Science.gov

Sample records for home port facilities

  1. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 8 2011-10-01 2011-10-01 false Port facilities predesignated for emergency use. Sec. 4... FACILITIES Sec. 4 Port facilities predesignated for emergency use. (a) Certain port facilities selected for...) Facilities which are not required by the United States immediately on the effective date of this part will...

  2. 46 CFR 340.6 - Port facilities and services.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Port facilities and services. 340.6 Section 340.6... AND ALLOCATION OF SHIPPING SERVICES, CONTAINERS AND CHASSIS, AND PORT FACILITIES AND SERVICES FOR NATIONAL SECURITY AND NATIONAL DEFENSE RELATED OPERATIONS § 340.6 Port facilities and services. (a) When...

  3. 46 CFR Sec. 3 - Federal control of port facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 8 2011-10-01 2011-10-01 false Federal control of port facilities. Sec. 3 Section 3... RESTRICTIONS UPON THE TRANSFER OR CHANGE IN USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Sec. 3 Federal control of port facilities. During any period when the provisions of this part are in effect...

  4. 46 CFR 340.6 - Port facilities and services.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 8 2011-10-01 2011-10-01 false Port facilities and services. 340.6 Section 340.6... AND ALLOCATION OF SHIPPING SERVICES, CONTAINERS AND CHASSIS, AND PORT FACILITIES AND SERVICES FOR NATIONAL SECURITY AND NATIONAL DEFENSE RELATED OPERATIONS § 340.6 Port facilities and services. (a) When...

  5. 46 CFR Sec. 3 - Federal control of port facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 8 2010-10-01 2010-10-01 false Federal control of port facilities. Sec. 3 Section 3 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS RESTRICTIONS UPON THE TRANSFER OR CHANGE IN USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Sec....

  6. 46 CFR Sec. 3 - Federal control of port facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 8 2013-10-01 2013-10-01 false Federal control of port facilities. Sec. 3 Section 3 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS RESTRICTIONS UPON THE TRANSFER OR CHANGE IN USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Sec....

  7. 46 CFR Sec. 3 - Federal control of port facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 8 2012-10-01 2012-10-01 false Federal control of port facilities. Sec. 3 Section 3 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS RESTRICTIONS UPON THE TRANSFER OR CHANGE IN USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Sec....

  8. 46 CFR Sec. 3 - Federal control of port facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 8 2014-10-01 2014-10-01 false Federal control of port facilities. Sec. 3 Section 3 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION B-CONTROL AND UTILIZATION OF PORTS RESTRICTIONS UPON THE TRANSFER OR CHANGE IN USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Sec....

  9. Charging for port reception facilities in North Sea ports: putting theory into practice.

    PubMed

    Carpenter, A; Macgill, S

    2001-04-01

    The aim of this paper is to evaluate the charging systems for the use of port reception facilities for waste oil, and to examine the potential impact of the charging elements of the new (late 2000) EU Directive on port reception facilities for ship-generated waste and cargo residues. Experience to date with alternative models for charging is considered. Conclusions are drawn about the effectiveness of the EU Directive as a means of controlling pollution in the North Sea and producing a 'level playing field' between ports.

  10. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of this part. (c) All ports and terminals under the jurisdiction of the United States, including..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A...

  11. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of this part. (c) All ports and terminals under the jurisdiction of the United States, including..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A...

  12. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... of this part. (c) All ports and terminals under the jurisdiction of the United States, including..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A...

  13. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of this part. (c) All ports and terminals under the jurisdiction of the United States, including..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A...

  14. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of this part. (c) All ports and terminals under the jurisdiction of the United States, including..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A...

  15. Provision of Home Dialysis by Freestanding Renal Dialysis Facilities

    PubMed Central

    Kendix, Michael

    1995-01-01

    This article explores home dialysis provision among freestanding renal facilities by examining whether they provide continuous ambulatory peritoneal dialysis (CAPD), continuous cycling peritoneal dialysis (CCPD), and home hemodialysis. These modalities require fewer visits to a dialysis center, which may be beneficial for patients living long distances from facilities. A negative association was found between the number of facilities per square mile and the probability of provision of the home modalities. Secondly, facilities with a higher percent of black patients were less likely to provide the home modalities. Thirdly, facilities with larger numbers of patients were more likely to provide the home modalities. PMID:10157371

  16. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... terms governing utilization of port facilities. Sec. 5 Section 5 Shipping MARITIME ADMINISTRATION... USE OR IN TERMS GOVERNING UTILIZATION OF PORT FACILITIES Sec. 5 Restrictions on the transfer or change in use or in terms governing utilization of port facilities. Except as otherwise provided in...

  17. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2010-07-01 2010-07-01 true Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  18. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2013-07-01 2013-07-01 false Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  19. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2014-07-01 2013-07-01 true Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  20. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2012-07-01 2011-07-01 true Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  1. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... regulations published in the Federal Register 11 March 1961 (26 FR 2117-2118; 33 CFR 211.141 through 211.147... 32 National Defense 4 2011-07-01 2011-07-01 false Development of public port or industrial... Interests § 644.424 Development of public port or industrial facilities. (a) Authority. Section 108 of...

  2. The use of the deposit-refund framework in port reception facilities charging systems.

    PubMed

    Georgakellos, Dimitrios A

    2007-05-01

    The European Union set in place Directive 2000/59/EC with the aim of substantially reducing discharges of ship-generated waste into the sea by improving the availability and use of port reception facilities. According to the Directive, port administrations shall ensure that the cost recovery system must aim to discourage ships from discharging their waste into the sea, while simultaneously placing the burden of costs on ships, in line with the "polluter pays principle". The present paper examines the extent to which the deposit-refund framework could be used in charging systems of port reception facilities. This has been realized through a case study involving a Greek port. Specifically, the charging system proposed here seems to approach quite close to the primary target, i.e. to a charging system that motivates ships to act more environmentally responsible manner regarding their waste, without significantly affecting their total cost nor the competitiveness of the port. PMID:17391711

  3. 33 CFR 125.15 - Access to waterfront facilities, and port and harbor areas, including vessels and harbor craft...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., and port and harbor areas, including vessels and harbor craft therein. 125.15 Section 125.15....15 Access to waterfront facilities, and port and harbor areas, including vessels and harbor craft....09 to those waterfront facilities, and port and harbor areas, including vessels and harbor...

  4. Spatial and temporal effects of port facilities expansion on the surface area of shallow coral reefs.

    PubMed

    Valadez-Rocha, V; Ortiz-Lozano, L

    2013-07-01

    There is a close relationship between ports and reef areas, mainly because reefs provide protection to vessels against extreme weather events like storms and hurricanes. This historical relationship has generated severe impacts on reef ecosystems. In order to identify the main impacts from the construction of port facilities in shallow coral reef areas, we analyzed and described the effects of land reclamation and coastal structure construction associated to port growth throughout a century in the Sistema Arrecifal Veracruzano National Park, Mexico. We used aerial photographs and maps of the nineteenth and early twentieth century to assess the impacts caused by port expansion activities on shallow coral reefs. Three types of impacts were identified: (a) direct reef area loss caused by landfills and perpendicular coastal structures construction leading to the loss of nearly 50 % of the fringing reef near to the port; (b) fragmentation in short- and medium-term scale, which affects two fringing reefs, and (c) long-term modification of coastal dynamics leading to sedimentation and loss of a complete reef area. On the eve of a new expansion of Veracruz Port, we used the New Port Project Plan, long-shore net drift geomorphic indicators and the port impact typology from the 100-year period assessment to evaluate a possible future scenario. The scenario describes how the new expansion project will repeat the three types of impacts affecting a whole reef area, which is currently part of the National Park.

  5. Spatial and Temporal Effects of Port Facilities Expansion on the Surface Area of Shallow Coral Reefs

    NASA Astrophysics Data System (ADS)

    Valadez-Rocha, V.; Ortiz-Lozano, L.

    2013-07-01

    There is a close relationship between ports and reef areas, mainly because reefs provide protection to vessels against extreme weather events like storms and hurricanes. This historical relationship has generated severe impacts on reef ecosystems. In order to identify the main impacts from the construction of port facilities in shallow coral reef areas, we analyzed and described the effects of land reclamation and coastal structure construction associated to port growth throughout a century in the Sistema Arrecifal Veracruzano National Park, Mexico. We used aerial photographs and maps of the nineteenth and early twentieth century to assess the impacts caused by port expansion activities on shallow coral reefs. Three types of impacts were identified: (a) direct reef area loss caused by landfills and perpendicular coastal structures construction leading to the loss of nearly 50 % of the fringing reef near to the port; (b) fragmentation in short- and medium-term scale, which affects two fringing reefs, and (c) long-term modification of coastal dynamics leading to sedimentation and loss of a complete reef area. On the eve of a new expansion of Veracruz Port, we used the New Port Project Plan, long-shore net drift geomorphic indicators and the port impact typology from the 100-year period assessment to evaluate a possible future scenario. The scenario describes how the new expansion project will repeat the three types of impacts affecting a whole reef area, which is currently part of the National Park.

  6. Development of an Integrated Leachate Treatment Solution for the Port Granby Waste Management Facility - 12429

    SciTech Connect

    Conroy, Kevin W.; Vandergaast, Gerald

    2012-07-01

    The Port Granby Project (the Project) is located near the north shore of Lake Ontario in the Municipality of Clarington, Ontario, Canada. The Project consists of relocating approximately 450,000 m{sup 3} of historic Low-Level Radioactive Waste (LLRW) and contaminated soil from the existing Port Granby Waste Management Facility (WMF) to a proposed Long-Term Waste Management Facility (LTWMF) located adjacent to the WMF. The LTWMF will include an engineered waste containment facility, a Wastewater Treatment Plant (WTP), and other ancillary facilities. A series of bench- and pilot-scale test programs have been conducted to identify preferred treatment processes to be incorporated into the WTP to treat wastewater generated during the construction, closure and post-closure periods at the WMF/LTWMF. (authors)

  7. 9 CFR 91.14 - Ports of embarkation and export inspection facilities.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... dissemination of communicable diseases of livestock to the animals in the export shipment. (7) Testing and treatment. Testing and treatment of animals in export inspection facilities shall be performed by an... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Ports of embarkation and...

  8. 9 CFR 91.14 - Ports of embarkation and export inspection facilities.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... dissemination of communicable diseases of livestock to the animals in the export shipment. (7) Testing and treatment. Testing and treatment of animals in export inspection facilities shall be performed by an... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Ports of embarkation and...

  9. Overview of United States coal export terminals. [Includes description of present coal port terminal facilities

    SciTech Connect

    Not Available

    1980-09-01

    Existing coal export ports in the United States are in general not designed to the standards compatible with the current state of the art. The United States has a current coal export capacity in the order of 83 million tons per year. This could be increased to 138 million tons per year through a process of modernization and expansion which would take about six to eight years for full realization. Even if this expansion program took place it would not result in an overall coal export system that was economically competitive due to the fact that our export terminals are generally outmoded and cannot accommodate the large vessels engaged in the world coal trade and which can be accommodated at the major coal destination ports in Europe and Japan. In order for the United States to achieve an economically competitive posture in the world coal trade, new ports that will handle 150,000 to 250,000 DWT ships are needed. The new terminals must be designed to receive coal efficiently and minimize the demurrage costs for both railcars on the delivery side and ships on the load out side. There are port sites available in the US which could be developed to effectively handle the increased requirements. Each major new port could easily be designed to handle 20 to 50 million tons per year at ultimate capacity subject to the availability of coal from the source at a reasonable cost. New port construction is needed to satisfy the projected demand at a reasonable cost and to provide for the obsolescence of existing facilities. Decisions are needed now so that the ports will be operating 20 years from now and serve as replacements for present facilities which are becoming obsolete. The government of the United States can and must play a major role if success is to be achieved.

  10. Facilities and Equipment for Home Economics Education: Consumer and Homemaking, Occupational Home Economics.

    ERIC Educational Resources Information Center

    South Carolina State Dept. of Education, Columbia. Home Economics Education Section.

    Suggestions and recommendations presented in this guide are intended to provide teachers, administrators, and architects who plan and equip home economics departments with the objectives and an overview of home economics education programs so that functional facilities will be designed. The first section, consumer and homemaking education, lists…

  11. Design of the Long-term Waste Management Facility for Historic LLRW Port Hope Project - 13322

    SciTech Connect

    Campbell, Don; Barton, David; Case, Glenn

    2013-07-01

    The Municipality of Port Hope is located on the northern shores of Lake Ontario approximately 100 km east of Toronto, Ontario, Canada. Starting in the 1930's, radium and later uranium processing by Eldorado Gold Mines Limited (subsequently Eldorado Nuclear Limited) (Eldorado) at their refinery in Port Hope resulted in the generation of process residues and wastes that were disposed of indiscriminately throughout the Municipality until about the mid-1950's. These process residues contained radium (Ra- 226), uranium, arsenic and other contaminants. Between 1944 and 1988, Eldorado was a Federal Crown Corporation, and as such, the Canadian Federal Government has assumed responsibility for the clean-up and long-term management of the historic waste produced by Eldorado during this period. The Port Hope Project involves the construction and development of a new long-term waste management facility (LTWMF), and the remediation and transfer of the historic wastes located within the Municipality of Port Hope to the new LTWMF. The new LTWMF will consist of an engineered above-ground containment mound designed to contain and isolate the wastes from the surrounding environment for the next several hundred years. The design of the engineered containment mound consists of a primary and secondary composite base liner system and composite final cover system, made up of both natural materials (e.g., compacted clay, granular materials) and synthetic materials (e.g., geo-synthetic clay liner, geo-membrane, geo-textiles). The engineered containment mound will cover an area of approximately 13 hectares and will contain the estimated 1.2 million cubic metres of waste that will be generated from the remedial activities within Port Hope. The LTWMF will also include infrastructure and support facilities such as access roads, administrative offices, laboratory, equipment and personnel decontamination facilities, waste water treatment plant and other ancillary facilities. Preliminary

  12. Quality assessment in nursing home facilities: measuring customer satisfaction.

    PubMed

    Mostyn, M M; Race, K E; Seibert, J H; Johnson, M

    2000-01-01

    A national study designed to assess the reliability and validity of a nursing home customer satisfaction survey is summarized. One hundred fifty-nine facilities participated, each responsible for the distribution and collection of 200 questionnaires randomly sent to the home of the resident's responsible party. A total of 9053 completed questionnaires were returned, for an average adjusted response rate of 53%. The factor analysis identified 4 scales: Comfort and Cleanliness, Nursing, Food Services, and Facility Care and Services, each with high reliability. Based on a multiple regression analysis, the scales were shown to have good criterion-related validity, accounting for 64% of the variance in overall quality ratings. Comparisons based on select characteristics indicated significantly different satisfaction ratings among facilities. The results are interpreted as providing evidence for the construct validity of a multidimensional customer satisfaction scale with measured reliability and criterion-related validity. Moreover, the scale can be used to differentiate satisfaction levels among facilities. PMID:10763218

  13. Quality assessment in nursing home facilities: measuring customer satisfaction.

    PubMed

    Mostyn, M M; Race, K E; Seibert, J H; Johnson, M

    2000-01-01

    A national study designed to assess the reliability and validity of a nursing home customer satisfaction survey is summarized. One hundred fifty-nine facilities participated, each responsible for the distribution and collection of 200 questionnaires randomly sent to the home of the resident's responsible party. A total of 9053 completed questionnaires were returned, for an average adjusted response rate of 53%. The factor analysis identified 4 scales: Comfort and Cleanliness, Nursing, Food Services, and Facility Care and Services, each with high reliability. Based on a multiple regression analysis, the scales were shown to have good criterion-related validity, accounting for 64% of the variance in overall quality ratings. Comparisons based on select characteristics indicated significantly different satisfaction ratings among facilities. The results are interpreted as providing evidence for the construct validity of a multidimensional customer satisfaction scale with measured reliability and criterion-related validity. Moreover, the scale can be used to differentiate satisfaction levels among facilities.

  14. Installation of a drum-out port in a nuclear facility

    SciTech Connect

    Martinez, A. C.; Montoya, D. A.

    2002-01-01

    The Plutonium Facility at Los Alamos National Laboratory is constantly undergoing decommissioning of processing equipment to keep up with new technology and improving process equipment to accommodate customer needs. The old process equipment that is decommissioned has been exposed to radioactive materials and has to be disposed of a s TRU-waste. The bag-out process that was used for removing contaminated equipment pieces was very time consuming and exposed glovebox workers to hazardous radiation. This was due to a small size of the bag-out port, which limited the size of the pieces to fit through the port, and consequently increased the number of pieces and bag-outs that had to be performed.

  15. DOE ZERH Case Study: Clifton View Homes, Marine Drive and Port Hadlcok, Coupeville and Port Hadlock WA

    SciTech Connect

    none,

    2015-09-01

    Case study of two DOE 2015 Housing Innovation Award winning custom homes in the marine climate that got HERS 39 and 38 without PV or HERS 2-12 and -9 with PV, with 6.5” SIP walls and 10.25” SIP roof; 11.75 ICF around slab, R-20 rigid foam under slab; radiant floor heat and passive design; air-to-water heatpump, fresh air intake with fan, triple-pane windows, 100% LED.

  16. Physical and social availability of alcohol for young enlisted naval personnel in and around home port

    PubMed Central

    Moore, Roland S; Ames, Genevieve M; Cunradi, Carol B

    2007-01-01

    Background Heavy alcohol consumption rates are higher in the young adult military enlisted population than among civilians of the same age. The literature on alcohol availability, both generally and specifically with respect to work-related drinking, establishes clear links between ease of access, alcohol consumption rates and alcohol-related problems. Methods In this paper, a qualitative analysis of 50 semi-structured interviews with U.S. Navy personnel was combined with quantitative findings from a mail survey of 713 young enlisted men and women in order to shed light on alcohol availability and its correlates in the home port environments of young adult enlisted personnel. The interviews were analyzed by two anthropologists seeking recurring themes or topics related to alcohol availability. These qualitative data were contextualized by descriptive statistics of the survey responses regarding ease of obtaining alcohol on and around naval bases, and from friends in and out of the Navy. Results Findings associated with social and physical availability of alcohol include low prices in Navy Exchange base stores, frequent barracks parties, drink promotions in bars surrounding bases, and multiple opportunities for underage drinking despite age limits on alcohol purchases and official efforts to deglamorize alcohol use in the Navy. Both qualitative and qualitative findings suggest that respondents found alcohol and opportunities to drink overwhelmingly available in both on-base and off-base settings, and from friends both in and out of the Navy. Conclusion There is qualitative and quantitative evidence for extensive physical and social availability of alcohol in and around bases for young adults in the military. Policy implications include raising the presently tax-free alcohol prices in base stores and enforcing existing policies regarding underage drinking, particularly the provision of alcohol by people of legal drinking age, and by bars in and around bases

  17. Retrofit of an Engineered Glove-port to a Los Alamos National Laboratory's Plutonium Facility Glovebox

    SciTech Connect

    Rael, P.E.D.; Cournoyer, M.E.Ph.D.; Chunglo, S.D.; Vigil, T.J.; Schreiber, P.E.S.

    2008-07-01

    At the Los Alamos National Laboratory's Plutonium Facility (TA-55), various isotopes of plutonium along with other actinides are routinely handled such that the spread of radiological contamination and excursions of contaminants into the operator's breathing zone are prevented through the use of a variety of gloveboxes (the glovebox coupled with adequate negativity providing primary confinement). The current technique for changing glovebox gloves are the weakest part of this engineering control. 1300 pairs of gloves are replaced each year at TA-55, generating approximately 500 m{sup 3}/yr of transuranic (TRU) waste and Low Level Waste (LLW) waste that represents an annual disposal cost of about 4 million dollars. By retrofitting the LANL 8'' glove-port ring, a modern 'Push-Through' technology is utilized. This 'Push-Through' technology allows relatively fast glove changes to be done by operators with much less training and experience and without breaching containment. A dramatic reduction in waste is realized; exposure of the worker to residual contamination reduced, and the number of breaches due to installation issues is eliminated. In the following presentation, the evolution of the 'Push- Through' technology, the features of the glove-port retrofit, and waste savings are discussed. (author)

  18. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Return to home skilled nursing facility. 422.133... Protections § 422.133 Return to home skilled nursing facility. (a) General rule. MA plans must provide coverage of posthospital extended care services to Medicare enrollees through a home skilled...

  19. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Return to home skilled nursing facility. 422.133... Protections § 422.133 Return to home skilled nursing facility. (a) General rule. MA plans must provide coverage of posthospital extended care services to Medicare enrollees through a home skilled...

  20. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  1. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  2. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  3. 46 CFR Sec. 5 - Restrictions on the transfer or change in use or in terms governing utilization of port facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... by the NSA. (b) No person shall use any port facility for any purpose or use other than that for... purpose or use has been approved by the NSA. (c) No person shall change or alter the terms or conditions... part, unless such change has been approved by the NSA: Provided, That this restriction shall not...

  4. 76 FR 18347 - Removal of the List of Ports of Embarkation and Export Inspection Facilities From the Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... rulemaking, those ports and facilities will be listed on the Internet rather than in the regulations, thus... conditions for exporting animals from the United States. The regulations state, among other things, that all... Register (75 FR 56914-56916, Docket No. APHIS-2009-0078) a proposal\\1\\ to amend the live animal...

  5. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 3 2013-10-01 2013-10-01 false Services of residents in skilled nursing facilities... SETTINGS Services of Residents § 415.204 Services of residents in skilled nursing facilities and home... nursing facility. Payment to a participating skilled nursing facility may include the cost of services...

  6. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 3 2014-10-01 2014-10-01 false Services of residents in skilled nursing facilities... SETTINGS Services of Residents § 415.204 Services of residents in skilled nursing facilities and home... nursing facility. Payment to a participating skilled nursing facility may include the cost of services...

  7. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 false Services of residents in skilled nursing facilities... SETTINGS Services of Residents § 415.204 Services of residents in skilled nursing facilities and home... nursing facility. Payment to a participating skilled nursing facility may include the cost of services...

  8. 9 CFR 91.14 - Ports of embarkation and export inspection facilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ...) Tampa Port Authority, 2703 E. 7th Avenue, Tampa, FL 33605, (813) 248-1924. (3) Georgia. (i) Atlanta...) 767-1700. (B) Tumbleweed Farm (horses only), 1677 Buckner Road, Mableton, GA 30059, (770) 948-3556. (C... Jersey. (i) Elizabeth—ocean port. (A) Tolleshunt Horse Farm (horses only), 10 Island Road, Box...

  9. Neutron transport study of a beam port based dynamic neutron radiography facility

    NASA Astrophysics Data System (ADS)

    Khaial, Anas M.

    Neutron radiography has the ability to differentiate between gas and liquid in two-phase flow due both to the density difference and the high neutron scattering probability of hydrogen. Previous studies have used dynamic neutron radiography -- in both real-time and high-speed -- for air-water, steam-water and gas-liquid metal two-phase flow measurements. Radiography with thermal neutrons is straightforward and efficient as thermal neutrons are easier to detect with relatively higher efficiency and can be easily extracted from nuclear reactor beam ports. The quality of images obtained using neutron radiography and the imaging speed depend on the neutron beam intensity at the imaging plane. A high quality neutron beam, with thermal neutron intensity greater than 3.0x 10 6 n/cm2-s and a collimation ratio greater than 100 at the imaging plane, is required for effective dynamic neutron radiography up to 2000 frames per second. The primary objectives of this work are: (1) to optimize a neutron radiography facility for dynamic neutron radiography applications and (2) to investigate a new technique for three-dimensional neutron radiography using information obtained from neutron scattering. In this work, neutron transport analysis and experimental validation of a dynamic neutron radiography facility is studied with consideration of real-time and high-speed neutron radiography requirements. A beam port based dynamic neutron radiography facility, for a target thermal neutron flux of 1.0x107 n/cm2-s, has been analyzed, constructed and experimentally verified at the McMaster Nuclear Reactor. The neutron source strength at the beam tube entrance is evaluated experimentally by measuring the thermal and fast neutron fluxes using copper activation flux-mapping technique. The development of different facility components, such as beam tube liner, gamma ray filter, beam shutter and biological shield, is achieved analytically using neutron attenuation and divergence theories. Monte

  10. 9 CFR 91.14 - Ports of embarkation and export inspection facilities.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., CA 91710, (909) 597-1756. (ii) San Francisco—airport and ocean port. (A) Cow Palace, P.O. Box 34206, San Francisco, CA 94134, (415) 469-6000. (B) Petair, 145 Bel Air Road, P.O. Box 2431, South San... Center, 6300 NW. 36th Street, P.O. Box 523054, Miami, FL 33152, (305) 526-2828. (ii) Tampa—ocean port....

  11. COMPARISON OF HORIZONTAL SEISMIC COEFFICIENTS DEFINED BY CURRENT AND PREVIOUS DESIGN STANDARDS FOR PORT AND HARBOR FACILITIES

    NASA Astrophysics Data System (ADS)

    Takahashi, Hidenori; Ikuta, Akiho

    Japanese design standard for port and harbor facilities was revised in 2007, modifying the method used to calculate the horizontal seismic coefficient, kh. The comprehensive change of the method indicates that the quay walls designed by the previous standard could be lack of earthquake resistance in terms of the current standard. In the present study, the coefficients, kh, calculated by the two standards were compared for the existing quay walls constructed in Kanto area, Japan. In addition, the factors that affected the relationship of two types of coefficients, kh, were identified by means of multiple regression analyses. Only 16 % of the current standard of kh exceeded the previous standard of kh. According to the multiple regression analyses, the ratio of two types of coefficients, kh, tended to increase in the quay walls which were located in a specific port and had the large wall height and the small importance factor.

  12. Geothermal greenhouse heating facilities for the Klamath County Nursing Home, Klamath Falls, Oregon

    NASA Astrophysics Data System (ADS)

    1982-02-01

    The Klamath County Nursing Home, located in Klamath Falls, Oregon, was constructed in 1976. The building of 55,654 square feet currently houses care facilities for approximately 120 persons. During the initial planning for the nursing home, the present site was selected primarily on the basis of its geothermal resource. This resource currently provides space and domestic hot water heating for the nursing home, Merle West Medical Center and the Oregon Institute of Technology. The feasibility of installing a geothermal heating system in a planned greenhouse for the nursing home is explored. The greenhouse system would be tied directly to the existing hot water heating system for the nursing home.

  13. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... elects to furnish SNF care in the absence of a prior qualifying hospital stay under § 422.101(c), then that SNF care is also subject to the home skilled nursing facility rules in this section. In...

  14. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Services of residents in skilled nursing facilities... Services of Residents § 415.204 Services of residents in skilled nursing facilities and home health...' services furnished in the following settings that meet the specified requirements: (1) Skilled...

  15. 42 CFR 415.204 - Services of residents in skilled nursing facilities and home health agencies.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Services of residents in skilled nursing facilities... Services of Residents § 415.204 Services of residents in skilled nursing facilities and home health...' services furnished in the following settings that meet the specified requirements: (1) Skilled...

  16. An Examination of Special Focus Facility Nursing Homes

    ERIC Educational Resources Information Center

    Castle, Nicholas G.; Engberg, John

    2010-01-01

    Purpose: Nursing facilities that are determined to have a greater number of quality problems, more serious problems than average, and a demonstrated pattern of quality problems are included in the Special Focus Facility (SFF) initiative. The purpose of this research was to provide descriptive information on these SFFs and to examine the quality…

  17. Longitudinal Changes in Nursing Home Resident-Reported Quality of Life: The Role of Facility Characteristics.

    PubMed

    Shippee, Tetyana P; Hong, Hwanhee; Henning-Smith, Carrie; Kane, Robert L

    2015-08-01

    Improving quality of nursing homes (NHs) is a major social priority, yet few studies examine the role of facility characteristics for residents' quality of life (QOL). This study goes beyond cross-sectional analyses by examining the predictors of NH residents' QOL on the facility level over time. We used three data sources, namely resident interviews using a multidimensional measure of QOL collected in all Medicaid-certified NHs in Minnesota (N = 369), resident clinical data from the minimum data set, and facility-level characteristics. We examined change in six QOL domains from 2007 to 2010, using random coefficient models. Eighty-one facilities improved across most domains and 85 facilities declined. Size, staffing levels (especially activities staff), and resident case mix are some of the most salient predictors of QOL over time, but predictors differ by facility performance status. Understanding the predictors of facility QOL over time can help identify facility characteristics most appropriate for targeting with policy and programmatic interventions.

  18. Geothermal greenhouse-heating facilities for the Klamath County Nursing Home, Klamath Falls, Oregon

    SciTech Connect

    Not Available

    1982-02-01

    The Klamath County Nursing Home, located in Klamath Falls, Oregon, was constructed in 1976. The building of 55,654 square feet currently houses care facilities for approximately 120 persons. During the initial planning for the Nursing Home, the present site was selected primarily on the basis of its geothermal resource. This resource (approx. 190/sup 0/F) currently provides space and domestic hot water heating for the Nursing Home, Merle West Medical Center and the Oregon Institute of Technology. The feasibility of installing a geothermal heating system in a planned greenhouse for the Nursing Home is explored. The greenhouse system would be tied directly to the existing hot water heating system for the Nursing Home.

  19. Suicide Risk in Nursing Homes and Assisted Living Facilities: 2003–2011

    PubMed Central

    Lohman, Matthew; Leslie, Marc; Powell, Virginia

    2015-01-01

    Objectives. We investigated the epidemiology of suicide among adults aged 50 years and older in nursing homes and assisted living facilities and whether anticipating transitioning into long-term care (LTC) is a risk factor for suicide. Methods. Data come from the Virginia Violent Death Reporting System (2003–2011). We matched locations of suicides (n = 3453) against publicly available resource registries of nursing homes (n = 285) and assisted living facilities (n = 548). We examined individual and organizational correlates of suicide by logistic regression. We identified decedents anticipating entry into LTC through qualitative text analysis. Results. Incidence of suicide was 14.16 per 100 000 in nursing homes and 15.66 in the community. Better performance on Nursing Home Compare quality metrics was associated with higher odds of suicide in nursing homes (odds ratio [OR] = 1.95; 95% confidence interval [CI] = 1.21, 3.14). Larger facility size was associated with higher suicide risk in assisted living facilities (OR = 1.01; 95% CI = 1.00, 1.01). Text narratives identified 38 decedents anticipating transitioning into LTC and 16 whose loved one recently transitioned or resided in LTC. Conclusions. LTC may be an important point of engagement in suicide prevention. PMID:25973805

  20. A Report On Living Away From Home Facilities for Isolated Students in Queensland.

    ERIC Educational Resources Information Center

    Lenahan, R.; And Others

    Data and information for a study of living away from home (LAFH) facilities for isolated students in Queensland were obtained from surveys of boarding schools and student hostels; a number of boarding schools and student hostels were visited and discussions were also held with isolated parents and student borders. While structural demographic…

  1. Relationship between Familiarity, Attitudes and Preferences: Assisted Living Facilities as Compared to Nursing Homes

    ERIC Educational Resources Information Center

    Imamoglu, Cagri; Imamoglu, E. Olcay

    2006-01-01

    In this paper, the authors aim to (a) explore attitudes toward and preferences for living in the newly emerging place type of assisted living facilities in comparison to nursing homes, and (b) assess the possible impact of familiarity on those attitudes and preferences. Ninety-eight respondents (with a mean age of 62) were surveyed. Respondents…

  2. 9 CFR 91.14 - Ports of embarkation and export inspection facilities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... requirements: (1) Materials. Floors of pens, alleys, and chutes shall be made of impervious materials and... least three-fourths of the pens and alleys and over all of the inspection area. (2) Size. The facility... identification of the animals. Pens and animal restraining devices shall be provided in this area which...

  3. 78 FR 7334 - Port Authority Access to Facility Vulnerability Assessments and the Integration of Security Systems

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-01

    ... our public dockets in the January 17, 2008, issue of the Federal Register (73 FR 3316). Public meeting..., prevent, mitigate, and respond to Transportation Security Incidents (TSIs) and other disasters. If the... disaster. Each Facility Security Assessment (FSA) must contain provisions for contingency...

  4. Development of an x-ray irradiation port for biomedical applications at the CUEBIT facility

    NASA Astrophysics Data System (ADS)

    Medlin, D.; Heffron, W.; Siegel, A.; Wilson, K.; Klingenberger, A.; Gall, A.; Rusin, M.; Dean, D.; Takacs, E.

    2015-01-01

    Because of the importance of x-ray interactions in modern medicine, efforts must be made to combine the fields of biology and physics. This paper reviews the development of an x-ray irradiation port that allows us to study the interaction of x-rays generated by highly charged ions with biological material, such as stem and cancer cells. Our goal is to better understand these interactions in order to improve the techniques of x-ray therapy by narrowing and specifically selecting the range of radiation energies applied. Using the Clemson University Electron Beam Ion Trap (CUEBIT), the generation of quasi-monochromatic x- rays from highly charged ions is possible. In order to maintain the integrity of the cells being studied, the cell culture needs to be oriented horizontally during the irradiation process. This poses a problem, as the highly charged ion beam generated at the CUEBIT is also oriented horizontally. Therefore, we have designed a system that employs a quadrupole bender that directs the ion beam vertically, which allows for the production of x-rays directly under the cell culture. The experimental station consists of a vacuum chamber that attaches to the end of the beam line. This chamber houses the quadrupole bender, a beryllium window for generating x-rays, and the interface between the beryllium window and the cell culture. X-rays must transmit through the bottom of a flask before they interact with the cells. Hence, we implement a procedure to replace the bottom of the flask with a thin layer of Mylar, allowing x-rays to penetrate through easily. We will use this system to study the effects of monochromatic x- rays on stem cells, cancer cells, and their associated proteins.

  5. A comparison of noxious facilities` impacts for home owners versus renters

    SciTech Connect

    Clark, D.E. |; Nieves, L.A.

    1995-01-01

    The siting of noxious facilities, such as hazardous waste facilities, is often vigorously opposed by local residents, and thus it is now common for local residents to be compensated for the presence of the facility. One technique that has been employed to implicitly value noxious facilities is the intercity hedonic approach, which examines the wage and land rent premia between cities that result from the presence of the facility. However, most of the focus has been on the behavior of home owners as opposed to renters. Since these two groups of residents vary on numerous dimensions such as marital status, age, sex, and personal mobility, it would not be surprising to find different marginal valuations of local site characteristics. The authors use 1980 Census data to derive separate estimates for owners and renters of the implicit value placed on eight different types of noxious facilities. They find that renters and owners differ in their response to noxious facilities, although the differences are not systematic. Furthermore, the differences between owners and renters are not primarily due to differential mobility or socio-demographic factors. Controlling those factors decreases the differences between renters` and owners` implicit valuations of noxious facilities by less than 10%. Unmeasured differences between the two groups, such as tastes, risk aversion, or commitment to the community, must account for the remaining difference in valuations. These findings suggest that policymakers should separately consider the responses of owners and renters when estimating noxious facility impacts.

  6. Conflict resolution styles: a comparison of assisted living and nursing home facilities.

    PubMed

    Small, Jeff A; Montoro-Rodriguez, Julian

    2006-01-01

    In this exploratory study, the authors investigated how interpersonal conflict is resolved in assisted living and nursing home facilities. In particular, the authors examined whether conflict resolution styles differed between type of facility and between residents and staff in each type of facility. Four focus groups were conducted--two with residents and two with staff from each type of facility. The focus groups centered on discussing the occurrence of conflict and how each participant handled it. Discourse analysis was employed to identify participants' use of three styles of conflict resolution: controlling, solution-oriented, and non-confrontational. The results indicate that staff in each care context showed a preference for the solution-oriented approach. Residents in each setting reported equal use of the non-confrontational and solution-oriented styles. The findings suggest that preferred conflict resolution styles may vary more as a function of the role of each communicator than the context of the care setting. PMID:16475464

  7. Multidrug resistant bacteria isolated from cockroaches in long-term care facilities and nursing homes.

    PubMed

    Pai, Hsiu-Hua

    2013-01-01

    Residents in long-term care facilities and nursing homes have a relative higher risk for infections. The nocturnal and filthy habits of cockroaches may be ideal disseminators of pathogenic microorganisms in these institutions. This study was designed to determine the infestation and vector potential of cockroaches under this institutional environment. Cockroaches were collected from 69 long-term care facilities and nursing homes in Kaohsiung City. Risk factors related to cockroach infestation were determined by questionnaire survey. In addition, bacteria were isolated and identified from the alimentary tract and external surface of these insects. Antibiotic resistances of these microorganisms were then determined. Cockroach infestation was found in 45 (65.2%) institutions and 558 cockroaches (119 Periplaneta americana and 439 Blattella germanica) were collected. A significant association was found between cockroach infestation and indoor environmental sanitation. From 250 adult cockroaches, 38 species of gram-negative bacteria, 20 species of glucose non-fermenter bacilli and 6 species of gram-positive bacteria were isolated. Moreover, antibiotic resistances were found among the bacteria isolated. These findings indicate that cockroaches have the potential in transmitting pathogenic bacteria with multidrug resistances in long-term care facilities and nursing homes.

  8. A Facility Specialist Model for Improving Retention of Nursing Home Staff: Results from a Randomized, Controlled Study

    ERIC Educational Resources Information Center

    Pillemer, Karl; Meador, Rhoda; Henderson, Charles, Jr.; Robison, Julie; Hegeman, Carol; Graham, Edwin; Schultz, Leslie

    2008-01-01

    Purpose: This article reports on a randomized, controlled intervention study designed to reduce employee turnover by creating a retention specialist position in nursing homes. Design and Methods: We collected data three times over a 1-year period in 30 nursing homes, sampled in stratified random manner from facilities in New York State and…

  9. A comparison of noxious facilities` impacts for home owners versus renters

    SciTech Connect

    Clark, D.E. |; Nieves, L.A.

    1996-09-01

    The siting of noxious facilities, such as hazardous waste facilities, is often vigorously opposed by local residents. As a result, one would expect people`s residential and employment choices to reflect a desire to avoid proximity to such facilities. Ibis behavior would in turn affect labor and housing prices. One technique that has been employed to implicitly value impacts of noxious facilities is the intercity hedonic approach, which examines the wage and land rent differentials among cities that result from environmental amenities and disamenities. However, most of the research focus has been on the behavioral response of home owners as opposed to renters. Since these two groups of residents vary on numerous dimensions such as marital status, age, sex, and personal mobility, it would not be surprising to find different marginal valuations of local site characteristics. We use 1980 Census data to derive separate estimates for owners and renters of the implicit value placed on eight different types of noxious facilities. Although the magnitude of the responses of renters and owners to noxious facilities and other environmental characteristics varies, the signs are generally consistent. The differences in values between owners and renters are not primarily due to differential mobility or sociodemographic factors. Controlling those factors decreases the differences between renters` and owners` implicit valuations by less than 10%. Unmeasured differences in characteristics between the two groups, such as tastes, risk aversion, or commitment to the community, must account for the remaining difference in valuations. These findings suggest that policymakers should separately consider the responses of owners and renters when estimating noxious facility impacts.

  10. Shrapnel impact probability and diagnostic port failure analysis for LLNL`s explosives testing contained firing facility (CFF)

    SciTech Connect

    Price, D. E., LLNL

    1998-05-22

    Lawrence Livermore National Laboratory` s (LLNL) Contained Firing Facility (CFF) is a facility to be constructed for explosives testing of up to 60 kg of explosives at LLNL` s Site 300 Explosives Test Site. The CFF will be a large, rectangular, reinforced concrete firing chamber, lined with steel for shrapnel protection. The CFF will contain several glass ports for cameras, lasers, and other diagnostic equipment to be used for data collection during planned explosives detonations. Glass is used due to the need for the greatest possible optical clarity. This study was performed during the CFF final design stage to determine probabilities and consequences (bounding and best estimate) of impact of shrapnel, due to concerns about the possible effects of rebounding shrapnel on these glass diagnostic ports. We developed a customized version of the Persistence of Vision{trademark} Ray-Tracer (POV-Ray{trademark}) version 3.02 code for the Macintosh TM Operating System (MacOS{trademark}). POV-Ray creates three- dimensional, very high quality (photo-realistic) images with realistic reflections, shading, textures, perspective, and other effects using a rendering technique called ray-tracing. It reads a text file that describes the objects and lighting in a scene and generates an image of that scene from the viewpoint of a camera, also described in the text file. The customized code (POV-Ray Shrapnel Tracker, V3.02 - Custom Build) generates fragment trajectory paths at user designated angle intervals in three dimensions, tracks these trajectory paths through any complex three-dimensional space, and outputs detailed data for each ray as requested by the user, including trajectory source location, initial direction of each trajectory, vector data for each surface/trajectory interaction, and any impacts with designated model target surfaces during any trajectory segment (direct path or reflected paths). This allows determination of the three-dimensional trajectory of each

  11. They Are Called Nursing Homes for a Reason: RN Staffing in Long-Term Care Facilities.

    PubMed

    Harden, J Taylor; Burger, Sarah Greene

    2015-12-01

    According to the Centers for Medicare and Medicaid Services (CMS), the Consolidated Medicare and Medicaid regulations have not been systematically reviewed and updated since 1991. Existing regulations require that, with certain exceptions, an RN provide services in a facility for 8 consecutive hours per day, 7 days per week; licensed practical nurses (LPNs) 24 hours per day; and sufficient staff to meet residents' needs. The requirements to determine "sufficient" staff remain undefined by CMS. Several national organizations support RN staffing 24 hours per day each day of the week (24/7). These organizations provided evidence refuting CMS' position that it does not have sufficient information at this time to require a specific number of staff or hours of nursing care per resident. Consideration should be given to the Institute of Medicine recommendation affrming the need for and requiring the presence of at least one RN within every nursing home facility at all times. Currently, there is a bill in the House of Representatives that supports 24/7 RN coverage in nursing homes, which must become both bipartisan and bicameral to be passed. PMID:26594951

  12. Healthcare worker influenza vaccination in Oregon nursing homes: correlates of facility characteristics

    PubMed Central

    Campbell, Lauren J.; Li, Qinghua; Li, Yue

    2014-01-01

    Objectives Nursing home (NH) employee influenza vaccination is associated with reductions in morbidity and mortality among residents. Little is known regarding associations between NH characteristics and employee influenza vaccination rates (EVRs). This study identifies NH characteristics that may be associated with EVRs. Design Data on employee vaccination rates and programs were gathered from Office for Oregon Health Policy and Research reports for three influenza seasons from 2009–2012 and merged with Online Survey, Certification, and Reporting files, from which facility characteristics were obtained. Market controls were obtained from the 2010 Area Health Resource File. Multivariate linear and logistic regression were used to model relationships between facility characteristics and EVR per facility per year, whether formal education for employees was conducted, and whether 2010, 2015, and 2020 Healthy People targets were met. Setting Oregon nursing homes from 2009–2012. Participants NHs reporting sufficient data to calculate an EVR were included. Based on information obtained from 2009–10, 2010–11, and 2011–12 surveys, EVRs were calculated for 113/140, 129/141, and 137/140 (81%, 91%, and 98% of) NHs, respectively. Measurements Dependent variables were EVR per facility per year, whether formal education for employees was conducted, and whether 2010, 2015, and 2020 Healthy People targets were met. Independent variables included facility characteristics and market controls. Results On average, chain-affiliated NHs had 9% higher EVRs (P=0.01) and 73% higher odds of achieving 60% EVR (2010 target, P=0.05) than free-standing NHs. For-profit NHs had, on average, 8% lower EVRs (P=0.04) than not-for-profit NHs. Surprisingly, a 10% increase in proportion of Medicaid residents was associated with a 2% increase in EVR (P=0.01) and higher odds of achieving 60% (OR=1.20, P=0.004) and 70% (2015 target, OR=1.14, P=0.05) EVR. Conclusion Given that NHs generally have

  13. PORT II

    NASA Technical Reports Server (NTRS)

    Muniz, Beau

    2009-01-01

    One unique project that the Prototype lab worked on was PORT I (Post-landing Orion Recovery Test). PORT is designed to test and develop the system and components needed to recover the Orion capsule once it splashes down in the ocean. PORT II is designated as a follow up to PORT I that will utilize a mock up pressure vessel that is spatially compar able to the final Orion capsule.

  14. Hepatitis B outbreak associated with a home health care agency serving multiple assisted living facilities in Texas, 2008-2010.

    PubMed

    Zheteyeva, Yenlik A; Tosh, Pritish; Patel, Priti R; Martinez, Diana; Kilborn, Cindy; Awosika-Olumo, Debo; Khuwaja, Salma; Ibrahim, Syed; Ryder, Anthony; Tohme, Rania A; Khudyakov, Yury; Thai, Hong; Drobeniuc, Jan; Heseltine, Gary; Guh, Alice Y

    2014-01-01

    We investigated a multifacility outbreak of acute hepatitis B virus infection involving 21 residents across 10 assisted living facilities in Texas during the period January 2008 through July 2010. Epidemiologic and laboratory data suggested that these infections belonged to a single outbreak. The only common exposure was receipt of assisted monitoring of blood glucose from the same home health care agency. Improved infection control oversight and training of assisted living facility and home health care agency personnel providing assisted monitoring of blood glucose is needed. PMID:24176604

  15. Newborn care practices at home and in health facilities in 4 regions of Ethiopia

    PubMed Central

    2013-01-01

    Background Ethiopia is one of the ten countries with the highest number of neonatal deaths globally, and only 1 in 10 women deliver with a skilled attendant. Promotion of essential newborn care practices is one strategy for improving newborn health outcomes that can be delivered in communities as well as facilities. This article describes newborn care practices reported by recently-delivered women (RDWs) in four regions of Ethiopia. Methods We conducted a household survey with two-stage cluster sampling to assess newborn care practices among women who delivered a live baby in the period 1 to 7 months prior to data collection. Results The majority of women made one antenatal care (ANC) visit to a health facility, although less than half made four or more visits and women were most likely to deliver their babies at home. About one-fifth of RDWs in this survey had contact with Health Extension Workers (HEWS) during ANC, but nurse/midwives were the most common providers, and few women had postnatal contact with any health provider. Common beneficial newborn care practices included exclusive breastfeeding (87.6%), wrapping the baby before delivery of the placenta (82.3%), and dry cord care (65.2%). Practices contrary to WHO recommendations that were reported in this population of recent mothers include bathing during the first 24 hours of life (74.7%), application of butter and other substances to the cord (19.9%), and discarding of colostrum milk (44.5%). The results suggest that there are not large differences for most essential newborn care indicators between facility and home deliveries, with the exception of delayed bathing and skin-to-skin care. Conclusions Improving newborn care and newborn health outcomes in Ethiopia will likely require a multifaceted approach. Given low facility delivery rates, community-based promotion of preventive newborn care practices, which has been effective in other settings, is an important strategy. For this strategy to be

  16. Relationships between Physical Activity and the Proximity of Exercise Facilities and Home Exercise Equipment Used by Undergraduate University Students.

    ERIC Educational Resources Information Center

    Reed, Julian A.; Phillips, D. Allen

    2005-01-01

    The authors used stratified random sampling procedures to investigate the relationships among physical activity (PA), the proximity of exercise facilities, and the quantity of home exercise equipment in a sample of 411 undergraduates. To examine the data they collected from the modified Godin Leisure-Time Exercise Questionnaire and the Home…

  17. Living Away from Home Facilities for Isolated Children. Document 78. A Look at Recent Documents of Educational Significance.

    ERIC Educational Resources Information Center

    Queensland Dept. of Education, Brisbane (Australia).

    The first national study of facilities for isolated Australian children living away from home was undertaken by the Commonwealth Schools Commission in 1981 and released in 1983. This document contains the conclusions, findings, and recommendations of the Commonwealth Schools Commission Working Party report. The results prompted the Commission to…

  18. Central venous catheters - ports

    MedlinePlus

    Central venous catheter - subcutaneous; Port-a-Cath; InfusaPort; PasPort; Subclavian port; Medi - port; Central venous line - port ... Catheters are used when you need medical treatment over a long period of time. For example, you ...

  19. Port wine.

    PubMed

    Moreira, N; Guedes de Pinho, P

    2011-01-01

    Port wine is a fortified wine with its origin in the Douro Demarcated Region but also includes Oporto city and the Entreposto of Gaia. Soil, climate, and viticultural conditions are important parameters used to classify and select the best vineyards to produce port wine. Taking into account the winemaking process, two major groups of wines can be distinguished: The wood ports and the bottle-aged ports. These distinct conditions and processes ensure that there is not an unique port wine but, several ports, whose colors range from white to deep purple and that present a wide variety of flavors: vintage, late-bottled vintage, crusted, indication of age, colheita, reserve, white, tawny, ruby, and rosé. PMID:21867894

  20. Port wine.

    PubMed

    Moreira, N; Guedes de Pinho, P

    2011-01-01

    Port wine is a fortified wine with its origin in the Douro Demarcated Region but also includes Oporto city and the Entreposto of Gaia. Soil, climate, and viticultural conditions are important parameters used to classify and select the best vineyards to produce port wine. Taking into account the winemaking process, two major groups of wines can be distinguished: The wood ports and the bottle-aged ports. These distinct conditions and processes ensure that there is not an unique port wine but, several ports, whose colors range from white to deep purple and that present a wide variety of flavors: vintage, late-bottled vintage, crusted, indication of age, colheita, reserve, white, tawny, ruby, and rosé.

  1. Using water wisely: New, affordable, and essential water conservation practices for facility and home hemodialysis.

    PubMed

    Agar, John W M; Simmonds, Rosemary E; Knight, Richard; Somerville, Christine A

    2009-01-01

    Despite a global focus on resource conservation, most hemodialysis (HD) services still wastefully or ignorantly discard reverse osmosis (R/O) "reject water" (RW) to the sewer. However, an R/O system is producing the highly purified water necessary for dialysis, it rejects any remaining dissolved salts from water already prefiltered through charcoal and sand filters in a high-volume effluent known as RW. Although the RW generated by most R/O systems lies well within globally accepted potable water criteria, it is legally "unacceptable" for drinking. Consequently, despite being extremely high-grade gray water, under current dialysis practices, it is thoughtlessly "lost-to-drain." Most current HD service designs neither specify nor routinely include RW-saving methodology, despite its simplicity and affordability. Since 2006, we have operated several locally designed, simple, cheap, and effective RW collection and distribution systems in our in-center, satellite, and home HD services. All our RW water is now recycled for gray-water use in our hospital, in the community, and at home, a practice that is widely appreciated by our local health service and our community and is an acknowledged lead example of scarce resource conservation. Reject water has sustained local sporting facilities and gardens previously threatened by indefinite closure under our regional endemic local drought conditions. As global water resources come under increasing pressure, we believe that a far more responsible attitude to RW recycling and conservation should be mandated for all new and existing HD services, regardless of country or region.

  2. Indoor and outdoor bioaerosol levels at recreation facilities, elementary schools, and homes.

    PubMed

    Jo, Wan-Kuen; Seo, Young-Jun

    2005-12-01

    One major deficiency in linking environmental exposure to health effects is the current lack of data on environmental exposure. Therefore, to address this issue, the present study measured the bacterial and fungal concentrations in the indoor and outdoor air from two types of recreation facility (42 bars and 41 Internet cafes), 44 classrooms at 11 elementary schools, and 20 homes under uncontrolled environmental conditions during both summer and winter. No major environmental problems were reported at the four microenvironments being investigated during the entire study period. Bacteria and fungi were found in all the air samples, and the environmental occurrence of individual fungi was in the order of Cladosprium, Penicillium, Aspergillus, and Alternaria. The six parameters surveyed in the present study were all found to influence the indoor and outdoor bioaerosol levels: microenvironment type, sampling time in elementary school classrooms, agar type for measuring the fungal species, seasonal variation, facility location, and summer survey periods. The indoor and outdoor air concentrations of bacteria and fungi found in this study were comparable to those in other reports, with GM values for the total bacteria and total fungi between 10 and 10(3) colony-forming units per cubic meter of air (CFU m(-3)). The fungal concentrations found at most of the indoor environments fell within the specified guidelines of the American Conference of Government Industrial Hygienists (ACGIH), between 100 and 1000 CFU m(-3) for the total fungi. However, the indoor bioaerosol concentrations at most of the surveyed environments exceeded the Korean indoor bioaerosol guideline (800 CFU m(-3)). Consequently, the current findings suggest the need for reducing strategy for indoor microorganisms at the surveyed microenvironments. PMID:15982704

  3. Take-home lead exposure among children with relatives employed at a battery recycling facility - Puerto Rico, 2011.

    PubMed

    2012-11-30

    The recycling of lead has increased during the past 20 years, with more workers and their families potentially being exposed to lead from recycling facilities, including facilities that recycle lead-acid batteries. During November 2010-May 2011, four voluntary blood lead screening clinics for children of employees of a battery recycling facility in Puerto Rico were conducted. A total of 227 persons from 78 families had blood lead tests. Among 68 children aged <6 years, 11 (16%) had confirmed blood lead levels (BLLs) ≥10 µg/dL, the BLL at which CDC recommended individual intervention to reduce BLLs in 2010, and 39 (57%) children aged <6 years had venous or capillary BLLs ≥5 µg/dL, the reference value for elevated BLLs in children established by CDC in 2012. To determine whether take-home lead exposure contributed to the children's BLLs of ≥10 µg/dL, vehicle and household environmental samples were collected and analyzed. Eighty-five percent of vehicle dust samples and 49% of home dust samples exceeded the U.S. Environmental Protection Agency (EPA) level of concern of ≥40 µg/ft² (430.6 µg/m²) [corrected]. EPA began clean-up of employee homes and vehicles, focusing first on homes with children with BLLs ≥10 µg/dL. EPA also required that the company set up shower facilities, shoe washes, and clean changing areas at the battery recycling facility. Lastly, CDC assigned a case manager to provide education, environmental follow-up, and case management of all children with BLLs ≥5 µg/dL. On average, children's BLLs have decreased 9.9 µg/dL since being enrolled in case management.

  4. Home-Based and Facility-Based Directly Observed Therapy of Tuberculosis Treatment under Programmatic Conditions in Urban Tanzania

    PubMed Central

    Hella, Jerry; Maroa, Thomas; Kisandu, Shadrack; Chiryamkubi, Magreth; Said, Khadija; Mhalu, Grace; Mkopi, Abdallah; Mutayoba, Beatrice; Reither, Klaus; Gagneux, Sébastien; Fenner, Lukas

    2016-01-01

    Introduction Decentralization of Directly Observed Treatment (DOT) for tuberculosis (TB) to the community (home-based DOT) has improved the coverage of TB treatment and reduced the burden to the health care facilities (facility-based DOT). We aimed to compare TB treatment outcomes in home-based and facility-based DOT under programmatic conditions in an urban setting with a high TB burden. Methodology A retrospective analysis of a cohort of adult TB patients (≥15 years) routinely notified between 2010 and 2013 in two representative TB sub-districts in the Temeke district, Dar es Salaam, Tanzania. We assessed differences in treatment outcomes by calculating Risk Ratios (RRs). We used logistic regression to assess the association between DOT and treatment outcomes. Results Data of 4,835 adult TB patients were analyzed, with a median age of 35 years, 2,943 (60.9%) were men and TB/HIV co-infection prevalence of 39.9%. A total of 3,593 (74.3%) patients were treated under home-based DOT. Patients on home-based DOT were more likely to die compared to patients on facility-based DOT (RR 2.04, 95% Confidence Interval [95% CI]: 1.52–2.73), and more likely to complete TB treatment (RR 1.14, 95% CI: 1.06–1.23), but less likely to have a successful treatment outcome (RR 0.94, 95% CI: 0.92–0.97). Home-based DOT was preferred by women (adjusted Odds Ratio [aOR] 1.55, 95% CI: 1.34–1.80, p<0.001), older people (aOR 1.01 for each year increase, 95% CI: 1.00–1.02, p = 0.001) and patients with extra-pulmonary TB (aOR 1.45, 95% CI: 1.16–1.81, p = 0.001), but less frequently by patients on a retreatment regimen (aOR 0.12, 95% CI: 0.08–0.19, p<0.001). Conclusions/significance TB patients under home-based DOT had more frequently risk factors of death such as older age, HIV infection and sputum smear-negative TB, and had higher mortality compared to patients under facility-based DOT. Further operational research is needed to monitor the implementation of DOT under

  5. Intake port

    DOEpatents

    Mendler, Edward Charles

    2005-02-01

    The volumetric efficiency and power of internal combustion engines is improved with an intake port having an intake nozzle, a venturi, and a surge chamber. The venturi is located almost halfway upstream the intake port between the intake valves and the intake plenum enabling the venturi throat diameter to be exceptionally small for providing an exceptionally high ram velocity and an exceptionally long and in turn high efficiency diffuser flowing into the surge chamber. The intake port includes an exceptionally large surge chamber volume for blow down of the intake air into the working cylinder of the engine.

  6. The Impact of Special Focus Facility Nursing Homes on Market Quality

    ERIC Educational Resources Information Center

    Castle, Nicholas G.; Sonon, Kristen; Antonova, Jenya

    2010-01-01

    Purpose: Special Focus Facilities (SFFs) are nursing facilities designated by the Centers for Medicare & Medicaid Services to be of chronic poor quality. Relatively few nursing facilities are included in this initiative. The purpose of this research was to examine whether nursing facilities included in the 2007 SFF initiative subsequently…

  7. 75 FR 17644 - Update to NFPA 101, Life Safety Code, for State Home Facilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-07

    ... Dependence; 64.022, Veterans Home Based Primary Care; and 64.026, Veterans State Adult Day Health Care... 38 CFR Part 51 Administrative practice and procedure, claims, day care, dental health, government... diem for providing nursing home care to eligible Veterans will be required to meet certain...

  8. 76 FR 11339 - Update to NFPA 101, Life Safety Code, for State Home Facilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... Care; and 64.026, Veterans State Adult Day Health Care. Signing Authority The Secretary of Veterans... Administrative practice and procedure, Claims, Day care, Dental health, Government contracts, Grant programs... that receive a per diem for providing nursing home care to eligible veterans to meet certain...

  9. Rural-Urban Differences in End-of-Life Nursing Home Care: Facility and Environmental Factors

    ERIC Educational Resources Information Center

    Temkin-Greener, Helena; Zheng, Nan Tracy; Mukamel, Dana B.

    2012-01-01

    Purpose of the study: This study examines urban-rural differences in end-of-life (EOL) quality of care provided to nursing home (NH) residents. Data and Methods: We constructed 3 risk-adjusted EOL quality measures (QMs) for long-term decedent residents: in-hospital death, hospice referral before death, and presence of severe pain. We used…

  10. Sports Facilities, Shopping Centers or Homes: What Locations are Important for Adults' Physical Activity? A Cross-Sectional Study.

    PubMed

    Jansen, Marijke; Ettema, Dick; Pierik, Frank; Dijst, Martin

    2016-03-04

    Physical activity (PA) is influenced by the built environment. However, little is known about the types of built environment where adults spend their time, and at what levels of PA they engage in those environments. Understanding the effect of the built environment on PA requires insight into PA behavior at different types of locations (e.g., home, work, shopping centers, and sports facilities). Therefore, this study describes where adults aged 45-65 years were active with moderate-to-vigorous intensity (MVPA), and examines associations of socio-demographic factors and neighborhood with MVPA at these locations. Participants' (N = 308) PA was measured for seven days using accelerometers and GPS-devices. Adults spent most minutes of MVPA at home and work. Highest MVPA-ratios of total time spent at a location were achieved in sports facilities and during transport. Neighborhood characteristics and socio-demographic factors such as work status, health status and household structure, had significant effects on MVPA at various locations and on total MVPA. Understanding PA behavior at various locations may provide insights that allow professionals in different domains (e.g., health, landscaping, urban planning) to develop strategies to stimulate PA.

  11. Sports Facilities, Shopping Centers or Homes: What Locations are Important for Adults’ Physical Activity? A Cross-Sectional Study

    PubMed Central

    Jansen, Marijke; Ettema, Dick; Pierik, Frank; Dijst, Martin

    2016-01-01

    Physical activity (PA) is influenced by the built environment. However, little is known about the types of built environment where adults spend their time, and at what levels of PA they engage in those environments. Understanding the effect of the built environment on PA requires insight into PA behavior at different types of locations (e.g., home, work, shopping centers, and sports facilities). Therefore, this study describes where adults aged 45–65 years were active with moderate-to-vigorous intensity (MVPA), and examines associations of socio-demographic factors and neighborhood with MVPA at these locations. Participants’ (N = 308) PA was measured for seven days using accelerometers and GPS-devices. Adults spent most minutes of MVPA at home and work. Highest MVPA-ratios of total time spent at a location were achieved in sports facilities and during transport. Neighborhood characteristics and socio-demographic factors such as work status, health status and household structure, had significant effects on MVPA at various locations and on total MVPA. Understanding PA behavior at various locations may provide insights that allow professionals in different domains (e.g., health, landscaping, urban planning) to develop strategies to stimulate PA. PMID:26959041

  12. Port Granby Project Overview - 13208

    SciTech Connect

    Smith, David W.; Vandergaast, Gary; Sungaila, Mark

    2013-07-01

    The Port Granby Project is an integral part of the Port Hope Area Initiative (PHAI), and is located approximately 14 kilometres west of the Municipality of Port Hope in the adjacent Municipality of Clarington, Ontario. The principal objective of the project is the excavation and relocation of low-level radioactive waste (LLRW) and marginally contaminated soils, which were deposited at the Port Granby Waste Management Facility (PGWMF) by Eldorado Nuclear Limited during the period 1955 to 1988, to a new, highly engineered above-ground Long-term Waste Management Facility (LTWMF) to be constructed on a nearby site. The Environmental Assessment for the Project was approved in 2009 August and the required Waste Nuclear Substance License was received in 2011 November. Once the detailed engineering design was completed, in 2011 March, the Port Granby Project was divided into three major contracts for construction implementation purposes. The first of these contracts was completed in late 2012 and the second is planned to start in early 2013. The contracting process for the third major contract is also expected to be completed during 2013. This paper provides an overview of the Port Granby Project as well as discussion on the status of the Project, including the regulatory approvals process, the approach to contracting the construction works and an update of work recently completed and soon to get underway. (authors)

  13. Region 2 Port-area Investigation of Emissions Reduction (R2PIER)

    EPA Science Inventory

    Background Region 2 is home to the Port of New York and New Jersey (Port), the largest marine port on the East Coast and third largest in the nation. The Port is a concentrated source of diesel pollution, as more than 3 million containers move each year on diesel-powered ships, ...

  14. U.S. Offshore Wind Port Readiness

    SciTech Connect

    C. Elkinton, A. Blatiak, H. Ameen

    2013-10-13

    This study will aid decision-makers in making informed decisions regarding the choice of ports for specific offshore projects, and the types of investments that would be required to make individual port facilities suitable to serve offshore wind manufacturing, installation and/or operations.

  15. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., including the Uniform Federal Accessibility Standards (UFAS) (24 CFR part 40, appendix A), during the design and construction of projects subject to this part. If the State or local requirements are different..., residential-type area that is accessible to acute medical care facilities, community activities and...

  16. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., including the Uniform Federal Accessibility Standards (UFAS) (24 CFR part 40, appendix A), during the design and construction of projects subject to this part. If the State or local requirements are different..., residential-type area that is accessible to acute medical care facilities, community activities and...

  17. Interprofessional Collaboration to Improve Discharge from Skilled Nursing Facility to Home: Preliminary Data on Postdischarge Hospitalizations and Emergency Department Visits.

    PubMed

    Reidt, Shannon L; Holtan, Haley S; Larson, Tom A; Thompson, Bruce; Kerzner, Lawrence J; Salvatore, Toni M; Adam, Terrence J

    2016-09-01

    An interprofessional collaborative practice model was established at Hennepin County Medical Center to improve discharge management from the transitional care unit of the skilled nursing facility (SNF) to home. The practice model involves a geriatrician, nurse practitioner, and pharmacist who care for individuals at a community-based SNF. Before SNF discharge, the pharmacist conducts a chart and in-person medication review and collaborates with the nurse practitioner to determine the discharge medication regimen. The pharmacist's review focuses on assessing the indication, safety, effectiveness, and convenience of medications. The pharmacist provides follow-up in-home or over the telephone 1 week after SNF discharge, focusing on reviewing medications and assessing adherence. Hospitalizations and emergency department (ED) visits 30 days after SNF discharge of individuals who received care from this model was compared with those of individuals who received usual care from a nurse practitioner and geriatrician. From October 2012 through December 2013, the intervention was delivered to 87 individuals, with 189 individuals serving as the control group. After adjusting for age, sex, race, and payor, those receiving the intervention had a lower risk of ED visits (odds ratio (OR) = 0.46, 95% confidence interval (CI) = 0.22-0.97), although there was no significant difference in hospitalizations (OR = 0.47, 95% CI = 0.21-1.08). The study suggests that an interprofessional approach involving a pharmacist may be beneficial in reducing ED visits 30 days after SNF discharge. PMID:27385197

  18. Investigation of Childhood Lead Poisoning from Parental Take-Home Exposure from an Electronic Scrap Recycling Facility — Ohio, 2012.

    PubMed

    Newman, Nick; Jones, Camille; Page, Elena; Ceballos, Diana; Oza, Aalok

    2015-07-17

    Lead affects the developing nervous system of children, and no safe blood lead level (BLL) in children has been identified. Elevated BLLs in childhood are associated with hyperactivity, attention problems, conduct problems, and impairment in cognition. Young children are at higher risk for environmental lead exposure from putting their hands or contaminated objects in their mouth. Although deteriorating lead paint in pre-1979 housing is the most common source of lead exposure in children, data indicate that ≥30% of children with elevated BLLs were exposed through a source other than paint. Take-home contamination occurs when lead dust is transferred from the workplace on employees' skin, clothing, shoes, and other personal items to their car and home. Recycling of used electronics (e-scrap) is a relatively recent source of exposure to developmental neurotoxicants, including lead. In 2010, the Cincinnati Health Department and Cincinnati Children's Hospital Pediatric Environmental Health Specialty Unit (PEHSU) investigated two cases of childhood lead poisoning in a single family. In 2012, CDC's National Institute for Occupational Safety and Health (NIOSH) learned about the lead poisonings during an evaluation of the e-scrap recycling facility where the father of the two children with lead poisoning worked. This report summarizes the case investigation. Pediatricians should ask about parents' occupations and hobbies that might involve lead when evaluating elevated BLLs in children, in routine lead screening questionnaires, and in evaluating children with signs or symptoms of lead exposure.

  19. Robotics for port security

    NASA Astrophysics Data System (ADS)

    Smuda, William; Freiburger, Lonnie A.; Gerhart, Grant R.; Mallon, Lawrence

    2004-09-01

    The capacity through the use of robots with on board visual, NBC and HAZMAT sensors to rapidly and continuously screen convoys and staged exposed assets would be a force multiplier and measurably improve base and force protection at both inbound and outbound DOD and commercial facilities. This paper chronicles our experiment with the ODIS robot at the Ports of Los Angeles (POLA) and Long Beach (POLB) in July of 2003. POLA & POLB are responsible for moving over 30% of the United States trade goods. Queues of 54" container trucks routinely exceed 100 trucks, extending for over a mile from the port entrances. Spotted equipment and convoys at staging areas are a high visibility and value assets to a terrorist incident. The POLA/POLB scenario is also representative of TRANSCOM operations at the port of Basra during current operation in Iraq. The California Highway Patrol is responsible for physically inspecting these vehicles for roadworthiness and contraband, a dangerous and dirty job. We will also discuss the use of ODIS robots for this task.

  20. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  1. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  2. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  3. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  4. 33 CFR 125.55 - Outstanding Port Security Card Applications.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Outstanding Port Security Card... WATERFRONT FACILITIES OR VESSELS § 125.55 Outstanding Port Security Card Applications. A person who has filed an application for a Coast Guard Port Security Card and who did not receive such a document prior...

  5. Port-Wine Stain

    MedlinePlus

    ... and rashes clinical tools newsletter | contact Share | Port-Wine Stain A parent's guide for infants and babies ... a three-month-old infant with a port-wine stain. Overview A port-wine stain is a ...

  6. Increasing Access to Prevention of Postpartum Hemorrhage Interventions for Births in Health Facilities and at Home in Four Districts of Rwanda.

    PubMed

    Dao, Blami; Ngabo, Fidele; Zoungrana, Jeremie; Rawlins, Barbara; Mukarugwiro, Beata; Musoni, Pascal; Favero, Rachel; MacDowell, Juliet; Eugene, Kanyamanza

    2015-12-01

    To assess coverage, acceptability, and feasibility of a program to prevent postpartum hemorrhage (PPH) at community and facility levels, a study was conducted in 60 health facilities and their catchment areas in four districts in Rwanda. A total of 220 skilled birth attendants at these facilities were trained to provide active management of the third stage of labor and 1994 community health workers (ASMs) were trained to distribute misoprostol at home births. A total of 4,074 pregnant women were enrolled in the program (20.5% of estimated deliveries). Overall uterotonic coverage was 82.5%: 85% of women who delivered at a facility received a uterotonic to prevent PPH; 76% of women reached at home at the time of birth by an ASM ingested misoprostol--a 44.3% coverage rate. Administration of misoprostol at the time of birth for home births achieved moderate uterotonic coverage. Advancing the distribution of misoprostol through antenatal care services could further increase coverage. PMID:27337854

  7. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Criteria for Reception Facilities: Oily Mixtures § 158.210 Ports and terminals loading crude oil. The reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... the oceangoing tankers loading crude oil at the port or terminal that do not have clean ballast...

  8. National Nursing Home Survey

    Cancer.gov

    The National Nursing Home Survey provides includes characteristics such as size of nursing home facilities, ownership, Medicare/Medicaid certification, occupancy rate, number of days of care provided, and expenses.

  9. The Potential for Biomass District Energy Production in Port Graham, Alaska

    SciTech Connect

    Charles Sink, Chugachmiut; Keeryanne Leroux, EERC

    2008-05-08

    This project was a collaboration between The Energy & Environmental Research Center (EERC) and Chugachmiut – A Tribal organization Serving the Chugach Native People of Alaska and funded by the U.S. Department of Energy (DOE) Tribal Energy Program. It was conducted to determine the economic and technical feasibility for implementing a biomass energy system to service the Chugachmiut community of Port Graham, Alaska. The Port Graham tribe has been investigating opportunities to reduce energy costs and reliance on energy imports and support subsistence. The dramatic rise in the prices of petroleum fuels have been a hardship to the village of Port Graham, located on the Kenai Peninsula of Alaska. The Port Graham Village Council views the forest timber surrounding the village and the established salmon industry as potential resources for providing biomass energy power to the facilities in their community. Benefits of implementing a biomass fuel include reduced energy costs, energy independence, economic development, and environmental improvement. Fish oil–diesel blended fuel and indoor wood boilers are the most economical and technically viable options for biomass energy in the village of Port Graham. Sufficient regional biomass resources allow up to 50% in annual heating savings to the user, displacing up to 70% current diesel imports, with a simple payback of less than 3 years for an estimated capital investment under $300,000. Distributive energy options are also economically viable and would displace all imported diesel, albeit offering less savings potential and requiring greater capital. These include a large-scale wood combustion system to provide heat to the entire village, a wood gasification system for cogeneration of heat and power, and moderate outdoor wood furnaces providing heat to 3–4 homes or community buildings per furnace. Coordination of biomass procurement and delivery, ensuring resource reliability and technology acceptance, and arbitrating

  10. Resident-to-Resident Aggression in Long-Term Care Facilities: Insights from Focus Groups of Nursing Home Residents and Staff

    PubMed Central

    Rosen, Tony; Lachs, Mark S.; Bharucha, Ashok J.; Stevens, Scott M.; Teresi, Jeanne A.; Nebres, Flor; Pillemer, Karl

    2009-01-01

    OBJECTIVES To more fully characterize the spectrum of RRA. DESIGN A focus group study of nursing home staff members and residents who could reliably self-report. SETTING A large urban, not-for-profit long-term care facility in New York City PARTICIPANTS 7 residents and 96 staff members from multiple clinical and non-clinical occupational groups. MEASUREMENTS 16 focus groups were conducted. Content was analyzed with nVivo 7 software for qualitative data. RESULTS 35 different types of physical, verbal and sexual RRA were described, with screaming and/or yelling being the most common. Calling out and making noise were the most frequent of 29 antecedents identified as instigating episodes of RRA. RRA was most frequent in dining and residents’ rooms, and in the afternoon, though it occurred regularly throughout the facility at all times. While no proven strategies exist to manage RRA, staff described 25 self-initiated techniques to address the issue. CONCLUSION RRA is a ubiquitous phenomenon in nursing home settings with important consequences for affected individuals and facilities. Further epidemiologic research is necessary to more fully describe the phenomenon and identify risk factors and preventative strategies. PMID:18637979

  11. Home Economics.

    ERIC Educational Resources Information Center

    Ontario Dept. of Education, Toronto. School Planning and Building Research Section.

    This presentation of suggested layouts and specifications for home economics facilities has been prepared to be of service to school boards, architects, teachers, and administrators who are planning new schools or making renovations to existing structures. Room layouts are shown for a foods and nutrition room, or the foods and nutrition area of a…

  12. Tsunami currents in ports.

    PubMed

    Borrero, Jose C; Lynett, Patrick J; Kalligeris, Nikos

    2015-10-28

    Tsunami-induced currents present an obvious hazard to maritime activities and ports in particular. The historical record is replete with accounts from ship captains and harbour masters describing their fateful encounters with currents and surges caused by these destructive waves. Despite the well-known hazard, only since the trans-oceanic tsunamis of the early twenty-first century (2004, 2010 and 2011) have coastal and port engineering practitioners begun to develop port-specific warning and response products that accurately assess the effects of tsunami-induced currents in addition to overland flooding and inundation. The hazard from strong currents induced by far-field tsunami remains an underappreciated risk in the port and maritime community. In this paper, we will discuss the history of tsunami current observations in ports, look into the current state of the art in port tsunami hazard assessment and discuss future research trends.

  13. Tsunami currents in ports.

    PubMed

    Borrero, Jose C; Lynett, Patrick J; Kalligeris, Nikos

    2015-10-28

    Tsunami-induced currents present an obvious hazard to maritime activities and ports in particular. The historical record is replete with accounts from ship captains and harbour masters describing their fateful encounters with currents and surges caused by these destructive waves. Despite the well-known hazard, only since the trans-oceanic tsunamis of the early twenty-first century (2004, 2010 and 2011) have coastal and port engineering practitioners begun to develop port-specific warning and response products that accurately assess the effects of tsunami-induced currents in addition to overland flooding and inundation. The hazard from strong currents induced by far-field tsunami remains an underappreciated risk in the port and maritime community. In this paper, we will discuss the history of tsunami current observations in ports, look into the current state of the art in port tsunami hazard assessment and discuss future research trends. PMID:26392622

  14. 75 FR 17859 - Grants to States for Construction or Acquisition of State Home Facilities-Update of Authorized Beds

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-08

    ... Administrative practice and procedure, Alcohol abuse, Alcoholism, Claims, Day care, Dental health, Drug abuse... CONTACT: James F. Burris, MD, Chief Consultant, Geriatrics and Extended Care State Home Construction Grant... Register on July 10, 2009 (74 FR 33192), VA proposed to amend its regulations at 38 CFR part 59...

  15. Health Facilities: New York State's Oversight of Nursing Homes and Hospitals. Report to the Honorable Bill Green, House of Representatives.

    ERIC Educational Resources Information Center

    General Accounting Office, New York, NY. Regional Office.

    At the request of Congressman William Green, the General Accounting Office (GAO) evaluated the validity of allegations about deficiencies in the New York State Department of Health's nursing home and hospital inspection processes for certification for participation in the Medicare and Medicaid programs. Health Care Financing Administration and…

  16. Port-wine stain

    MedlinePlus

    Many treatments have been tried for port-wine stains, including freezing, surgery, radiation, and tattooing. Laser therapy is most successful in eliminating port-wine stains. It is the only method that can destroy the tiny blood vessels in the skin ...

  17. Multiple-port valve

    DOEpatents

    Doody, Thomas J.

    1978-08-22

    A multiple-port valve assembly is designed to direct flow from a primary conduit into any one of a plurality of secondary conduits as well as to direct a reverse flow. The valve includes two mating hemispherical sockets that rotatably receive a spherical valve plug. The valve plug is attached to the primary conduit and includes diverging passageways from that conduit to a plurality of ports. Each of the ports is alignable wih one or more of a plurality of secondary conduits fitted into one of the hemispherical sockets. The other hemispherical socket includes a slot for the primary conduit such that the conduit's motion along that slot with rotation of the spherical plug about various axes will position the valve-plug ports in respect to the secondary conduits.

  18. Nursing staff's actions during older residents’ transition into long-term care facility in a nursing home in rural Norway

    PubMed Central

    Eika, Marianne; Espnes, Geir Arild; Hvalvik, Sigrun

    2014-01-01

    Working in long-term care units poses particular staff challenges as these facilities are expected to provide services for seriously ill residents and give help in a homelike atmosphere. Licensed and unlicensed personnel work together in these surroundings, and their contributions may ease or inhibit a smooth transition for recently admitted residents. The aim of the study was to describe and explore different nursing staff's actions during the initial transition period for older people into a long-term care facility. Participant observation periods were undertaken following staff during 10 new residents’ admissions and their first week in the facility. In addition 16 interviews of different staff categories and reading of written documents were carried out. The findings show great variations of the staff's actions during the older residents’ initial transition period. Characteristics of their actions were (1) in the preparation period: “actions of sharing, sorting out, and ignoring information”; (2) on admission day: “actions of involvement and ignorance”; and (3) in the initial period: “targeted and random actions,” “actions influenced by embedded knowledge,” and “actions influenced by local transparency.” PMID:25301634

  19. Nursing staff's actions during older residents' transition into long-term care facility in a nursing home in rural Norway.

    PubMed

    Eika, Marianne; Espnes, Geir Arild; Hvalvik, Sigrun

    2014-01-01

    Working in long-term care units poses particular staff challenges as these facilities are expected to provide services for seriously ill residents and give help in a homelike atmosphere. Licensed and unlicensed personnel work together in these surroundings, and their contributions may ease or inhibit a smooth transition for recently admitted residents. The aim of the study was to describe and explore different nursing staff's actions during the initial transition period for older people into a long-term care facility. Participant observation periods were undertaken following staff during 10 new residents' admissions and their first week in the facility. In addition 16 interviews of different staff categories and reading of written documents were carried out. The findings show great variations of the staff's actions during the older residents' initial transition period. Characteristics of their actions were (1) in the preparation period: "actions of sharing, sorting out, and ignoring information"; (2) on admission day: "actions of involvement and ignorance"; and (3) in the initial period: "targeted and random actions," "actions influenced by embedded knowledge," and "actions influenced by local transparency."

  20. Depth-discrete sampling port

    DOEpatents

    Pemberton, Bradley E.; May, Christopher P.; Rossabi, Joseph; Riha, Brian D.; Nichols, Ralph L.

    1999-01-01

    A sampling port is provided which has threaded ends for incorporating the port into a length of subsurface pipe. The port defines an internal receptacle which is in communication with subsurface fluids through a series of fine filtering slits. The receptacle is in further communication through a bore with a fitting carrying a length of tubing there which samples are transported to the surface. Each port further defines an additional bore through which tubing, cables, or similar components of adjacent ports may pass.

  1. Depth-discrete sampling port

    DOEpatents

    Pemberton, Bradley E.; May, Christopher P.; Rossabi, Joseph; Riha, Brian D.; Nichols, Ralph L.

    1998-07-07

    A sampling port is provided which has threaded ends for incorporating the port into a length of subsurface pipe. The port defines an internal receptacle which is in communication with subsurface fluids through a series of fine filtering slits. The receptacle is in further communication through a bore with a fitting carrying a length of tubing there which samples are transported to the surface. Each port further defines an additional bore through which tubing, cables, or similar components of adjacent ports may pass.

  2. Factors Associated with Expenditures for Medicaid Home and Community Based Services (HCBS) and Intermediate Care Facilities for Persons with Mental Retardation (ICF/MR) Services for Persons with Intellectual and Developmental Disabilities

    ERIC Educational Resources Information Center

    Lakin, K. Charlie; Doljanac, Robert; Byun, Soo-Yong; Stancliffe, Roger J.; Taub, Sarah; Chiri, Giuseppina

    2008-01-01

    This article examines expenditures for a random sample of 1,421 adult Home and Community Based Services (HCBS) and Intermediate Care Facility/Mental Retardation (ICF/MR) recipients in 4 states. The article documents variations in expenditures for individuals with different characteristics and service needs and, controlling for individual…

  3. 75 FR 47899 - Bayside Savings Bank, Port St. Joe, FL; Notice of Appointment of Receiver

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-09

    ... Office of Thrift Supervision Bayside Savings Bank, Port St. Joe, FL; Notice of Appointment of Receiver Notice is hereby given that, pursuant to the authority contained in section 5(d)(2) of the Home Owners... as sole Receiver for Bayside Savings Bank, Port St. Joe, Florida, (OTS No. 17957) on July 30,...

  4. 51. Port elevation, in port. Note reduced turtle deck due ...

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

    51. Port elevation, in port. Note reduced turtle deck due to quarters expansion. - U.S. Coast Guard Cutter WHITE SUMAC, U.S. Coast Guard 8th District Base, 4640 Urquhart Street, New Orleans, Orleans Parish, LA

  5. Port-Wine Stains

    MedlinePlus

    ... upsetting for kids, especially if they're large, dark, or on the face. And any birthmark can take a toll on a child's self-confidence, no matter how large or small the mark might be. The good news is that lasers (highly concentrated light energy) can make many kids' port-wine stains much ...

  6. ROCKET PORT CLOSURE

    DOEpatents

    Mattingly, J.T.

    1963-02-12

    This invention provides a simple pressure-actuated closure whereby windowless observation ports are opened to the atmosphere at preselected altitudes. The closure comprises a disk which seals a windowless observation port in rocket hull. An evacuated instrument compartment is affixed to the rocket hull adjacent the inner surface of the disk, while the outer disk surface is exposed to the atmosphere through which the rocket is traveling. The pressure differential between the evacuated instrument compartment and the relatively high pressure external atmosphere forces the disk against the edge of the observation port, thereby effecting a tight seai. The instrument compartment is evacuated to a pressure equal to the atmospheric pressure existing at the altitude at which it is desiretl that the closure should open. When the rocket reaches this preselected altitude, the inwardly directed atmospheric force on the disk is just equaled by the residual air pressure force within the instrument compartment. Consequently, the closure disk falls away and uncovers the open observation port. The separation of the disk from the rocket hull actuates a switch which energizes the mechanism of a detecting instrument disposed within the instrument compartment. (AE C)

  7. Constipation and Laxative Use among Nursing Home Patients: Prevalence and Associations Derived from the Residents Assessment Instrument for Long-Term Care Facilities (interRAI LTCF)

    PubMed Central

    Blekken, Lene Elisabeth; Nakrem, Sigrid; Vinsnes, Anne Guttormsen; Mørkved, Siv; Gjeilo, Kari Hanne

    2016-01-01

    Introduction. Constipation is a common, bothersome, and potentially dangerous condition among nursing home (NH) patients. Between 50 and 74% of NH patients use laxatives. Objective. To study prevalence and associations of laxative use and constipation using the comprehensive Norwegian version of the Resident Assessment Instrument for Long-Term Care Facilities. Methods. Cross-sectional study. Patients from 20 NH units were included. Logistic regression was used to analyze the results. Data collected in NHs might be clustered. Consequently, the multivariable models were tested against a mixed effects regression model to investigate variance both on the level of patients and on the level of NH units. Results. In all, 261 patients were included. The prevalence of constipation was 23.4%, and 67.1% used laxatives regularly. Balance problems, urinary incontinence, hypothyroidism, and Parkinson's disease were associated with constipation. Reduced ability to communicate and number of drugs were associated with laxative use. Antidementia-drugs and being involved in activities 1/3 to 2/3 of daytime were protective factors for laxative use. Mixed effects analyses identified variance on the level of NH units as nonsignificant. Conclusion. Constipation and laxative use are common. Variance is mainly explained by different patient characteristics/health deficiencies. Hence, patients might benefit from individualized care to compensate for deficiencies. PMID:26884751

  8. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Port Directors. 120.24 Section 120.24 Foreign... Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and Border Protection Port Directors at the U.S. Customs and Border Protection Ports of Entry (other than the port...

  9. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Port Directors. 120.24 Section 120.24 Foreign... Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and Border Protection Port Directors at the U.S. Customs and Border Protection Ports of Entry (other than the port...

  10. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Port Directors. 120.24 Section 120.24 Foreign... Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and Border Protection Port Directors at the U.S. Customs and Border Protection Ports of Entry (other than the port...

  11. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Port Directors. 120.24 Section 120.24 Foreign... Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and Border Protection Port Directors at the U.S. Customs and Border Protection Ports of Entry (other than the port...

  12. 22 CFR 120.24 - Port Directors.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Port Directors. 120.24 Section 120.24 Foreign... Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and Border Protection Port Directors at the U.S. Customs and Border Protection Ports of Entry (other than the port...

  13. Port and Harbor Security

    SciTech Connect

    Saito, T; Guthmuller, H; DeWeert, M

    2004-12-15

    Port and Harbor Security is a daunting task to which optics and photonics offers significant solutions. We are pleased to report that the 2005 Defense and Security Symposium (DSS, Orlando, FL) will include reports on active and passive photonic systems operating from both airborne and subsurface platforms. In addition to imaging techniques, there are various photonic applications, such as total internal reflection fluorescence (TIRF), which can be used to ''sniff'' for traces of explosives or contaminants in marine. These non-imaging technologies are beyond the scope of this article, but will also be represented at DSS 2005. We encourage colleagues to join our technical group to help us to make our ports and harbors safer and more secure.

  14. Cost effectiveness of facility-based care, home-based care and mobile clinics for provision of antiretroviral therapy in Uganda.

    PubMed

    Babigumira, Joseph B; Sethi, Ajay K; Smyth, Kathleen A; Singer, Mendel E

    2009-01-01

    Stakeholders in HIV/AIDS care currently use different programmes for provision of antiretroviral therapy (ART) in Uganda. It is not known which of these represents the best value for money. To compare the cost effectiveness of home-based care (HBC), facility-based care (FBC) and mobile clinic care (MCC) for provision of ART in Uganda. Incremental cost-effectiveness analysis was performed using decision and Markov modeling of adult AIDS patients in WHO Clinical Stage 3 and 4 from the perspective of the Ugandan healthcare system. The main outcome measures were cost (year 2008 values), life expectancy in life-years (LY) and the incremental cost-effectiveness ratio (ICER) measured as cost per QALY or LY gained over 10 years. Ten-year mean undiscounted life expectancy was lowest for FBC (3.6 LY), followed by MCC (4.3 LY) and highest for HBC (5.3 LY), while the mean discounted QALYs were also lowest for FBC (2.3), followed by MCC (2.9) and highest for HBC (3.7). The 10-year mean costs per patient were lowest for FBC ($US3212), followed by MCC ($US4782) and highest for HBC ($US7033). The ICER was lower for MCC versus FBC ($US2241 per LY and $US2615 per QALY) than for HBC versus MCC ($US2251 per LY and $US2814 per QALY). FBC remained cost effective in univariate and probabilistic sensitivity analyses. FBC appears to be the most cost-effective programme for provision of ART in Uganda. This analysis supports the implementation of FBC for scale-up and sustainability of ART in Uganda. HBC and MCC would be competitive only if there is increased access, increased adherence or reduced cost.

  15. Emergency department use among patients from residential aged care facilities under a Hospital in the Nursing Home scheme in public hospitals in Queensland Australia

    PubMed Central

    Lukin, Bill; Fan, Li-jun; Zhao, Jing-zhou; Sun, Jian-dong; Dingle, Kaeleen; Purtill, Rhonda; Tapp, Sam; Hou, Xiang-yu

    2016-01-01

    BACKGROUND: Hospital emergency department (ED) use by patients from residential aged care facilities (RACFs) is not always appropriate, and this calls for interventions to avoid some unnecessary uses. This study aims to compare patterns of ED use by RACF patients with and without a Hospital in the Nursing Home (HiNH) program. METHODS: RACF patients presenting to EDs of a hospital with and a hospital without this program during pre- and post-intervention periods were included. Data on patient demographics and ED presentation characteristics were obtained from the Emergency Department Information System database, and were analysed by descriptive and comparative statistics. RESULTS: In both hospitals, most RACF residents presenting to EDs were aged between 75–94 years, female, triaged at scale 3 to 5, and transferred on weekdays and during working hours. Almost half of them were subsequently admitted to hospitals. In accordance with the ICD-10-AM diagnostic coding system, diagnoses that consistently ranked among the top three reasons for visiting the two hospitals before and after intervention included Chapter XIX: injury and poisoning and Chapter X: respiratory diseases. Associated with the intervention, significant decreases in the numbers of presentations per 1 000 RACF beds were identified among patients diagnosed with Chapter XI: digestive diseases [rate ratio (95%CI): 0.09 (0.04, 0.22); P<0.0001] and Chapter XXI: factors influencing health status and contact with health services [rate ratio (95%CI): 0.22 (0.07, 0.66); P=0.007]. CONCLUSION: The HiNH program may reduce the incidence of RACF residents visiting EDs for diagnoses of Chapter XI and Chapter XXI. PMID:27547277

  16. ITER Port Interspace Pressure Calculations

    SciTech Connect

    Carbajo, Juan J; Van Hove, Walter A

    2016-01-01

    The ITER Vacuum Vessel (VV) is equipped with 54 access ports. Each of these ports has an opening in the bioshield that communicates with a dedicated port cell. During Tokamak operation, the bioshield opening must be closed with a concrete plug to shield the radiation coming from the plasma. This port plug separates the port cell into a Port Interspace (between VV closure lid and Port Plug) on the inner side and the Port Cell on the outer side. This paper presents calculations of pressures and temperatures in the ITER (Ref. 1) Port Interspace after a double-ended guillotine break (DEGB) of a pipe of the Tokamak Cooling Water System (TCWS) with high temperature water. It is assumed that this DEGB occurs during the worst possible conditions, which are during water baking operation, with water at a temperature of 523 K (250 C) and at a pressure of 4.4 MPa. These conditions are more severe than during normal Tokamak operation, with the water at 398 K (125 C) and 2 MPa. Two computer codes are employed in these calculations: RELAP5-3D Version 4.2.1 (Ref. 2) to calculate the blowdown releases from the pipe break, and MELCOR, Version 1.8.6 (Ref. 3) to calculate the pressures and temperatures in the Port Interspace. A sensitivity study has been performed to optimize some flow areas.

  17. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  18. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  19. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  20. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  1. 33 CFR 125.13 - Captain of the Port Identification Cards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Identification Cards. 125.13 Section 125.13 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.13 Captain of the Port Identification Cards. Captain of the Port Identification Cards issued under the form designation “Form CG 2514” prior to the revision of August 1950...

  2. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  3. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  4. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  5. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  6. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  7. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  8. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  9. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  10. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  11. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  12. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  13. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  14. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  15. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  16. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  17. 33 CFR 125.33 - Holders of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Holders of Coast Guard Port Security Cards. 125.33 Section 125.33 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.33 Holders of Coast Guard Port Security Cards. (a) Whenever...

  18. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  19. 33 CFR 125.51 - Replacement of lost Coast Guard Port Security Card.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Replacement of lost Coast Guard Port Security Card. 125.51 Section 125.51 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.51 Replacement of lost Coast Guard Port Security Card....

  20. 33 CFR 125.11 - Form of Coast Guard Port Security Card.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Form of Coast Guard Port Security Card. 125.11 Section 125.11 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND... WATERFRONT FACILITIES OR VESSELS § 125.11 Form of Coast Guard Port Security Card. The Coast Guard...

  1. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  2. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  3. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  4. 33 CFR 125.17 - Persons eligible for Coast Guard Port Security Cards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Persons eligible for Coast Guard Port Security Cards. 125.17 Section 125.17 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.17 Persons eligible for Coast Guard Port Security Cards....

  5. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  6. 33 CFR 125.12 - Period of validity of Coast Guard Port Security Cards.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Period of validity of Coast Guard Port Security Cards. 125.12 Section 125.12 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... TO WATERFRONT FACILITIES OR VESSELS § 125.12 Period of validity of Coast Guard Port Security...

  7. Multi-port valve

    DOEpatents

    Lewin, Keith F.

    1997-04-15

    A multi-port valve for regulating, as a function of ambient air having varying wind velocity and wind direction in an open-field control area, the distribution of a fluid, particularly carbon dioxide (CO.sub.2) gas, in a fluid distribution system so that the control area remains generally at an elevated fluid concentration or level of said fluid. The multi-port valve generally includes a multi-port housing having a plurality of outlets therethrough disposed in a first pattern of outlets and at least one second pattern of outlets, and a movable plate having a plurality of apertures extending therethrough disposed in a first pattern of apertures and at least one second pattern of apertures. The first pattern of apertures being alignable with the first pattern of outlets and the at least one second pattern of apertures being alignable with the second pattern of outlets. The first pattern of apertures has a predetermined orientation with the at least one second pattern of apertures. For an open-field control area subject to ambient wind having a low velocity from any direction, the movable plate is positioned to equally distribute the supply of fluid in a fluid distribution system to the open-field control area. For an open-field control area subject to ambient wind having a high velocity from a given direction, the movable plate is positioned to generally distribute a supply of fluid in a fluid distribution system to that portion of the open-field control area located upwind.

  8. Multi-port valve

    DOEpatents

    Lewin, K.F.

    1997-04-15

    A multi-port valve is described for regulating, as a function of ambient air having varying wind velocity and wind direction in an open-field control area, the distribution of a fluid, particularly carbon dioxide (CO{sub 2}) gas, in a fluid distribution system so that the control area remains generally at an elevated fluid concentration or level of said fluid. The multi-port valve generally includes a multi-port housing having a plurality of outlets there through disposed in a first pattern of outlets and at least one second pattern of outlets, and a movable plate having a plurality of apertures extending there through disposed in a first pattern of apertures and at least one second pattern of apertures. The first pattern of apertures being alignable with the first pattern of outlets and the at least one second pattern of apertures being alignable with the second pattern of outlets. The first pattern of apertures has a predetermined orientation with the at least one second pattern of apertures. For an open-field control area subject to ambient wind having a low velocity from any direction, the movable plate is positioned to equally distribute the supply of fluid in a fluid distribution system to the open-field control area. For an open-field control area subject to ambient wind having a high velocity from a given direction, the movable plate is positioned to generally distribute a supply of fluid in a fluid distribution system to that portion of the open-field control area located upwind. 7 figs.

  9. Single port access surgery with a novel Port Camera system.

    PubMed

    Terry, Benjamin S; Schoen, Jonathan; Mills, Zachary; Rentschler, Mark E

    2012-06-01

    In this work, the authors designed, built, and tested a novel port camera system for single port access (SPA) laparoscopic surgery. This SPA Port Camera device integrates the monitor, laparoscopic camera, and light source into an inexpensive, portable cannula port. The device uses a 2-channel SPA port inserted through an umbilical incision, similar to traditional SPA. After insertion into a channel, the device deploys a small camera module and LED lamp in vivo. An integrated, on-patient LCD provides the view of the surgical site. The design intent of the port camera is to enhance SPA by (a) reducing the size of the SPA port through the elimination of the dedicated laparoscope channel; (b) reducing equipment cost by integrating an inexpensive CMOS sensor and LED lamp at the port tip; (c) eliminating the need for an assistant who operates the laparoscope; and (d) mechanically coupling the camera, tool port, and on-patient LCD screen. The effectiveness of the device was evaluated by comparing the video performance with a leading industry laparoscope and by performing a user evaluation study and live porcine surgery with the device. Effectiveness of the device was mixed. Overall video system performance of the device is better than an industry standard high-definition laparoscope, implying that significant cost savings over a traditional system are possible. Participant study results suggest that simulated laparoscopic tasks are as efficient with the SPA Port Camera as they are with a typical SPA configuration. However, live surgery revealed several shortcomings of the SPA Port Camera.

  10. 33 CFR 160.109 - Waterfront facility safety.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Waterfront facility safety. 160.109 Section 160.109 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PORTS AND WATERWAYS SAFETY PORTS AND WATERWAYS SAFETY-GENERAL Control of Vessel and Facility Operations § 160.109 Waterfront facility...

  11. 19 CFR 18.27 - Port marks.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Port marks. 18.27 Section 18.27 Customs Duties U.S... Port marks. Port marks may be added by authority of the port director and under the supervision of a Customs officer. The original marks and the port marks shall appear in all papers pertaining to...

  12. 19 CFR 18.27 - Port marks.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Port marks. 18.27 Section 18.27 Customs Duties U.S... Port marks. Port marks may be added by authority of the port director and under the supervision of a Customs officer. The original marks and the port marks shall appear in all papers pertaining to...

  13. Tempered Water Lower Port Connector Structural Analysis Verification

    SciTech Connect

    CREA, B.A.

    2000-05-05

    Structural analysis of the lower port connection of the Tempered Water System of the Cold Vacuum Drying Facility was performed. Subsequent detailed design changes to enhance operability resulted in the need to re-evaluate the bases of the original analysis to verify its continued validity. This evaluation is contained in Appendix A of this report. The original evaluation is contained in Appendix B.

  14. 9. VIEW OF BAGIN BAGOUT PORT IN MODULE J, ASSOCIATED ...

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

    9. VIEW OF BAG-IN BAG-OUT PORT IN MODULE J, ASSOCIATED WITH PLUTONIUM CASTING PROCESSES. (2/98) - Rocky Flats Plant, Plutonium Manufacturing Facility, North-central section of Plant, just south of Building 776/777, Golden, Jefferson County, CO

  15. An oblique view of the forward fuselage and port side ...

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

    An oblique view of the forward fuselage and port side of the Orbiter Discovery while mounted atop the 76-wheeled orbiter transfer system as it is being rolled from the Orbiter Processing Facility to the Vehicle Assembly Building at Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  16. The port side view of the Orbiter Discovery while mounted ...

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

    The port side view of the Orbiter Discovery while mounted atop the 76-wheeled orbiter transfer system as it is being rolled from the Orbiter Processing Facility to the Vehicle Assembly Building at Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  17. Nursing Homes

    MedlinePlus

    ... our e-newsletter! Aging & Health A to Z Nursing Homes Basic Facts & Information Nursing homes have changed ... physical health and/or mental disabilities. Is a Nursing Home Right for You? Almost half of all ...

  18. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  19. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  20. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  1. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  2. 38 CFR 17.57 - Use of community nursing homes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Use of community nursing... MEDICAL Use of Community Nursing Home Care Facilities § 17.57 Use of community nursing homes. (a) Nursing home care in a contract public or private nursing home facility may be authorized for the...

  3. Responding to the 2015 CMS Proposed Rule Changes for LTC Facilities: A Call to Redouble Efforts to Prepare Students and Practitioners for Nursing Homes.

    PubMed

    Bern-Klug, Mercedes; Connolly, Robert; Downes, Deirdre; Galambos, Colleen; Kusmaul, Nancy; Kane, Rosalie; Hector, Paige; Beaulieu, Elise

    2016-01-01

    In July of 2015, the Federal Register published for public comment proposed rule changes for nursing homes certified to receive Medicare and/or Medicaid. If the final rules are similar to the proposed rules, they will represent the largest change in federal rules governing nursing homes since the Nursing Home Reform Act which was part of OBRA 1987. The proposed changes have the potential to enhance the quality of care and quality of life of nursing home residents. Many of the proposed changes would directly affect the practice of social work and would likely expand the role for nursing home social workers. This article discusses the role that members of the National Nursing Home Social Work Network (NNHSW Network) played in developing and submitting a response to CMS. The article provides the context for the publication of the proposed rules, describes the process used by the NNHSW Network to develop and build support for comments on these rules, and also includes the actual comments submitted to CMS. Social work education programs and continuing education programs throughout the country will continue to have an important role to play in helping to prepare social work students and practitioners for a career in long-term care. PMID:26913558

  4. Responding to the 2015 CMS Proposed Rule Changes for LTC Facilities: A Call to Redouble Efforts to Prepare Students and Practitioners for Nursing Homes.

    PubMed

    Bern-Klug, Mercedes; Connolly, Robert; Downes, Deirdre; Galambos, Colleen; Kusmaul, Nancy; Kane, Rosalie; Hector, Paige; Beaulieu, Elise

    2016-01-01

    In July of 2015, the Federal Register published for public comment proposed rule changes for nursing homes certified to receive Medicare and/or Medicaid. If the final rules are similar to the proposed rules, they will represent the largest change in federal rules governing nursing homes since the Nursing Home Reform Act which was part of OBRA 1987. The proposed changes have the potential to enhance the quality of care and quality of life of nursing home residents. Many of the proposed changes would directly affect the practice of social work and would likely expand the role for nursing home social workers. This article discusses the role that members of the National Nursing Home Social Work Network (NNHSW Network) played in developing and submitting a response to CMS. The article provides the context for the publication of the proposed rules, describes the process used by the NNHSW Network to develop and build support for comments on these rules, and also includes the actual comments submitted to CMS. Social work education programs and continuing education programs throughout the country will continue to have an important role to play in helping to prepare social work students and practitioners for a career in long-term care.

  5. Home sweet medical home.

    PubMed

    Sorrel, Amy Lynn

    2014-11-01

    Starting with a solid primary care foundation, the patient-centered medical home has become a hot commodity for making health care more efficient and effective and less fragmented and costly. Whether the enhanced primary care model lives up to its promise is still up for debate, based on the available research. Still, policymakers, payers, and physician practices are increasingly taking the bet.

  6. General view looking aft along the port side of the ...

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

    General view looking aft along the port side of the Orbiter Discovery into its payload bay. Note the Remote Manipulator System, Canadarm, in the foreground mounted on the port side longeron. The Remote Sensor Arm is mounted on the opposite, starboard, longeron. Also note the airlock and the protective covering over the docking mechanism. This image was taken in the Orbiter Processing Facility at Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  7. 33 CFR 165.760 - Security Zones; Tampa Bay, Port of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake, Old Port Tampa, Big Bend, Weedon..., Old Port Tampa, Big Bend, Weedon Island, and Crystal River, Florida. (a) Location. The following areas, denoted by coordinates fixed using the North American Datum of 1983 (World Geodetic System 1984),...

  8. 33 CFR 165.760 - Security Zones; Tampa Bay, Port of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake, Old Port Tampa, Big Bend, Weedon..., Old Port Tampa, Big Bend, Weedon Island, and Crystal River, Florida. (a) Location. The following areas, denoted by coordinates fixed using the North American Datum of 1983 (World Geodetic System 1984),...

  9. 33 CFR 165.760 - Security Zones; Tampa Bay, Port of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake, Old Port Tampa, Big Bend, Weedon..., Old Port Tampa, Big Bend, Weedon Island, and Crystal River, Florida. (a) Location. The following areas, denoted by coordinates fixed using the North American Datum of 1983 (World Geodetic System 1984),...

  10. 33 CFR 165.760 - Security Zones; Tampa Bay, Port of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake, Old Port Tampa, Big Bend, Weedon..., Old Port Tampa, Big Bend, Weedon Island, and Crystal River, Florida. (a) Location. The following areas, denoted by coordinates fixed using the North American Datum of 1983 (World Geodetic System 1984),...

  11. 33 CFR 165.760 - Security Zones; Tampa Bay, Port of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of Tampa, Port of Saint Petersburg, Port Manatee, Rattlesnake, Old Port Tampa, Big Bend, Weedon..., Old Port Tampa, Big Bend, Weedon Island, and Crystal River, Florida. (a) Location. The following areas, denoted by coordinates fixed using the North American Datum of 1983 (World Geodetic System 1984),...

  12. Group Home Management.

    ERIC Educational Resources Information Center

    Little (Arthur D.), Inc., Washington, DC.

    This guide seeks improvement in group home management, especially community-based residential facilities for juvenile offenders. Primary organizational considerations include structure, communication lines and decision making. The role of the Board of Directors is explored from initial selection through definition of the program directors role.…

  13. Deepwater ports study. Final report

    SciTech Connect

    Not Available

    1993-10-01

    The study for Congress was required by section 1004 of the Oil Pollution Act of 1990 (OPA 90). The study analyzes the relative environmental and operational risks of the four principal modes for waterborne delivery of crude oil to U.S. ports: direct vessel deliveries, lightering, deepwater ports, and offshore mooring stations; detailed descriptions of these modes are presented. The study finds that most spills are non-catastrophic (less than 1,000 barrels), but that all modes are potentially catastrophic under worst-case scenarios. However, the study determined that deepwater ports are the least-risky of the four modes because cargo operations take place well offshore where minor spills may disperse naturally before impinging upon sensitive ecosystems. Furthermore, seafloor pipeline transfer of oil does not expose it to the same risks encountered by surface ships (adverse weather, fire, collisions, groundings, etc.). The study also includes 1986-1990 crude oil casualty and import data for Gulf coast ports.

  14. 46 CFR 28.555 - Freeing ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 1 2010-10-01 2010-10-01 false Freeing ports. 28.555 Section 28.555 Shipping COAST... VESSELS Stability § 28.555 Freeing ports. (a) Except as provided in paragraph (i) of this section, each decked vessel fitted with bulwarks must be fitted with freeing ports. (b) Freeing ports must be...

  15. Elementary Rehabilitation Nursing Care; a Manual for Nurses and Ancillary Workers in Nursing Homes, Hospitals, Convalescent Facilities, and Public Health Agencies. Public Health Service Publication No. 1436.

    ERIC Educational Resources Information Center

    Colorado State Dept. of Public Health, Denver. Public Health Nursing Section.

    This guide for teacher and student use presents a comprehensive program of physical rehabilitation for aged and physically disabled patients. Developed by the Public Health Nursing Section, the manual was tested by state health department personnel and persons doing inservice teaching in their respective nursing homes. The program is designed to…

  16. 19 CFR 142.52 - Port-wide and multiple port acceptance of Line Release.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Port-wide and multiple port acceptance of Line... SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) ENTRY PROCESS Line Release § 142.52 Port-wide and multiple port acceptance of Line Release. (a) Port-wide processing. If a C-4 Code has been approved by the...

  17. 19 CFR 142.52 - Port-wide and multiple port acceptance of Line Release.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Port-wide and multiple port acceptance of Line... SECURITY; DEPARTMENT OF THE TREASURY (CONTINUED) ENTRY PROCESS Line Release § 142.52 Port-wide and multiple port acceptance of Line Release. (a) Port-wide processing. If a C-4 Code has been approved by the...

  18. Detail of southeast side of Facility 283. Compare roof vents ...

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

    Detail of southeast side of Facility 283. Compare roof vents to those on Facility 226. - U.S. Naval Base, Pearl Harbor, Storehouse for Defense Battalion Type, Between Port Royal Street & Fuller Way, Pearl City, Honolulu County, HI

  19. Future Development of Nursing Home Quality Indicators

    ERIC Educational Resources Information Center

    Arling, Greg; Kane, Robert L.; Lewis, Teresa; Mueller, Christine

    2005-01-01

    Nursing home quality indicators have been developed over the past 10 years to quantify nursing home quality and to draw systematic comparisons between facilities. Although these indicators have been applied widely for nursing home regulation, quality improvement, and public reporting, researchers and stakeholders have raised concerns about their…

  20. Testing the effectiveness of mobile home weatherization measures in a controlled environment: The SERI CMFERT (Collaborative Manufactured Buildings Facility for Energy Research and Training) Project

    SciTech Connect

    Judkoff, R.D.; Hancock, C.E.; Franconi, E.

    1990-03-01

    For several years the Solar Energy Research Institute has been testing the effectiveness of mobile home weatherization measures, with the support of the US DOE Office of State and Local Assistance Programs Weatherization Assistance Program, the DOE Office of Buildings and Community Systems, the seven states within the federal Weatherization Region 7, the Colorado Division of Housing, and the DOE Denver Support Office. During the winter of 1988--89, several weatherization measures were thermally tested on three mobile homes under controlled conditions inside a large environmental enclosure. The effects of each weatherization measure on conduction losses, infiltration losses, and combined furnace and duct-delivered heat efficiency were monitored. The retrofit options included air sealing, duct repair, furnace tune-up, interior storm panels, floor insulation, and roof insulation. The study demonstrated that cost-effective heating energy savings of about 20% to 50% are possible if weatherization techniques adapted to the special construction details in mobile homes are applied. 24 refs., 18 figs., 9 tabs.

  1. Home Care

    MedlinePlus

    ... Help Related Topics Assisted Living Community-Based Care Nursing Homes Related Video Join our e-newsletter! Aging & Health A to Z Home Care Basic Facts & Information Role of Health Care Professionals in Home Care Your physician is the leader ...

  2. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... oil. 158.210 Section 158.210 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND...

  3. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... oil. 158.210 Section 158.210 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND...

  4. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... reception facility for a crude oil loading port or terminal must have the capacity for receiving— (a) Oil... oil. 158.210 Section 158.210 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND...

  5. Detail view of the port side of the payload bay ...

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

    Detail view of the port side of the payload bay of the Orbiter Discovery. This view shows Remote Manipulator System, Canadarm, sensors in the center of the image and a close-up view of a small segment of the orbiter's radiator panel. This photograph was taken in the Orbiter Processing Facility at the Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  6. Interface Circuit For Printer Port

    NASA Technical Reports Server (NTRS)

    Tucker, Jerry H.; Yadlowsky, Ann B.

    1991-01-01

    Electronic circuit, called printer-port interface circuit (PPI) developed to overcome certain disadvantages of previous methods for connecting IBM PC or PC-compatible computer to other equipment. Has both reading and writing modes of operation. Very simple, requiring only six integrated circuits. Provides for moderately fast rates of transfer of data and uses existing unmodified circuit card in IBM PC. When used with appropriate software, circuit converts printer port on IBM PC, XT, AT, or compatible personal computer to general purpose, 8-bit-data, 16-bit address bus that connects to multitude of devices.

  7. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes....

  8. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes....

  9. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... to another facility that meets certain minimum standards, as set forth in 38 CFR 51.59(c)(1... nursing homes. 17.58 Section 17.58 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.58 Evacuation of community nursing homes....

  10. The VisPort Project: Visualization of Port Logistics

    ERIC Educational Resources Information Center

    Katsioloudis, Petros J.; Watson, Ginger

    2011-01-01

    There is concern about the diminishing availability of skilled personnel that can operate in the wide variety of disciplines associated with port operations. Increasing cargo volume, combined with a shrinking workforce, could potentially create alarming situations in the future, hence the motivation to publicize to current students the breadth and…

  11. SEDIMENT DECONTAMINATION WITH BENEFICIAL USE FOR THE PORT OF NEW YORK AND NEW JERSEY.

    SciTech Connect

    STERN,E.A.; JONES,K.W.; DOUGLAS,W.S.; FENG,H.; CLESCERI,N.L.; LODGE,J.L.

    2002-05-01

    Effective operation of the multi-state Port ofNew York/New Jersey (Port), which contributes $20 billion to the regional economy and generates nearly 250,000 jobs, is dependent on yearly navigational dredging of several million m{sup 3} of sediment for channel maintenance and deepening. Further dredging is required for remediation of environmentally sensitive areas. However, more stringent ocean placement testing regulations in the Port region have necessitated a search for other means of handling the most contaminated dredged materials. Here, we describe a dredged material decontamination program for the Port aimed at the creation of sediment decontamination facilities that produce a beneficial use product to obviate the need for ocean placement. These facilities, to be a viable component of an overall dredged material management plan, must be environmentally balanced and economically feasible with the predictable ability to process large volumes of dredged materials with rapid turn-around. Our program recognizes that the responsible management of contaminated dredged materials is a complex problem that requires the effective application and coordination of a variety of cross-cutting skills to make decontamination facilities a reality. Participants do not come from a single agency, but are ad hoc teams of scientists, engineers, regulators, port authorities and operators, technology development firms, federal/state/local governments, business interests and community groups, among others, who are brought together by the need to solve the complex problem of managing dredged material in the Port region.

  12. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  13. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  14. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  15. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  16. 38 CFR 59.140 - Nursing home care requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Nursing home care... (CONTINUED) GRANTS TO STATES FOR CONSTRUCTION OR ACQUISITION OF STATE HOMES § 59.140 Nursing home care requirements. As a condition for receiving a grant and grant funds for a nursing home facility under this...

  17. Multi-port dump combustor

    SciTech Connect

    Dale, L. A.; Grenleski Jr., S. E.; Keirsey, J. L.; Stevens, C. E.

    1985-09-10

    A four-ported dump combustor is designed for use with a ramjet engine and provides high combustion efficiency and pressure recovery for length-to-diameter (L/D) ratios of between 1.3 and 4.4, over a range of operating conditions.

  18. Rurality and Nursing Home Quality: Evidence from the 2004 National Nursing Home Survey

    ERIC Educational Resources Information Center

    Kang, Yu; Meng, Hongdao; Miller, Nancy A.

    2011-01-01

    Purpose of the Study: To evaluate the impact of rural geographic location on nursing home quality of care in the United States. Design and Methods: The study used cross-sectional observational design. We obtained resident- and facility-level data from 12,507 residents in 1,174 nursing homes from the 2004 National Nursing Home Survey. We used…

  19. IV treatment at home

    MedlinePlus

    ... home; PICC line - home; Infusion therapy - home; Home health care - IV treatment ... Often, home health care nurses will come to your home to give you the medicine. Sometimes, a family member, a friend, or ...

  20. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as may be named in permits or... 7 Agriculture 5 2010-01-01 2010-01-01 false Ports. 352.9 Section 352.9 Agriculture Regulations of... AGRICULTURE PLANT QUARANTINE SAFEGUARD REGULATIONS § 352.9 Ports. The arrival, unloading, landing,...

  1. 46 CFR 45.137 - Cargo ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Cargo ports. 45.137 Section 45.137 Shipping COAST GUARD....137 Cargo ports. (a) Unless otherwise authorized by the Commandant, the lower edge of any opening for... uppermost loadline. (b) The number of cargo ports in the sides of a ship must be— (1) No more than...

  2. 46 CFR 45.137 - Cargo ports.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Cargo ports. 45.137 Section 45.137 Shipping COAST GUARD....137 Cargo ports. (a) Unless otherwise authorized by the Commandant, the lower edge of any opening for... uppermost loadline. (b) The number of cargo ports in the sides of a ship must be— (1) No more than...

  3. 50 CFR 14.19 - Special ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 50 Wildlife and Fisheries 1 2010-10-01 2010-10-01 false Special ports. 14.19 Section 14.19... IMPORTATION, EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.19 Special ports. (a) Except for wildlife requiring a permit pursuant to part 16, 17, 18, 21, or...

  4. 50 CFR 14.19 - Special ports.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 1 2011-10-01 2011-10-01 false Special ports. 14.19 Section 14.19... IMPORTATION, EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.19 Special ports. (a) Except for wildlife requiring a permit pursuant to part 16, 17, 18, 21, or...

  5. Assessment of Ports for Offshore Wind Development in the United States

    SciTech Connect

    Elkinton, Chris; Blatiak, Alicia; Ameen, Hafsa

    2014-03-21

    As offshore wind energy develops in the United States, port facilities will become strategic hubs in the offshore wind farm supply chain because all plant and transport logistics must transit through these facilities. Therefore, these facilities must provide suitable infrastructure to meet the specific requirements of the offshore wind industry. As a result, it is crucial that federal and state policy-makers and port authorities take effective action to position ports in the offshore wind value chain to take best advantage of their economic potential. The U.S. Department of Energy tasked the independent consultancy GL Garrad Hassan (GL GH) with carrying out a review of the current capability of U.S. ports to support offshore wind project development and an assessment of the challenges and opportunities related to upgrading this capability to support the growth of as many as 54 gigawatts of offshore wind installed in U.S. waters by 2030. The GL GH report and the open-access web-based Ports Assessment Tool resulting from this study will aid decision-makers in making informed decisions regarding the choice of ports for specific offshore projects, and the types of investments that would be required to make individual port facilities suitable to serve offshore wind manufacturing, installation and/or operations. The offshore wind industry in the United States is still in its infancy and this study finds that additional port facilities capable of supporting offshore wind projects are needed to meet the anticipated project build-out by 2030; however, no significant barriers exist to prevent the development of such facilities. Furthermore, significant port capabilities are in place today with purpose-build port infrastructure currently being built. While there are currently no offshore wind farms operating in the United States, much of the infrastructure critical to the success of such projects does exist, albeit in the service of other industries. This conclusion is based

  6. 77 FR 45719 - Proposed Information Collection (Per Diem for Nursing Home Care of Veterans in State Homes; Per...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-01

    ... AFFAIRS Proposed Information Collection (Per Diem for Nursing Home Care of Veterans in State Homes; Per... the notice. This notice solicits comments on information needed to ensure that nursing home and adult day health care facilities are providing high quality services to Veterans in State homes....

  7. 78 FR 46421 - Proposed Information Collection (Per Diem for Nursing Home Care of Veterans in State Homes; Per...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-31

    ... AFFAIRS Proposed Information Collection (Per Diem for Nursing Home Care of Veterans in State Homes; Per... the notice. This notice solicits comments on information needed to ensure that nursing home and adult day health care facilities are providing high quality services to Veterans in State homes....

  8. 42 CFR 414.335 - Payment for EPO furnished to a home dialysis patient for use in the home.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... AND OTHER HEALTH SERVICES Determination of Reasonable Charges Under the ESRD Program § 414.335 Payment..., payment for EPO used at home by a home dialysis patient is made only to either a Medicare approved ESRD... used at home by a home dialysis patient is made only to a Medicare-approved ESRD facility in...

  9. Single port laparoscopic mesh rectopexy

    PubMed Central

    2016-01-01

    Introduction Traditionally, laparoscopic mesh rectopexy is performed with four ports, in an attempt to improve cosmetic results. Following laparoscopic mesh rectopexy there is a new operative technique called single-port laparoscopic mesh rectopexy. Aim To evaluate the single-port laparoscopic mesh rectopexy technique in control of rectal prolapse and the cosmesis and body image issues of this technique. Material and methods The study was conducted in El Fayoum University Hospital between July 2013 and November 2014 in elective surgery for symptomatic rectal prolapse with single-port laparoscopic mesh rectopexy on 10 patients. Results The study included 10 patients: 3 (30%) males and 7 (70%) females. Their ages ranged between 19 years and 60 years (mean: 40.3 ±6 years), and they all underwent laparoscopic mesh rectopexy. There were no conversions to open technique, nor injuries to the rectum or bowel, and there were no mortalities. Mean operative time was 120 min (range: 90–150 min), and mean hospital stay was 2 days (range: 1–3 days). Preoperatively, incontinence was seen in 5 (50%) patients and constipation in 4 (40%). Postoperatively, improvement in these symptoms was seen in 3 (60%) patients for incontinence and in 3 (75%) for constipation. Follow-up was done for 6 months and no recurrence was found with better cosmetic appearance for all patients. Conclusions Single-port laparoscopic mesh rectopexy is a safe procedure with good results as regards operative time, improvement in bowel function, morbidity, cost, and recurrence, and with better cosmetic appearance. PMID:27350840

  10. 78 FR 37878 - Deepwater Port License Application: Liberty Natural Gas LLC, Port Ambrose Deepwater Port

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-24

    ... of Transportation Privacy Act Notice that appeared in the Federal Register on April 11, 2000 (65 FR... (LNG) Deepwater Port appears in the Federal Register on June 14, 2013, 78 FR 36014. The ``Summary of... Bachman, U.S. Coast Guard, telephone: 202-372-1451, email: Roddy.C.Bachman@uscg.mil , or Tracey...

  11. Cost-effectiveness implications based on a comparison of nursing home and home health case mix.

    PubMed

    Kramer, A M; Shaughnessy, P W; Pettigrew, M L

    1985-10-01

    Case-mix differences between 653 home health care patients and 650 nursing home patients, and between 455 Medicare home health patients and 447 Medicare nursing home patients were assessed using random samples selected from 20 home health agencies and 46 nursing homes in 12 states in 1982 and 1983. Home health patients were younger, had shorter lengths of stay, and were less functionally disabled than nursing home patients. Traditional long-term care problems requiring personal care were more common among nursing home patients, whereas problems requiring skilled nursing services were more prevalent among home health patients. Considering Medicare patients only, nursing home patients were much more likely to be dependent in activities of daily living (ADLs) than home health patients. Medicare nursing home and home health patients were relatively similar in terms of long-term care problems, and differences in medical problems were less pronounced than between all nursing home and all home health patients. From the standpoint of cost-effectiveness, it would appear that home health care might provide a substitute for acute care hospital use at the end of a hospital stay, and appears to be a more viable option in the care of patients who are not severely disabled and do not have profound functional problems. The Medicare skilled nursing facility, however, is likely to continue to have a crucial role in posthospital care as the treatment modality of choice for individuals who require both highly skilled care and functional assistance.

  12. Home Schooling.

    ERIC Educational Resources Information Center

    Gordon, William M.; And Others

    Cases that address the issue of home schooling are summarized in this report. Organized chronologically, each case description includes quoted material from the court ruling. Issues involve parent actions regarding compulsory student enrollment, parent qualifications for home teaching, student certification, church-state separation, constitutional…

  13. Port Development and Town Planning in North West England

    NASA Astrophysics Data System (ADS)

    Newman, Richard

    2013-12-01

    This paper examines the links between the development of harbour facilities and planned towns, especially in the head port area of Carlisle in North West England. Largely based on documentary research and field observation it examines the development of Whitehaven and other Atlantic ports it influenced in Cumberland, Westmorland and north Lancashire. It examines these developments in their international context and shows how they were initiated by local landowners to maximise the output of their estates and to enhance their personal prestige. Beginning in the seventeenth century the paper demonstrates how this tradition of town and harbour foundation continued on into the nineteenth century when it was adopted by corporate concerns, especially railway companies. The paper concludes by highlighting how harbour developments associated with town planning helped to urbanise and stimulate the economy of a previously under-developed area. Two maps identify the locations of the places discussed.

  14. Thermal desorber treats oily sand for L. A. Port Authority

    SciTech Connect

    Krukowski, J.

    1994-04-01

    A thermal desorber outfitted with protective ceramic tiles is treating highly abrasive sand contaminated with marine diesel fuel. The desorption unit, designed by Clean-Up Technology and built by Tarmac, is processing as much as 1,000 tons of soil a day at California's San Pedro Harbor. The Los Angeles Port Authority chose the thermal cleanup method because of its speed. The units is reducing petroleum hydrocarbon concentrations from as high as 30,000 parts per million (ppm) down to an average 71 ppm (based on EPA method 8015M), well within the job's specification of 1,000 ppm. Total polynuclear aromatic hydrocarbons must be reduced to 1 milligram per kilogram; the unit is cleaning to non-detect. The 300,000 tons of treated material will be used as fill for a new container facility at the port.

  15. Location of an intermediate hub for port activities

    NASA Astrophysics Data System (ADS)

    Burciu, Ş.; Ştefănică, C.; Roşca, E.; Dragu, V.; Ruscă, F.

    2015-11-01

    An intermediate hub might increase the accessibility level of ports but also hinterland and so it can be considered more than a facility with a transhipment role. These hubs might lead to the development of other transport services and enhance their role in gathering and covering economic centres within hinterlands and also getting the part of logistic facility for the ports, with effects on port utilization and its connectivity to global economy. A new location for a hub terminal leads to reduced transport distances within hinterland, with decreased transport costs and external effects, so with gains in people's life quality. Because the production and distribution systems are relatively fixed on short and medium term and the location decisions are strategic and on long term, the logistic chains activities location models have to consider the uncertainties regarding the possible future situations. In most models, production costs are considered equal, the location problem reducing itself to a problem that aims to minimize the total transport costs, meaning the transport problem. The main objective of the paper is to locate a hub terminal that links the producers of cereals that are going to be exported by naval transportation with the Romanian fluvial-maritime ports (Galaţi, Brăila). GIS environment can be used to integrate and analyse a great amount of data and has the ability of using functions as location - allocation models necessary both to private and public sector, being able to determine the optimal location for services like factories, warehouses, logistic platforms and other public services.

  16. Home Modification

    MedlinePlus

    ... it is important to consider certain safety modifications. Adaptations such as those in the following list can ... The importance of a Consumer Perspective in Home Adaptation of Alzheimer’s Households” (Chapter 6 pp 91-112) ...

  17. Nursing Homes

    MedlinePlus

    ... up like a hospital. The staff provides medical care, as well as physical, speech and occupational therapy. ... relationships with residents. Some nursing homes have special care units for people with serious memory problems such ...

  18. Home Hemodialysis

    MedlinePlus

    ... more flexible schedule and better health. More Flexible Schedule A person can choose the schedule for home ... treat. When prepared, this content included the most current information available. For updates or for questions about ...

  19. Ecological risks of home and personal care products in the riverine environment of a rural region in South China without domestic wastewater treatment facilities.

    PubMed

    Zhang, Nai-Sheng; Liu, You-sheng; Van den Brink, Paul J; Price, Oliver R; Ying, Guang-Guo

    2015-12-01

    Home and personal care products (HPCPs) including biocides, benzotriazoles (BTs) and ultraviolet (UV) filters are widely used in our daily life. After use, they are discharged with domestic wastewater into the receiving environment. This study investigated the occurrence of 29 representative HPCPs, including biocides, BTs and UV filters, in the riverine environment of a rural region of South China where no wastewater treatment plants were present, and assessed their potential ecological risks to aquatic organisms. The results showed the detection of 11 biocides and 4 BTs in surface water, and 9 biocides, 3 BTs and 4 UV filters in sediment. In surface water, methylparaben (MeP), triclocarban (TCC), and triclosan (TCS) were detected at all sites with median concentrations of 9.23 ng/L, 2.64 ng/L and 5.39 ng/L, respectively. However, the highest median concentrations were found for clotrimazole (CLOT), 5-methyl-1H-benzotriazole (MBT) and carbendazim (CARB) at 55.6 ng/L, 33.7 ng/L and 13.8 ng/L, respectively. In sediment, TCC, TCS, and UV-326 were detected with their maximum concentrations up to 353 ng/g, 155 ng/g, and 133 ng/g, respectively. The concentrations for those detected HPCPs in surface water and sediment were generally lower in the upper reach (rural area) of Sha River than in the lower reach of Sha River with close proximity to Dongjiang River (Pt-test<0.05), indicating other input sources of HPCPs in the lower reach. Biocides showed significantly higher levels in surface water in the wet season than in the dry and intermediate seasons. Preliminary risk assessment demonstrated that the majority of HPCPs monitored represented low risk in surface waters. There are potentially greater risks to aquatic organisms from the use of TCS and TCC in the wet season than in dry and intermediate seasons in surface waters. This preliminary assessment also indicates potential concerns associated with TCC, TCS, DEET, CARB, and CLOT in sediments, although additional data

  20. Ecological risks of home and personal care products in the riverine environment of a rural region in South China without domestic wastewater treatment facilities.

    PubMed

    Zhang, Nai-Sheng; Liu, You-sheng; Van den Brink, Paul J; Price, Oliver R; Ying, Guang-Guo

    2015-12-01

    Home and personal care products (HPCPs) including biocides, benzotriazoles (BTs) and ultraviolet (UV) filters are widely used in our daily life. After use, they are discharged with domestic wastewater into the receiving environment. This study investigated the occurrence of 29 representative HPCPs, including biocides, BTs and UV filters, in the riverine environment of a rural region of South China where no wastewater treatment plants were present, and assessed their potential ecological risks to aquatic organisms. The results showed the detection of 11 biocides and 4 BTs in surface water, and 9 biocides, 3 BTs and 4 UV filters in sediment. In surface water, methylparaben (MeP), triclocarban (TCC), and triclosan (TCS) were detected at all sites with median concentrations of 9.23 ng/L, 2.64 ng/L and 5.39 ng/L, respectively. However, the highest median concentrations were found for clotrimazole (CLOT), 5-methyl-1H-benzotriazole (MBT) and carbendazim (CARB) at 55.6 ng/L, 33.7 ng/L and 13.8 ng/L, respectively. In sediment, TCC, TCS, and UV-326 were detected with their maximum concentrations up to 353 ng/g, 155 ng/g, and 133 ng/g, respectively. The concentrations for those detected HPCPs in surface water and sediment were generally lower in the upper reach (rural area) of Sha River than in the lower reach of Sha River with close proximity to Dongjiang River (Pt-test<0.05), indicating other input sources of HPCPs in the lower reach. Biocides showed significantly higher levels in surface water in the wet season than in the dry and intermediate seasons. Preliminary risk assessment demonstrated that the majority of HPCPs monitored represented low risk in surface waters. There are potentially greater risks to aquatic organisms from the use of TCS and TCC in the wet season than in dry and intermediate seasons in surface waters. This preliminary assessment also indicates potential concerns associated with TCC, TCS, DEET, CARB, and CLOT in sediments, although additional data

  1. Depression in nursing home residents.

    PubMed

    Abrams, R C; Teresi, J A; Butin, D N

    1992-05-01

    Although their extent remains unclear, major and minor depressions are widespread in the nursing home population. This statement appears intuitively to be correct when consideration is given to the inactivity, decline in functional competence, loss of personal autonomy, and unavoidable confrontation with the process of death and dying that are associated with nursing home placement. In addition, some nursing home residents have had previous episodes of depression or are admitted to the facility already dysthymic or with other chronic forms of the illness. Such circumstances provide a favorable culture for the development and persistence of depressive illness. When the high frequency of other psychiatric disorders among nursing home residents is factored in, it is not surprising that long-term health care facilities have come to be regarded as de facto psychiatric hospitals. Nursing homes largely lack the treatment resources of psychiatric hospitals, however. Nursing home physicians are often unprepared to make psychiatric diagnoses, and a perfunctory annual psychiatric evaluation is insufficient to manage the complex depression syndromes of nursing home residents. Because nursing home psychiatrists typically work on a consultation basis, recommendations are not necessarily acted upon by the primary physicians. The consequences of undiagnosed and untreated depression are substantial. From the psychiatric perspective, the possibility that depression increases the risk for eventual development of permanent dementia highlights the importance of early identification for cases of reversible dementia. From the rehabilitation point of view, persistent depression among individuals with physical dependency following a catastrophic illness is associated with failure to improve in physical functioning. Depression can probably be linked to increased medical morbidity in nursing home residents, a relationship that also has been suggested for elderly medical inpatients. If so

  2. Home health care

    MedlinePlus

    ... Skilled nursing - home care; Physical therapy - at home; Occupational therapy - at home; Discharge - home health care ... medicines that you may be taking. Physical and occupational therapists can make sure your home is set ...

  3. The Medical Home

    MedlinePlus

    ... 5 Things to Know About Zika & Pregnancy The Medical Home KidsHealth > For Parents > The Medical Home Print ... home" for your child. What Does the Term "Medical Home" Mean? A medical home isn't a ...

  4. Oblique view of east sides of Facility Nos. 393 and ...

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

    Oblique view of east sides of Facility Nos. 393 and 394, seen from South Avenue looking down Port Royal Street - U.S. Naval Base, Pearl Harbor, Two-Story Storehouses with Ramps, Port Royal Street between Central and South Avenues, Pearl City, Honolulu County, HI

  5. View from interior through eastside secondfloor door opening of Facility ...

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

    View from interior through east-side second-floor door opening of Facility No. 393 to Marine warehouses across Port Royal Street - U.S. Naval Base, Pearl Harbor, Two-Story Storehouses with Ramps, Port Royal Street between Central and South Avenues, Pearl City, Honolulu County, HI

  6. Testing and Analysis of Sensor Ports

    NASA Technical Reports Server (NTRS)

    Zhang, M.; Frendi, A.; Thompson, W.; Casiano, M. J.

    2016-01-01

    This Technical Publication summarizes the work focused on the testing and analysis of sensor ports. The tasks under this contract were divided into three areas: (1) Development of an Analytical Model, (2) Conducting a Set of Experiments, and (3) Obtaining Computational Solutions. Results from the experiment using both short and long sensor ports were obtained using harmonic, random, and frequency sweep plane acoustic waves. An amplification factor of the pressure signal between the port inlet and the back of the port is obtained and compared to models. Comparisons of model and experimental results showed very good agreement.

  7. Videoendoscopic single-port axillary dissection

    PubMed Central

    Uras, Cihan; Aytac, Erman; Aydogan, Fatih

    2011-01-01

    Videoendoscopy is newly used in breast and axillary surgery. Single-port surgery is one of the newest methods of minimally invasive surgery. This report describes the first case of videoendoscopic single-port axillary dissection. In histopathological evaluation, 24 lymph nodes were identified and one node was infiltrated by the cancer cells. Videoendoscopic single-port axillary dissection is a precise and improvable technique. Single-port videoendoscopic axillary dissection could be more feasible with individual tools that will be designed for minimally invasive breast surgery. PMID:22022116

  8. Snails home

    NASA Astrophysics Data System (ADS)

    Dunstan, D. J.; Hodgson, D. J.

    2014-06-01

    Many gardeners and horticulturalists seek non-chemical methods to control populations of snails. It has frequently been reported that snails that are marked and removed from a garden are later found in the garden again. This phenomenon is often cited as evidence for a homing instinct. We report a systematic study of the snail population in a small suburban garden, in which large numbers of snails were marked and removed over a period of about 6 months. While many returned, inferring a homing instinct from this evidence requires statistical modelling. Monte Carlo techniques demonstrate that movements of snails are better explained by drift under the influence of a homing instinct than by random diffusion. Maximum likelihood techniques infer the existence of two groups of snails in the garden: members of a larger population that show little affinity to the garden itself, and core members of a local garden population that regularly return to their home if removed. The data are strongly suggestive of a homing instinct, but also reveal that snail-throwing can work as a pest management strategy.

  9. Humanism in nursing homes: the impact of top management.

    PubMed

    Castle, Nicholas G; Ferguson, Jamie C; Hughes, Kevin

    2009-01-01

    We provide a review of ways in which top managers of nursing homes can provide or impact the humanistic component of care provided in their facilities. We describe the nursing home top management team; the role of top managers in nursing homes; the role of top managers as leaders in the nursing home; the literature examining the impact of top managers in nursing homes; and, examine developments in the nursing home industry that are influencing (or could potentially influence) the humanistic components of care. We conclude with suggestions for top managers, nursing home owners, and policy makers to create more caring humanistic environments. Suggestions include resident-directed care initiatives and culture change.

  10. Rehabilitation in the nursing home.

    PubMed

    Joseph, C L; Wanlass, W

    1993-11-01

    Despite the considerable challenges to providing high-quality rehabilitation in a long-term care facility, growing demographic and fiscal pressures are likely to push the nursing home into the forefront of rehabilitation for the frail elderly. Model programs have been implemented in recent years that present alternative ways to increase access to skilled services and improve quality of care in nursing homes without a drastic increase in costs. The teaching nursing home program has supported projects to make longterm care facilities centers for education, innovative clinical care, and research, thus bringing nursing homes into the mainstream of the medical establishment. A majority of US medical schools have recognized the need for training in long-term care and have formed affiliations with nursing homes. The Department of Veterans Affairs has a large national system of nursing homes, which has made a significant contribution to the training of health professionals in many fields. Demonstration projects such as the Social Health Maintenance Organization and On Lok have sought to decrease the fragmentation of health care services for the elderly and bring nursing homes into a continuum of care. The adoption of the OBRA regulations is building a base for comprehensive assessment and improved provision of care in nursing homes nationwide. Nursing home rehabilitation has the potential to decrease institutionalization in the short-term resident, whereas maintenance therapy can improve quality of life and decrease the cost of caring for patients who must be institutionalized. But to achieve this potential, significant barriers must be overcome. Negative attitudes about aging and nursing homes percolate through all levels of health care from lack of reimbursement at the federal and state levels to the professional priorities that continue to favor "high-tech" medicine and stigmatize nursing homes and those who work in them, to low expectations of caregivers and the

  11. Home advantage in retractable-roof baseball stadia.

    PubMed

    Romanowich, Paul

    2012-10-01

    This study examined whether the home advantage varies for open-air, domed, or retractable-roof baseball stadia, and whether having the roof open or closed affects the home advantage in retractable-roof baseball stadia. Data from Major League Baseball (MLB) games played between 2001 and 2009 were analyzed for whether or not the presence of a home-advantage was dependent on the type of home stadium used. Home advantage was robust for all three types of stadia. A significant effect of stadium type on home advantage was found, with a greater home advantage for teams playing home games in domed stadia relative to open-air stadia, replicating a previous study. There was a greater home advantage for teams playing home games in domed stadia relative to retractable-roof stadia. No other differences in the home advantage were found; results are discussed in terms of familiarity with the facility.

  12. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  13. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  14. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  15. 46 CFR Sec. 4 - Port facilities predesignated for emergency use.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... standby contracts or agreements for use by Government agencies shall be controlled directly by the NSA. (b... released. The Director, NSA shall have the discretion to approve contracts for subsequent exclusive use...

  16. 33 CFR 165.T01-0542 - Safety Zones: Neptune Deepwater Port, Atlantic Ocean, Boston, MA.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... facility or structure meeting the definition of deepwater port in 33 CFR 148.5. Support vessel means any vessel meeting the definition of support vessel in 33 CFR 148.5. (e) Regulations. (1) The general regulations contained in 33 CFR 165.23 apply. (2) In accordance with the general regulations entry into...

  17. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Criteria for Reception Facilities: Oily Mixtures § 158.210 Ports and terminals loading crude oil. The...); (b) Bilge water containing oily mixtures in the amount of 10 metric tons (11 short tons) or 2 metric...) Ballast water containing oily mixtures in the amount of 30% of the deadweight tonnage of the largest...

  18. [Single port laparoscopic colostomy using the glove technique].

    PubMed

    Rodicio Miravalles, José L; Rodríguez García, José I; Llaneza Folgueras, Ana; Avilés García, Paulino; González González, Juan J

    2014-01-01

    The single port surgery with glove technique is a novel process, suitable to the present day economic and technological moment. Colostomies are surgical interventions suitable to its application. We describe the surgical method and outcome of patients who underwent colostomy by single port glove technique within the years 2011 and 2012, in two hospitals in Asturias, Spain. We carried out six sigmoid colostomies. Four patients had tumoral pathology, another a perineal necrotizing fasciitis, and the sixth, a patient with Crohn's disease and complex perianal fistulas. The average age of the patients, four men and two women, was 54 years (range 42-67 years). The average intervention time was 42 minutes (range 30-65 minutes). There were no complications during the surgery or in the postoperative period. In our facilities material expenditure was reduced to half as regards other conventional single port devices. The glove technique represents the most economic and least invasive approach for the surgical procedure of stomas, in our experience considered a simple, safe and easily reproducible technique.

  19. Home Insulation

    NASA Technical Reports Server (NTRS)

    1994-01-01

    Under the Guaranteed Watt Savers (GWS) system, plans for a new home are computer analyzed for anticipated heat loss and gain. Specifications are specifically designed for each structure and a Smart- House Radiant Barrier is installed. Designed to reflect away 95% of the Sun's radiant energy, the radiant barrier is an adaptation of an aluminum shield used on Apollo spacecraft. On completion of a home, technicians using a machine, check for air tightness, by creating a vacuum in the house and computer calculations that measure the amount of air exchanged. A guarantee that only the specified number kilowatt hours will be used is then provided.

  20. Nursing home closures and quality of care.

    PubMed

    Castle, Nicholas G

    2005-02-01

    The purpose of this research is to examine the relationship between quality of care in nursing homes and their likelihood of closure. We hypothesize that lower-quality facilities will be more likely to close than higher-quality facilities. Using the rates of physical restraint use, urethral catheterization, contractures, pressure ulcers, and psychotropic medication use as quality measures from approximately 12,000 facilities from 1992 to 1998, the author examine cross-sectional and change score relationships between these measures and a nursing home's likelihood of closure. The descriptive analysis shows that 621 nursing homes closed in this time period, and the results for physical restraint use were robust in their positive association with closures in most analyses lending some support for this study's hypothesis. However, overall, the author concludes that nursing facility closures are relatively rare events. And the likelihood of closure, even for poor-quality facilities, is low. PMID:15643031

  1. Oblique view of westside ramp of Facility No. 394 ...

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

    Oblique view of west-side ramp of Facility No. 394 - U.S. Naval Base, Pearl Harbor, Two-Story Storehouses with Ramps, Port Royal Street between Central and South Avenues, Pearl City, Honolulu County, HI

  2. Removal of Historic Low-Level Radioactive Sediment from the Port Hope Harbour - 13314

    SciTech Connect

    Kolberg, Mark; Case, Glenn; Ferguson Jones, Andrea

    2013-07-01

    At the Port Hope Harbour, located on the north shore of Lake Ontario, the presence of low-level radioactive sediment, resulting from a former radium and uranium refinery that operated alongside the Harbour, currently limits redevelopment and revitalization opportunities. These waste materials contain radium-226, uranium, arsenic and other contaminants. Several other on-land locations within the community of Port Hope are also affected by the low-level radioactive waste management practices of the past. The Port Hope Project is a community initiated undertaking that will result in the consolidation of an estimated 1.2 million cubic metres of the low-level radioactive waste from the various sites in Port Hope into a new engineered above ground long-term waste management facility. The remediation of the estimated 120,000 m{sup 3} of contaminated sediments from the Port Hope Harbour is one of the more challenging components of the Port Hope Project. Following a thorough review of various options, the proposed method of contaminated sediment removal is by dredging. The sediment from the dredge will then be pumped as a sediment-water slurry mixture into geo-synthetic containment tubes for dewatering. Due to the hard substrate below the contaminated sediment, the challenge has been to set performance standards in terms of low residual surface concentrations that are attainable in an operationally efficient manner. (authors)

  3. Design and evaluation of candidate pressure ports for the HYFLITE experiment

    NASA Technical Reports Server (NTRS)

    Teter, John E., Jr.; Cleckner, Craig S.; Vontheumer, Alfred E.

    1994-01-01

    A concept for placing a pressure transducer directly in a shuttle type tile was developed at Langley Research Center. A 5 inch long quartz with a .020 inch inner diameter provides the thermal isolation necessary to allow 2800 F surface pressure measurements to be taken by pressure transducer rated at 250 F. The assembly is potted in place with RTV 560 in a piece of FRCI-12 thermal protection system insulation tile. The integrity of the thermal protection system is maintained even with the intrusion of the pressure port assembly and the pressure port does not disrupt the air flow across the lifting body. Approximately 200 of these pressure ports are to be used in each of the Hypersonic Flight Experiment (HYFLITE) flight tests. Initial vibroacoustic and aerothermal testing of the pressure port designs have been completed at Langley Research vibration laboratory and the 20 MWatt 2 x 9 turbulent duct facility at Ames Research Center. The performance of the pressure ports were found to be well within the required design limits for all cases. In addition, a failure mode in which the entire pressure port assembly was removed proved to be a begin case.

  4. Nursing Home Checklist

    MedlinePlus

    Nursing home checklist Name of nursing home: ____________________________________________________ Address: ________________________________________________________________ Phone number: __________________________________________________________ Date of visit: _____________________________________________________________ Basic information Yes No Notes Is the nursing home Medicare certified? Is the nursing ...

  5. Far-Field Tsunami Hazard in New Zealand Ports

    NASA Astrophysics Data System (ADS)

    Borrero, Jose C.; Goring, Derek G.; Greer, S. Dougal; Power, William L.

    2015-03-01

    We present the results of a numerical modeling study investigating the effects of far-field tsunamis in New Zealand ports. Four sites (Marsden Point, Tauranga, Harbor, Port Taranaki and Lyttelton Harbor) were selected based on a combination of factors such as economic importance and the availability of historical and/or instrumental data. Numerical models were created using the ComMIT tsunami modeling tool and the Method Of Splitting Tsunami (MOST) hydrodynamic model. Comparison of model results to measured data from recent historical events showed that, for particular sites and events, the model correlated well with the timing and amplitude of the observed tsunami, and, in most cases, there was generally good agreement between the and modeled tsunami heights and current speeds. A sensitivity analysis for tsunami heights and current speeds was conducted using a suite of large ( M W 9) tsunamigenic earthquake sources situated at regular 15° intervals in azimuth along the Pacific Rim while another set of scenarios focused on regional tsunami sources in the Southwest Pacific. Model results were analyzed for tsunami heights and current speeds as a function of the source region. In terms of currents, the analysis identified where speeds were greatest and which source was responsible. Results suggested that tsunamis originating from Central America produced the strongest response in New Zealand. The modeling was also used to determine the timing and duration of potentially dangerous current speeds as well as minimum `safe depths' for vessel evacuation offshore. This study was motivated by the desire to reduce damage and operational losses via improved forecasting of far-field tsunamis at New Zealand ports. It is important that forecasts are accurate since tsunami damage to ships and facilities is expensive and can be mitigated given timely warnings and because preventable false alarms are also costly in terms of lost productivity. The modeling presented here will

  6. Qatargas exporting LNG from Qatar`s new Ras Laffan Port

    SciTech Connect

    1997-02-24

    When the 135,000 cu m LNG carrier Al Zubarah departed Ras Laffan Port in December, Qatar entered a new era of commerce that will both boost the emirate`s economic development and influence energy trade around the world. The event capped more than a decade of planning, design, and construction of Ras Laffan Port--the world`s newest and largest LNG exporting facility. During the 1980s, the focus in Qatar was on exploration and development of North field, which holds the world`s largest reserves of nonassociated natural gas. In the 1990s, efforts concentrated on establishing a direct production and export link between North field, the new multi-billion-dollar Qatar Liquefied Gas Co. (Qatargas) gas liquefaction plant at Ras Laffan, and LNG export facilities at the 8.5 sq km Ras Laffan Port. Markets of the Far East will be first to be served by LNG from Ras Laffan Port. Two 25-year LNG supply contracts have been signed with buyers in Japan and South Korea, and negotiations are under way with potential customers from China, Taiwan, and Thailand. The paper describes the port, its operations, and export projects.

  7. 9 CFR 93.412 - Ruminant quarantine facilities.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Ruminant quarantine facilities. 93.412... FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Ruminants § 93.412 Ruminant quarantine facilities. (a... ruminants from the time of unloading at the port to the time of release from the quarantine facility....

  8. Home Modifications

    MedlinePlus

    ... use, and flexible enough to be adapted for special needs. Back to top Evaluating Your Needs Before any changes are made to the home, evaluate your current and future needs room by room. Once you have explored all areas, make a list of potential problems and solutions. ...

  9. Contextual view of ILWU Hall, facing northwest with commercial port ...

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

    Contextual view of ILWU Hall, facing northwest with commercial port buildings visible in the background - International Longshoremen's & Warehousemen's Union Hall, Naval Civil Engineering Laboratory, Port Hueneme Road, Port Hueneme, Ventura County, CA

  10. Rorschach inkblot port-wine stain.

    PubMed

    Coots, N V; Elston, D M

    1997-01-01

    We present an infant born with bilaterally symmetric, anterior and posterior port-wine stains. These lesions presented a striking resemblance to Rorschach inkblots, a phenomenon not previously reported. A discussion of the case as well as a discussion of syndromes associated with port-wine stains is provided.

  11. Single port VATS: recent developments in Asia

    PubMed Central

    Yu, Peter S.Y.; Capili, Freddie

    2016-01-01

    Single port video-assisted thoracic surgery (VATS) is the most recent evolution in minimally invasive thoracic surgery. With increasing global popularity, the single port VATS approach has been adopted by experienced thoracic surgeons in many Asian countries. From initial experience of single port VATS lobectomy to the more complex sleeve resection procedures now forming part of daily practice in some Asia institutes, the region has been the proving ground for single port VATS approaches’ feasibility and safety. In addition, certain technical refinements in single port VATS lung resection and lymph node dissection have also sprung from Asia. Novel equipment designed to facilitate single port VATS allowing further reduce access trauma are being realized by the partnership between surgeons and the industries. Advanced thoracoscopes and staplers that are narrower and more maneuverable are particularly important in the smaller habitus of patients from Asia. These and similar new generation equipment are being applied to single port VATS in novel ways. As dedicated thoracic surgeons in the region continue to striving for excellence, innovative ideas in single incision access including subxiphoid and embryonic natural-orifice transluminal endoscopic surgery (e-NOTES) have been explored. Adjunct techniques and technology used in association with single port VATS such as non-intubated surgery, hybrid operating room image guidance and electromagnetic navigational bronchoscopy are all in rapid development in Asia. PMID:27014478

  12. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if the sill of any port light in that space is below a line that— (1) Is drawn parallel to the line formed by... percent of the beam of the vessel above the deepest subdivision load line. (c) For the purpose...

  13. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if the sill of any port light in that space is below a line that— (1) Is drawn parallel to the line formed by... percent of the beam of the vessel above the deepest subdivision load line. (c) For the purpose...

  14. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if the sill of any port light in that space is below a line that— (1) Is drawn parallel to the line formed by... percent of the beam of the vessel above the deepest subdivision load line. (c) For the purpose...

  15. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if the sill of any port light in that space is below a line that— (1) Is drawn parallel to the line formed by... percent of the beam of the vessel above the deepest subdivision load line. (c) For the purpose...

  16. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if the sill of any port light in that space is below a line that— (1) Is drawn parallel to the line formed by... percent of the beam of the vessel above the deepest subdivision load line. (c) For the purpose...

  17. 50 CFR 14.16 - Border ports.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 50 Wildlife and Fisheries 1 2012-10-01 2012-10-01 false Border ports. 14.16 Section 14.16 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR TAKING, POSSESSION..., EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.16...

  18. 50 CFR 14.16 - Border ports.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 50 Wildlife and Fisheries 1 2011-10-01 2011-10-01 false Border ports. 14.16 Section 14.16 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR TAKING, POSSESSION..., EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.16...

  19. 50 CFR 14.16 - Border ports.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 50 Wildlife and Fisheries 1 2014-10-01 2014-10-01 false Border ports. 14.16 Section 14.16 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR TAKING, POSSESSION..., EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.16...

  20. 50 CFR 14.16 - Border ports.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 50 Wildlife and Fisheries 1 2013-10-01 2013-10-01 false Border ports. 14.16 Section 14.16 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR TAKING, POSSESSION..., EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.16...

  1. Single-port laparoscopy: Considerations in children

    PubMed Central

    Ponsky, Todd A; Krpata, David M

    2011-01-01

    As the quest to minimize scars from surgery continues, innovative methods of surgery, including single-port surgery, have come to the forefront. Here, we review considerations for surgery in children with particular attention to appendectomy and cholecystectomy. We discuss the future technologies that will aid in single-port surgery and how they apply to the paediatric population. PMID:21197252

  2. 42 CFR 494.100 - Condition: Care at home.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... hemodialysis patient, and if necessary, arrange for backup dialysis until the problem is corrected if— (1... Patient Care § 494.100 Condition: Care at home. A dialysis facility that is certified to provide services to home patients must ensure through its interdisciplinary team, that home dialysis services are...

  3. Texas deepwater oil ports vie for support

    SciTech Connect

    Koen, A.D.

    1991-03-25

    Two proposals for deepwater oil ports in the Gulf of Mexico apparently are competing for support from several of the same companies. Port of Corpus Christi Authority (PCCA) officials believe some companies to which they have broadened preliminary ideas for an inshore deepwater oil port also are members of a group studying plans for a deepwater port off Freeport, Tex. Safeharbor, proposed on Harbor Island across from Mustang Island in the Corpus Christi Ship Channel (CCSC), and Texas Offshore Oil Port (Texport) won't vie for exactly the same oil imports. Companies importing oil to refineries on Corpus Christi Bay would account for about half the 1 million b/d PCCA officials believe will be needed for Safeharbor to be economically viable. The rest would come from companies moving imported oil into the Houston area through Galveston Bay.

  4. 33 CFR 165.809 - Security Zones; Port of Port Lavaca-Point Comfort, Point Comfort, TX and Port of Corpus Christi...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Security Zones; Port of Port Lavaca-Point Comfort, Point Comfort, TX and Port of Corpus Christi Inner Harbor, Corpus Christi, TX. 165... Lavaca-Point Comfort, Point Comfort, TX and Port of Corpus Christi Inner Harbor, Corpus Christi, TX....

  5. Integrated circuit test-port architecture and method and apparatus of test-port generation

    DOEpatents

    Teifel, John

    2016-04-12

    A method and apparatus are provided for generating RTL code for a test-port interface of an integrated circuit. In an embodiment, a test-port table is provided as input data. A computer automatically parses the test-port table into data structures and analyzes it to determine input, output, local, and output-enable port names. The computer generates address-detect and test-enable logic constructed from combinational functions. The computer generates one-hot multiplexer logic for at least some of the output ports. The one-hot multiplexer logic for each port is generated so as to enable the port to toggle between data signals and test signals. The computer then completes the generation of the RTL code.

  6. 42 CFR 414.335 - Payment for EPO furnished to a home dialysis patient for use in the home.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... B MEDICAL AND OTHER HEALTH SERVICES Determination of Reasonable Charges Under the ESRD Program § 414... approved ESRD facility or a supplier of home dialysis equipment and supplies. Effective January 1, 2011, payment for EPO used at home by a home dialysis patient is made only to a Medicare-approved ESRD...

  7. 42 CFR 414.335 - Payment for EPO furnished to a home dialysis patient for use in the home.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... B MEDICAL AND OTHER HEALTH SERVICES Determination of Reasonable Charges Under the ESRD Program § 414... approved ESRD facility or a supplier of home dialysis equipment and supplies. Effective January 1, 2011, payment for EPO used at home by a home dialysis patient is made only to a Medicare-approved ESRD...

  8. 42 CFR 414.335 - Payment for EPO furnished to a home dialysis patient for use in the home.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... B MEDICAL AND OTHER HEALTH SERVICES Determination of Reasonable Charges Under the ESRD Program § 414... approved ESRD facility or a supplier of home dialysis equipment and supplies. Effective January 1, 2011, payment for EPO used at home by a home dialysis patient is made only to a Medicare-approved ESRD...

  9. Trends in unionization of nursing homes.

    PubMed

    Sojourner, Aaron J; Grabowski, David C; Chen, Min; Town, Robert J

    Unionization may have important implications for the delivery of nursing home care, but little is known about this phenomenon. Since 1985, the proportion of nursing home workers covered by union contracts declined from 14.6% to 9.9%. The first national-scale data on facility-level unionization reveals that unions are more common in nursing homes with more residents, in hospital-based or chain-affiliated facilities, and in facilities serving a higher proportion of Medicaid patients. With new federal policy proposals aimed at substantially lowering the cost of organizing workers, policymakers will want to consider the potential impact of nursing home unionization on worker, patient, and market outcomes.

  10. Home Seismometer

    NASA Astrophysics Data System (ADS)

    Horiuchi, S.; Yamamoto, S.; Nakmaura, H.; Wu, C.; Rydelek, P.; Kachi, M.

    2007-12-01

    We have developed an automated system for analyzing Hi-net seismograms for earthquake early warning (EEW) in Japan. Because of limitations imposed by station spacing, our system generally cannot issue an EEW to areas within about 30 km distance of the earthquake's hypocenter. We estimate that about 10 times the number of stations would be needed to issue an EEW in these areas, but the overhead would be cost prohibitive for governmental agencies. The practical deployment of EEW in Japan has started in October, 2007 and millions of people are expected to purchase and install the receiving/alarm unit of EEW. Since most of these units are connected to internet and equipped with a CPU and memory, we realized that the addition of an inexpensive seismometer and digitizer would transform the receiver into a real-time seismic observatory, which we are calling a home seismometer; these modifications only cost about $20. The home seismometer can help to generate alerts at the time of the occurrence of a large local earthquake by using locally observed data. Also, home seismograms can be used to estimate the amplification factor in sedimentary layers, which will be used to determine the site correction for shaking intensity by comparing the waveform data from the home seismometer against those from nearby Hi-net or K-NET stations. This amplification factor, which is essentially the basis of a shake-map with very-high spatial resolution, will help to establish a safety index of houses/buildings for large earthquakes, since a structure located at a site with large seismic amplification can be damaged more seriously than those with small amplification factors. The installation of home seismometers will create an extremely dense seismic network that is without precedence. We are developing an automatic system that collects waveform data from all home seismometer installations, calculates earthquake parameters in real-time, and then sends back alarms signals based on computed

  11. Home Health Care

    MedlinePlus

    ... Page Resize Text Printer Friendly Online Chat Home Health Care Home health care helps older adults live independently for as long ... need for long-term nursing home care. Home health care may include occupational and physical therapy, speech therapy, ...

  12. 42 CFR 414.335 - Payment for EPO furnished to a home dialysis patient for use in the home.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... AND OTHER HEALTH SERVICES Determination of Reasonable Charges Under the ESRD Program § 414.335 Payment... either a Medicare approved ESRD facility or a supplier of home dialysis equipment and supplies. (b... dialysis patient is made only to either a Medicare approved ESRD facility or a supplier of home...

  13. [Home Treatment].

    PubMed

    Widmann, F; Bachhuber, G; Riedelsheimer, A; Schiele, A; Ullrich, S; Kilian, R; Becker, T; Frasch, K

    2016-01-01

    Home Treatment (HT) means acute psychiatric treatment in the patient's usual environment. Conceptually, HT is to be differentiated from other home-based services: It is limited with regard to duration and multiprofessional (e. g. psychiatrist plus psychiatric nursing staff plus social worker); the "24/7"-accessibility is frequently provided by the corresponding background hospital infrastructure. Target group are acutely mentally ill persons with an indication to inpatient treatment, who are willing to cooperate, and absence of endangerment to self and others. In contrast to the Scandinavian and many Anglophone countries where nationwide HT services are delivered, there are not many HT sites in Germany so far. Consequently, empirical data concerning HT in Germany is scarce. In summary, international studies show equivalent effects on psychopathological measures compared to inpatient treatment, reductions with regard to inpatient days, higher patient satisfaction and a trend towards cost-effectivity. PMID:26878432

  14. Home Energy Score

    SciTech Connect

    2011-12-16

    The Home Energy Score allows a homeowner to compare her or his home's energy consumption to that of other homes, similar to a vehicle's mile-per-gallon rating. A home energy assessor will collect energy information during a brief home walk-through and then score that home on a scale of 1 to 10.

  15. Rotary sequencing valve with flexible port plate

    DOEpatents

    Wagner, Glenn Paul

    2005-05-10

    Rotary sequencing valve comprising a rotor having a rotor face rotatable about an axis perpendicular to the rotor face, wherein the rotor face has a plurality of openings, one or more of which are disposed at a selected radial distance from the axis, and wherein the rotor includes at least one passage connecting at least one pair of the plurality of openings. The valve includes a flexible port plate having a first side and a second side, wherein the first side faces the rotor and engages the rotor such that the flexible port plate can be rotated coaxially by the rotor and can move axially with respect to the rotor, wherein the flexible port plate has a plurality of ports between the first and second sides, which ports are aligned with the openings in the rotor face. The valve also includes a stator having a stator face disposed coaxially with the rotor and the flexible port plate, wherein the second side of the flexible port plate is in sealable, slidable rotary contact with the stator face, wherein the stator face has a plurality of openings, some of which are disposed at the selected radial distance from the axis, and wherein the plurality of openings extend as passages through the stator. The valve may be used in pressure or temperature swing adsorption systems.

  16. Tsunami Hazard Assessment in New Zealand Ports and Harbors

    NASA Astrophysics Data System (ADS)

    Borrero, J. C.; Wotherspoon, L.; Power, W. L.; Goring, D.; Barberopoulou, A.; Melville, B.; Shamseldin, A.

    2012-12-01

    The New Zealand Ministry of Science and Innovation (MSI) has sponsored a 3-year collaborative project involving industry, government and university research groups to better assess and prepare for tsunami hazards in New Zealand ports and harbors. As an island nation, New Zealand is highly dependent on its maritime infrastructure for commercial and recreational interests. The recent tsunamis of 2009, 2010 and 2011 (Samoa, Chile and Japan) highlighted the vulnerability of New Zealand's marine infrastructure to strong currents generated by such far field events. These events also illustrated the extended duration of the effects from such tsunamis, with some of the strongest currents and highest water levels occurring many hours, if not days after the tsunami first arrival. In addition, New Zealand also sits astride the Tonga-Kermadec subduction zone, which given the events of recent years, cannot be underestimated as a major near field hazard. This presentation will discuss the modeling and research strategy that will be used to mitigate tsunami hazards in New Zealand ports and harbors. This will include a detailed time-series analysis (including Fourier and discrete Wavelet techniques) of water levels recorded throughout New Zealand form recent tsunami events (2009 Samoa, 2010 Chile and 2011 Japan). The information learned from these studies will guide detailed numerical modeling of tsunami induced currents at key New Zealand ports. The model results will then be used to guide a structural analysis of the relevant port structures in terms of hydrodynamic loads as well as mooring and impact loads due to vessel and/or debris. Ultimately the project will lead to an improvement in New Zealand's tsunami response plans by providing a decision making flow chart, targeted for marine facilities, to be used by emergency management officials during future tsunami events.Tsunami effects at Port Charles, New Zealand: (top) inundation into a neighborhood and (bottom left and right

  17. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  18. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  19. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  20. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  1. 38 CFR 17.60 - Extensions of community nursing home care beyond six months.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... nursing home care beyond six months. 17.60 Section 17.60 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Use of Community Nursing Home Care Facilities § 17.60 Extensions of community nursing home care beyond six months. Directors of health care facilities may authorize, for...

  2. Retinopathy of prematurity in port harcourt, Nigeria.

    PubMed

    Adio, Adedayo O; Ugwu, Rosemary O; Nwokocha, Chidi G; Eneh, Augusta U

    2014-01-01

    Purpose. With many preterm babies now surviving as a result of improvement in neonatal care in Nigeria, the incidence of visual impairment/blindness as a result of retinopathy of prematurity (ROP) may rise. We describe our findings after screening starts for the first time in a 15-year-old special care baby unit so as to establish the incidence and risk factors for developing ROP. Methods. A prospective study carried out at the Special Care Baby Unit (SCBU) and Pediatric Outpatient Clinics of the University of Port Harcourt Teaching Hospital between January 1 and October 31, 2012. Fifty-three preterm babies (of 550 neonates admitted within the study period) delivered before 32 completed weeks and weighing less than 1500 g were included in the study following informed consent and the main outcome measure was the development of any stage of ROP. Results. Mean gestational age at birth was 28.98 ± 1.38 weeks. Mean birth weight was 1411 ± 128 g. Out of 550 babies admitted at SCBU, 87 of 100 preterms survived with 53 included in study. Twenty-five (47.2%) had different degrees of ROP with prevalence found to be 47.2%. Prevalence was higher (75%) in babies weighing <1300 g and those delivered before 30-week gestation (58%). Twenty-one (84%) had stage 1 no plus disease and 3 (12%) had stage 2 no plus disease. Only 1 (4%) had threshold disease in Zone 1. None had disease at stage 4 or 5 or AP-ROP. Receiving supplemental oxygen (χ (2) = 6.17; P = 0.01), presence of sepsis (χ (2) = 7.47; P = 0.006), multiple blood transfusions (χ (2) = 5.11; P = 0.02), and delivery by caesarian section (χ (2) = 4.22; P = 0.04) were significantly associated with development of ROP. There were no significant differences with gender, apneic spells, jaundice, or phototherapy. Conclusions and Relevance. All live infants with ROP were noted to regress spontaneously in this study. Though it may not be cost effective to acquire treatment facilities at the moment (the only child with

  3. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., animal semen, poultry, and hatching eggs see 9 CFR §§ 93.102, 93.203, 93.303, 93.403, 93.503, 93.703, and 93.805 and for designated ports of entry for certain purebred animals see 9 CFR §§ 151.1 through 151... ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND...

  4. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., animal semen, poultry, and hatching eggs see 9 CFR §§ 93.102, 93.203, 93.303, 93.403, 93.503, 93.703, and 93.805 and for designated ports of entry for certain purebred animals see 9 CFR §§ 151.1 through 151... ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND...

  5. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., animal semen, poultry, and hatching eggs see 9 CFR §§ 93.102, 93.203, 93.303, 93.403, 93.503, 93.703, and 93.805 and for designated ports of entry for certain purebred animals see 9 CFR §§ 151.1 through 151... ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND...

  6. Multi-port valve assembly

    DOEpatents

    Guggenheim, S. Frederic

    1986-01-01

    A multi-port fluid valve apparatus is used to control the flow of fluids through a plurality of valves and includes a web, which preferably is a stainless steel endless belt. The belt has an aperture therethrough and is progressed, under motor drive and control, so that its aperture is moved from one valve mechanism to another. Each of the valve mechanisms comprises a pair of valve blocks which are held in fluid-tight relationship against the belt. Each valve block consists of a block having a bore through which the fluid flows, a first seal surrounding the bore and a second seal surrounding the first seal, with the distance between the first and second seals being greater than the size of the belt aperture. In order to open a valve, the motor progresses the belt aperture to where it is aligned with the two bores of a pair of valve blocks, such alignment permitting a flow of the fluid through the valve. The valve is closed by movement of the belt aperture and its replacement, within the pair of valve blocks, by a solid portion of the belt.

  7. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... specified in the Customs Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as... possession of plants, plant products, plant pests, noxious weeds, soil, or other products or articles...

  8. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... specified in the Customs Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as... possession of plants, plant products, plant pests, noxious weeds, soil, or other products or articles...

  9. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... specified in the Customs Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as... possession of plants, plant products, plant pests, noxious weeds, soil, or other products or articles...

  10. 7 CFR 352.9 - Ports.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... specified in the Customs Regulations in 19 CFR 1.1 and 19 CFR 6.13, and Agana, Guam, or such other ports as... possession of plants, plant products, plant pests, noxious weeds, soil, or other products or articles...

  11. 50 CFR 14.12 - Designated ports.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ...) New York, New York. (o) Portland, Oregon. (p) San Francisco, California. (q) Seattle, Washington. ..., POSSESSION, TRANSPORTATION, SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF WILDLIFE AND PLANTS IMPORTATION, EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports §...

  12. Medi-Port Pilot Randomized Controlled Trial

    ClinicalTrials.gov

    2016-10-13

    Actively Undergoing Cancer Treatment; 4-9 Years of Age; At Least 1 Month From Diagnosis; Able to Speak and Understand English; Presenting to Clinic for at Least a 2nd Subcutaneous Port Needle Insertion

  13. Rock Port Celebrates New Technology Center.

    ERIC Educational Resources Information Center

    Grones, Freda

    1997-01-01

    Discusses the advantages dome architecture gave to a new school technology center in Rock Port, Missouri. Advantages cover energy cost savings, lighting, storage space, aesthetics, accessibility, and convenience. (GR)

  14. 33 CFR 6.01-3 - Captain of the Port.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Captain of the Port. 6.01-3... Port. Captain of the Port as used in this part, means the officer of the Coast Guard, under the command... Commander shall be Captain of the Port with respect to remaining areas in his District not assigned...

  15. 33 CFR 125.05 - Captain of the Port.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Captain of the Port. 125.05... VESSELS § 125.05 Captain of the Port. The term Captain of the Port means the officer of the Coast Guard... immediate direction to Coast Guard law enforcement activities within the general proximity of the port...

  16. 33 CFR 1.01-30 - Captains of the Port.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Captains of the Port. 1.01-30... GENERAL PROVISIONS Delegation of Authority § 1.01-30 Captains of the Port. Captains of the Port and their representatives enforce within their respective areas port safety and security and marine environmental...

  17. 33 CFR 6.01-3 - Captain of the Port.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Captain of the Port. 6.01-3... Port. Captain of the Port as used in this part, means the officer of the Coast Guard, under the command... Commander shall be Captain of the Port with respect to remaining areas in his District not assigned...

  18. 33 CFR 80.1120 - Port Hueneme, CA.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Port Hueneme, CA. 80.1120 Section... NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Coast § 80.1120 Port Hueneme, CA. (a) A line drawn from Port Hueneme East Jetty Light 4 to Port Hueneme West Jetty Light 3....

  19. 33 CFR 1.01-30 - Captains of the Port.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Captains of the Port. 1.01-30... GENERAL PROVISIONS Delegation of Authority § 1.01-30 Captains of the Port. Captains of the Port and their representatives enforce within their respective areas port safety and security and marine environmental...

  20. 33 CFR 125.05 - Captain of the Port.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Captain of the Port. 125.05... VESSELS § 125.05 Captain of the Port. The term Captain of the Port means the officer of the Coast Guard... immediate direction to Coast Guard law enforcement activities within the general proximity of the port...

  1. Effect of port corner geometry on the internal performance of a rotating-vane-type thrust reverser

    NASA Technical Reports Server (NTRS)

    Berrier, B. L.; Capone, F. J.

    1986-01-01

    An investigation has been conducted in the static-test facility of the Langley 16-Foot Transonic Tunnel to determine the effects of reverser port geometry on the internal performance of a nonaxisymmetric rotating-vane-type thrust reverser. Thrust reverser vane positions representing a spoiled-trust (partially deployed) position and a full-reverse-thrust (fully deployed) position were tested with each port geometry variable. The effects of upstream port corner radius and wall angle on internal performance were determined. In addition, the effect of the length of a simulated cooling liner (blunt-base step) near the reverser port entrance was investigated; five different lengths were tested. All tests were conducted with no external flows, and nozzle pressure ratio was varied from 1.2 to 5.0.

  2. Funding a Health Disparities Research Agenda: The Case of Medicare Home Health Care

    ERIC Educational Resources Information Center

    Davitt, Joan K.

    2014-01-01

    Medicare home health care provides critical skilled nursing and therapy services to patients in their homes, generally after a period in an inpatient facility or nursing home. Disparities in access to, or outcomes of, home health care can result in patient deterioration and increased cost to the Medicare program if patient care needs intensify.…

  3. Klonos: A Similarity Analysis Based Tool for Software Porting

    2014-07-30

    The Klonos is a compiler-based tool that can help users for scientific application porting. The tool is based on the similarity analysis with the help of the OpenUH compiler (a branch of Open64 compiler). This tool combines syntactic and cost-model-provided metrics clusters, which aggregate similar subroutines that can be ported similarity. The generated porting plan, which allows programmers and compilers to reuse porting experience as much as possible during the porting process.

  4. Private Investment Purchase and Nursing Home Financial Health

    PubMed Central

    Cadigan, Rebecca Orfaly; Stevenson, David G; Caudry, Daryl J; Grabowski, David C

    2015-01-01

    Objective To explore the impact of nursing home acquisition by private investment firms on nursing home costs, revenue, and overall financial health. Data Sources Merged data from the Medicare Cost Reports and the Online Survey, Certification, and Reporting system for the period 1998–2010. Study Design Regression specification incorporating facility and time fixed effects. Principal Findings We found little impact on the financial health of nursing homes following purchase by private investment companies. However, our findings did suggest that private investment firms acquired nursing home chains in good financial health, possibly to derive profit from the company’s real estate holdings. Conclusions Private investment acquired facilities are an important feature of today’s nursing home sector. Although we did not observe a negative impact on the financial health of nursing homes, this development raises important issues about ownership oversight and transparency for the entire nursing home sector. PMID:25104476

  5. 76 FR 52269 - Safety Zone; Port Huron Float Down, St. Clair River, Port Huron, MI

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-22

    ... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Port Huron Float Down, St. Clair River... Port Huron Float Down. Though this is an unsanctioned, non-permitted event, this temporary safety zone... float-down events. DATES: This rule is effective and will be enforced from 12 to 8 p.m. on August...

  6. Nursing home prices and market structure: the effect of assisted living industry expansion.

    PubMed

    Bowblis, John R

    2014-01-01

    Since the 1990s, there has been substantial expansion of facility-based alternatives to nursing home care, such as assisted living facilities. This paper analyzes the relationship between expansion of the assisted living industry, nursing home market structure and nursing home private pay prices using a two-year panel of nursing homes in the State of Ohio. Fixed effect regressions suggest that the expansion of assisted living facilities are associated with increased nursing home concentration, but find no effect on private pay nursing home prices. This would be consistent with assisted livings reducing demand for nursing homes by delaying entry into a nursing home, though assisted livings are not direct competitors of nursing homes.

  7. 19 CFR 4.86 - Intercoastal residue-cargo procedure; optional ports.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... ports. 4.86 Section 4.86 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND... Intercoastal residue—cargo procedure; optional ports. (a) When a vessel arrives at an Atlantic or Pacific coast port from a foreign port or ports with residue cargo for delivery at a port or ports on the...

  8. Respiratory Home Health Care

    MedlinePlus

    ... Healthy Living > Living With Lung Disease > Respiratory Home Health Care Font: Aerosol Delivery Oxygen Resources Immunizations Pollution Nutrition ... Disease Articles written by Respiratory Experts Respiratory Home Health Care Respiratory care at home can contribute to improved ...

  9. Staying safe at home

    MedlinePlus

    Carbon monoxide safety; Electrical safety; Furnace safety; Gas appliance safety; Water heater safety ... inside the home and outside the home: Put gas and charcoal grills well away from your home, ...

  10. Home Care Services

    MedlinePlus

    Home care is care that allows a person with special needs stay in their home. It might be for people who are getting ... chronically ill, recovering from surgery, or disabled. Home care services include Personal care, such as help with ...

  11. Genetics Home Reference

    MedlinePlus

    Skip Navigation Bar Home Current Issue Past Issues Genetics Home Reference Past Issues / Spring 2007 Table of ... of this page please turn Javascript on. The Genetics Home Reference (GHR) Web site — ghr.nlm.nih. ...

  12. Exercise at Home

    MedlinePlus

    ... Divisions Home Health Insights Exercise Exercise at Home Exercise at Home Make an Appointment Ask a Question ... with the movement and contact your provider. Posture Exercises Better posture means better breathing and movement. Axial ...

  13. Single Port Right Colectomy: Surgical Technique.

    PubMed

    Vîlcea, Ionuţ; Maggiori, Leon; Burcoş, Traean; Panis, Yves

    2016-01-01

    The single port laparoscopic method was first used in 1999 by Bresadola for cholecystectomy. Nearly a decade later, in 2008, the first single port right hemicolectomy was reported by Bucher and others in a case involving an ascending colon polyp (1,2). The continuous technological evolutional lows the first single port right hemicolectomy 17 years after the first laparoscopic hemicolectomy (1991) which was initially met with reluctance and after has gained a well-established place in the range of colorectal surgery (2). Single port access, as well as NOTES, provides, in comparison with the standard laparoscopic procedure, the aesthetic benefit, the decrease of postoperative pain and a shorter duration of hospitalization, while in terms of disadvantages, we could mention a longer surgery duration due to fewer opportunities of triangulation and vision (3,4). The reduction of postoperative pain plus the good aesthetic results with no significant increase of postoperative complications, already proved by retrospective studies, require confirmation by randomized studies envisaged by trial TRUE in France (5). Single port right hemicolectomy can be achieved with oncologic results similar to standard laparoscopic surgery, having very good postoperative results in terms of aesthetics and reduced postoperative pain (5,6,7). PMID:27604677

  14. Simulation model for port shunting yards

    NASA Astrophysics Data System (ADS)

    Rusca, A.; Popa, M.; Rosca, E.; Rosca, M.; Dragu, V.; Rusca, F.

    2016-08-01

    Sea ports are important nodes in the supply chain, joining two high capacity transport modes: rail and maritime transport. The huge cargo flows transiting port requires high capacity construction and installation such as berths, large capacity cranes, respectively shunting yards. However, the port shunting yards specificity raises several problems such as: limited access since these are terminus stations for rail network, the in-output of large transit flows of cargo relatively to the scarcity of the departure/arrival of a ship, as well as limited land availability for implementing solutions to serve these flows. It is necessary to identify technological solutions that lead to an answer to these problems. The paper proposed a simulation model developed with ARENA computer simulation software suitable for shunting yards which serve sea ports with access to the rail network. Are investigates the principal aspects of shunting yards and adequate measures to increase their transit capacity. The operation capacity for shunting yards sub-system is assessed taking in consideration the required operating standards and the measure of performance (e.g. waiting time for freight wagons, number of railway line in station, storage area, etc.) of the railway station are computed. The conclusion and results, drawn from simulation, help transports and logistics specialists to test the proposals for improving the port management.

  15. NASA White Sands Test Facility Remote Hypervelocity Test Laboratory

    NASA Video Gallery

    Tour the NASA White Sands Test Facility's Remote Hypervelocity Test Laboratory in Las Cruces, New Mexico. To learn more about White Sands Test Facility, go to http://www.nasa.gov/centers/wstf/home/...

  16. Oblique view of eastside ramp of Facility No. 393, with ...

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

    Oblique view of east-side ramp of Facility No. 393, with Facility No. 394 in background - U.S. Naval Base, Pearl Harbor, Two-Story Storehouses with Ramps, Port Royal Street between Central and South Avenues, Pearl City, Honolulu County, HI

  17. General view of the middeck looking aft and port. In ...

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

    General view of the mid-deck looking aft and port. In this view you can clearly see the crew access hatch and the airlock hatch. The hose and ladder in the image are pieces of ground support equipment. The hose is part of the climate control apparatus used while orbiters are being processed. The ladder is used to access the inter-deck passage, leading to the flight deck, while the orbiter is in 1g (earth's gravity). A careful observer will notice a void in the wall near the base of the access ladder, this is the Waste Management Compartment with the Waste Management System, i.e. Space Potty, removed. This view was taken in the Orbiter Processing Facility at the Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  18. Closeup view from the starboard side looking towards the port ...

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

    Close-up view from the starboard side looking towards the port side of the Orbiter Discovery looking at the airlock and payload bay. The docking ring has been removed from the airlock prior to this photo being taken. Note that the Orbiter Boom Sensor System is still attached while the Remote Manipulator System has been removed. Also note the suspended protective panels and walkways in place to protect the interior surfaces of the payload bay doors while in their open position. This view was taken from a service platform in the Orbiter Processing Facility at Kennedy Space Center. - Space Transportation System, Orbiter Discovery (OV-103), Lyndon B. Johnson Space Center, 2101 NASA Parkway, Houston, Harris County, TX

  19. Air Traffic Forecasting at the Port Authority of New York and New Jersey

    NASA Technical Reports Server (NTRS)

    Augustine, J. G.

    1972-01-01

    Procedures for conducting air traffic forecasts with specific application to the Port Authority of New York and New Jersey are discussed. The procedure relates air travel growth to detailed socio-economic and demographic characteristics of the U.S. population rather than to aggregate economic data such as Gross National Product, personal income, and industrial production. Charts are presented to show the relationship between various selected characteristics and the use of air transportation facilities.

  20. AP@home: The Artificial Pancreas Is Now at Home.

    PubMed

    Heinemann, Lutz; Benesch, Carsten; DeVries, J Hans

    2016-07-01

    In the past years the development of an artificial pancreas (AP) has made great progress and many activities are ongoing in this area of research. The major step forward made in the last years was moving the evaluation of AP systems from highly controlled experimental conditions to daily life conditions at the home of patients with diabetes; this was also the aim of the European Union-funded AP@home project. Over a time period of 5 years a series of clinical studies were performed that culminated in 2 "final studies" during which an AP system was used by patients in their home environment for 2 or 3 months without supervision by a physician, living their normal lives. Two different versions of the AP system developed within this project were evaluated. A significant improvement in glycated hemoglobin was observed during closed-loop conditions despite the fact that during the control period the patients used the best currently available therapeutic option. In addition, a "single-port AP system" was developed within the project that combines continuous glucose monitoring and insulin infusion at a single tissue site. By using such a combined device the patients not only have to carry one less device around, the number of access points through the skin is also reduced from 2 to 1. In summary, close cooperation of 12 European partners, both academic centers and industry, enabled the development and evaluation of AP systems under daily life conditions. The next step is to develop these into products in cooperation with commercial partners. PMID:26888971

  1. Constraining Medicare Home Health Reimbursement: What Are the Outcomes?

    PubMed Central

    McCall, Nelda; Korb, Jodi; Petersons, Andrew; Moore, Stanley

    2002-01-01

    The implementation of the Balanced Budget Act (BBA) of 1997 resulted in substantial decreases in the amount of Medicare home health use. Use among home health users decreased by two-fifths from fiscal year (FY) 1997, just before the passage of the BBA to FY 1999, the first full year after the implementation of the home health interim payment system. This article examines whether these dramatic reductions in use resulted in increased incidence of potential adverse outcomes, i.e., increases in hospitalizations, skilled nursing home facility admissions, emergency room (ER) use, or death among home health users. PMID:12690695

  2. Porting salinas to the windows platform.

    SciTech Connect

    Reese, Garth M.; Wilson, Christopher Riley

    2006-06-01

    The ASC program has enabled significant development of high end engineering applications on massively parallel machines. There is a great benefit in providing these applications on the desktop of the analysts and designers, at least insofar as the small models may be run on these platforms, thus providing a tool set that spans the application needs. This effort documents the work of porting Salinas to the WINDOWS{trademark} platform. Selection of the tools required to compile, link, test and run Salinas in this environment is discussed. Significant problems encountered along the way are listed along with an estimation of the overall cost of the port. This report may serve as a baseline for streamlining further porting activities with other ASC codes.

  3. Photodynamic therapy for port wine stains

    NASA Astrophysics Data System (ADS)

    Li, Junheng

    1998-11-01

    Previous therapies for port wine stains usually cause unacceptable scarring or obtain poor effect. Because port wine is a congenital vasculopathy consisting of an abnormal network of capillaries in the upper dermis with an overlying normal epidermis and the researchers found the tumor blood vessels were occluded accompanying the necrosis of the tumor after PDT. The author and his colleagues started a series of animal and clinical studies since 1991 about photodynamic therapy for port wine stain an they established the method of PDT for PWS. The clinical studies of over 1500 cases proved that PWS can be cured by PDT without scar formation because there is no thermal effect involved. No relapse was found within a maximum follow-up of six years.

  4. Money for deeper US coal ports: needed or just more pork barrel

    SciTech Connect

    Madison, C.

    1981-02-07

    The US must improve its port facilities before the coal industry can become a major world exporter. The coal and rail industries plan to improve coal-handling facilities at ports on the East, Gulf, and West Coasts, but dredging to allow coal carriers must be done by the Corps of Engineers under Congressional authorization. This process could take up to 20 years to resolve bureaucratic and cost barriers. Although coal exports could improve the balance-of-payments deficit, the Federal government does not want to subsidize port facilities on the basis of future market projections. A task force study estimates a European market of 189 million tons of steam coal in 1990 and 90 million tons for the Far East. The study recommends dredging to keep US coal competitive and to meet the energy needs of US allies. An effort to speed up authorizing legislation allows the Corps to prepare a single environmental impact statement and feasibility study for several projects rather than follow the multi-step procedure for each. The new Senate leadership may prefer omnibus legislation that alters water policy and protects the budget. (DCK)

  5. What types of home are closing? The characteristics of homes which closed between 1996 and 2001.

    PubMed

    Darton, Robin A

    2004-05-01

    Closures of care homes have received considerable public attention. Fee levels and the cost of upgrading homes to meet the national minimum standards have been identified as the main factors influencing closures. The present paper compares private residential homes, dual-registered homes and nursing homes for older people which have closed between 1996 and 2001 with homes which have remained open. Homes which closed tended to be: smaller; to have had lower occupancy levels in 1996; to be the only home run by the organisation; to occupy converted buildings; to occupy multi-storey buildings, and if so, to have no lift; to have more shared bedrooms; and to have en suite facilities in none or only some of the bedrooms. These factors were interrelated and the effect of these variables in combination was examined using multivariate (logistic regression) analysis. Among the homes which remained open, only 34% provided at least 80% of places in single rooms, which was to have become the national minimum standard for existing homes until the standards were amended in March 2003. A separate analysis of data on social climate found that the homes with a more positive social environment were those most likely to have closed. The findings support the view that there is likely to be an increase in the importance of homes run by corporate providers relative to homes run as single, owner-managed homes, with a consequent reduction in choice for potential residents. At the same time, projections of future demand in a range of countries indicate that a considerable increase in provision will be required to meet the expected growth in the population of dependent older people, while developments in alternative forms of accommodation are unlikely to meet the growth in demand in the foreseeable future.

  6. Laser treatment of port-wine stains

    PubMed Central

    Brightman, Lori A; Geronemus, Roy G; Reddy, Kavitha K

    2015-01-01

    Port-wine stains are a type of capillary malformation affecting 0.3% to 0.5% of the population. Port-wine stains present at birth as pink to erythematous patches on the skin and/or mucosa. Without treatment, the patches typically darken with age and may eventually develop nodular thickening or associated pyogenic granuloma. Laser and light treatments provide improvement through selective destruction of vasculature. A variety of vascular-selective lasers may be employed, with the pulsed dye laser being the most common and well studied. Early treatment produces more optimal results. Advances in imaging and laser treatment technologies demonstrate potential to further improve clinical outcomes. PMID:25624768

  7. 38 CFR 18.422 - Existing facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ..., reassignment of classes or other services to accessible buildings, assignment of aids to beneficiaries, home... significant alteration in its existing facilities, the recipient may, as an alternative, refer the...

  8. 45 CFR 84.22 - Existing facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... services to accessible buildings, assignment of aides to beneficiaries, home visits, delivery of health... alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person...

  9. 34 CFR 104.22 - Existing facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... classes or other services to accessible buildings, assignment of aides to beneficiaries, home visits... alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person...

  10. 34 CFR 104.22 - Existing facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... classes or other services to accessible buildings, assignment of aides to beneficiaries, home visits... alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person...

  11. 34 CFR 104.22 - Existing facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... classes or other services to accessible buildings, assignment of aides to beneficiaries, home visits... alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person...

  12. 45 CFR 84.22 - Existing facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... services to accessible buildings, assignment of aides to beneficiaries, home visits, delivery of health... alteration in its existing facilities, the recipient may, as an alternative, refer the handicapped person...

  13. The economies of scale for nursing home care.

    PubMed

    Chen, Li-Wu; Shea, Dennis G

    2004-03-01

    Using a modified hybrid short-term operating cost function and a national sample of nursing homes in 1994, the authors examined the scale economies of nursing home care. The results show that scale economies exist for Medicare postacute care, with an elasticity of -0.15 and an optimal scale of around 4,000 patient days annually. However, more than 68 percent of nursing homes in the analytic sample produced Medicare days at a level below the optimal scale. The financial pressures resulting from the implementation of a prospective payment system for Medicare skilled nursing facilities may further reduce the quantity of Medicare days served by nursing homes. In addition, the results show that chain-owned nursing homes do not have lower short-term operating costs than do independent facilities. This indicates that the rationale behind recent increasing horizontal integration among nursing homes may not be seeking greater cost efficiency but some other consideration.

  14. Port wine stain on a child's face (image)

    MedlinePlus

    Port wine stains are always present at birth. In an infant, they are flat, pink, vascular lesions. Common locations ... may be present anywhere on the body. Port wine stains may appear in association with other syndromes.

  15. 50 CFR 300.188 - Ports of entry.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... International Trade Documentation and Tracking Programs for Highly Migratory Species § 300.188 Ports of entry... United States. If NMFS determines that the diversity of handling practices at certain ports at which...

  16. 50 CFR 300.188 - Ports of entry.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... International Trade Documentation and Tracking Programs for Highly Migratory Species § 300.188 Ports of entry... United States. If NMFS determines that the diversity of handling practices at certain ports at which...

  17. 9 CFR 93.703 - Ports designated for importation.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., except as provided in paragraph (b) of this section, only through the following ports: (1) Air and ocean... Houston, TX; and Seattle, Spokane, and Tacoma, WA. (2) Canadian border ports. Eastport, ID; Houlton...

  18. 9 CFR 93.703 - Ports designated for importation.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., except as provided in paragraph (b) of this section, only through the following ports: (1) Air and ocean... Houston, TX; and Seattle, Spokane, and Tacoma, WA. (2) Canadian border ports. Eastport, ID; Houlton...

  19. 9 CFR 93.703 - Ports designated for importation.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., except as provided in paragraph (b) of this section, only through the following ports: (1) Air and ocean... Houston, TX; and Seattle, Spokane, and Tacoma, WA. (2) Canadian border ports. Eastport, ID; Houlton...

  20. Laser therapy in plastic surgery: decolorization in port wine stains

    NASA Astrophysics Data System (ADS)

    Peszynski-Drews, Cezary; Wolf, Leszek

    1996-03-01

    For the first time laserotherapy is described as a method of port wine stain decolorization in plastic surgery. The authors present their 20-year experience in the treatment of port wine stains with the argon laser and dye laser.

  1. Sewage Disposal in Port Harcourt, Nigeria.

    ERIC Educational Resources Information Center

    Ayotamuno, M. J.

    1993-01-01

    This survey of the Port Harcourt, Nigeria, sewage disposal system exemplifies sewage disposal in the developing world. Results reveal that some well-constructed and maintained drains, as well as many open drains and septic tanks, expose women and children to the possibility of direct contact with parasitic organisms and threaten water resources.…

  2. 50 CFR 14.16 - Border ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., TRANSPORTATION, SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF WILDLIFE AND PLANTS IMPORTATION, EXPORTATION, AND TRANSPORTATION OF WILDLIFE Importation and Exportation at Designated Ports § 14.16 Border...) Minnesota—Grand Portage, International Falls, Minneapolis-St. Paul; (7) Montana—Raymond, Sweetgrass; (8)...

  3. 50 CFR 14.12 - Designated ports.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 50 Wildlife and Fisheries 1 2014-10-01 2014-10-01 false Designated ports. 14.12 Section 14.12 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR TAKING, POSSESSION, TRANSPORTATION, SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF WILDLIFE AND...

  4. 50 CFR 14.12 - Designated ports.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 50 Wildlife and Fisheries 1 2012-10-01 2012-10-01 false Designated ports. 14.12 Section 14.12 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR TAKING, POSSESSION, TRANSPORTATION, SALE, PURCHASE, BARTER, EXPORTATION, AND IMPORTATION OF WILDLIFE AND...

  5. 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

  6. The Challenges Of Investigating And Remediating Port Hope's Small-Scale Urban Properties - 13115

    SciTech Connect

    Veen, Walter van; Case, Glenn; Benson, John; Herod, Judy; Yule, Adam

    2013-07-01

    An important component of the Port Hope Project, the larger of the two projects comprising the Port Hope Area Initiative (PHAI), is the investigation of all 4,800 properties in the Municipality of Port Hope for low level radioactive waste (LLRW) and the remediation of approximately 10% of these. Although the majority of the individual properties are not expected to involve technically sophisticated remediation programs, the large number of property owners and individually unique properties are expected to present significant logistic challenges that will require a high degree of planning, organization and communication. The protocol and lessons learned described will be of interest to those considering similar programs. Information presented herein is part of a series of papers presented by the PHAI Management Office (PHAI MO) at WM Symposium '13 describing the history of the Port Hope Project and current project status. Other papers prepared for WM Symposium '13 address the large-scale site cleanup and the construction of the long-term waste management facility (LTWMF) where all of the LLRW will be consolidated and managed within an engineered, above-ground mound. (authors)

  7. Commercial Fishing Port Development in North Florida. [Escambia, Bay, Gulf, Franklin, Wakulla, Nassau, and Duval Counties

    NASA Technical Reports Server (NTRS)

    Mathis, K. (Principal Investigator); Cato, J. C.; Degner, P. D.; Landrum, P. D.; Prochaska, F. J.

    1978-01-01

    The author has identified the following significant results. Seven major counties were examined: Escambia, Bay, Gulf, Franklin, Wakulla, Nassau, and Duval. Population and economic activity were reviewed, along with commercial fishing and port facilities. Recommendations for five northwest Florida counties were based on interpretation of aerial photographs, satellite imagery, an aerial survey site visit, and published data. Major needs in Pensacola included docking, ice supply, and net and engine repair services. Costs for additional docks, an ice plant, and gear storage were estimated at $3,658,600. Port users in Panama City identified additional docking and gear storage as primary needs, along with gear repair and a marine railway. Estimated costs for dock and gear storage were $2,860,000. Added docking, gear storage, and ice supply, as well as gear electronics and diesel repair were needed in Port St. Joe. Costs were calculated at $1,231,500. Franklin County has three ports (Apalachicola - $1,107,000 for docks and gear storage, Eastpoint - $420,000 for additional docks, and Carrabella - $2,824,100 for docks, gear storage, and ice plant).

  8. A framework for assessing relative risks associated with multiple stressors in Port Valdez, Alaska

    SciTech Connect

    Wiegers, J.K.; Landis, W.G.; Mortensen, L.S.; Wilson, V.J.

    1995-12-31

    The purpose of this assessment is to develop a versatile process that will provide a mechanism for evaluating both present and future risks to this environment. Much of the regulatory and environmental interest in the port has centered around a Ballast Water Treatment facility that treats and discharges up to 30 mgd of oily ballast water brought in by crude oil tankers. However, six point discharges and other potential sources of pollution exist in the area. The authors have delineated eleven subareas in the port in order to identify the potential anthropogenic stressors, as well as the receptors that could be exposed to these stressors. Potential effects were then characterized for each exposure. Each component is ranked and integrated, resulting in a relative risk estimate in each subarea. Both the discernible risks, based on available data, and the data gaps are presented. Uncertainty is expressed as a range of high and low risk associated with each component. Results of the ranking indicate that hydrocarbons released through discharges, contaminated runoff and spills pose the most discernible risk to sediment quality and wildlife in the port. Undetermined, but potentially severe, risks to all ecological components include possible future oil spills, shoreline development, and the introduction of nonindigenous species. The final assessment provides a tool for current and future ecological monitoring efforts in the Port Valdez area.

  9. 19 CFR 18.12 - Entry at port of destination.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Entry at port of destination. 18.12 Section 18.12... § 18.12 Entry at port of destination. (a) Merchandise received under an immediate transportation... merchandise entered at a port of first arrival if not more than 6 months have elapsed from the date...

  10. 33 CFR 110.186 - Port Everglades, Florida.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Port Everglades, Florida. 110.186... ANCHORAGE REGULATIONS Anchorage Grounds § 110.186 Port Everglades, Florida. (a) The anchorage grounds. The... entrance to Port Everglades, is an area bounded by a line connecting points with the following...

  11. 19 CFR 4.35 - Unlading outside port of entry.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Unlading outside port of entry. 4.35 Section 4.35... TREASURY VESSELS IN FOREIGN AND DOMESTIC TRADES Landing and Delivery of Cargo § 4.35 Unlading outside port of entry. (a) Upon written application from the interested party, the port director concerned, if...

  12. 27 CFR 26.128 - Taxpayment at port of arrival.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2011-04-01 2011-04-01 false Taxpayment at port of... Liquors and Articles Purchased by Tourists in Puerto Rico § 26.128 Taxpayment at port of arrival. If the... the port of arrival prior to release of the liquors or articles from customs custody. The tax may...

  13. 19 CFR 146.2 - Port director as Board representative.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Port director as Board representative. 146.2...; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.2 Port director as Board representative. The appropriate port director shall be in charge of the zone as the representative of the Board....

  14. 19 CFR 4.35 - Unlading outside port of entry.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Unlading outside port of entry. 4.35 Section 4.35... TREASURY VESSELS IN FOREIGN AND DOMESTIC TRADES Landing and Delivery of Cargo § 4.35 Unlading outside port of entry. (a) Upon written application from the interested party, the port director concerned, if...

  15. 19 CFR 4.67 - Closed ports or places.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Closed ports or places. 4.67 Section 4.67 Customs... VESSELS IN FOREIGN AND DOMESTIC TRADES Foreign Clearances § 4.67 Closed ports or places. No foreign vessel shall be granted a clearance or permit to proceed to any port or place from which such vessels...

  16. 19 CFR 4.67 - Closed ports or places.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Closed ports or places. 4.67 Section 4.67 Customs... VESSELS IN FOREIGN AND DOMESTIC TRADES Foreign Clearances § 4.67 Closed ports or places. No foreign vessel shall be granted a clearance or permit to proceed to any port or place from which such vessels...

  17. 19 CFR 122.92 - Procedure at port of origin.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Procedure at port of origin. 122.92 Section 122.92... port of origin. (a) Forms required—(1) Customs Form 7512 or other document. Customs Form 7512 or other... Customs at the port of origin for merchandise for immediate transportation without appraisement....

  18. 19 CFR 146.2 - Port director as Board representative.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Port director as Board representative. 146.2...; DEPARTMENT OF THE TREASURY (CONTINUED) FOREIGN TRADE ZONES General Provisions § 146.2 Port director as Board representative. The appropriate port director shall be in charge of the zone as the representative of the Board....

  19. 19 CFR 18.12 - Entry at port of destination.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Entry at port of destination. 18.12 Section 18.12... § 18.12 Entry at port of destination. (a) Merchandise received under an immediate transportation... merchandise entered at a port of first arrival if not more than 6 months have elapsed from the date...

  20. 46 CFR 67.119 - Hailing port designation.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Hailing port designation. 67.119 Section 67.119 Shipping... DOCUMENTATION OF VESSELS Assignments and Designations Required for Vessel Documentation § 67.119 Hailing port... part, the owner of a vessel must designate a hailing port to be marked upon the vessel. (b) The...

  1. 46 CFR 67.119 - Hailing port designation.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Hailing port designation. 67.119 Section 67.119 Shipping... DOCUMENTATION OF VESSELS Assignments and Designations Required for Vessel Documentation § 67.119 Hailing port... part, the owner of a vessel must designate a hailing port to be marked upon the vessel. (b) The...

  2. 19 CFR 158.30 - Review of port director's decision.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Review of port director's decision. 158.30 Section... Casualty, Loss, or Theft While in Customs Custody § 158.30 Review of port director's decision. (a) Filing of petition. The importer may file with the port director a petition addressed to the Commissioner...

  3. 9 CFR 93.220 - Inspection at port of entry.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Inspection at port of entry. 93.220... FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Poultry Mexico 8 § 93.220 Inspection at port of entry... the United States in bond for immediate return to Mexico, shall be inspected at the port of entry,...

  4. 9 CFR 93.220 - Inspection at port of entry.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Inspection at port of entry. 93.220... FOR MEANS OF CONVEYANCE AND SHIPPING CONTAINERS Poultry Mexico 8 § 93.220 Inspection at port of entry... the United States in bond for immediate return to Mexico, shall be inspected at the port of entry,...

  5. 27 CFR 28.262 - Delay in lading at port.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Delay in lading at port..., DEPARTMENT OF THE TREASURY LIQUORS EXPORTATION OF ALCOHOL Proceedings at Ports of Export § 28.262 Delay in lading at port. If, on arrival of a shipment withdrawn for export without payment of tax or free of...

  6. 27 CFR 28.262 - Delay in lading at port.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2011-04-01 2011-04-01 false Delay in lading at port..., DEPARTMENT OF THE TREASURY LIQUORS EXPORTATION OF ALCOHOL Proceedings at Ports of Export § 28.262 Delay in lading at port. If, on arrival of a shipment withdrawn for export without payment of tax or free of...

  7. 76 FR 20524 - Anchorage Regulations; Port of New York

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ... Anchorage Regulations; Port of New York in the Federal Register (74 FR 47906). We received one comment on...; Port of New York'' in the Federal Register on April 28, 2010 (75 FR 22323) revising its proposal to... SECURITY Coast Guard 33 CFR Part 110 RIN 1625-AA01 Anchorage Regulations; Port of New York AGENCY:...

  8. 19 CFR 122.92 - Procedure at port of origin.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Procedure at port of origin. 122.92 Section 122.92... port of origin. (a) Forms required—(1) Customs Form 7512 or other document. Customs Form 7512 or other... Customs at the port of origin for merchandise for immediate transportation without appraisement....

  9. 19 CFR 122.92 - Procedure at port of origin.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Procedure at port of origin. 122.92 Section 122.92... port of origin. (a) Forms required—(1) Customs Form 7512 or other document. Customs Form 7512 or other... Customs at the port of origin for merchandise for immediate transportation without appraisement....

  10. 33 CFR 80.1120 - Port Hueneme, CA.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Port Hueneme, CA. 80.1120 Section 80.1120 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Coast § 80.1120 Port Hueneme, CA. (a) A line drawn from Port Hueneme East Jetty Light 4 to...

  11. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 2 2012-04-01 2012-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  12. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 2 2010-04-01 2010-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  13. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 2 2013-04-01 2013-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  14. 19 CFR 158.29 - Decision by port director.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 2 2011-04-01 2011-04-01 false Decision by port director. 158.29 Section 158.29..., or Theft While in Customs Custody § 158.29 Decision by port director. When the application and evidence have been received and examined by the port director, he shall determine whether the...

  15. Measuring End-of-Life Care Processes in Nursing Homes

    ERIC Educational Resources Information Center

    Temkin-Greener, Helena; Zheng, Nan; Norton, Sally A.; Quill, Timothy; Ladwig, Susan; Veazie, Peter

    2009-01-01

    Purpose: The objectives of this study were to develop measures of end-of-life (EOL) care processes in nursing homes and to validate the instrument for measuring them. Design and Methods: A survey of directors of nursing was conducted in 608 eligible nursing homes in New York State. Responses were obtained from 313 (51.5% response rate) facilities.…

  16. 45 CFR 1306.33 - Home-based program option.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... home visitor with only babysitters or other temporary caregivers in attendance. (1) The purpose of the... visitor with babysitters or other temporary caregivers. (1) The purpose of these socialization activities... Start classroom, community facility, home, or on a field trip. The children are to be supervised by...

  17. 32 CFR 728.76 - Naval Home residents.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 5 2010-07-01 2010-07-01 false Naval Home residents. 728.76 Section 728.76... FOR ELIGIBLE PERSONS AT NAVY MEDICAL DEPARTMENT FACILITIES Other Persons § 728.76 Naval Home residents. Provide necessary medical and dental care, both inpatient and outpatient, to residents of the Naval...

  18. The home hemodialysis hub: physical infrastructure and integrated governance structure.

    PubMed

    Marshall, Mark R; Young, Bessie A; Fox, Sally J; Cleland, Calli J; Walker, Robert J; Masakane, Ikuto; Herold, Aaron M

    2015-04-01

    An effective home hemodialysis program critically depends on adequate hub facilities and support functions and on transparent and accountable organizational processes. The likelihood of optimal service delivery and patient care will be enhanced by fit-for-purpose facilities and implementation of a well-considered governance structure. In this article, we describe the required accommodation and infrastructure for a home hemodialysis program and a generic organizational structure that will support both patient-facing clinical activities and business processes.

  19. 33 CFR 6.14-2 - Condition of waterfront facility a danger to vessel.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Condition of waterfront facility a danger to vessel. 6.14-2 Section 6.14-2 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF... of Waterfront Facilities and Vessels in Port § 6.14-2 Condition of waterfront facility a danger...

  20. 33 CFR 150.50 - What are the requirements for a facility spill response plan?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... facility emergency plan that meets part 127, subpart B of this chapter. (c) The response plan must be... facility spill response plan? 150.50 Section 150.50 Navigation and Navigable Waters COAST GUARD, DEPARTMENT... are the requirements for a facility spill response plan? (a) Each deepwater port which meets...

  1. 33 CFR 150.50 - What are the requirements for a facility spill response plan?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... facility emergency plan that meets part 127, subpart B of this chapter. (c) The response plan must be... facility spill response plan? 150.50 Section 150.50 Navigation and Navigable Waters COAST GUARD, DEPARTMENT... are the requirements for a facility spill response plan? (a) Each deepwater port which meets...

  2. 77 FR 64386 - Agency Information Collection Activities (Per Diem for Nursing Home Care of Veterans in State...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... AFFAIRS Agency Information Collection Activities (Per Diem for Nursing Home Care of Veterans in State... currently approved collection. Abstract: VA pays per diem to State homes providing nursing home and adult day health services care to Veterans. VA requires facilities providing nursing home and adult...

  3. 38 CFR 59.40 - Maximum number of nursing home care and domiciliary care beds for veterans by State.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... home care and domiciliary care beds for veterans by State. 59.40 Section 59.40 Pensions, Bonuses, and... ACQUISITION OF STATE HOMES § 59.40 Maximum number of nursing home care and domiciliary care beds for veterans... for a project to construct or acquire a new state home facility, to increase the number of...

  4. Measuring Staff Turnover in Nursing Homes

    ERIC Educational Resources Information Center

    Castle, Nicholas G.

    2006-01-01

    Purpose: In this study the levels of staff turnover reported in the nursing home literature (1990-2003) are reviewed, as well as the definitions of turnover used in these prior studies. With the use of primary data collected from 354 facilities, the study addresses the various degrees of bias that result, depending on how staff turnover is defined…

  5. Home Away from Home: Acclimatization of Filipino Elderly from Being Home to a Sense of Being "at Home" in an Elderly Institution

    ERIC Educational Resources Information Center

    de Guzman, Allan B.; Guevara, Katrina Illyana J.; Guiang, Frances Jane B.; Gutierez, Anton Lorenzo I.; Habaluyas, Alayne S.; Hizon, Marc Alison P.; Idanan, Shalaine G.

    2012-01-01

    This grounded study examined the process of acclimatization or the process of changing perspectives of a person so as to get used to or feel "at home" among a select group of Filipino elderly in a nursing care facility. As institutionalization of the elderly is not typical in the Philippine context, varied responses were analyzed to understand the…

  6. 78 FR 42587 - Deepwater Port License: Amendment of the Neptune LNG LLC Deepwater Port License and Temporary...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ... Maritime Administration Deepwater Port License: Amendment of the Neptune LNG LLC Deepwater Port License and Temporary Suspension of Operations at the Neptune LNG Deepwater Port AGENCY: Maritime Administration... Administration (MarAd) provides public notice of its decision to approve the request of Neptune LNG LLC...

  7. Temperature dependent BRDF facility

    NASA Astrophysics Data System (ADS)

    Airola, Marc B.; Brown, Andrea M.; Hahn, Daniel V.; Thomas, Michael E.; Congdon, Elizabeth A.; Mehoke, Douglas S.

    2014-09-01

    Applications involving space based instrumentation and aerodynamically heated surfaces often require knowledge of the bi-directional reflectance distribution function (BRDF) of an exposed surface at high temperature. Addressing this need, the Johns Hopkins University Applied Physics Laboratory (JHU/APL) developed a BRDF facility that features a multiple-port vacuum chamber, multiple laser sources covering the spectral range from the longwave infrared to the ultraviolet, imaging pyrometry and laser heated samples. Laser heating eliminates stray light that would otherwise be seen from a furnace and requires minimal sample support structure, allowing low thermal conduction loss to be obtained, which is especially important at high temperatures. The goal is to measure the BRDF of ceramic-coated surfaces at temperatures in excess of 1000°C in a low background environment. Most ceramic samples are near blackbody in the longwave infrared, thus pyrometry using a LWIR camera can be very effective and accurate.

  8. Local Medicaid home- and community-based services spending and nursing home admissions of younger adults.

    PubMed

    Thomas, Kali S; Keohane, Laura; Mor, Vincent

    2014-11-01

    We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased admissions of younger adults to nursing homes. Our findings suggest that states' efforts to expand HCBS for this population should continue.

  9. Local Medicaid Home- and Community-Based Services Spending and Nursing Home Admissions of Younger Adults

    PubMed Central

    Keohane, Laura; Mor, Vincent

    2014-01-01

    We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased admissions of younger adults to nursing homes. Our findings suggest that states’ efforts to expand HCBS for this population should continue. PMID:25211711

  10. 75 FR 65331 - Federal Home Loan Bank Members Selected for Community Support Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-22

    ... Bank Ringgold Georgia. West Central Georgia Bank Thomaston Georgia. Carrollton Bank Baltimore Maryland...Port Credit Union Newport News Virginia. Central Virginia Bank Powhatan Virginia. Federal Home Loan... Springfield Kentucky. South Central Bank of Monroe County, Inc. Tompkinsville Kentucky. United Southern...

  11. Home Energy Assessments

    ScienceCinema

    Dispenza, Jason

    2016-07-12

    A home energy assessment, also known as a home energy audit, is the first step to assess how much energy your home consumes and to evaluate what measures you can take to make your home more energy efficient. An assessment will show you problems that may, when corrected, save you significant amounts of money over time. This video shows some of the ways that a contractor may test your home during an assessment, and helps you understand how an assessment can help you move toward energy savings. Find out more at: http://www.energysavers.gov/your_home/energy_audits/index.cfm/mytopic=11160

  12. Home Energy Assessments

    SciTech Connect

    Dispenza, Jason

    2010-01-01

    A home energy assessment, also known as a home energy audit, is the first step to assess how much energy your home consumes and to evaluate what measures you can take to make your home more energy efficient. An assessment will show you problems that may, when corrected, save you significant amounts of money over time. This video shows some of the ways that a contractor may test your home during an assessment, and helps you understand how an assessment can help you move toward energy savings. Find out more at: http://www.energysavers.gov/your_home/energy_audits/index.cfm/mytopic=11160

  13. [Home and dwelling arrangements in old age].

    PubMed

    Dapp, Ulrike; von Renteln-Kruse, Wolfgang

    2015-10-01

    The increase of life expectancy provides the unique opportunity to participate actively in social life many years after retirement and upbringing of children. In Germany, over 80 % of the population 60 years and older are living independently in the community, and approximately 95 % stay in their own homes. On the other hand, the probability to suffer from diseases, frailty and impaired activities of daily life activities also rises with higher age. However, only on rare occasions older people in need of nursing care do like to give up their home voluntarily. Next to innovative forms of dwelling, home replacement, technical aids and us of information and communication technology (ICT), efforts to strengthen the older persons' independence of maintaining mobility in their home environment (life space) is emphasised in this article. The particular focus is on the use of preventative strategies and to support geriatric network facilities. PMID:26445251

  14. Low Back Pain in Port Machinery Operators

    NASA Astrophysics Data System (ADS)

    BOVENZI, M.; PINTO, I.; STACCHINI, N.

    2002-05-01

    The occurrence of several types of low back pain (LBP) was investigated by a standardized questionnaire in a group of 219 port machinery operators exposed to whole-body vibration (WBV) and postural load and in a control group of 85 maintenance workers employed at the same transport company. The group of port machinery operators included 85 straddle carrier drivers, 88 fork-lift truck drivers, and 46 crane operators. The vector sum of the frequency-weighted r.m.s. acceleration of vibration measured on the seatpan of port vehicles and machines averaged 0·90 m/s2 for fork-lift trucks, 0·48 m/s2 for straddle carriers, 0·53 m/s2 for mobile cranes, and 0·22 m/s2 for overhead cranes. The 12-month prevalence of low back symptoms (LBP, sciatic pain, treated LBP, sick leave due to LBP) was significantly greater in the fork-lift truck drivers than in the controls and the other two groups of port machinery operators. After adjusting for potential confounders, the prevalence of low back symptoms was found to increase with the increase of WBV exposure expressed as duration of exposure (driving years), equivalent vibration magnitude (m/s2), or cumulative vibration exposure (yr m2/s4). An excess risk for lumbar disc herniation was observed in the port machinery operators with prolonged driving experience. In both the controls and the port machinery operators, low back complaints were strongly associated with perceived postural load assessed in terms of frequency and/or duration of awkward postures at work. Multivariate analysis showed that vibration exposure and postural load were independent predictors of LBP. Even though the cross-sectional design of the present study does not permit firm conclusions on the relationship between WBV exposure and low back disorders, the findings of this investigation provide additional epidemiological evidence that seated WBV exposure combined with non-neutral trunk postures, as while driving, is associated with an increased risk of long

  15. Tsunami Run-up Heights at Imwon Port, Korea

    NASA Astrophysics Data System (ADS)

    Cho, Yong-Sik; Cho, Jeong-Seon

    2015-04-01

    Tsunami Run-up Heights at Imwon Port, Korea Yong-Sik Cho and Jeong-Seon Cho Department of Civil and Environmental Engineering, Hanyang University 222 Wangsimni-ro, Seongdong-gu, Seoul 133-791, Korea. The Eastern Coast of the Korean Peninsula has been attacked frequently by a number of tsunamis causing severe damages during this century. Among them, 1983 Central East Sea and 1993 Hokkaido Tsunami events were recorded as the most devastating events in Korea. More recently, the Great East Japan Tsunami had also attacked the Korean Peninsula. The Eastern Coast of the Korean Peninsula is the terminal place where tsunamis climb up inland after it generated along the western coast of Japan. The central part of the coast, in special, is worried as a tsunami danger zone because much tsunami energy is concentrated on by a topographic condition of this region. Recently, several coastal facilities including harbors and breakwaters are built and operated along the Eastern Coast of the Korean Peninsula. Furthermore, several nuclear power plants are already operating and several more units are now under construction. Residents who lived alongside the coast want free from unexpected danger, so the tsunami hazard mitigation becomes an important issue of coastal problems in Korea. Through the historical tsunami events, the Imwon Port is known as the place where most severe damage occurred, especially in 1983. An effective and economic way for the tsunami hazard mitigation planning is to construct inundation maps along the coast vulnerable to tsunami flooding. These maps should be built based on the historical tsunami events and the projected scenarios. For this purpose, an accurate estimation of tsunami run-up height and inundation process through the numerical model is needed. As a first step to tsunami mitigation program, the maximum run-up heights at the Imwon Port are computed and compared with field observed data. For this, tsunami run-up heights in this region were filed

  16. 77 FR 26218 - Federal Housing Administration (FHA): Section 232 Healthcare Facility Insurance Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-03

    ..., purchase, and refinancing of nursing homes, intermediate care facilities, board and care homes, and... medical and social services.\\2\\ These demands include greater need for nursing homes, long-term care... living have expanded, nursing homes will likely retain a major role in caring for the most...

  17. Nursing homes: The new frontier.

    PubMed

    Davis, Jane; Zuber, Kim

    2015-09-01

    As the population continues to age, we will see a larger percentage of end-stage CKD patients in nursing homes, both skilled and long-term facilities. This is a fragile population and will take buy-in from all practitioners to care for them. Even with the dietitian to manage a complicated and detailed menu, the social worker to manage the transportation and multiple issues with equipment, the therapy staff to protect against loss of ADLs, the recreational therapist to protect against loss of cognitive function and the medical staff (APs, nursing, physicians), this population will continue to present both challenges and opportunities. PMID:26521633

  18. 76 FR 16354 - Per Diem Payments for the Care Provided to Eligible Veterans Evacuated From a State Home as a...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-23

    ... veteran receiving nursing home care, domiciliary care, and adult day health care in State home facilities... adult day health care facility are evacuated due to an emergency. The standards and procedures are similar, but because adult day health care facilities are non- residential, the rules can be...

  19. Scavenging a Piston-ported Two-stroke Cylinder

    NASA Technical Reports Server (NTRS)

    Rogowski, A R; Bouchard, C L

    1938-01-01

    An investigation was made with a specially designed engine to determine the scavenging characteristics of a large number of inlet-port shapes and arrangements and the optimum port arrangement and timing for this particular type of engine. A special cylinder construction permitted wide variations in timing for this particular type of engine. A special cylinder construction permitted wide variations in timing as well as in shape and arrangement of both the inlet and exhaust ports. The study of the effect of port shape combinations and timings on engine performance was made using illuminating gas as a fuel. Through variations in inlet-port arrangement and port timings, the value of the scavenging efficiency was increased from an original 44 percent to approximately 67 percent with a corresponding increase in power. With the optimum port arrangement and timing determined, a large number of performance runs were made under both spark-ignition and compression-ignition operation.

  20. Detecting and Characterizing Semantic Inconsistencies in Ported Code

    NASA Technical Reports Server (NTRS)

    Ray, Baishakhi; Kim, Miryung; Person, Suzette J.; Rungta, Neha

    2013-01-01

    Adding similar features and bug fixes often requires porting program patches from reference implementations and adapting them to target implementations. Porting errors may result from faulty adaptations or inconsistent updates. This paper investigates (I) the types of porting errors found in practice, and (2) how to detect and characterize potential porting errors. Analyzing version histories, we define five categories of porting errors, including incorrect control- and data-flow, code redundancy, inconsistent identifier renamings, etc. Leveraging this categorization, we design a static control- and data-dependence analysis technique, SPA, to detect and characterize porting inconsistencies. Our evaluation on code from four open-source projects shows thai SPA can dell-oct porting inconsistencies with 65% to 73% precision and 90% recall, and identify inconsistency types with 58% to 63% precision and 92% to 100% recall. In a comparison with two existing error detection tools, SPA improves precision by 14 to 17 percentage points

  1. Detecting and Characterizing Semantic Inconsistencies in Ported Code

    NASA Technical Reports Server (NTRS)

    Ray, Baishakhi; Kim, Miryung; Person,Suzette; Rungta, Neha

    2013-01-01

    Adding similar features and bug fixes often requires porting program patches from reference implementations and adapting them to target implementations. Porting errors may result from faulty adaptations or inconsistent updates. This paper investigates (1) the types of porting errors found in practice, and (2) how to detect and characterize potential porting errors. Analyzing version histories, we define five categories of porting errors, including incorrect control- and data-flow, code redundancy, inconsistent identifier renamings, etc. Leveraging this categorization, we design a static control- and data-dependence analysis technique, SPA, to detect and characterize porting inconsistencies. Our evaluation on code from four open-source projects shows that SPA can detect porting inconsistencies with 65% to 73% precision and 90% recall, and identify inconsistency types with 58% to 63% precision and 92% to 100% recall. In a comparison with two existing error detection tools, SPA improves precision by 14 to 17 percentage points.

  2. Semantic home video categorization

    NASA Astrophysics Data System (ADS)

    Min, Hyun-Seok; Lee, Young Bok; De Neve, Wesley; Ro, Yong Man

    2009-02-01

    Nowadays, a strong need exists for the efficient organization of an increasing amount of home video content. To create an efficient system for the management of home video content, it is required to categorize home video content in a semantic way. So far, a significant amount of research has already been dedicated to semantic video categorization. However, conventional categorization approaches often rely on unnecessary concepts and complicated algorithms that are not suited in the context of home video categorization. To overcome the aforementioned problem, this paper proposes a novel home video categorization method that adopts semantic home photo categorization. To use home photo categorization in the context of home video, we segment video content into shots and extract key frames that represent each shot. To extract the semantics from key frames, we divide each key frame into ten local regions and extract lowlevel features. Based on the low level features extracted for each local region, we can predict the semantics of a particular key frame. To verify the usefulness of the proposed home video categorization method, experiments were performed with home video sequences, labeled by concepts part of the MPEG-7 VCE2 dataset. To verify the usefulness of the proposed home video categorization method, experiments were performed with 70 home video sequences. For the home video sequences used, the proposed system produced a recall of 77% and an accuracy of 78%.

  3. A comparative study of two-port versus three-port laparoscopic cholecystectomy

    PubMed Central

    Hajong, Ranendra; Khariong, Peter DS

    2016-01-01

    BACKGROUND: Conventionally, laparoscopic cholecystectomy (LC) is performed by using three or four ports of various sizes. As cosmesis is an important aspect of LC, the trend is now towards use of fewer ports, thereby resulting in better cosmesis for patients. The aim of this study was to compare three-port against two-port LC techniques and to see whether there is any advantage in using one technique over the other. SETTINGS AND DESIGN: The study was conducted in the Department of General Surgery of North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS) hospital in Northeast India. A prospective comparative type of study was designed. An odd number of patients were operated on by using the three-port technique (Group A), whereas an even number of patients were operated on by the two-port technique (Group B). MATERIALS AND METHODS: Sixty patients with symptomatic gallstone disease were included in the study after obtaining informed consent from each of the patients. All patients were operated on under general anaesthesia. STATISTICAL ANALYSIS USED: Statistical analysis was done using SPSS software version 22. RESULTS: There were 51 female patients and 9 male patients. The mean patient age was 38.67 years. There was less operative time in group A but less postoperative pain in group B. Cosmetic appearance and patient satisfaction for the scar were better in group B. CONCLUSIONS: The two-port method appeared to have better acceptability among patients due to lower pain score and better cosmesis. PMID:27251814

  4. [Utility of Smartphone in Home Care Medicine - First Trial].

    PubMed

    Takeshige, Toshiyuki; Hirano, Chiho; Nakagawa, Midori; Yoshioka, Rentaro

    2015-12-01

    The use of video calls for home care can reduce anxiety and offer patients peace of mind. The most suitable terminals at facilities to support home care have been iPad Air and iPhone with FaceTime software. However, usage has been limited to specific terminals. In order to eliminate the need for special terminals and software, we have developed a program that has been customized to meet the needs of facilities using Web Real Time Communication(WebRTC)in cooperation with the University of Aizu. With this software, video calls can accommodate the large number of home care patients. PMID:26809398

  5. [Utility of Smartphone in Home Care Medicine - First Trial].

    PubMed

    Takeshige, Toshiyuki; Hirano, Chiho; Nakagawa, Midori; Yoshioka, Rentaro

    2015-12-01

    The use of video calls for home care can reduce anxiety and offer patients peace of mind. The most suitable terminals at facilities to support home care have been iPad Air and iPhone with FaceTime software. However, usage has been limited to specific terminals. In order to eliminate the need for special terminals and software, we have developed a program that has been customized to meet the needs of facilities using Web Real Time Communication(WebRTC)in cooperation with the University of Aizu. With this software, video calls can accommodate the large number of home care patients.

  6. College Students' Attitudes toward Residential Care Facilities.

    ERIC Educational Resources Information Center

    French, Erin M.; Mosher-Ashley, Pearl M.

    2000-01-01

    College students (n=131) interviewed residents of 96 long-term care facilities. Students perceived nursing homes more negatively than other facilities. Residential care was viewed more positively by those with personal experience of elder care and those whose interviewees were satisfied with their lives or mentally alert. (SK)

  7. Single port laparoscopic liver surgery: A minireview

    PubMed Central

    Karabicak, Ilhan; Karabulut, Kagan

    2016-01-01

    Nowadays, the trend is to perform surgeries with “scarless” incisions. In light of this, the single-port laparoscopic surgery (SPLS) technique is rapidly becoming widespread due to its lack of invasiveness and its cosmetic advantages, as the only entry point is usually hidden in the umbilicus. The interest in “scarless” liver resections did not grow as rapidly as the interest in other scarless surgeries. Hepatopancreatobiliary surgeons are reluctant to operate a malignant lesion through a narrow incision with limited exposure. There are concerns over adverse oncological outcomes for single-port laparoscopic liver resections (SPL-LR) for hepatocellular carcinoma or metastatic colorectal cancer. In addition, getting familiar with using the operating instruments through a narrow incision with limited exposure is very challenging. In this article, we reviewed the published literature to describe history, indications, contraindications, ideal patients for new beginners, technical difficulty, advantages, disadvantages, oncological concern and the future of SPL-LR. PMID:27358670

  8. Tsunami response system for ports in Korea

    NASA Astrophysics Data System (ADS)

    Cho, H.-R.; Cho, J.-S.; Cho, Y.-S.

    2015-03-01

    The tsunamis that have occurred in many places around the world over the past decade have taken a heavy toll on human lives and property. The eastern coast of the Korean Peninsula is not safe from tsunamis, particularly the eastern coastal areas, which have long sustained tsunami damage. The aim of this study was to mitigate the casualties and property damage on the east eastern coast by developing a proper tsunami response system for important ports and harbors with high population densities and high concentrations of key national industries. For study purposes, the government-managed major international trade ports and coastal harbors were selected and an effective tsunami response system was formulated based on field surveys and related literature.

  9. Single-port laparoscopic appendectomy during pregnancy.

    PubMed

    Koh, A Ra; Lee, Jung Hun; Choi, Joong Sub; Eom, Jeong Min; Hong, Jin Hwa

    2012-04-01

    As a result of the increased demand for minimally invasive surgery, single-port laparoscopic surgery performed via a single incision was introduced and has been performed in various fields. Herein, we report our initial experience with single-port laparoscopic appendectomy (SP-LA) using Gelport access for the treatment of acute appendicitis in 2 pregnant women. SP-LA using Gelport access was performed successfully in these pregnant women without prolongation of operation time, and there was no need for ancillary trocar insertions or conversion to conventional laparoscopy. One woman spontaneously delivered at 39 weeks' gestation approximately 20 weeks after the surgery and the other has maintained a healthy pregnancy. SP-LA can be considered a minimally invasive alternative to conventional laparoscopic appendectomy in pregnant women (Supplemental Digital Content 1, http://links.lww.com/SLE/A55).

  10. Nursing Home Quality as a Common Good

    PubMed Central

    Grabowski, David C.; Gruber, Jonathan; Angelelli, Joseph J.

    2009-01-01

    A long-standing assumption among economists is that nursing home quality is common across Medicaid and private-pay patients within a shared facility. However, there has been only limited empirical work addressing this issue. Using a unique individual level panel of residents of nursing homes from seven states, we exploit both within-facility and within-person variation in payer source and quality to examine this issue. We also test the robustness of these results across states with different Medicaid and private-pay rate differentials. Across various identification strategies, our results are consistent with the assumption of common quality across Medicaid and private-paying patients within facilities. PMID:20463859

  11. Alternatives to Nursing Homes

    MedlinePlus

    ... this website may not be available. Alternatives to nursing homes Before you make any decisions about long ... live and what help you may need. A nursing home may not be your only choice. Discharge ...

  12. Falls in Nursing Homes

    MedlinePlus

    ... for health care providers. Learn More Falls in Nursing Homes Recommend on Facebook Tweet Share Compartir On ... 5 Why do falls occur more often in nursing homes? Falling can be a sign of other ...

  13. Reassessment of seismically induced, tsunamigenic submarine slope failures in Port Valdez, Alaska, USA

    USGS Publications Warehouse

    Lee, H.J.; Haeussler, P.J.; Kayen, R.E.; Hampton, M.A.; Locat, Jacques; Suleimani, E.; Alexander, C.R.

    2007-01-01

    The M9.2 Alaska earthquake of 1964 caused major damage to the port facilities and town of Valdez, most of it the result of submarine landslide and the consequent tsunamis. Recent bathymetric multibeam surveys, high-resolution subbottom profiles, and dated sediment cores in Port Valdez supply new information about the morphology and character of the landslide deposits. A comparison of pre- and post-earthquake bathymetry provides an estimate of the net volume of landslide debris deposited in the basin and the volume of sediment removed from the source region. Landslide features include (1) large blocks (up to 40-m high) near the location of the greatest tsunamiwave runup (~50 m), (2) two debris lobes associated with the blocks, (3) a series of gullies, channels and talus, near the fjord-head delta and badly damaged old town of Valdez, and (4) the front of a debris lobe that flowed half-way down the fjord from the east end.

  14. 76 FR 11426 - Grant of Authority for Subzone Status Klaussner Home Furnishings (Upholstered Furniture) Asheboro...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... special-purpose subzone at the upholstered furniture manufacturing facilities of Klaussner Home... subzone status for activity related to the manufacture of upholstered furniture at the Klaussner Home... Foreign-Trade Zones Board Grant of Authority for Subzone Status Klaussner Home Furnishings...

  15. Laser Treatment of Port Wine Stains

    NASA Astrophysics Data System (ADS)

    Majaron, Boris; Nelson, J. Stuart

    Port wine stain (PWS), also called nevus flammeus, is a congenital, cutaneous vascular malformation involving post-capillary venules which produce a light pink to red to dark-red-violet discoloration of human skin [1]. PWS occurs in an estimated 3 children per 1000 live births, affecting males and females and all racial groups equally [2]. There appears to be no hereditary predilection for PWS within families. There are no known risk factors or ways to prevent PWS.

  16. [Implantable venous access ports, nursing practices].

    PubMed

    Ourliac, Maryse; Dijols-Lécuyer, Isabelle

    2016-05-01

    Following the publication of national recommendations regarding the handling of implantable venous access ports, an observation audit was carried out in a hospital in 2013. This enabled an assessment of the existing system to be performed, current practices to be compared with the hospital's protocol and adapted corrective measures to be put in place. A further audit carried out in 2015 was particularly encouraging. PMID:27157553

  17. 3D visualization of port simulation.

    SciTech Connect

    Horsthemke, W. H.; Macal, C. M.; Nevins, M. R.

    1999-06-14

    Affordable and realistic three dimensional visualization technology can be applied to large scale constructive simulations such as the port simulation model, PORTSIM. These visualization tools enhance the experienced planner's ability to form mental models of how seaport operations will unfold when the simulation model is implemented and executed. They also offer unique opportunities to train new planners not only in the use of the simulation model but on the layout and design of seaports. Simulation visualization capabilities are enhanced by borrowing from work on interface design, camera control, and data presentation. Using selective fidelity, the designers of these visualization systems can reduce their time and efforts by concentrating on those features which yield the most value for their simulation. Offering the user various observational tools allows the freedom to simply watch or engage in the simulation without getting lost. Identifying the underlying infrastructure or cargo items with labels can provide useful information at the risk of some visual clutter. The PortVis visualization expands the PORTSIM user base which can benefit from the results provided by this capability, especially in strategic planning, mission rehearsal, and training. Strategic planners will immediately reap the benefits of seeing the impact of increased throughput visually without keeping track of statistical data. Mission rehearsal and training users will have an effective training tool to supplement their operational training exercises which are limited in number because of their high costs. Having another effective training modality in this visualization system allows more training to take place and more personnel to gain an understanding of seaport operations. This simulation and visualization training can be accomplished at lower cost than would be possible for the operational training exercises alone. The application of PORTSIM and PortVis will lead to more efficient

  18. Underwater Calibration of Dome Port Pressure Housings

    NASA Astrophysics Data System (ADS)

    Nocerino, E.; Menna, F.; Fassi, F.; Remondino, F.

    2016-03-01

    Underwater photogrammetry using consumer grade photographic equipment can be feasible for different applications, e.g. archaeology, biology, industrial inspections, etc. The use of a camera underwater can be very different from its terrestrial use due to the optical phenomena involved. The presence of the water and camera pressure housing in front of the camera act as additional optical elements. Spherical dome ports are difficult to manufacture and consequently expensive but at the same time they are the most useful for underwater photogrammetry as they keep the main geometric characteristics of the lens unchanged. Nevertheless, the manufacturing and alignment of dome port pressure housing components can be the source of unexpected changes of radial and decentring distortion, source of systematic errors that can influence the final 3D measurements. The paper provides a brief introduction of underwater optical phenomena involved in underwater photography, then presents the main differences between flat and dome ports to finally discuss the effect of manufacturing on 3D measurements in two case studies.

  19. Photodynamic therapy for port wine stains

    NASA Astrophysics Data System (ADS)

    Li, Junheng

    1998-08-01

    Therapies for port wine stains including conventional laser irradiation usually cause unacceptable scarring or obtain poor effect. Pulsed dye laser has better approach, but only few patients obtain complete fading after multiple laser treatment. Because port wine stain is a congenital vasculopathy consisting of an abnormal network of capillaries in the upper dermis with an overlying normal epidermis and the researchers found that tumor blood vessels were occluded accompanying the necrosis of the tumor after PDT. It is though to be the effect primarily by thrombus formation in vessels and shut down of the blood supply to the tumor as well as direct tumor cells kill. The author and his colleagues started a series of animal and clinical studies since 1991 about photodynamic therapy for port wine stains and they established the method of PDT for PWS. An experimental study showed that Hpd appeared rapidly within the human vascular endothelial cells in culture fluid. Animal study using chicken combs as PWS models treated by PDT revealed the possibility of selective destruction of the malformative vasculature in PWS. The clinical studies of over 1700 cases proved that PWS can be cured without scar formation by PDT because there is no thermal effect involved. No relapse was found within a maximum follow-up of seven years. The differences and mechanism between the treatments of PDT and conventional lasers are discussed.

  20. A model for analyzing the transshipment competition relationship between the port of Hong Kong and the port of Kaohsiung

    NASA Astrophysics Data System (ADS)

    Chou, Chien Chang

    2009-12-01

    The transshipment is an important issue in the current marine transportation. This paper constructed a mathematical programming model to elaborate the transshipment port selection for the shipping company. This model is tested by the data collected from the ports of Hong Kong and Kaohsiung. The results show that this model can be used to explain the transshipment competition relationship between the ports of Hong Kong and Kaohsiung well. A sensitivity analysis was also executed. The sensitivity analysis results showed that both the port of Hong Kong and Kaohsiung should decrease the charges of port and increase the efficiency of loading and discharging. Based on the sensitivity analysis results, some interesting conclusions and helpful suggestions were obtained for the managers of the ports of Hong Kong and Kaohsiung to improve their port management.

  1. Impedance measurement techniques for one-port and two-port networks.

    PubMed

    Bai, Mingsian R; Lo, Yi-Yang; Chen, You Siang

    2015-10-01

    A microphone array impedance matrix measurement technique is presented for linear and passive acoustic two-port networks. Two impedance tubes fitted with three non-uniformly spaced microphones are required in the measurement. The non-uniform spacing is intended to avoid ill-posedness problems in calculating two plane-wave components traveling in opposite directions. Based on the one-port measurement, acoustic two-port networks modeled with the source and the load connected are examined. Three experimental procedures, the two-load measurement method (TLMM), the reciprocal-constrained method (RCM), and the reciprocity-symmetry-constrained method (RSCM), are developed to measure the acoustic impedance matrix. Experiments are conducted for several acoustic two-port systems to verify the proposed techniques. The results demonstrate the efficacy of the three experimental procedures when applied to symmetrical and reciprocal systems. For asymmetrical systems, the TLMM and RCM are preferred over the RSCM for measuring the impedance matrix. On top of that, the non-uniform array in conjunction with TLMM is extended to a general electroacoustic two-port system, which can be regarded as a unique contribution of the present work. PMID:26520309

  2. Home Schooling Goes Mainstream

    ERIC Educational Resources Information Center

    Gaither, Milton

    2009-01-01

    This article reports that while home schooling may have particular appeal to celebrities, over the last decade families of all kinds have embraced the practice for widely varying reasons: no longer is home schooling exclusive to Christian fundamentalism and the countercultural Left. Along with growing acceptance of home schooling nationally has…

  3. Home Economics Unlimited.

    ERIC Educational Resources Information Center

    Dopkin, Doris

    This publication advocates the teaching of home economics to both boys and girls, and describes some home economics programs that provide meaningful learning experiences for students of both sexes. The philosophy and legal considerations behind teaching home economics to boys are examined. Changing life styles and social pressures are considered.…

  4. Healthy Homes Tools

    ERIC Educational Resources Information Center

    Peek, Gina; Lyon, Melinda; Russ, Randall

    2012-01-01

    Extension is focusing on healthy homes programming. Extension educators are not qualified to diagnose consumers' medical problems as they relate to housing. We cannot give medical advice. Instead, we can help educate consumers about home conditions that may affect their well-being. Extension educators need appropriate healthy homes tools to…

  5. Physical, emotional and social adjustments to home dialysis.

    PubMed

    Brown, D J; Craick, C C; Davies, S E; Johnson, M L; Dawborn, J K; Heale, W F

    1978-03-11

    Forty home dialysis patients and their families were interviewed by means of a standard questionnaire to determine their physical, emotional, and social adjustment to treatment. The results indicated a reasonable level of health, particularly in patients under the age of 50 years. However, home dialysis produced considerable strain in the family, particularly in the dialysis partners. Home training programmes should provide appropriate learning and technical experience for the dialysis partners and continued support, including integrated medical and paramedical services, domiciliary visiting, and regular holidays. Limited-care dialysis facilities should be provided where home dialysis is impractical or becomes intolerable.

  6. The Roles and Functions of Medical Directors in Nursing Homes.

    PubMed

    Nanda, Aman

    2015-03-03

    The medical director is an important member of the healthcare team in a nursing home, and is responsible for overall coordination of care and for implementation of policies related to care of the residents in a nursing home. The residents in nursing homes are frail, medically complex, and have multiple disabilities. The medical director has an important leadership role in assisting nursing home administration in providing quality care that is consistent with current standards of care. This article provides an overview of roles and functions of the medical director, and suggests ways the medical director can be instrumental in achieving excellent care in today's nursing facilities.

  7. Concentrated poverty and nursing home bed supply in Chicago.

    PubMed

    Reed, S C; Andes, S; Tobias, R A

    2001-02-01

    This study explores whether poverty areas of Chicago have fewer nursing home beds and unique staffing patterns. Using 1990 census data and Illinois's 1994 Long-Term Care Facility Survey, census tracts were compared by need for long-term care, bed supply, and nursing home characteristics. While facilities cluster on the north side, and the number of beds follow the elderly, the supply of beds per elderly is actually greater in tracts with high proportions of poverty, disability, and African American residents due, in part, to the predominance of larger facilities. Ironically, economic segregation may work together with Medicaid's policy of serving the poorest to increase the supply of beds to those who might otherwise remain unserved. Nursing homes in the poorest communities have high percentages of Medicaid residents, are larger, and employ fewer staff per resident; homes with a high Medicaid population are more likely to employ LPNs, which may reflect labor supply differences.

  8. Deficiencies In Care At Nursing Homes And Racial & Ethnic Disparities Across Homes Declined, 2006–11

    PubMed Central

    Li, Yue; Harrington, Charlene; Temkin-Greener, Helena; Kai, You; Cai, Xueya; Cen, Xi; Mukamel, Dana B.

    2015-01-01

    Despite the increased use of nursing homes by minority residents, nursing home care remains highly segregated. Compared to whites, racial/ethnic minorities tend to be cared for in facilities with limited clinical and financial resources, low nurse staffing levels, and a relatively high number of care deficiency citations. We assessed the trends from 2006 to 2011 in those citations and in disparities across facilities with four different concentrations of racial/ethnic minority residents. We found that the number of health care–related deficiencies and the percentage of facilities with serious deficiencies decreased over time for all four facility groups. From 2006 to 2011, the average annual number of health care–related deficiencies declined from 7.4 to 6.8 for facilities with low minority concentrations (< 5 percent) and from 10.6 to 9.4 for facilities with high minority concentrations (≥ 35 percent). In multivariable analyses, across-site disparities in health care-related deficiencies and in life-safety deficiencies narrowed over time. We also found that increasing the Medicaid payment rate might help improve both overall quality and disparities, but state case-mix payment approaches might worsen both. These results suggest the need to reevaluate quality improvement and cost containment efforts to better foster quality and equity of nursing home care. PMID:26153308

  9. Strategy Guideline. Demonstration Home

    SciTech Connect

    Hunt, A.; Savage, C.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  10. Strategy Guideline: Demonstration Home

    SciTech Connect

    Savage, C.; Hunt, A.

    2012-12-01

    This guideline will provide a general overview of the different kinds of demonstration home projects, a basic understanding of the different roles and responsibilities involved in the successful completion of a demonstration home, and an introduction into some of the lessons learned from actual demonstration home projects. Also, this guideline will specifically look at the communication methods employed during demonstration home projects. And lastly, we will focus on how to best create a communication plan for including an energy efficient message in a demonstration home project and carry that message to successful completion.

  11. Home media server content management

    NASA Astrophysics Data System (ADS)

    Tokmakoff, Andrew A.; van Vliet, Harry

    2001-07-01

    With the advent of set-top boxes, the convergence of TV (broadcasting) and PC (Internet) is set to enter the home environment. Currently, a great deal of activity is occurring in developing standards (TV-Anytime Forum) and devices (TiVo) for local storage on Home Media Servers (HMS). These devices lie at the heart of convergence of the triad: communications/networks - content/media - computing/software. Besides massive storage capacity and being a communications 'gateway', the home media server is characterised by the ability to handle metadata and software that provides an easy to use on-screen interface and intelligent search/content handling facilities. In this paper, we describe a research prototype HMS that is being developed within the GigaCE project at the Telematica Instituut . Our prototype demonstrates advanced search and retrieval (video browsing), adaptive user profiling and an innovative 3D component of the Electronic Program Guide (EPG) which represents online presence. We discuss the use of MPEG-7 for representing metadata, the use of MPEG-21 working draft standards for content identification, description and rights expression, and the use of HMS peer-to-peer content distribution approaches. Finally, we outline explorative user behaviour experiments that aim to investigate the effectiveness of the prototype HMS during development.

  12. Portable home phototherapy for vitiligo.

    PubMed

    Eleftheriadou, Viktoria; Ezzedine, Khaled

    2016-01-01

    Vitiligo is the most common depigmentation disorder, affecting around 1% of population worldwide. There is no cure, and no firm clinical recommendations can be made for the treatment of vitiligo. A European guideline suggests early treatment of small lesions of recent onset and childhood vitiligo with combination of phototherapy and topical agents. Suitable facilities and equipment, such as hand-held portable phototherapy devices, are needed, if this new guideline is to be implemented. Hand-held units are suitable for small lesions, making phototherapy available for patients with limited and/or early vitiligo. Recently, a pilot randomized controlled multicenter trial study was conducted to develop an educational package for patients describing how to use phototherapy at home, adjust the dose, and manage short-term side effects. The pilot trial showed that vitiligo patients are very keen to participate in trials of home phototherapy. The study has successfully demonstrated willingness of participants to be randomized and very good treatment adherence and repigmentation rates, providing evidence of feasibility for a definitive trial. The mean post-trial outputs of hand-held phototherapy devices were lower than the pretrial values. Close collaboration with a local medical physics department is essential. Hand-held phototherapy devices might overcome the need to treat vitiligo in hospital-based phototherapy cabinets and allow early treatment at home that may enhance the likelihood of successful repigmentation. PMID:27638439

  13. Recommended Ventilation Strategies for Energy-Efficient Production Homes

    SciTech Connect

    Roberson, J.; Brown, R.; Koomey, J.; Warner, J.; Greenberg, S.

    1998-12-01

    This report evaluates residential ventilation systems for the U.S. Environmental Protection Agency's (EPA's) ENERGY STAR{reg_sign} Homes program and recommends mechanical ventilation strategies for new, low-infiltration, energy-efficient, single-family, ENERGY STAR production (site-built tract) homes in four climates: cold, mixed (cold and hot), hot humid, and hot arid. Our group in the Energy Analysis Department at Lawrence Berkeley National Lab compared residential ventilation strategies in four climates according to three criteria: total annualized costs (the sum of annualized capital cost and annual operating cost), predominant indoor pressure induced by the ventilation system, and distribution of ventilation air within the home. The mechanical ventilation systems modeled deliver 0.35 air changes per hour continuously, regardless of actual infiltration or occupant window-opening behavior. Based on the assumptions and analysis described in this report, we recommend independently ducted multi-port supply ventilation in all climates except cold because this strategy provides the safety and health benefits of positive indoor pressure as well as the ability to dehumidify and filter ventilation air. In cold climates, we recommend that multi-port supply ventilation be balanced by a single-port exhaust ventilation fan, and that builders offer balanced heat-recovery ventilation to buyers as an optional upgrade. For builders who continue to install forced-air integrated supply ventilation, we recommend ensuring ducts are airtight or in conditioned space, installing a control that automatically operates the forced-air fan 15-20 minutes during each hour that the fan does not operate for heating or cooling, and offering ICM forced-air fans to home buyers as an upgrade.

  14. Nursing home diversification requires caution by hospitals.

    PubMed

    Monroe, S M

    1988-12-01

    Hospital executives considering diversifying into long-term care for the elderly need to understand the ways the nursing home acquisition market and the long-term care industry have changed in the past two years and how to best respond to those changes. Diversification into the nursing home business must be carefully planned, taking into account such factors as state Medicaid reimbursement policies; the respective advantages of buying an existing facility or constructing a new one; the need for executives with expertise in long-term care; and the financial requirements of the proposal.

  15. Eldercare at Home: Choosing a Nursing Home

    MedlinePlus

    ... at home. Problems such as frequent incontinence, dangerous wandering, inability to sleep at night (a disrupted sleep - ... a security system to prevent confused residents from wandering out of the building? Are there accessible outdoor ...

  16. 19 CFR 10.81 - Use in any port.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Use in any port. 10.81 Section 10.81 Customs....81 Use in any port. (a) Salt withdrawn under bond for use in curing fish on the shores of navigable waters may be used for such purpose at any port, but the evidence of use in such cases shall be...

  17. 46 CFR 42.15-70 - Freeing ports.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Freeing ports. 42.15-70 Section 42.15-70 Shipping COAST... Conditions of Assignment of Freeboard § 42.15-70 Freeing ports. (a) Where bulwarks on the weather portions of... freeing port area (A) on each side of the vessel for each well on the freeboard deck shall be that...

  18. 19 CFR 18.22 - Procedure at port of exit.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Procedure at port of exit. 18.22 Section 18.22... to Foreign Countries § 18.22 Procedure at port of exit. (a) If transfer is necessary, the procedure shall be as prescribed in § 18.3(d). (b) Upon the arrival at the port of exit of express shipments...

  19. 46 CFR 45.117 - Freeing port area: General.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Freeing port area: General. 45.117 Section 45.117... Conditions of Assignment § 45.117 Freeing port area: General. (a) Where bulwarks on the weather portins of... §§ 45.119 and 45.121 the minimum freeing port area in square feet on each side of the ship for each...

  20. 46 CFR 42.15-70 - Freeing ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 2 2010-10-01 2010-10-01 false Freeing ports. 42.15-70 Section 42.15-70 Shipping COAST... Conditions of Assignment of Freeboard § 42.15-70 Freeing ports. (a) Where bulwarks on the weather portions of... freeing port area (A) on each side of the vessel for each well on the freeboard deck shall be that...

  1. 46 CFR 45.117 - Freeing port area: General.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 2 2011-10-01 2011-10-01 false Freeing port area: General. 45.117 Section 45.117... Conditions of Assignment § 45.117 Freeing port area: General. (a) Where bulwarks on the weather portins of... §§ 45.119 and 45.121 the minimum freeing port area in square feet on each side of the ship for each...

  2. 19 CFR 18.22 - Procedure at port of exit.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Procedure at port of exit. 18.22 Section 18.22... to Foreign Countries § 18.22 Procedure at port of exit. (a) If transfer is necessary, the procedure shall be as prescribed in § 18.3(d). (b) Upon the arrival at the port of exit of express shipments...

  3. Device having two optical ports for switching applications

    DOEpatents

    Rosen, Ayre; Stabile, Paul J.

    1991-09-24

    A two-sided light-activatable semiconductor switch device having an optical port on each side thereof. The semiconductor device may be a p-i-n diode or of bulk intrinsic material. A two ported p-i-n diode, reverse-biased to "off" by a 1.3 kV dc power supply, conducted 192 A when activated by two 1 kW laser diode arrays, one for each optical port.

  4. Home range and travels

    USGS Publications Warehouse

    Stickel, L.F.; King, John A.

    1968-01-01

    The concept of home range was expressed by Seton (1909) in the term 'home region,' which Burr (1940, 1943) clarified with a definition of home range and exemplified in a definitive study of Peromyscus in the field. Burt pointed out the ever-changing characteristics of home-range area and the consequent absence of boundaries in the usual sense--a finding verified by investigators thereafter. In the studies summarized in this paper, sizes of home ranges of Peromyscus varied within two magnitudes, approximately from 0.1 acre to ten acres, in 34 studies conducted in a variety of habitats from the seaside dunes of Florida to the Alaskan forests. Variation in sizes of home ranges was correlated with both environmental and physiological factors; with habitat it was conspicuous, both in the same and different regions. Food supply also was related to size of home range, both seasonally and in relation to habitat. Home ranges generally were smallest in winter and largest in spring, at the onset of the breeding season. Activity and size also were affected by changes in weather. Activity was least when temperatures were low and nights were bright. Effects of rainfall were variable. Sizes varied according to sex and age; young mice remained in the parents' range until they approached maturity, when they began to travel more widely. Adult males commonly had larger home ranges than females, although there were a number of exceptions. An inverse relationship between population density and size of home range was shown in several studies and probably is the usual relationship. A basic need for activity and exploration also appeared to influence size of home range. Behavior within the home range was discussed in terms of travel patterns, travels in relation to home sites and refuges, territory, and stability of size of home range. Travels within the home range consisted of repeated use of well-worn trails to sites of food, shelter, and refuge, plus more random exploratory travels

  5. Design principles of the PORT library

    NASA Technical Reports Server (NTRS)

    Fox, P.

    1978-01-01

    The design of PORT stemmed from the basic principles of portability and ease of use. The attributes and mechanisms used in the library to support this philosophy include the use of a portable subset of FORTRAN, and the use of (machine-dependent) functions to supply the necessary environment parameters. Abbreviated calling sequences are mede possible by a simplified error-handling technique, and by the use of a portable stack allocator for temporary workspace. Experiences to date with these approaches, and plans for the future are reviewed.

  6. Recent sedimentation, northeastern Port Valdez, Alaska

    NASA Astrophysics Data System (ADS)

    Palmer, Harold D.

    1981-09-01

    Sediments accumulating on the northeastern shore of Port Valdez, a fjord leading to Prince William Sound in southern Alaska, are derived from both deltaic and alluvial fan processes. The resulting thick wedge of Recent silts, sands, shells and gravels lies atop irregular ridges of local graywacke bedrock and scattered till deposits. Seismic reflection profiling augmented by soil borings indicates that rapid infilling and upbuilding has occurred at this site. Evidence of slumping suggests general instability of steep submarine slopes in an area characterized by strong earthquakes and large tidal ranges.

  7. Vapor port and groundwater sampling well

    DOEpatents

    Hubbell, Joel M.; Wylie, Allan H.

    1996-01-01

    A method and apparatus has been developed for combining groundwater monitoring wells with unsaturated-zone vapor sampling ports. The apparatus allows concurrent monitoring of both the unsaturated and the saturated zone from the same well at contaminated areas. The innovative well design allows for concurrent sampling of groundwater and volatile organic compounds (VOCs) in the vadose (unsaturated) zone from a single well, saving considerable time and money. The sample tubes are banded to the outer well casing during installation of the well casing.

  8. Vapor port and groundwater sampling well

    DOEpatents

    Hubbell, J.M.; Wylie, A.H.

    1996-01-09

    A method and apparatus have been developed for combining groundwater monitoring wells with unsaturated-zone vapor sampling ports. The apparatus allows concurrent monitoring of both the unsaturated and the saturated zone from the same well at contaminated areas. The innovative well design allows for concurrent sampling of groundwater and volatile organic compounds (VOCs) in the vadose (unsaturated) zone from a single well, saving considerable time and money. The sample tubes are banded to the outer well casing during installation of the well casing. 10 figs.

  9. 77 FR 49351 - Safety Zone; Port Huron Float-Down, St. Clair River, Port Huron, MI

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-16

    ... Department of Homeland Security FR Federal Register NPRM Notice of Proposed Rulemaking A. Regulatory History... enforced a ] safety on August 21st (76 FR 52269). Consequently, not only is it impracticable and contrary... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; Port Huron Float-Down, St. Clair...

  10. 78 FR 24069 - Safety Zone; 12th Annual Saltwater Classic; Port Canaveral Harbor; Port Canaveral, FL

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-24

    .... SUPPLEMENTARY INFORMATION: Table of Acronyms DHS Department of Homeland Security FR Federal Register NPRM Notice... SECURITY Coast Guard 33 CFR Part 165 RIN 1625-AA00 Safety Zone; 12th Annual Saltwater Classic; Port... Canaveral, Florida during the 12th Annual Saltwater Classic. The event is scheduled to take place...

  11. Electrochromic Window Demonstration at the Donna Land Port of Entry

    SciTech Connect

    Fernandes, Luis L.; Lee, Eleanor S.; Thanachareonkit, Anothai

    2015-05-01

    The U.S. General Services Administration (GSA) Public Buildings Service (PBS) has jurisdiction, custody or control over 105 land ports of entry throughout the United States, 35 of which are located along the southern border. At these facilities, one of the critical functions of windows is to provide border control personnel with direct visual contact with the surrounding environment. This also can be done through surveillance cameras, but the high value that U.S. Customs and Border Protection (CPB) officers place on direct visual contact can be encapsulated in the following statement by a senior officer regarding this project: “nothing replaces line of sight.” In sunny conditions, however, outdoor visibility can be severely compromised by glare, especially when the orb of the sun is in the field of view. This often leads to the deployment of operable shading devices, such as Venetian blinds. While these devices address the glare, they obstruct the view of the surroundings, negating the visual security benefits of the windows.

  12. 21 CFR 880.5965 - Subcutaneous, implanted, intravascular infusion port and catheter.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... port and catheter. 880.5965 Section 880.5965 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF... port and catheter. (a) Identification. A subcutaneous, implanted, intravascular infusion port and... catheter is either preattached to the port or attached to the port at the time of device placement....

  13. Nursing home cost and ownership type: evidence of interaction effects.

    PubMed

    Arling, G; Nordquist, R H; Capitman, J A

    1987-06-01

    Due to steadily increasing public expenditures for nursing home care, much research has focused on factors that influence nursing home costs, especially for Medicaid patients. Nursing home cost function studies have typically used a number of predictor variables in a multiple regression analysis to determine the effect of these variables on operating cost. Although several authors have suggested that nursing home ownership types have different goal orientations, not necessarily based on economic factors, little attention has been paid to this issue in empirical research. In this study, data from 150 Virginia nursing homes were used in multiple regression analysis to examine factors accounting for nursing home operating costs. The context of the study was the Virginia Medicaid reimbursement system, which has intermediate care and skilled nursing facility (ICF and SNF) facility-specific per diem rates, set according to facility cost histories. The analysis revealed interaction effects between ownership and other predictor variables (e.g., percentage Medicaid residents, case mix, and region), with predictor variables having different effects on cost depending on ownership type. Conclusions are drawn about the goal orientations and behavior of chain-operated, individual for-profit, and public and nonprofit facilities. The implications of these findings for long-term care reimbursement policies are discussed. PMID:3301746

  14. Facilitating home birth.

    PubMed

    Finigan, Valerie; Chadderton, Diane

    2015-06-01

    The birth of a baby is a family experience. However, in the United Kingdom birth often occurs outside the family environment, in hospital. Both home and hospital births have risks and benefits, but research shows that, for most women, it is as safe to give birth at home as it is in hospital. Women report home-birth to be satisfying with lowered risks of intervention and less likelihood of being separated from their family. It is also more cost effective for the National Health Service. Yet, whilst midwives are working hard to promote home birth as an option, it remains controversial. The aim of this paper is to raise awareness of the safety of home birth and the needs of women and midwives when a home birth is chosen. It provides an overview of care required and the role of the midwife in the ensuring care is woman-centred and personalised. PMID:26320334

  15. The Michoud Assembly Facility (MAF)

    NASA Technical Reports Server (NTRS)

    2000-01-01

    NASA's Michoud Assembly Facility, located in eastern New Orleans, Louisiana, is an 832 acre site that is a government-owned, contractor-operated component of the George C. Marshall Space Flight Center (MSFC). The facility was acquired by NASA in 1961 at the recommendation of Dr. Wernher von Braun and his rocket team in Huntsville Alabama. The cavernous plant served as the assembly facility for the Saturn launch vehicles and most recently the external tank (ET) used for the Space Shuttle Program. The facility features one of the world's biggest manufacturing plants with 43 acres under one roof and a port with deep-water access for the transportation of large space structures. When completed, space hardware is towed on a barge across the Gulf of Mexico, around Florida and up to Kennedy Space Center. The original tract of land was part of a 34,500 acre French Royal land grant to local merchant, Gilbert Antoine de St. Maxent in 1763. Later, the land was acquired by French transplant Antoine Michoud, the son of Napoleon's Administrator of Domains, who moved to the city in 1827. Michoud operated a sugar cane plantation and refinery on the site until his death in 1863. His heirs continued operating the refinery and kept the original St. Maxent estate intact into the 20th century. Two brick smokestacks from the original refinery still stand before the Michoud facility today.

  16. The Michoud Assembly Facility (MAF)

    NASA Technical Reports Server (NTRS)

    2000-01-01

    NASA's Michoud Assembly Facility, located in eastern New Orleans, Louisiana, is an 832 acre site that is a government-owned, contractor-operated component of the George C. Marshall Space Flight Center (MSFC). The facility was acquired by NASA in 1961 at the recommendation of Dr. Wernher von Braun and his rocket team in Huntsville Alabama. The cavernous plant served as the assembly facility for the Saturn launch vehicles and most recently the external tank (ET) used for the Space Shuttle Program. The facility features one of the world's biggest manufacturing plants with 43 acres under one roof and a port with deep-water access for the transportation of large space structures. When completed, space hardware is towed on a barge across the Gulf of Mexico, around Florida and up to Kennedy Space Center. The original tract of land was part of a 34,500 acre French Royal land grant to local merchant, Gilbert Antoine de St. Maxent in 1763. Later, the land was acquired by French transplant Antoine Michoud, the son of Napoleon's Administrator of Domains, who moved to the city in 1827. Michoud operated a sugar cane plantation and refinery on the site until his death in 1863. His heirs continued operating the refinery and kept the original St. Maxent estate intact into the 20th century. Visible on the right, is one of two brick smokestacks from the original refinery that still stand before the Michoud facility today.

  17. Coming Home at Paranal

    NASA Astrophysics Data System (ADS)

    2002-02-01

    Unique "Residencia" Opens at the VLT Observatory Summary The Paranal Residencia at the ESO VLT Observatory is now ready and the staff and visitors have moved into their new home. This major architectural project has the form of a unique subterranean construction with a facade opening towards the Pacific Ocean , far below at a distance of about 12 km. Natural daylight is brought into the building through a 35-m wide glass-covered dome, a rectangular courtyard roof and various skylight hatches. Located in the middle of the Atacama Desert, one of the driest areas on Earth, the Residencia incorporates a small garden and a swimming pool, allowing the inhabitants to retreat from time to time from the harsh outside environment. Returning from long shifts at the VLT and other installations on the mountain, here they can breathe moist air and receive invigorating sensory impressions. With great originality of the design, it has been possible to create an interior with a feeling of open space - this is a true "home in the desert" . Moreover, with strict ecological power, air and water management , the Paranal Residencia has already become a symbol of innovative architecture in its own right. Constructed with robust, but inexpensive materials, it is an impressively elegant and utilitarian counterpart to the VLT high-tech facilities poised some two hundred meters above, on the top of the mountain. PR Photo 05a/02 : Aerial view of the Paranal Observatory area. PR Photo 05b/02 : Aerial view of the Paranal Residencia . PR Photo 05c/02 : Outside view of the Paranal Residencia . PR Photo 05d/02 : The Entry Hall (fisheye view). PR Photo 05e/02 : The Entry Hall with garden and pool. PR Photo 05f/02 : The Reception Area . PR Photo 05g/02 : The Reception Area - decoration. PR Photo 05h/02 : The Reception Area - decoration. PR Photo 05i/02 : The Reception Area - decoration. PR Photo 05j/02 : View towards the Cantine . PR Photo 05k/02 : View towards the Kitchen . PR Photo 05l/02 : View

  18. 33 CFR 158.410 - Reception facilities: General.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND GARBAGE Criteria for... CFR 261.3, unless the port or terminal operator can provide to the master, operator, or person in... ship departs from the yard. Note: The U.S. Department of Agriculture's Animal and Plant...

  19. 1. AERIAL VIEW, NAVAL INACTIVE SHIPS MAINTENANCE FACILITY, SINCLAIR ISLET, ...

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

    1. AERIAL VIEW, NAVAL INACTIVE SHIPS MAINTENANCE FACILITY, SINCLAIR ISLET, BREMERTON, KITSAP COUNTY, WASHINGTON WITH EX-USS HORNET CVS-12, THREE MINECRAFT ALONGSIDE TO PORT. OTHER INACTIVE SHIPS IN BACKGROUND. - U.S.S. HORNET, Puget Sound Naval Shipyard, Sinclair Inlet, Bremerton, Kitsap County, WA

  20. PROTOTYPE EICHER FISH SCREEN AND EVALUATION FACILITY, INSTALLED IN 1990 ...

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

    PROTOTYPE EICHER FISH SCREEN AND EVALUATION FACILITY, INSTALLED IN 1990 ON #1 PENSTOCK. PROJECT SPONSORED BY THE ELECTRICAL POWER RESEARCH INSTITUTE TO TRANSFER FISH DOWNSTREAM PAST THE TURBINES. PHOTO BY JET LOWE, HAER, 1995. - Elwha River Hydroelectric System, Elwha Hydroelectric Dam & Plant, Port Angeles, Clallam County, WA

  1. Research Animal Holding Facility Prevents Space Lab Contamination

    NASA Technical Reports Server (NTRS)

    Savage, P. D., Jr.; Jahns, G. C.; Dalton, B. P.; Hogan, R. P.; Wray, A. E.

    1991-01-01

    Healthy environment for both rodents and human researchers maintained. Research animal holding facility (RAHF) and rodent cage prevent solid particles (feces, food bits, hair), micro-organisms, ammonia, and odors from escaping into outside environment during spaceflight. Rodent cage contains compartments for two animals. Provides each drinking-water dispenser, feeding alcove, and activity-monitoring port. Feeding and waste trays removable.

  2. Reinforcement learning for port-hamiltonian systems.

    PubMed

    Sprangers, Olivier; Babuška, Robert; Nageshrao, Subramanya P; Lopes, Gabriel A D

    2015-05-01

    Passivity-based control (PBC) for port-Hamiltonian systems provides an intuitive way of achieving stabilization by rendering a system passive with respect to a desired storage function. However, in most instances the control law is obtained without any performance considerations and it has to be calculated by solving a complex partial differential equation (PDE). In order to address these issues we introduce a reinforcement learning (RL) approach into the energy-balancing passivity-based control (EB-PBC) method, which is a form of PBC in which the closed-loop energy is equal to the difference between the stored and supplied energies. We propose a technique to parameterize EB-PBC that preserves the systems's PDE matching conditions, does not require the specification of a global desired Hamiltonian, includes performance criteria, and is robust. The parameters of the control law are found by using actor-critic (AC) RL, enabling the search for near-optimal control policies satisfying a desired closed-loop energy landscape. The advantage is that the solutions learned can be interpreted in terms of energy shaping and damping injection, which makes it possible to numerically assess stability using passivity theory. From the RL perspective, our proposal allows for the class of port-Hamiltonian systems to be incorporated in the AC framework, speeding up the learning thanks to the resulting parameterization of the policy. The method has been successfully applied to the pendulum swing-up problem in simulations and real-life experiments. PMID:25167564

  3. Single port radical prostatectomy: current status.

    PubMed

    Martín, Oscar Darío; Azhar, Raed A; Clavijo, Rafael; Gidelman, Camilo; Medina, Luis; Troche, Nelson Ramirez; Brunacci, Leonardo; Sotelo, René

    2016-06-01

    The aim of this study is to analyze the current literature on single port radical prostatectomy (LESS-RP). Single port radical prostatectomy laparoendoscopic (LESS-RP) has established itself as a challenge for urological community, starting with the proposal of different approaches: extraperitoneal, transperitoneal and transvesical, initially described for laparoscopy and then laparoscopy robot-assisted. In order to improve the LESS-RP, new instruments, optical devices, trocars and retraction mechanisms have been developed. Advantages and disadvantages of LESS-RP are controversial, while some claim that it is a non-trustable approach, regarding the low cases number and technical difficulties, others acclaim that despite this facts some advantages have been shown and that previous described difficulties are being overcome, proving this is novel proposal of robotics platform, the Da Vinci SP, integrating the system into "Y". The LESS-RP approach gives us a new horizon and opens the door for rapid standardization of this technique. The few studies and short series available can be result of a low interest in the application of LESS-RP in prostate, probably because of the technical complexity that it requires. The new robotic platform, the da Vinci SP, shows that it is clear that the long awaited evolution of robotic technologies for laparoscopy has begun, and we must not lose this momentum.

  4. Reinforcement learning for port-hamiltonian systems.

    PubMed

    Sprangers, Olivier; Babuška, Robert; Nageshrao, Subramanya P; Lopes, Gabriel A D

    2015-05-01

    Passivity-based control (PBC) for port-Hamiltonian systems provides an intuitive way of achieving stabilization by rendering a system passive with respect to a desired storage function. However, in most instances the control law is obtained without any performance considerations and it has to be calculated by solving a complex partial differential equation (PDE). In order to address these issues we introduce a reinforcement learning (RL) approach into the energy-balancing passivity-based control (EB-PBC) method, which is a form of PBC in which the closed-loop energy is equal to the difference between the stored and supplied energies. We propose a technique to parameterize EB-PBC that preserves the systems's PDE matching conditions, does not require the specification of a global desired Hamiltonian, includes performance criteria, and is robust. The parameters of the control law are found by using actor-critic (AC) RL, enabling the search for near-optimal control policies satisfying a desired closed-loop energy landscape. The advantage is that the solutions learned can be interpreted in terms of energy shaping and damping injection, which makes it possible to numerically assess stability using passivity theory. From the RL perspective, our proposal allows for the class of port-Hamiltonian systems to be incorporated in the AC framework, speeding up the learning thanks to the resulting parameterization of the policy. The method has been successfully applied to the pendulum swing-up problem in simulations and real-life experiments.

  5. Assessing noise sources at synchrotron infrared ports

    PubMed Central

    Lerch, Ph.; Dumas, P.; Schilcher, T.; Nadji, A.; Luedeke, A.; Hubert, N.; Cassinari, L.; Boege, M.; Denard, J.-C.; Stingelin, L.; Nadolski, L.; Garvey, T.; Albert, S.; Gough, Ch.; Quack, M.; Wambach, J.; Dehler, M.; Filhol, J.-M.

    2012-01-01

    Today, the vast majority of electron storage rings delivering synchrotron radiation for general user operation offer a dedicated infrared port. There is growing interest expressed by various scientific communities to exploit the mid-IR emission in microspectroscopy, as well as the far infrared (also called THz) range for spectroscopy. Compared with a thermal (laboratory-based source), IR synchrotron radiation sources offer enhanced brilliance of about two to three orders of magnitude in the mid-IR energy range, and enhanced flux and brilliance in the far-IR energy range. Synchrotron radiation also has a unique combination of a broad wavelength band together with a well defined time structure. Thermal sources (globar, mercury filament) have excellent stability. Because the sampling rate of a typical IR Fourier-transform spectroscopy experiment is in the kHz range (depending on the bandwidth of the detector), instabilities of various origins present in synchrotron radiation sources play a crucial role. Noise recordings at two different IR ports located at the Swiss Light Source and SOLEIL (France), under conditions relevant to real experiments, are discussed. The lowest electron beam fluctuations detectable in IR spectra have been quantified and are shown to be much smaller than what is routinely recorded by beam-position monitors. PMID:22186638

  6. An overview of San Francisco Bay PORTS

    USGS Publications Warehouse

    Cheng, Ralph T.; McKinnie, David; English, Chad; Smith, Richard E.

    1998-01-01

    The Physical Oceanographic Real-Time System (PORTS) provides observations of tides, tidal currents, and meteorological conditions in real-time. The San Francisco Bay PORTS (SFPORTS) is a decision support system to facilitate safe and efficient maritime commerce. In addition to real-time observations, SFPORTS includes a nowcast numerical model forming a San Francisco Bay marine nowcast system. SFPORTS data and nowcast numerical model results are made available to users through the World Wide Web (WWW). A brief overview of SFPORTS is presented, from the data flow originated at instrument sensors to final results delivered to end users on the WWW. A user-friendly interface for SFPORTS has been designed and implemented. Appropriate field data analysis, nowcast procedures, design and generation of graphics for WWW display of field data and nowcast results are presented and discussed. Furthermore, SFPORTS is designed to support hazardous materials spill prevention and response, and to serve as resources to scientists studying the health of San Francisco Bay ecosystem. The success (or failure) of the SFPORTS to serve the intended user community is determined by the effectiveness of the user interface.

  7. Assessing noise sources at synchrotron infrared ports.

    PubMed

    Lerch, Ph; Dumas, P; Schilcher, T; Nadji, A; Luedeke, A; Hubert, N; Cassinari, L; Boege, M; Denard, J-C; Stingelin, L; Nadolski, L; Garvey, T; Albert, S; Gough, Ch; Quack, M; Wambach, J; Dehler, M; Filhol, J-M

    2012-01-01

    Today, the vast majority of electron storage rings delivering synchrotron radiation for general user operation offer a dedicated infrared port. There is growing interest expressed by various scientific communities to exploit the mid-IR emission in microspectroscopy, as well as the far infrared (also called THz) range for spectroscopy. Compared with a thermal (laboratory-based source), IR synchrotron radiation sources offer enhanced brilliance of about two to three orders of magnitude in the mid-IR energy range, and enhanced flux and brilliance in the far-IR energy range. Synchrotron radiation also has a unique combination of a broad wavelength band together with a well defined time structure. Thermal sources (globar, mercury filament) have excellent stability. Because the sampling rate of a typical IR Fourier-transform spectroscopy experiment is in the kHz range (depending on the bandwidth of the detector), instabilities of various origins present in synchrotron radiation sources play a crucial role. Noise recordings at two different IR ports located at the Swiss Light Source and SOLEIL (France), under conditions relevant to real experiments, are discussed. The lowest electron beam fluctuations detectable in IR spectra have been quantified and are shown to be much smaller than what is routinely recorded by beam-position monitors.

  8. Single port radical prostatectomy: current status.

    PubMed

    Martín, Oscar Darío; Azhar, Raed A; Clavijo, Rafael; Gidelman, Camilo; Medina, Luis; Troche, Nelson Ramirez; Brunacci, Leonardo; Sotelo, René

    2016-06-01

    The aim of this study is to analyze the current literature on single port radical prostatectomy (LESS-RP). Single port radical prostatectomy laparoendoscopic (LESS-RP) has established itself as a challenge for urological community, starting with the proposal of different approaches: extraperitoneal, transperitoneal and transvesical, initially described for laparoscopy and then laparoscopy robot-assisted. In order to improve the LESS-RP, new instruments, optical devices, trocars and retraction mechanisms have been developed. Advantages and disadvantages of LESS-RP are controversial, while some claim that it is a non-trustable approach, regarding the low cases number and technical difficulties, others acclaim that despite this facts some advantages have been shown and that previous described difficulties are being overcome, proving this is novel proposal of robotics platform, the Da Vinci SP, integrating the system into "Y". The LESS-RP approach gives us a new horizon and opens the door for rapid standardization of this technique. The few studies and short series available can be result of a low interest in the application of LESS-RP in prostate, probably because of the technical complexity that it requires. The new robotic platform, the da Vinci SP, shows that it is clear that the long awaited evolution of robotic technologies for laparoscopy has begun, and we must not lose this momentum. PMID:27072150

  9. Home hemodialysis needs you!

    PubMed

    Agar, John W M; Schatell, Dori; Walker, Rachael

    2015-04-01

    This special supplement of Hemodialysis International focuses on home hemodialysis (HD). It has been compiled by a group of international experts in home HD who were brought together throughout 2013-2014 to construct a home HD "manual." Drawing upon both the literature and their own extensive expertise, these experts have helped develop this supplement that now stands as an A-to-Z guide for any who may be unfamiliar or uncertain about how to establish and maintain a successful home HD program. PMID:25925822

  10. [Home enteral nutrition].

    PubMed

    Virgili, N; Vilarasau, M C

    1999-04-01

    Enteral nutrition in the home is applied to stabilized patients who do not require hospitalization or to chronically ill patients who can stay in their homes. However, ensuring the correct administration of this treatment requires a coordinated, expert multidisciplinary team. This article reviews the conditions for use of enteral nutrition in the home, the means of access, the nutritional formulas, the administrative technique, and the complications enteral nutrition in the home may present. Furthermore, the composition and characteristics of the multidisciplinary team which will be in charge of carrying out this treatment is discussed.

  11. Ozark Mountain solar home

    SciTech Connect

    Miller, B.

    1998-03-01

    If seeing is believing, Kyle and Christine Sarratt are believers. The couple has been living in their passive solar custom home for almost two years, long enough to see a steady stream of eye-opening utility bills and to experience the quality and comfort of energy-efficient design. Skeptical of solar homes at first, the Sarratts found an energy-conscious designer that showed them how they could realize their home-building dreams and live in greater comfort while spending less money. As Kyle says, {open_quotes}We knew almost nothing about solar design and weren`t looking for it, but when we realized we could get everything we wanted in a home and more, we were sold.{close_quotes} Now the couple is enjoying the great feeling of solar and wood heat in the winter, natural cooling in the summer and heating/cooling bills that average less than $20/month. The Sarratts` home overlooks a large lake near the town of Rogers, tucked up in the northwest corner of Arkansas. It is one of three completed homes out of 29 planned for the South Sun Estates subdivision, where homes are required by covenant to incorporate passive solar design principles. Orlo Stitt, owner of Stitt Energy Systems and developer of the subdivision, has been designing passive solar, energy-efficient homes for twenty years. His passive solar custom home development is the first in Arkansas.

  12. Scheduling the Remediation of Port Hope: Logistical and Regulatory Challenges of a Multiple Site Urban Remediation Project - 13119

    SciTech Connect

    Ferguson Jones, Andrea; Lee, Angela; Palmeter, Tim

    2013-07-01

    The Port Hope Project is part of the larger CAN$1.28 billion Port Hope Area Initiative (PHAI), a community-based program for the development and implementation of a safe, local, long-term management solution for historic Low-Level Radioactive Waste (LLRW) in the Municipalities of Port Hope and Clarington, Ontario, Canada. Atomic Energy of Canada (AECL) is the Project Proponent, Public Works and Government Services (PWGSC) is managing the procurement of services and the MMM Group Limited - Conestoga Rovers and Associates Joint Venture (MMM-CRA Joint Venture) is providing detailed design and construction oversight and administration services for the Project. The Port Hope Project includes the construction of a long-term waste management facility (LTWMF) in the Municipality of Port Hope and the remediation of 18 (eighteen) large-scale LLRW, numerous small-scale sites still being identified and industrial sites within the Municipality. The total volume to be remediated is over one million cubic metres and will come from sites that include temporary storage sites, ravines, beaches, parks, private commercial and residential properties and vacant industrial sites all within the urban area of Port Hope. Challenges that will need to be overcome during this 10 year project include: - Requirements stipulated by the Environmental Assessment (EA) that affect Project logistics and schedule. - Coordination of site remediation with the construction schedule at the LTWMF. - Physical constraints on transport routes and at sites affecting production rates. - Despite being an urban undertaking, seasonal constrains for birds and fish (i.e., nesting and spawning seasons). - Municipal considerations. - Site-specific constraints. - Site interdependencies exist requiring consideration in the schedule. Several sites require the use of an adjacent site for staging. (authors)

  13. Experimental and Computational Investigation of Multiple Injection Ports in a Convergent-Divergent Nozzle for Fluidic Thrust Vectoring

    NASA Technical Reports Server (NTRS)

    Waithe, Kenrick A.; Deere, Karen A.

    2003-01-01

    A computational and experimental study was conducted to investigate the effects of multiple injection ports in a two-dimensional, convergent-divergent nozzle, for fluidic thrust vectoring. The concept of multiple injection ports was conceived to enhance the thrust vectoring capability of a convergent-divergent nozzle over that of a single injection port without increasing the secondary mass flow rate requirements. The experimental study was conducted at static conditions in the Jet Exit Test Facility of the 16-Foot Transonic Tunnel Complex at NASA Langley Research Center. Internal nozzle performance was obtained at nozzle pressure ratios up to 10 with secondary nozzle pressure ratios up to 1 for five configurations. The computational study was conducted using the Reynolds Averaged Navier-Stokes computational fluid dynamics code PAB3D with two-equation turbulence closure and linear Reynolds stress modeling. Internal nozzle performance was predicted for nozzle pressure ratios up to 10 with a secondary nozzle pressure ratio of 0.7 for two configurations. Results from the experimental study indicate a benefit to multiple injection ports in a convergent-divergent nozzle. In general, increasing the number of injection ports from one to two increased the pitch thrust vectoring capability without any thrust performance penalties at nozzle pressure ratios less than 4 with high secondary pressure ratios. Results from the computational study are in excellent agreement with experimental results and validates PAB3D as a tool for predicting internal nozzle performance of a two dimensional, convergent-divergent nozzle with multiple injection ports.

  14. 19 CFR 19.23 - Withdrawal for exportation from one port to be credited on warehouse entry account at another port.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Withdrawal for exportation from one port to be credited on warehouse entry account at another port. 19.23 Section 19.23 Customs Duties U.S. CUSTOMS AND... for exportation from one port to be credited on warehouse entry account at another port....

  15. 33 CFR 165.T08-0432 - Safety Zone; Waterway Closure, Morgan City-Port Allen Route from Mile Marker 0 to Port Allen Lock.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Safety Zone; Waterway Closure, Morgan City-Port Allen Route from Mile Marker 0 to Port Allen Lock. 165.T08-0432 Section 165.T08-0432...-Port Allen Route from Mile Marker 0 to Port Allen Lock. (a) Location. Waters of the Gulf...

  16. Sociocultural determinants of home delivery in Ethiopia: a qualitative study

    PubMed Central

    Kaba, Mirgissa; Bulto, Tesfaye; Tafesse, Zergu; Lingerh, Wassie; Ali, Ismael

    2016-01-01

    Background Maternal health remains a major public health problem in Ethiopia. Despite the government’s measures to ensure institutional delivery assisted by skilled attendants, home delivery remains high, estimated at over 80% of all pregnant women. Objective The study aims to identify determinants that sustain home delivery in Ethiopia. Methods A total of 48 women who delivered their most recent child at home, 56 women who delivered their most recent child in a health facility, 55 husbands of women who delivered within 1 year preceding the study, and 23 opinion leaders in selected districts of Amhara, Oromia, Southern Nations, Nationalities, and Peoples’ Region, and Tigray regions were involved in the study. Key informant interview, in-depth interviews, and focus group discussions were conducted to collect data using checklists developed for this purpose. Data reduction and analysis were facilitated by Maxqda qualitative data analysis software version 11. Results Findings show that pregnancy and delivery is a normal and natural life event. Research participants unanimously argue that such a life event should not be linked with health problems. Home is considered a natural space for delivery and most women aspire to deliver at home where rituals during labor and after delivery are considered enjoyable. Even those who delivered in health facilities appreciate events in connection to home delivery. Efforts are underway to create home-like environments in health facilities, but health facilities are not yet recognized as a natural place of delivery. The positive tendency to deliver at home is further facilitated by poor service delivery at the facility level. Perceived poor competence of providers and limited availability of supplies and equipment were found to maintain the preference to deliver at home. Conclusion The government’s endeavor to improve maternal health has generated positive results with more women now attending antenatal care. Yet over 80% of

  17. 48 CFR 47.305-6 - Shipments to ports and air terminals.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... transportation costs are concerned. (d) Unless logistics requirements limit the ports of loading to the ports... between the ports involved, unless the acquiring activity has given other specific instructions....

  18. 33 CFR 80.1440 - Port Allen, Kauai, HI.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Port Allen, Kauai, HI. 80.1440 Section 80.1440 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Islands § 80.1440 Port Allen, Kauai, HI. A line drawn...

  19. 33 CFR 80.1440 - Port Allen, Kauai, HI.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Port Allen, Kauai, HI. 80.1440 Section 80.1440 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Islands § 80.1440 Port Allen, Kauai, HI. A line drawn...

  20. 33 CFR 80.1440 - Port Allen, Kauai, HI.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Port Allen, Kauai, HI. 80.1440 Section 80.1440 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY INTERNATIONAL NAVIGATION RULES COLREGS DEMARCATION LINES Pacific Islands § 80.1440 Port Allen, Kauai, HI. A line drawn...