusions decreased from 0.66±1.80 to 0.22±0.89 units (p=0.008). Discussion Detection and treatment of pre-operative anaemia, meticulous surgical technique, optimal surgical blood-saving techniques, and standardised transfusion triggers in the context of PBM programme resulted in a lower incidence of immediate pre-operative anaemia, reduction in RBC mass loss, and a lower transfusion rate. PMID:24931841

Dynamic high energy density plasma environments at the National Ignition Facility for nuclear science research

DOE PAGES

Cerjan, Ch J.; Bernstein, L.; Hopkins, L. Berzak; ...

2017-08-16

We present the generation of dynamic high energy density plasmas in the pico- to nano-second time domain at high-energy laser facilities affords unprecedented nuclear science research possibilities. At the National Ignition Facility (NIF), the primary goal of inertial confinement fusion research has led to the synergistic development of a unique high brightness neutron source, sophisticated nuclear diagnostic instrumentation, and versatile experimental platforms. These novel experimental capabilities provide a new path to investigate nuclear processes and structural effects in the time, mass and energy density domains relevant to astrophysical phenomena in a unique terrestrial environment. Some immediate applications include neutron capturemore » cross-section evaluation, fission fragment production, and ion energy loss measurement in electron-degenerate plasmas. More generally, the NIF conditions provide a singular environment to investigate the interplay of atomic and nuclear processes such as plasma screening effects upon thermonuclear reactivity. Lastly, achieving enhanced understanding of many of these effects will also significantly advance fusion energy research and challenge existing theoretical models.« less

Does Flooring Substrate Impact Kennel and Dog Cleanliness in Commercial Breeding Facilities?

PubMed

Stella, Judith; Hurt, Moriah; Bauer, Amy; Gomes, Paulo; Ruple, Audrey; Beck, Alan; Croney, Candace

2018-04-21

Evaluation of kennel flooring surfaces is needed to understand their impacts on dog health and well-being. This pilot study aimed to characterize aspects of physical health, kennel cleanliness, and dog body cleanliness on flooring types common in US breeding kennels. Subjects were 118 adult dogs housed on diamond-coated expanded metal (DCEM), polypropylene (POLY), or concrete (CON) flooring at five commercial breeding facilities in Indiana, U.S. Body condition, paw, elbow, and hock health scores were recorded. Each indoor kennel and dog was visually assessed for cleanliness. Kennels were swabbed immediately after cleaning with electrostatic dry cloths and cultured for Escherichia coli . Descriptive statistics were used for analysis. Mean body condition score (BCS), kennel and dog cleanliness scores were all near ideal (3, 1.15, and 1.04, respectively). Thirty-one percent or fewer kennels at each facility were culture-positive for E. coli after cleaning. No serious paw, elbow, or hock problems were identified. Overall, the findings indicate that with appropriate management and regular access to additional surfaces, dog foot health, cleanliness, and kennel cleanliness can be maintained on the flooring types investigated.

Dynamic high energy density plasma environments at the National Ignition Facility for nuclear science research

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

Cerjan, Ch J.; Bernstein, L.; Hopkins, L. Berzak

We present the generation of dynamic high energy density plasmas in the pico- to nano-second time domain at high-energy laser facilities affords unprecedented nuclear science research possibilities. At the National Ignition Facility (NIF), the primary goal of inertial confinement fusion research has led to the synergistic development of a unique high brightness neutron source, sophisticated nuclear diagnostic instrumentation, and versatile experimental platforms. These novel experimental capabilities provide a new path to investigate nuclear processes and structural effects in the time, mass and energy density domains relevant to astrophysical phenomena in a unique terrestrial environment. Some immediate applications include neutron capturemore » cross-section evaluation, fission fragment production, and ion energy loss measurement in electron-degenerate plasmas. More generally, the NIF conditions provide a singular environment to investigate the interplay of atomic and nuclear processes such as plasma screening effects upon thermonuclear reactivity. Lastly, achieving enhanced understanding of many of these effects will also significantly advance fusion energy research and challenge existing theoretical models.« less

An evaluation of the role and effectiveness of institutional biosafety committees in providing oversight and security at biocontainment laboratories.

PubMed

Race, Margaret S; Hammond, Edward

2008-03-01

Institutional biosafety committees (IBCs) have been charged with the oversight and review of biosafety at thousands of biocontainment labs nationwide, hundreds of which are high-level BSL-3 and BSL-4 labs. In light of the recent rapid proliferation of BSL-3 and BSL-4 facilities and the increases in research in the areas of biodefense, select agents, recombinant DNA, and synthetic biology and dual-use research, questions have been raised about whether IBCs are fulfilling their oversight responsibilities. This article reviews information on the responsibilities and expectations of IBCs as currently constituted and provides an analysis of IBC performance from survey data of hundreds of research institutions over the past several years. The findings highlight serious ongoing problems with IBCs' adherence to NIH Guidelines. This raises questions about the current voluntary governance framework as an effective system to monitor and oversee U.S. research facilities, including high-containment facilities, and their research activities. The findings strongly suggest the need for immediate improvement or replacement of the IBC system.

‘This Is Real Misery’: Experiences of Women Denied Legal Abortion in Tunisia

PubMed Central

Hajri, Selma; Raifman, Sarah; Gerdts, Caitlin; Baum, Sarah; Foster, Diana Greene

2015-01-01

Barriers to accessing legal abortion services in Tunisia are increasing, despite a liberal abortion law, and women are often denied wanted legal abortion services. In this paper, we seek to explore the reasons for abortion denial and whether these reasons had a legal or medical basis. We also identify barriers women faced in accessing abortion and make recommendations for improved access to quality abortion care. We recruited women immediately after they had been turned away from legal abortion services at two facilities in Tunis, Tunisia. Thirteen women consented to participate in qualitative interviews two months after they were turned away from the facility. Women were denied abortion care on the day they were recruited due to three main reasons: gestational age, health conditions, and logistical barriers. Nine women ultimately terminated their pregnancies at another facility, and four women carried to term. None of the women attempted illegal abortion services or self-induction. Further research is needed in order to assess abortion denial from the perspective of providers and medical staff. PMID:26684189

Anti-stigma training for medical students: the Education Not Discrimination project.

PubMed

Friedrich, Bettina; Evans-Lacko, Sara; London, Jillian; Rhydderch, Danielle; Henderson, Claire; Thornicroft, Graham

2013-04-01

Education Not Discrimination (END) is the component of the Time to Change programme intended to reduce mental health stigma among professionals and professional trainees. To investigate the impact of the END anti-stigma programme on medical students immediately and after 6 months with regard to knowledge, attitudes, behaviour and empathy. A total of 1452 medical students participated in the study (intervention group n = 1066, control group n = 386). Participants completed questionnaires at baseline, and at immediate and 6-month follow-up. Groups were compared for changes in stigma outcomes. All measures improved in both groups, particularly among students with less knowledge and more stigmatising attitudes and intended behaviour at baseline. At immediate follow-up the intervention group demonstrated significantly greater improvements in stigma-related knowledge and reductions in stigma-related attitudes and intended behaviour, relative to the control group. At 6 months' follow-up, however, only one attitude item remained significantly better. Although the intervention produced short-term advantage there was little evidence for its persistent effect, suggesting a need for greater integration of ongoing measures to reduce stigma into the medical curriculum.

Immediate and long-term effects of opiate antagonists on postictal behaviour following amygdala kindling in the rat.

PubMed

Cottrell, G A; Bohus, B

1987-09-23

Male Wistar rats implanted with bipolar electrodes in the amygdaloid complex were kindled. Subcutaneous injection of naloxone or naltrexone in low doses--0.12 and 0.24 mg/kg, respectively--dramatically reduced the postictal behavioural depression (BD) at 10 or 60 min. Remarkably, the BD was still reduced one day later. It would appear that the brain mechanisms involved in postictal BD use mu-receptors since BD is quite sensitive to low doses of the preferential antagonists naloxone and naltrexone. The long-term effects, the most novel aspect of these studies, are probably related to immediate effects but could be produced through slow genomic processes or alteration of the response to endogenously released enkephalins.

Steam Versus Hot-Water Scalding in Reducing Bacterial Loads on the Skin of Commercially Processed Poultry

PubMed Central

Patrick, Thomas E.; Goodwin, T. L.; Collins, J. A.; Wyche, R. C.; Love, B. E.

1972-01-01

A comparison of two types of scalders was conducted to determine their effectiveness in reducing bacterial contamination of poultry carcasses. A conventional hot-water scalder and a prototype model of a steam scalder were tested under commercial conditions. Total plate counts from steam-scalded birds were significantly lower than the counts of water-scalded birds immediately after scalding and again after picking. No differences in the two methods could be found after chilling. Coliform counts from steam-scalded birds were significantly lower than the counts from water-scalded birds immediately after scalding. No significant differences in coliform counts were detected when the two scald methods were compared after defeathering and chilling. PMID:4553146

Using dual tasks to test immediate transfer of training between naturalistic movements: a proof-of-principle study.

PubMed

Schaefer, Sydney Y; Lang, Catherine E

2012-01-01

Theories of motor learning predict that training a movement reduces the amount of attention needed for its performance (i.e., more automatic). If training one movement transfers, then the amount of attention needed for performing a second movement should also be reduced, as measured under dual task conditions. The authors' purpose was to test whether dual task paradigms are feasible for detecting transfer of training between two naturalistic movements. Immediately following motor training, subjects improved performance of a second untrained movement under single and dual task conditions. Subjects with no training did not. Improved performance in the untrained movement was likely due to transfer, and suggests that dual tasks may be feasible for detecting transfer between naturalistic actions.

The Incredible Shrinking Institution: A Five-Component Downsizing Model.

ERIC Educational Resources Information Center

Dawson, Bradley L.

1991-01-01

Most colleges and universities need to reduce expenditures and downsize. Such a project is difficult and emotionally charged. Many immediate remedies can ba applied to reduce and better control expenditures, but a more thorough analysis of the institution's organizational structure, operating procedures, automated systems, strategic planning, and…

Isometric exercise induces analgesia and reduces inhibition in patellar tendinopathy.

PubMed

Rio, Ebonie; Kidgell, Dawson; Purdam, Craig; Gaida, Jamie; Moseley, G Lorimer; Pearce, Alan J; Cook, Jill

2015-10-01

Few interventions reduce patellar tendinopathy (PT) pain in the short term. Eccentric exercises are painful and have limited effectiveness during the competitive season. Isometric and isotonic muscle contractions may have an immediate effect on PT pain. This single-blinded, randomised cross-over study compared immediate and 45 min effects following a bout of isometric and isotonic muscle contractions. Outcome measures were PT pain during the single-leg decline squat (SLDS, 0-10), quadriceps strength on maximal voluntary isometric contraction (MVIC), and measures of corticospinal excitability and inhibition. Data were analysed using a split-plot in time-repeated measures analysis of variance (ANOVA). 6 volleyball players with PT participated. Condition effects were detected with greater pain relief immediately from isometric contractions: isometric contractions reduced SLDS (mean±SD) from 7.0±2.04 to 0.17±0.41, and isotonic contractions reduced SLDS (mean±SD) from 6.33±2.80 to 3.75±3.28 (p<0.001). Isometric contractions released cortical inhibition (ratio mean±SD) from 27.53%±8.30 to 54.95%±5.47, but isotonic contractions had no significant effect on inhibition (pre 30.26±3.89, post 31.92±4.67; p=0.004). Condition by time analysis showed pain reduction was sustained at 45 min postisometric but not isotonic condition (p<0.001). The mean reduction in pain scores postisometric was 6.8/10 compared with 2.6/10 postisotonic. MVIC increased significantly following the isometric condition by 18.7±7.8%, and was significantly higher than baseline (p<0.001) and isotonic condition (p<0.001), and at 45 min (p<0.001). A single resistance training bout of isometric contractions reduced tendon pain immediately for at least 45 min postintervention and increased MVIC. The reduction in pain was paralleled by a reduction in cortical inhibition, providing insight into potential mechanisms. Isometric contractions can be completed without pain for people with PT. The clinical implications are that isometric muscle contractions may be used to reduce pain in people with PT without a reduction in muscle strength. 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.

Melioration behaviour in the Harvard game is reduced by simplifying decision outcomes.

PubMed

Stillwell, David J; Tunney, Richard J

2009-11-01

Self-control experiments have previously been highlighted as examples of suboptimal decision making. In one such experiment, the Harvard game, participants make repeated choices between two alternatives. One alternative has a higher immediate pay-off than the other, but with repeated choices results in a lower overall pay-off. Preference for the alternative with the higher immediate pay-off seems to be impulsive and will result in a failure to maximize pay-offs. We report an experiment that modifies the Harvard game, dividing the pay-off from each choice into two separate consequences-the immediate and the historic components. Choosing the alternative with the higher immediate pay-off ends the session prematurely, leading to a loss of opportunities to earn further pay-offs and ultimately to a reduced overall pay-off. This makes it easier for participants to learn the outcomes of their actions. It also provides the opportunity for a further test of normative decision making by means of one of its most specific and paradoxical predictions-that the truly rational agent should switch from self-control to impulsivity toward the end of the experimental sessions. The finding that participants maximize their expected utility by both overcoming impulsivity and learning to switch implies that melioration behaviour is not due to the lure of impulsivity, but due to the difficulty of learning which components are included in the pay-off schedules.

Impact of pregnancy and vaginal delivery on the passive and active mechanics of the rat vagina.

PubMed

Feola, Andrew; Moalli, Pamela; Alperin, Marianna; Duerr, Robbie; Gandley, Robin E; Abramowitch, Steven

2011-01-01

Remodeling of vaginal extracellular matrix and smooth muscle likely plays a critical role in reducing the risk of maternal injury during vaginal delivery by altering the mechanical properties to increase distension and reduce stress. Long-Evans rats were divided into five groups to examine the passive mechanical and active contractile properties throughout pregnancy and postpartum: virgin (n=17), mid-pregnant (Day 14-16, n=12), late-pregnant (Day 20-22, n=14), immediate postpartum (0-2 h after delivery, n=14), and 4 week postpartum (n=15). Longitudinal sections of vaginal tissue were loaded to failure uniaxially for passive mechanical or active contractile properties were examined. For passive mechanics, the tangent modulus decreased 45% by mid-pregnancy and immediately postpartum (p<0.001). The ultimate strain continuously increased up to 43% higher than virgin animals (p=0.007) in the immediate postpartum group. For active mechanics, the maximal contractile force was 36-56% lower through immediate postpartum animals, and was significantly more sensitive to K+ throughout pregnancy and postpartum (p=0.003). The changes observed in the passive and active properties of the rat vagina are consistent with what would be expected from a tissue that is remodeling to maximize its ability to distend at the time of vaginal delivery to facilitate passage of the fetus with minimal injury.

Melt compounding with graphene to develop functional, high-performance elastomers

NASA Astrophysics Data System (ADS)

Araby, Sherif; Zaman, Izzuddin; Meng, Qingshi; Kawashima, Nobuyuki; Michelmore, Andrew; Kuan, Hsu-Chiang; Majewski, Peter; Ma, Jun; Zhang, Liqun

2013-04-01

Rather than using graphene oxide, which is limited by a high defect concentration and cost due to oxidation and reduction, we adopted cost-effective, 3.56 nm thick graphene platelets (GnPs) of high structural integrity to melt compound with an elastomer—ethylene-propylene-diene monomer rubber (EPDM)—using an industrial facility. An elastomer is an amorphous, chemically crosslinked polymer generally having rather low modulus and fracture strength but high fracture strain in comparison with other materials; and upon removal of loading, it is able to return to its original geometry, immediately and completely. It was found that most GnPs dispersed uniformly in the elastomer matrix, although some did form clusters. A percolation threshold of electrical conductivity at 18 vol% GnPs was observed and the elastomer thermal conductivity increased by 417% at 45 vol% GnPs. The modulus and tensile strength increased by 710% and 404% at 26.7 vol% GnPs, respectively. The modulus improvement agrees well with the Guth and Halpin-Tsai models. The reinforcing effect of GnPs was compared with silicate layers and carbon nanotube. Our simple fabrication would prolong the service life of elastomeric products used in dynamic loading, thus reducing thermosetting waste in the environment.