Science.gov

Sample records for home port facilities

  1. Planning Home Economics Facilities.

    ERIC Educational Resources Information Center

    Arcy, Thomas H.; Schultz, Jerelyn B.

    1980-01-01

    Discusses modernizing, remodeling, or developing new home economic facilities. Equipment considerations, curriculum objectives, the making of a master plan, and planning reminders are provided along with a basic sketch to review prior to planning home economics laboratories. (Author)

  2. 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 be...

  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 the...

  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 a...

  5. 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 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION A-NATIONAL SHIPPING AUTHORITY PRIORITY USE AND ALLOCATION OF SHIPPING SERVICES, CONTAINERS AND CHASSIS, AND PORT FACILITIES AND SERVICES...

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

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... may be necessary to meet the requirements of the national security. Control shall be consistent with... 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...

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

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... may be necessary to meet the requirements of the national security. Control shall be consistent with... 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...

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

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... may be necessary to meet the requirements of the national security. Control shall be consistent with... 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...

  9. 46 CFR Sec. 3 - Federal control of port facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... may be necessary to meet the requirements of the national security. Control shall be consistent with... 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...

  10. 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.

  11. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 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 Pub...: (i) That the development of public port or industrial facilities on land within a project will be...

  12. 32 CFR 644.424 - Development of public port or industrial facilities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 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 Pub...: (i) That the development of public port or industrial facilities on land within a project will be...

  13. Woodcock Home Wastewater Treatment Facility NPDES Permit

    EPA Pesticide Factsheets

    Under NPDES permit MT-0030554, the Salish and Kootenai Housing Authority is authorized to discharge from its Woodcock Home Addition Wastewater Treatment Facility in Lake County, Montana, to a swale draining to Middle Crow Creek.

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

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A port or terminal which receives oceangoing tankers, or any other oceangoing ship of 400 gross tons or more...

  15. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A port or terminal which receives oceangoing tankers, or any other oceangoing ship of 400 gross tons or more...

  16. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A port or terminal which receives oceangoing tankers, or any other oceangoing ship of 400 gross tons or more...

  17. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A port or terminal which receives oceangoing tankers, or any other oceangoing ship of 400 gross tons or more...

  18. 33 CFR 158.133 - Which ports and terminals must provide reception facilities?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Which ports and terminals must..., AND GARBAGE General § 158.133 Which ports and terminals must provide reception facilities? (a) A port or terminal which receives oceangoing tankers, or any other oceangoing ship of 400 gross tons or more...

  19. 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 this...

  20. Evaluation and Repair of War-Damaged Port Facilities. Report 1. Port Construction History, Inspection Techniques, and Major Port Characteristics.

    DTIC Science & Technology

    1986-05-01

    construction and maintenance of offshore facilities and waterfront structures, installation and maintenance of POL (petroleum, oils, and lubricants...accurate assessment of the above-water and underwater portion of waterfront facilities should be conducted to determine the structural capacity of the...for ship discharge facilities. , Construction materials 43. The m ajority of waterfront structures to be inspected are con- , structed of either wood

  1. 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.

  2. 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.

  3. 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 export...

  4. 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 export...

  5. Simulating storm surge inundation and damage potential within complex port facilities

    NASA Astrophysics Data System (ADS)

    Mawdsley, Robert; French, Jon; Fujiyama, Taku; Achutan, Kamalasudhan

    2017-04-01

    Storm surge inundation of port facilities can cause damage to critical elements of infrastructure, significantly disrupt port operations and cause downstream impacts on vital supply chains. A tidal surge in December 2013 in the North Sea partly flooded the Port of Immingham, which handles the largest volume of bulk cargo in the UK including major flows of coal and biomass for power generation. This flooding caused damage to port and rail transport infrastructure and disrupted operations for several weeks. This research aims to improve resilience to storm surges using hydrodynamic modelling coupled to an agent-based model of port operations. Using the December 2013 event to validate flood extent, depth and duration, we ran a high resolution hydrodynamic simulation using the open source Telemac 2D finite element code. The underlying Digital Elevation Model (DEM) was derived from Environment Agency LiDAR data, with ground truthing of the flood defences along the port frontage. Major infrastructure and buildings are explicitly resolved with varying degrees of permeability. Telemac2D simulations are run in parallel and take only minutes on a single 16 cpu compute node. Inundation characteristics predicted using Telemac 2D differ from a simple Geographical Information System 'bath-tub' analysis of the DEM based upon horizontal application of the maximum water level across the port topography. The hydrodynamic simulation predicts less extensive flooding and more closely matches observed flood extent. It also provides more precise depth and duration curves. Detailed spatial flood depth and duration maps were generated for a range of tide and surge scenarios coupled to mean sea-level rise projections. These inundation scenarios can then be integrated with critical asset databases and an agent-based model of port operation (MARS) that is capable of simulating storm surge disruption along wider supply chains. Port operators are able to act on information from a particular

  6. The EU directive on port reception facilities for ship-generated waste and cargo residues: current availability of facilities in the North Sea.

    PubMed

    Carpenter, Angela; Macgill, Sally M

    2003-01-01

    The aim of this paper is to evaluate the current availability of port reception facilities within the North Sea area. The evaluation is based primarily on original survey data from the summer of 2001, supplemented by existing information from surveys conducted by the International Maritime Organization. The EU Directive on port reception facilities for ship-generated waste etc. (Directive 2000/59/EC) requires that all ports provide facilities to meet the needs of those vessels normally calling in at them. In order for the Directive to be implemented effectively, the physical availability of such facilities is vital. This paper audits the wide range of port types within the region and also outlines the wide range of vessel types using these ports, and their requirements for a range of facilities. On the basis of this analysis, conclusions are drawn about the extent to which the provision requirement of the Directive is already being met.

  7. 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.

  8. 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

  9. Environmental risk analysis of oil handling facilities in port areas. Application to Tarragona harbor (NE Spain).

    PubMed

    Valdor, Paloma F; Gómez, Aina G; Puente, Araceli

    2015-01-15

    Diffuse pollution from oil spills is a widespread problem in port areas (as a result of fuel supply, navigation and loading/unloading activities). This article presents a method to assess the environmental risk of oil handling facilities in port areas. The method is based on (i) identification of environmental hazards, (ii) characterization of meteorological and oceanographic conditions, (iii) characterization of environmental risk scenarios, and (iv) assessment of environmental risk. The procedure has been tested by application to the Tarragona harbor. The results show that the method is capable of representing (i) specific local pollution cases (i.e., discriminating between products and quantities released by a discharge source), (ii) oceanographic and meteorological conditions (selecting a representative subset data), and (iii) potentially affected areas in probabilistic terms. Accordingly, it can inform the design of monitoring plans to study and control the environmental impact of these facilities, as well as the design of contingency plans.

  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. 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…

  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.

  13. Fugitive particulate emission measurements at two industrial facilities at the Port of Tubarao

    SciTech Connect

    Muleski, G.E.; Arantes, J.V.; Lyrio, A.A.

    1998-12-31

    This paper describes a series of field tests of particulate matter (PM) from two industrial facilities located at the Port of Tubarao, Vitoria, Espirito Santo, Brazil. Tests occurred at both an integrated iron and steel plant operated by Companhia Siderurgica de Tubarao (CST) and large facility operated by Companhia Vale do Rio Doce (CVRD). The CVRD facility includes iron ore pelletizing and marine shipping operations. The principal objectives of the study were to develop site-specific emission factors for several PM emission sources at the two facilities and to determine the control efficiency of currently applied emission control measures. Two emission source measurement techniques were employed. The first -- known as the portable wind tunnel method -- allowed the accurate determination of wind erosion potential of erodible surfaces. This technique was applied to approximately 30 different erodible surfaces between the two facilities. The second test method is known as the exposure profiling technique and is applicable to a wide variety of anthropogenic (man-made) dust sources. The exposure profiling method was used to generate emission measurements from approximately 40 material transfer operations at the two facilities.

  14. 75 FR 56914 - Removal of the List of Ports of Embarkation and Export Inspection Facilities from the Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... arrangements, testing and treatment of animals, facility location, disposal of animal wastes, lighting, office... Animal and Plant Health Inspection Service 9 CFR Part 91 RIN 0579-AD25 Removal of the List of Ports of Embarkation and Export Inspection Facilities from the Regulations AGENCY: Animal and Plant Health Inspection...

  15. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 3 2011-10-01 2011-10-01 false Return to home skilled nursing facility. 422.133....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 nursing facility if the...

  16. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 3 2010-10-01 2010-10-01 false Return to home skilled nursing facility. 422.133....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 nursing facility if the...

  17. Pneumonia in nursing homes and long-term care facilities.

    PubMed

    Loeb, Mark B

    2005-12-01

    This article reviews the epidemiology of pneumonia in residents of nursing homes and other long-term care facilities (LTCFs). Streptococcus pneumoniae is the most important cause of pneumonia in residents of nursing homes and LTCFs. Factors suggestive of aspiration are the most important risk factors for pneumonia in this population. The clinical presentation of pneumonia among long-term care facility residents is challenging; residents tend to be older and more debilitated than their elderly community-dwelling counterparts. Data on optimal antimicrobial therapy in this setting is sparse. Functional status is an important predictor of outcome in this population. There are key management issues, such as site of care, which remain unresolved. Immunization with influenza and pneumococcal vaccines remains the mainstay of prevention.

  18. 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.

  19. 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 relate...

  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, 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 relate...

  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, 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 relate...

  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, 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 relate...

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

    PubMed

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

    2007-06-30

    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. 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. 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. 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. Cooperative preventive efforts with

  4. 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

  5. 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 nursing...

  6. 42 CFR 422.133 - Return to home skilled nursing facility.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 3 2012-10-01 2012-10-01 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 nursing...

  7. 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 nursing...

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

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... this section: (1) California. (i) Los Angeles—airport and ocean port. (A) Jet Pets, Inc., 9014 Pershing..., CA 91710, (909) 597-1756. (ii) San Francisco—airport and ocean port. (A) Cow Palace, P.O. Box 34206... Francisco, CA 94080, (415) 877-0200. (2) Florida. (i) Miami—airport and ocean port. (A) USDA...

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

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... this section: (1) California. (i) Los Angeles—airport and ocean port. (A) Jet Pets, Inc., 9014 Pershing..., CA 91710, (909) 597-1756. (ii) San Francisco—airport and ocean port. (A) Cow Palace, P.O. Box 34206... Francisco, CA 94080, (415) 877-0200. (2) Florida. (i) Miami—airport and ocean port. (A) USDA...

  10. Comparison of Costs of Home and Facility-based Basic Obstetric Care in Rural Bangladesh

    PubMed Central

    Sabina, N.; Ronsmans, C.; Killewo, J.

    2010-01-01

    This study compared the costs of providing antenatal, delivery and postnatal care in the home and in a basic obstetric facility in rural Bangladesh. The average costs were estimated by interviewing midwives and from institutional records. The main determinants of cost in each setting were also assessed. The cost of basic obstetric care in the home and in a facility was very similar, although care in the home was cheaper. Deliveries in the home took more time but this was offset by the capital costs associated with facility-based care. As use-rates increase, deliveries in a facility will become cheaper. Antenatal and postnatal care was much cheaper to provide in the facility than in the home. Facility-based delivery care is likely to be a cheaper and more feasible method for the care provider as demand rises. In settings where skilled attendance rates are very low, home-based care will be cheaper. PMID:20635640

  11. Comparison of costs of home and facility-based basic obstetric care in rural Bangladesh.

    PubMed

    Borghi, J; Sabina, N; Ronsmans, C; Killewo, J

    2010-06-01

    This study compared the costs of providing antenatal, delivery and postnatal care in the home and in a basic obstetric facility in rural Bangladesh. The average costs were estimated by interviewing midwives and from institutional records. The main determinants of cost in each setting were also assessed. The cost of basic obstetric care in the home and in a facility was very similar, although care in the home was cheaper. Deliveries in the home took more time but this was offset by the capital costs associated with facility-based care. As use-rates increase, deliveries in a facility will become cheaper. Antenatal and postnatal care was much cheaper to provide in the facility than in the home. Facility-based delivery care is likely to be a cheaper and more feasible method for the care provider as demand rises. In settings where skilled attendance rates are very low, home-based care will be cheaper.

  12. Variation in Hospice Services by Location of Care: Nursing Home Versus Assisted Living Facility Versus Home.

    PubMed

    Unroe, Kathleen T; Bernard, Brittany; Stump, Timothy E; Tu, Wanzhu; Callahan, Christopher M

    2017-07-01

    To describe differences in hospice services for patients living at home, in nursing homes or in assisted living facilities, including the overall number and duration of visits by different hospice care providers across varying lengths of stay. Retrospective cohort study using hospice patient electronic medical record data. Large, national hospice provider. Data from 32,605 hospice patients who received routine hospice care from 2009 to 2014 were analyzed. Descriptive statistics were calculated for utilization measures for each type of provider and by location of care. Frequency and duration of service contacts were standardized to a 1 week period and pairwise comparisons were used to detect differences in care provided between the three settings. Minimal differences were found in overall intensity of service contacts across settings, however, the mix of services were different for patients living at home versus nursing home versus assisted living facility. Overall, more nurse care was provided at the beginning and end of the hospice episode; intensity of aide care services was higher in the middle portion of the hospice episode. Nearly 43% of the sample had hospice stays less than 2 weeks and up to 20% had stays greater than 6 months. There are significant differences between characteristics of hospice patients in different settings, as well as the mix of services they receive. Medicare hospice payment methodology was revised starting in 2016. While the new payment structure is in greater alignment with the U shape distribution of services, it will be important to evaluate the impact of the new payment methodology on length of stay and mix of services by different providers across settings of care. © 2017, Copyright the Authors Journal compilation © 2017, The American Geriatrics Society.

  13. 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 of...

  14. 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 of...

  15. 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 of...

  16. 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

  17. 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.

  18. Facility and market factors affecting transitions from nursing home to community.

    PubMed

    Arling, Greg; Abrahamson, Kathleen A; Cooke, Valerie; Kane, Robert L; Lewis, Teresa

    2011-09-01

    Research into nursing home transitions has given limited attention to the facility or community contexts. To identify facility and market factors affecting transitions of nursing home residents back to the community. Multilevel models were used to estimate effects of facility and market factors on facility-level community discharge rates after controlling for resident demographic, health, and functional conditions. Facility discharge rates were adjusted using Empirical Bayes estimation. Annual cohort of first-time admissions (N=24,648) to 378 Minnesota nursing facilities in 75 nursing home markets from July 2005 to June 2006. Community discharge within 90 days of admission; facility occupancy, payer mix, ownership, case-mix acuity, size, admissions from hospitals, nurse staffing level, and proportion of admissions preferring or having support to return to the community; and nursing market population size, average occupancy, market concentration, and availability of home and community-based services. Rates of community discharge (Empirical Bayes residual) were highest in facilities with more residents preferring community discharge, more Medicare days, higher nurse staffing levels, and higher occupancy. In addition, facilities had higher community discharge rates if they were located in markets with a greater ratio of home and community-based services recipients to nursing home residents and with larger populations. State Medicaid programs should undertake system-level interventions that encourage nursing facilities to reduce unused bed capacity, balance the mix of payers, invest in nurse staffing, and take other steps to promote community discharges. In addition, states should increase home and community-based services, particularly in markets with low community discharge rates.

  19. Dialysis Facility and Patient Characteristics Associated with Utilization of Home Dialysis

    PubMed Central

    Walker, David R.; Inglese, Gary W.; Sloand, James A.

    2010-01-01

    Background and objectives: Nonmedical factors influencing utilization of home dialysis at the facility level are poorly quantified. Home dialysis is comparably effective and safe but less expensive to society and Medicare than in-center hemodialysis. Elimination of modifiable practice variation unrelated to medical factors could contribute to improvements in patient outcomes and use of scarce resources. Design, setting, participants, & measurements: Prevalent dialysis patient data by facility were collected from the 2007 ESRD Network’s annual reports. Facility characteristic data were collected from Medicare’s Dialysis Facility Compare file. A multivariate regression model was used to evaluate associations between the use of home dialysis and facility characteristics. Results: The utilization of home dialysis was positively associated with facility size, percent patients employed full- or part-time, younger population, and years a facility was Medicare certified. Variables negatively associated include an increased number of hemodialysis patients per hemodialysis station, chain association, rural location, more densely populated zip code, a late dialysis work shift, and greater percent of black patients within a zip code. Conclusions: Improved understanding of factors affecting the frequency of use of home dialysis may help explain practice variations across the United States that result in an imbalanced use of medical resources within the ESRD population. In turn, this may improve the delivery of healthcare and extend the ability of an increasingly overburdened medical financing system to survive. PMID:20634324

  20. 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 nursing...

  1. 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 nursing...

  2. Comparing the nutrition environment and practices of home- and centre-based child-care facilities.

    PubMed

    Martyniuk, Olivia J M; Vanderloo, Leigh M; Irwin, Jennifer D; Burke, Shauna M; Tucker, Patricia

    2016-03-01

    To assess and compare the nutrition environment and practices (as they relate to pre-schoolers) of centre- and home-based child-care facilities. Using a cross-sectional study design, nineteen child-care facilities (ten centre-based, nine home-based) were assessed for one full day using the Environment and Policy Assessment and Observation (EPAO) tool (consisting of a day-long observation/review of the nutrition environment, practices and related documents). Specifically, eight nutrition-related subscales were considered. Child-care facilities in London, Ontario, Canada. Child-care facilities were recruited through directors at centre-based programmes and the providers of home-based programmes. The mean total nutrition environment EPAO scores for centre- and home-based facilities were 12·3 (sd 1·94) and 10·8 (sd 0·78) out of 20 (where a higher score indicates a more supportive environment with regard to nutrition), respectively. The difference between the total nutrition environment EPAO score for centre- and home-based facilities was approaching significance (P=0·055). For both types of facilities, the highest nutrition subscale score (out of 20) was achieved in the staff behaviours domain (centre mean=17·4; home mean=17·0) and the lowest was in the nutrition training and education domain (centre mean=3·6; home mean=2·0). Additional research is needed to confirm these findings. In order to better support child-care staff and enhance the overall nutrition environment in child care, modifications to food practices could be adopted. Specifically, the nutritional quality of foods/beverages provided to pre-schoolers could be improved, nutrition-related training for child-care staff could be provided, and a nutrition curriculum could be created to educate pre-schoolers about healthy food choices.

  3. 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…

  4. 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…

  5. Code JEF Facilities Engineering Home Page for the Internet

    NASA Technical Reports Server (NTRS)

    Mahaffey, Valerie A.; Harrison, Marla J. (Technical Monitor)

    1995-01-01

    There are always many activities going on in JEF. We work on and manage the Construction of Facilities (C of F) projects at NASA-Ames. We are constantly designing or analyzing a new facility or project, or a modification to an existing facility. Every day we answer numerous questions about engineering policy, codes and standards, we attend design reviews, we count dollars and we make sure that everything at the Center is designed and built according to good engineering judgment. In addition, we study literature and attend conferences to make sure that we keep current on new legislation and standards.

  6. Common factors that enhance the quality of life for women living in their own homes or in aged care facilities.

    PubMed

    Chin, Lee; Quine, Susan

    2012-01-01

    A qualitative study of older women living in their own homes and older women living in aged care facilities found that the concerns of the women living in their own homes were the realities of life for the residents in the aged care facilities. Twenty-five female residents across two facilities and 11 older women living in their own homes were interviewed. The positive outcomes of aging at home are relevant and desirable for residents of aged care facilities. A smooth transition from community living to residential aged care involves retaining some of these positive aspects of their lives.

  7. 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

  8. Suicide Risk in Nursing Homes and Assisted Living Facilities: 2003-2011.

    PubMed

    Mezuk, Briana; Lohman, Matthew; Leslie, Marc; Powell, Virginia

    2015-07-01

    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. 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. 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. LTC may be an important point of engagement in suicide prevention.

  9. 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.

  10. 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.

  11. IV treatment at home

    MedlinePlus

    ... venous catheter - home; Port - home; PICC line - home; Infusion therapy - home; Home health care - IV treatment ... is given quickly, all at once. A slow infusion, which means the medicine is given slowly over ...

  12. 75 FR 17644 - Update to NFPA 101, Life Safety Code, for State Home Facilities

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-07

    ... the physical environment of facilities for which VA pays per diem to a State for providing nursing... available at the National Archives and Records Administration (NARA). For information on the availability of... professions, health records, mental health programs, nursing homes, reporting and recordkeeping...

  13. Consumer Satisfaction in Long-Term Care: State Initiatives in Nursing Homes and Assisted Living Facilities

    ERIC Educational Resources Information Center

    Lowe, Timothy J.; Lucas, Judith A.; Castle, Nicholas G.; Robinson, Joanne P.; Crystal, Stephen

    2003-01-01

    Purpose: We report the results of a survey of state initiatives that measure resident satisfaction in nursing homes and assisted living facilities, and we describe several model programs for legislators and public administrators contemplating the initiation of their own state programs. Design and Methods: Data on state initiatives and programs…

  14. Smart Homes and Buildings Research at the Energy Systems Integration Facility

    ScienceCinema

    Christensen, Dane; Sparn, Bethany; Hannegan, Bryan

    2016-07-12

    Watch how NREL researchers are using the unique capabilities of the Energy Systems Integration Facility (ESIF) to develop technologies that will help the “smart” homes and buildings of the future perform efficiently and communicate effectively with the electricity grid while enhancing occupants' comfort and convenience.

  15. Smart Homes and Buildings Research at the Energy Systems Integration Facility

    SciTech Connect

    Christensen, Dane; Sparn, Bethany; Hannegan, Bryan

    2016-04-07

    Watch how NREL researchers are using the unique capabilities of the Energy Systems Integration Facility (ESIF) to develop technologies that will help the “smart” homes and buildings of the future perform efficiently and communicate effectively with the electricity grid while enhancing occupants' comfort and convenience.

  16. Multilevel examination of facility characteristics, social integration, and health for older adults living in nursing homes.

    PubMed

    Leedahl, Skye N; Chapin, Rosemary K; Little, Todd D

    2015-01-01

    Testing a model based on past research and theory, this study assessed relationships between facility characteristics (i.e., culture change efforts, social workers) and residents' social networks and social support across nursing homes; and examined relationships between multiple aspects of social integration (i.e., social networks, social capital, social engagement, social support) and mental and functional health for older adults in nursing homes. Data were collected at nursing homes using a planned missing data design with random sampling techniques. Data collection occurred at the individual-level through in-person structured interviews with older adult nursing home residents (N = 140) and at the facility-level (N = 30) with nursing home staff. The best fitting multilevel structural equation model indicated that the culture change subscale for relationships significantly predicted differences in residents' social networks. Additionally, social networks had a positive indirect relationship with mental and functional health among residents primarily via social engagement. Social capital had a positive direct relationship with both health outcomes. To predict better social integration and mental and functional health outcomes for nursing homes residents, study findings support prioritizing that close relationships exist among staff, residents, and the community as well as increased resident social engagement and social trust. © The Author 2014. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  17. Comparing the Support-Efficacy Model among Centenarians Living in Private Homes, Assisted Living Facilities, and Nursing Homes

    PubMed Central

    Randall, G. Kevin; Martin, Peter; MacDonald, Maurice; Margrett, Jennifer; Bishop, Alex J.; Poon, Leonard W.

    2011-01-01

    We investigated the influence of social relations on health outcomes in very late life by examining the support-efficacy convoy model among older adults who resided in three different residential environments (centenarians in private homes, n = 126; centenarians in assisted living facilities, n = 55; centenarians in nursing homes, n = 105). For each group, path analytic models were employed to test our hypotheses; analyses controlled for sex, mental status, education, perceived economic sufficiency, and activities of daily living. The hypothesized relationships among the models' variables were unique to each of the three groups; three different models fit the data depending upon residential environment. The direct and indirect effects of social relations assessments were positive for the mental and physical health of very old adults, suggesting that participants welcomed the support. However, residential status moderated the associations between the assessments of social relations, self-efficacy, and both outcomes, physical and mental health. PMID:21792391

  18. The cost-effectiveness of contemporary home haemodialysis modalities compared with facility haemodialysis: a systematic review of full economic evaluations.

    PubMed

    Walker, Rachael; Marshall, Mark R; Morton, Rachael L; McFarlane, Philip; Howard, Kirsten

    2014-08-01

    The financial burden of the increasing dialysis population challenges healthcare resources internationally. Home haemodialysis offers many benefits over conventional facility dialysis including superior clinical, patient-centred outcomes and reduced cost. This review updates a previous review, conducted a decade prior, incorporating contemporary home dialysis techniques of frequent and nocturnal dialysis. We sought comparative cost-effectiveness studies of home versus facility haemodialysis (HD) for people with end-stage kidney failure (ESKF). We conducted a systematic review of literature from January 2000-March 2014. Studies were included if they provided comparative information on the costs, health outcomes and cost-effectiveness ratios of home HD and facility HD. We searched medical and health economic databases using MeSH headings and text words for economic evaluation and haemodialysis. Six studies of economic evaluations that compared home to facility HD were identified. Two studies compared home nocturnal HD, one home nocturnal and daily home HD, and three compared contemporary home HD to facility HD. Overall these studies suggest that contemporary home HD modalities are less costly and more effective than facility HD. Home HD start-up costs tend to be higher in the short term, but these are offset by cost savings over the longer term. Contemporaneous dialysis modalities including nocturnal and daily home haemodialysis are cost-effective or cost-saving compared with facility-based haemodialysis. This result is largely driven by lower staff costs, and better health outcomes for survival and quality of life. Expanding the proportion of haemodialysis patients managed at home is likely to produce cost savings. © 2014 Asian Pacific Society of Nephrology.

  19. 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.

  20. Privacy and senior willingness to adopt smart home information technology in residential care facilities.

    PubMed

    Courtney, K L

    2008-01-01

    With large predicted increases of the older adult (65 years and older) population, researchers have been exploring the use of smart home information technologies (IT) in residential care (RC) facilities to enhance resident quality of life and safety. Older adults' perceptions of privacy can inhibit their acceptance and subsequent adoption of smart home IT. This qualitative study, guided by principles of grounded theory research, investigated the relationship between privacy, living environment and willingness of older adults living in residential care facilities to adopt smart home IT through focus groups and individual interviews. The findings from this study indicate that privacy can be a barrier for older adults' adoption of smart home IT; however their own perception of their need for the technology may override their privacy concerns. Privacy concerns, as a barrier to technology adoption, can be influenced by both individual-level and community-level factors. Further exploration of the factors influencing older adults' perceptions of smart home IT need is necessary.

  1. Variations in hospitalization rates among nursing home residents: the role of facility and market attributes.

    PubMed

    Carter, Mary W; Porell, Frank W

    2003-04-01

    This study examined the contribution of facility-level and area market-level attributes to variations in hospitalization rates among nursing home residents. Three years (1991-1994) of state quarterly Medicaid case-mix reimbursement data from 527 nursing homes (NH) in Massachusetts were linked with Medicare Provider Analysis and Review hospital claims and nursing facility attribute data to produce a longitudinal, analytical file containing 72,319 person-quarter observations. Logistic regression models were used to estimate the influence of facility-level and market-level factors on hospital use, after controlling for individual-level resident attributes, including: NH diagnoses, resident-level quality of care indicators, and diagnostic cost grouping classification from previous hospital stays. Multivariate findings suggest that resident heterogeneity alone does not account for the wide variations in hospitalization rates across nursing homes. Instead, facility characteristics such as profit status, nurse staffing patterns, NH size, chain affiliation, and percentage of Medicaid and Medicare reimbursed days significantly influence NH residents' risk of hospitalization. Broader area market factors also appear to contribute to variations in hospitalization rates. Variations in hospitalization rates may reflect underutilization, as well as overutilization. Continued efforts toward identifying medically necessary hospitalizations are needed.

  2. Earth Port-Moon Port design

    NASA Technical Reports Server (NTRS)

    1987-01-01

    A pair of compatible transfer stations or Space Ports and associated transfer vehicles was designed in order to support permanent manned lunar facilities. One of the Space Ports was placed in earth orbit (not necessarily Low Earth Orbit - LEO), and the other in lunar orbit. The primary purposes of the Space Ports was to support the lunar surface facility, the return of lunar manufactured items to the earth, and the transfer of lunar manufactured items to space vehicles and earth orbital space stations. The design was constrained by the following: (1) The orbital altitudes and inclinations of the Earth Port and Moon Port were chosen to minimize the overall cost of transporting materials to and from the moon. The ETO (Earth-to-Orbit) costs were considered separately to allow consideration of initiating planetary missions, etc., from the Earth Port. (2) A new earth launch point was chosen to facilitate the support of the lunar facility. This launch point was chosen to minimize overall costs, maximize overall safety, and to avoid political problems. To this end, it was mandatory the launch site be owned by the United States or one of its close allies. In addition, the launch would take place over water and expendable stages would drop into the ocean. Space shuttle type vehicles could be used if appropriate provisions were made for aborts, SRB and ET impact, etc. The ground track and impact point studies included space shuttle type vehicles, current ELV's (expendable launch vehicles, and HLLV's (heavy lift launch vehicles). (3) The Earth Port and Moon Port orbits were selected so that transfer trajectories between the two facilities could be initiated often without major plane change penalties. The amount of these penalties was calculated. Families of Earth Port to Moon Port and Moon Port to Earth Port trajectories were calculated to document the energy requirements and penalties. (4) Space Port module designs included module systems definitions, module masses, system

  3. 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. © The Author(s) 2014.

  4. 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.

  5. A comparison of wandering behavior in nursing homes and assisted living facilities.

    PubMed

    Beattie, Elizabeth R A; Song, JunAh; LaGore, Shane

    2005-01-01

    Wandering, a challenging behavior associated with dementia, affects many residents of long-term care facilities and can result in elopement, injury, and death. Most studies of wandering have taken place in nursing homes (NH). Expansion of the long-term care sector over the last 2 decades has resulted in a surge in options such as assisted living facilities (ALF). This study compared wandering behavior of residents (N = 108) in 21 long-term care facilities (15 NH, 6 ALF). Staff used the Revised Algase Wandering Scale-Nursing Home Version (RAWS-NH) to quantify wandering. While there were some differences in demographic variables (i.e., race, motor ability) between NH and ALF participants, no significant differences were found in either RAWS-NH overall or any of the 6 subscale scores. This suggests that the expression of wandering is similar in long-term care residents across all dimensions of the RAWS-NH regardless of facility type. Findings are of concern for those involved in the safe management and protection of residents at risk for wandering, particularly in long-term care facilities with underregulated staffing and training requirements.

  6. Transitions From Skilled Nursing Facility to Home: The Relationship of Early Outpatient Care to Hospital Readmission.

    PubMed

    Carnahan, Jennifer L; Slaven, James E; Callahan, Christopher M; Tu, Wanzhu; Torke, Alexia M

    2017-10-01

    Many adults are discharged to skilled nursing facilities (SNFs) prior to returning home from the hospital. Patient characteristics and factors that can help to prevent postdischarge adverse outcomes are poorly understood. To identify whether early post-SNF discharge care reduces likelihood of 30-day hospital readmissions. Secondary data analysis using the Electronic Medical Record, Medicare, Medicaid and the Minimum Data Set. Older (age > 65 years), community-dwelling adults admitted to a safety net hospital in the Midwest for 3 or more nights and discharged home after an SNF stay (n = 1543). The primary outcome was hospital readmission within 30 days of SNF discharge. The primary independent variables were either a home health visit or an outpatient provider visit within a week of SNF discharge. Out of 8754 community-dwelling, hospitalized older adults, 3025 (34.6%) were discharged to an SNF, of whom 1543 (51.0%) returned home. Among the SNF to home group, a home health visit within a week of SNF discharge was associated with reduced hazard of 30-day hospital readmission [adjusted hazard ratio (aHR) 0.61, P < .001] but outpatient provider visits were not associated with reduced risk of hospital readmission (aHR = 0.67, P = .821). For patients discharged from an SNF to home, the finding that a home health visit within a week of discharge is associated with reduced hazard of 30-day hospital readmissions suggests a potential avenue for intervention. Copyright © 2017 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.

  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. Adolescents' physical activity: competition between perceived neighborhood sport facilities and home media resources.

    PubMed

    Wong, Bonny Yee-Man; Cerin, Ester; Ho, Sai-Yin; Mak, Kwok-Kei; Lo, Wing-Sze; Lam, Tai-Hing

    2010-04-01

    To examine the independent, competing, and interactive effects of perceived availability of specific types of media in the home and neighborhood sport facilities on adolescents' leisure-time physical activity (PA). Survey data from 34 369 students in 42 Hong Kong secondary schools were collected (2006-07). Respondents reported moderate-to-vigorous leisure-time PA, presence of sport facilities in the neighborhood and of media equipment in the home. Being sufficiently physically active was defined as engaging in at least 30 minutes of non-school leisure-time PA on a daily basis. Logistic regression and post-estimation linear combinations of regression coefficients were used to examine the independent and competing effects of sport facilities and media equipment on leisure-time PA. Perceived availability of sport facilities was positively (OR(boys) = 1.17; OR(girls) = 1.26), and that of computer/Internet negatively (OR(boys) = 0.48; OR(girls) = 0.41), associated with being sufficiently active. A significant positive association between video game console and being sufficiently active was found in girls (OR(girls) = 1.19) but not in boys. Compared with adolescents without sport facilities and media equipment, those who reported sport facilities only were more likely to be physically active (OR(boys) = 1.26; OR(girls) = 1.34), while those who additionally reported computer/Internet were less likely to be physically active (OR(boys) = 0.60; OR(girls) = 0.54). Perceived availability of sport facilities in the neighborhood may positively impact on adolescents' level of physical activity. However, having computer/Internet may cancel out the effects of active opportunities in the neighborhood. This suggests that physical activity programs for adolescents need to consider limiting the access to computer-mediated communication as an important intervention component.

  9. The influence of quality maternity waiting homes on utilization of facilities for delivery in rural Zambia.

    PubMed

    Henry, Elizabeth G; Semrau, Katherine; Hamer, Davidson H; Vian, Taryn; Nambao, Mary; Mataka, Kaluba; Scott, Nancy A

    2017-05-30

    Residential accommodation for expectant mothers adjacent to health facilities, known as maternity waiting homes (MWH), is an intervention designed to improve access to skilled deliveries in low-income countries like Zambia where the maternal mortality ratio is estimated at 398 deaths per 100,000 live births. Our study aimed to assess the relationship between MWH quality and the likelihood of facility delivery in Kalomo and Choma Districts in Southern Province, Zambia. We systematically assessed and inventoried the functional capacity of all existing MWH using a quantitative facility survey and photographs of the structures. We calculated a composite score and used multivariate regression to quantify MWH quality and its association with the likelihood of facility delivery using household survey data collected on delivery location in Kalomo and Choma Districts from 2011-2013. MWH were generally in poor condition and composite scores varied widely, with a median score of 28.0 and ranging from 12 to 66 out of a possible 75 points. Of the 17,200 total deliveries captured from 2011-2013 in 40 study catchment area facilities, a higher proportion occurred in facilities where there was either a MWH or the health facility provided space for pregnant waiting mothers compared to those with no accommodations (60.7% versus 55.9%, p <0.001). After controlling for confounders including implementation of Saving Mothers Giving Life, a large-scale maternal health systems strengthening program, among women whose catchment area facilities had an MWH, those women with MWHs in their catchment area that were rated medium or high quality had a 95% increase in the odds of facility delivery than those whose catchment area MWHs were of poor quality (OR: 1.95, 95% CI 1.76, 2.16). Improving both the availability and the quality of MWH represents a potentially useful strategy to increasing facility delivery in rural Zambia. The Zambia Chlorhexidine Application Trial is registered at Clinical

  10. 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…

  11. 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…

  12. Why is continuum of care from home to health facilities essential to improve perinatal survival?

    PubMed

    Bahl, Rajiv; Qazi, Shamim; Darmstadt, Gary L; Martines, Jose

    2010-12-01

    The period around the time of delivery is extremely hazardous for infants in developing countries. After the first week the risk drops sharply, and survival improves markedly. To reduce perinatal mortality, a continuum of care between the home and the various facilities is essential during pregnancy, childbirth and the newborn period. This paper reviews strategies to promote the establishment of this continuum: providing health care within or close to home by frontline workers and increasing the use of services in health facilities through community mobilization and financing strategies. As perinatal care and care for seriously sick children face common challenges and lessons could be learned from successful strategies for management of other illnesses, this paper also reviews intervention models involving community health workers (CHWs) to improve case management of sick children at the household and community levels. Available evidence suggests that the community strategy with the greatest impact on neonatal mortality is home visits by CHWs combined with community mobilization. The same strategy appears to be effective in increasing health facility utilization. An equally effective strategy for increasing health facility utilization seems to be financing health care to remove financial access barriers, particularly using conditional cash transfers or vouchers. Although the availability of information on the effect of community interventions to improve newborn health has increased in the recent past, significant gaps remain. Information on the effectiveness of strategies in different settings, particularly in sub-Saharan Africa, cost-effectiveness and sustainability are particularly needed and should be gathered in future studies. Copyright © 2010 Elsevier Inc. All rights reserved.

  13. Ports Initiative

    EPA Pesticide Factsheets

    EPA's Ports Initiative works in collaboration with the port industry, communities, and government to improve environmental performance and increase economic prosperity. This effort helps people near ports breath cleaner air and live better lives.

  14. [Home care for cancer patients previously treated at other medical facilities].

    PubMed

    Okino, Takashi; Okino, Akie; Miyamoto, Hiroko; Yamawaki, Mitsuko; Yamamoto, Toshiyuki; Tanaka, Toshiki

    2013-12-01

    Nine cancer patients who were treated at other medical facilities were referred to the Kohka Public Hospital (KPH) to receive further cancer treatment or terminal care. Of these patients, 7 were men and 2 were women, and their mean age was 58.8 years. All the patients had unresectable cancer invasion or metastases. Their Eastern Cooperative Oncology Group performance status was either 3 or 4. Six of the 9 patients were first admitted to KPH and then discharged to home care. Two of these 6 patients died at home. The other 4 patients were ultimately re-admitted. The problem was that prognosis was not predicted accurately in some of these patients. Two of the 9 patients were managed by home care and died on days 8 and 13 after the initiation of home care. One patient returned to the previous hospital with the hope of receiving further treatment and palliative care. Patient information had to be available at presentation to all persons involved in the management of the patient and we had to prepare for patient care. Additionally, patients should be informed about serious conditions and poor prognosis without delay.

  15. [Study of immunization promotion against influenza in nursing homes and long term care facilities in Quebec].

    PubMed

    De Wals, P; Drapeau, J

    1996-01-01

    This study measured the rate of influenza immunization in nursing homes and long-term care facilities, and evaluated the effectiveness of a promotion program in reaching the national objective of 95% coverage. At the end of 1993, data were provided by 55 of the 79 nursing homes in the region of Montérégie, Quebec. The mean reported immunization rate was 78%, minimum 19% and maximum 100%. In 70% of cases, non-vaccination was due to patient refusal. In 1994, an intervention was carried out in a random sample of 28 nursing homes. Directors, chiefs of nursing and consulting physicians were informed of the coverage achieved in their institution in relation to the national objective. In addition, presentations were given to the nursing personnel and residents. These presentations were made by post-graduate medical students in 22 of the 28 nursing homes in the experimental group. No increase in the mean immunization rate was observed, indicating that it will be more difficult than expected to reach the desired level of coverage.

  16. 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

  17. The urban-rural disparity in nursing home quality indicators: the case of facility-acquired contractures.

    PubMed

    Bowblis, John R; Meng, Hongdao; Hyer, Kathryn

    2013-02-01

    To identify and quantify the sources of the urban-rural disparity in facility-acquired contracture rates in nursing homes. Survey inspection data of U.S. nursing homes from 1999 to 2008 and standardized national rural definition file from the Rural-Urban Commuting Area Codes. We estimated regressions of facility-level contracture rate as a function of urban-rural categories (urban, micropolitan, small rural town, and isolated small rural town) and other related facility characteristics to identify size of the urban-rural disparity. We used Blinder-Oaxaca decomposition techniques to determine the extent to which the disparity is attributable to the differences in facility and aggregate resident characteristics. Rural nursing homes have higher contracture rates than urban nursing homes. About half of the urban-rural disparity is explained by differences in observable characteristics among urban and rural nursing homes. Differences in staffing levels explain less than 5 percent of the disparity, case-mix explains 6-8 percent, and structure and operational characteristics account for 10-22 percent of the disparity. While a lower level and quality of staffing are a concern for rural nursing homes, facility structure and funding sources explain a larger proportion of the urban-rural disparity in the quality of care. © Health Research and Educational Trust.

  18. The Urban-Rural Disparity in Nursing Home Quality Indicators: The Case of Facility-Acquired Contractures

    PubMed Central

    Bowblis, John R; Meng, Hongdao; Hyer, Kathryn

    2013-01-01

    Objective To identify and quantify the sources of the urban-rural disparity in facility-acquired contracture rates in nursing homes. Data Sources Survey inspection data of U.S. nursing homes from 1999 to 2008 and standardized national rural definition file from the Rural-Urban Commuting Area Codes. Study Design We estimated regressions of facility-level contracture rate as a function of urban-rural categories (urban, micropolitan, small rural town, and isolated small rural town) and other related facility characteristics to identify size of the urban-rural disparity. We used Blinder–Oaxaca decomposition techniques to determine the extent to which the disparity is attributable to the differences in facility and aggregate resident characteristics. Principal Findings Rural nursing homes have higher contracture rates than urban nursing homes. About half of the urban-rural disparity is explained by differences in observable characteristics among urban and rural nursing homes. Differences in staffing levels explain less than 5 percent of the disparity, case-mix explains 6–8 percent, and structure and operational characteristics account for 10–22 percent of the disparity. Conclusion While a lower level and quality of staffing are a concern for rural nursing homes, facility structure and funding sources explain a larger proportion of the urban-rural disparity in the quality of care. PMID:22670847

  19. 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.

  20. Are nursing home survey deficiencies higher in facilities with greater staff turnover.

    PubMed

    Lerner, Nancy B; Johantgen, Meg; Trinkoff, Alison M; Storr, Carla L; Han, Kihye

    2014-02-01

    To examine CNA and licensed nurse (RN+LPN/LVN) turnover in relation to numbers of deficiencies in nursing homes. A secondary data analysis of information from the National Nursing Home Survey (NNHS) and contemporaneous data from the Online Survey, Certification and Reporting (OSCAR) database. Data were linked by facility as the unit of analysis to determine the relationship of CNA and licensed nurse turnover on nursing home deficiencies. The 2004 NNHS used a multistage sampling strategy to generate a final sample of 1174 nursing homes, which represent 16,100 NHs in the United States. This study focused on the 1151 NNHS facilities with complete deficiency data. Turnover was defined as the total CNAs/licensed nurse full-time equivalents (FTEs) who left during the preceding 3 months (full- and part-time) divided by the total FTE. NHs with high turnover were defined as those with rates above the 75th percentile (25.3% for CNA turnover and 17.9% for licensed nurse turnover) versus all other facilities. This study used selected OSCAR deficiencies from the Quality of Care, Quality of Life, and Resident Behavior categories, which are considered to be more closely related to nursing care. We defined NHs with high deficiencies as those with numbers of deficiencies above the 75th percentile versus all others. Using SUDAAN PROC RLOGIST, we included NNHS sampling design effects and examined associations of CNA/licensed nurse turnover with NH deficiencies, adjusting for staffing, skill mix, bed size, and ownership in binomial logistic regression models. High CNA turnover was associated with high numbers of Quality of Care (OR 1.53, 95% CI 1.10-2.13), Resident Behavior (OR 1.42, 95% CI 1.03-1.97) and total selected deficiencies (OR 1.54, 95% CI 1.12-2.12). Licensed nurse turnover was significantly related to Quality of Care deficiencies (OR 2.06, 95% CI 1.50-2.82) and total selected deficiencies (OR 1.71, 95% CI 1.25-2.33). When both CNA turnover and licensed nurse turnover were

  1. Newborn Care in the Home and Health Facility: Formative Findings for Intervention Research in Cambodia

    PubMed Central

    Bazzano, Alessandra N.; Taub, Leah; Oberhelman, Richard A.; Var, Chivorn

    2016-01-01

    Global coverage and scale up of interventions to reduce newborn mortality remains low, though progress has been achieved in improving newborn survival in many low-income settings. An important factor in the success of newborn health interventions, and moving to scale, is appropriate design of community-based programs and strategies for local implementation. We report the results of formative research undertaken to inform the design of a newborn health intervention in Cambodia. Information was gathered on newborn care practices over a period of three months using multiple qualitative methods of data collection in the primary health facility and home setting. Analysis of the data indicated important gaps, both at home and facility level, between recommended newborn care practices and those typical in the study area. The results of this formative research have informed strategies for behavior change and improving referral of sick infants in the subsequent implementation study. Collection and dissemination of data on newborn care practices from settings such as these can contribute to efforts to advance survival, growth and development of newborns for intervention research, and for future newborn health programming. PMID:28009812

  2. Newborn Care in the Home and Health Facility: Formative Findings for Intervention Research in Cambodia.

    PubMed

    Bazzano, Alessandra N; Taub, Leah; Oberhelman, Richard A; Var, Chivorn

    2016-12-21

    Global coverage and scale up of interventions to reduce newborn mortality remains low, though progress has been achieved in improving newborn survival in many low-income settings. An important factor in the success of newborn health interventions, and moving to scale, is appropriate design of community-based programs and strategies for local implementation. We report the results of formative research undertaken to inform the design of a newborn health intervention in Cambodia. Information was gathered on newborn care practices over a period of three months using multiple qualitative methods of data collection in the primary health facility and home setting. Analysis of the data indicated important gaps, both at home and facility level, between recommended newborn care practices and those typical in the study area. The results of this formative research have informed strategies for behavior change and improving referral of sick infants in the subsequent implementation study. Collection and dissemination of data on newborn care practices from settings such as these can contribute to efforts to advance survival, growth and development of newborns for intervention research, and for future newborn health programming.

  3. 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

  4. The influence of facility and home pen design on the welfare of the laboratory-housed dog.

    PubMed

    Scullion Hall, Laura E M; Robinson, Sally; Finch, John; Buchanan-Smith, Hannah M

    We have an ethical and scientific obligation to Refine all aspects of the life of the laboratory-housed dog. Across industry there are many differences amongst facilities, home pen design and husbandry, as well as differences in features of the dogs such as strain, sex and scientific protocols. Understanding how these influence welfare, and hence scientific output is therefore critical. A significant proportion of dogs' lives are spent in the home pen and as such, the design can have a considerable impact on welfare. Although best practice guidelines exist, there is a paucity of empirical evidence to support the recommended Refinements and uptake varies across industry. In this study, we examine the effect of modern and traditional home pen design, overall facility design, husbandry, history of regulated procedures, strain and sex on welfare-indicating behaviours and mechanical pressure threshold. Six groups of dogs from two facilities (total n=46) were observed in the home pen and tested for mechanical pressure threshold. Dogs which were housed in a purpose-built modern facility or in a modern design home pen showed the fewest behavioural indicators of negative welfare (such as alert or pacing behaviours) and more indicators of positive welfare (such as resting) compared to those in a traditional home pen design or traditional facility. Welfare indicating behaviours did not vary consistently with strain, but male dogs showed more negative welfare indicating behaviours and had greater variation in these behaviours than females. Our findings showed more positive welfare indicating behaviours in dogs with higher mechanical pressure thresholds. We conclude that factors relating to the design of home pens and implementation of Refinements at the facility level have a significant positive impact on the welfare of laboratory-housed dogs, with a potential concomitant impact on scientific endpoints.

  5. Hospice Utilization in Nursing Homes: Association With Facility End-of-Life Care Practices

    PubMed Central

    Zheng, Nan Tracy

    2013-01-01

    Objectives: Hospice care provided to nursing home (NH) residents has been shown to improve the quality of end-of-life (EOL) care. However, hospice utilization in NHs is typically low. This study examined the relationship between facility self-reported EOL practices and residents’ hospice use and length of stay. Design: The study was based on a retrospective cohort of NH residents. Medicare hospice claims, Minimum Data Set, Online Survey, Certification, and Reporting system and the Area Resource File were linked with a survey of directors of nursing (DON) regarding institutional EOL practice patterns (EOLC Survey). Setting and Participants: In total, 4,540 long-term–care residents who died in 2007 in 290 facilities which participated in the EOLC Survey were included in this study. Measurements: We measured NHs’ tendency to offer hospice to residents and to initiate aggressive treatments (hospital transfers and feeding tubes) for EOL residents based on DON’s responses to survey items. Residents’ hospice utilization was determined using Medicare hospice claims. Results: The prevalence of hospice use was 18%. The average length of stay was 93 days. After controlling for individual risk factors, facilities’ self-reported practice measures associated with residents’ likelihood of using hospice were tendency to offer hospice (p = .048) and tendency to hospitalize (p = .002). Residents in NHs reporting higher tendency to hospitalize tended to enroll in hospice closer to death. Conclusion: Residents’ hospice utilization is not only associated with individual and facility characteristics but also with NHs’ self-reported EOL care practices. Potential interventions to effect greater use of hospice may need to focus on facility-level care processes and practices. PMID:23231947

  6. 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

  7. 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.

  8. 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…

  9. 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…

  10. [Factors facilitating the return of the elderly to their homes after discharge from a geriatric intermediate care facility].

    PubMed

    Ishizaki, T

    1992-02-01

    Geriatric intermediate care facilities (GICFs) were started with subsidies from the Ministry of Health and Welfare in 1987 to encourage return of the elderly from hospitals to their homes rather than other destinations such as nursing homes or hospitals. Contrary to the initial expectation, only half of users (the elderly) have returned home. In order to examine the factors influencing destination after discharge from GICFs, characteristics of the users of a GICF and their primary caregivers were analyzed in a rural community in Nagano. The users were grouped according to their discharge destinations (i.e. 1: home, 2: hospital, 3: nursing home and other GICFs) and compared with respect to the users' and caregivers' socio-demographic characteristics, the length of stay, the users' activities of daily living (ADL) and mental status, the type of place before admission and after discharge, and the caring capacity of the family (i.e. manpower, housing conditions, household economic level and social support). A multiple logistic regression analysis revealed that the following factors were correlated to their return home: good ADL, a short admission period, good level of health of caregivers, adequate space in the residence, negative perception of the caregivers regarding the costs of GICF, and economic level of the household. Evaluation of these factors at an early stage of admission to GICFs may enable prediction of whether or not a user can be successfully discharged to return home.

  11. 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.

  12. 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

    ... (44 U.S.C. 3501 et seq.). List of Subjects in 9 CFR Part 91 Animal diseases, Animal welfare, Exports... / Monday, April 4, 2011 / Rules and Regulations#0;#0; ] DEPARTMENT OF AGRICULTURE Animal and Plant Health... Inspection Facilities From the Regulations AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION...

  13. 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.

  14. A facility specialist model for improving retention of nursing home staff: results from a randomized, controlled study.

    PubMed

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

    2008-07-01

    This article reports on a randomized, controlled intervention study designed to reduce employee turnover by creating a retention specialist position in nursing homes. 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 Connecticut and randomly assigned to treatment and control conditions. Staff outcomes were measured through certified nursing assistant interviews, and turnover rates were measured over the course of the year. In the intervention condition, a staff member was selected to be the facility retention specialist, who would advocate for and implement programs to improve staff retention and commitment throughout the facility. Retention specialists received an intensive 3-day training in retention leadership and in a number of evidence-based retention programs. Ongoing support was provided throughout the project. Treatment facilities experienced significant declines in turnover rates compared to control facilities. As predicted, we found positive effects on certified nursing assistant assessments of the quality of retention efforts and of care provided in the facility; we did not find effects for job satisfaction or stress. The study provides evidence for the effectiveness of the retention specialist model. Findings from a detailed process evaluation suggest modifications of the program that may increase program effects.

  15. Resident and Facility Factors Associated With the Incidence of Urinary Tract Infections Identified in the Nursing Home Minimum Data Set.

    PubMed

    Castle, Nicholas; Engberg, John B; Wagner, Laura M; Handler, Steven

    2017-02-01

    This research examined resident and facility-specific factors associated with a diagnosis of a urinary tract infection (UTI) in the nursing home setting. Minimum Data Set and Online Survey, Certification and Reporting system data were used to identify all nursing home residents in the United States on April 1, 2006, who did not have a UTI ( n = 1,138,418). Residents were followed until they contracted a UTI (9.5%), died (8.3%), left the nursing home (33.2%), or the year ended (49.0%). A Cox proportional hazards model was estimated, controlling for resident and facility characteristics and for the state of residence. The presence of an indwelling catheter was the primary predictor of whether a resident contracted a UTI (adjusted incidence ratio = 3.35, p < .001), but only 6.1% of the residents in the sample had such a catheter. Therefore, only one eighth of the UTIs were contracted by residents with a catheter. Thus, subsequent analysis examined the populations with and without catheters separately. Demographic characteristics (such as age) have a much greater association with incidence among residents without catheters. The association with facility factors such as percentage of Medicaid residents, for-profit, and chain status was less significant. Estimates regarding staffing levels indicate that increased contact hours with more highly educated nursing staff are associated with less catheter use. Several facility-specific risk factors are of significance. Of significance, UTIs may be reduced by modifying factors such as staffing levels.

  16. 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.

  17. TRICARE; sub-acute care program; uniform skilled nursing facility benefit; home health care benefit; adopting Medicare payment methods for skilled nursing facilities and home health care providers. Final rule.

    PubMed

    2005-10-24

    This rule partially implements the TRICARE "sub-acute and long-term care program reform" enacted by Congress in the National Defense Authorization Act for Fiscal Year 2002, specifically: Establishment of "an effective, efficient, and integrated sub-acute care benefits program," with skilled nursing facility (SNF) and home health care benefits modeled after those of the Medicare program; adoption of Medicare payment methods for skilled nursing facility, home health care, and certain other institutional health care providers; adoption of Medicare rules on balance billing of beneficiaries, prohibiting it by institutional providers and limiting it by non-institutional providers; and change in the statutory exclusion of coverage for custodial and domiciliary care.

  18. A novel method for designing and optimizing the layout of facilities in bathroom for the elderly in home-based rehabilitation.

    PubMed

    Wang, Duojin; Wu, Jing; Lin, Qinglian

    2017-04-28

    The home-based rehabilitation of elderly patients improves their autonomy, independence and reintegration into society. Hence, a suitable environment plays an important role in rehabilitation, as do different assistance technologies. The majority of accidents at home involving elderly people occur in the bathroom. Therefore, the planning of the layout of facilities is important in this potentially dangerous area. This paper proposes an approach towards designing and optimizing the layout of facilities in the bathroom, based on logistical and nonlogistical relationships. A fuzzy-based analytical hierarchical process (fuzzy-AHP) is then proposed for a comprehensive evaluation of the alternatives for this layout plan. This approach was applied to the home of a 71 years old female patient, who was experiencing home-based rehabilitation. After the initial designing and optimizing of the layout of the facilities in her bathroom, a plan could then be created for her particular needs. The results of this research could then enable the home-based rehabilitation of elderly patients to be more effective. Value: This paper develops a new approach to design and optimize the layout of facilities in bathroom for the elderly. Implications for Rehabilitation Develop a new approach to design and optimize the layout of facilities in bathroom. Provide a mathematical and more scientific approach to home layout design for home-based rehabilitation. Provide new opportunities for research, for both the therapist and the patient to analyse the home facility layout.

  19. Facility versus unit level reporting of quality indicators in nursing homes when performance monitoring is the goal

    PubMed Central

    Norton, Peter G; Murray, Michael; Doupe, Malcolm B; Cummings, Greta G; Poss, Jeff W; Squires, Janet E; Teare, Gary F; Estabrooks, Carole A

    2014-01-01

    Objectives To demonstrate the benefit of defining operational management units in nursing homes and computing quality indicators on these units as well as on the whole facility. Design Calculation of adjusted Resident Assessment Instrument – Minimum Data Set 2.0 (RAI–MDS 2.0) quality indicators for: PRU05 (prevalence of residents with a stage 2–4 pressure ulcer), PAI0X (prevalence of residents with pain) and DRG01 (prevalence of residents receiving an antipsychotic with no diagnosis of psychosis), for quarterly assessments between 2007 and 2011 at unit and facility levels. Comparisons of these risk-adjusted quality indicators using statistical process control (control charts). Setting A representative sample of 30 urban nursing homes in the three Canadian Prairie Provinces. Measurements Explicit decision rules were developed and tested to determine whether the control charts demonstrated improving, worsening, unchanging or unclassifiable trends over the time period. Unit and facility performance were compared. Results In 48.9% of the units studied, unit control chart performance indicated different changes in quality over the reporting period than did the facility chart. Examples are provided to illustrate that these differences lead to quite different quality interventions. Conclusions Our results demonstrate the necessity of considering facility-level and unit-level measurement when calculating quality indicators derived from the RAI–MDS 2.0 data, and quite probably from any RAI measures. PMID:24523428

  20. Gulf Coast. Ports for Naval Defense

    DTIC Science & Technology

    1993-09-01

    information on these facilities. FUTURE DEVELOPMENT The Port Authority of the Port of Port Arthur recently purchased 33 acres of cleared waterfront land...Commander S1I79th Army Deployment Control Unit Fort Hamilton USARC Brooklyn , NY 11252-7445 (1) Commander 1182d Transportation Terminal Unit USAR...2011A 200 Stovall Street Alexandria, VA 22332-2300 (1) Commanding Officer Navy Cargo Handling and Port Group Williamsburg , VA 23185 (1) Commanding

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

    PubMed

    Mhimbira, Francis; 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

    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. 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. 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). 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 programmatic conditions.

  2. Postnatal Care Experiences and Barriers to Care Utilization for Home- and Facility-Delivered Newborns in Uganda and Zambia.

    PubMed

    Sacks, Emma; Masvawure, Tsitsi B; Atuyambe, Lynn M; Neema, Stella; Macwan'gi, Mubiana; Simbaya, Joseph; Kruk, Margaret

    2017-03-01

    Objectives The objective of this study was to examine experiences with, and barriers to, accessing postnatal care services, in the context of a maternal health initiative. Methods As part of a larger evaluation of an initiative to promote facility deliveries in 8 rural districts in Uganda and Zambia, 48 focus groups were held with recently-delivered women with previous home and facility deliveries (6 per district). Data on postnatal care experiences were translated, coded and analyzed using thematic content analysis techniques. Results were categorized into: positive postnatal care experiences, barriers to postnatal care utilization, and negative postnatal care experiences. Results Women who accessed care largely reported positive experiences, with Zambian women generally reporting more positive interactions than Ugandan women. The main reasons given for low postnatal care utilization were low awareness about the need, fear of mistreatment by clinic staff, cost and distance. In half of the focus groups, women described personal experience or knowledge of denial or threatened denial of postnatal care due to the birth location. Although outright denial of care was not common, women frequently described various types of actual or presumed discrimination because of having a home birth. Conclusions for Practice While many women reported positive experiences with postnatal care utilization, cases of delay or denial of postnatal care exist. As programs incentivize facility deliveries, the lack of focus on postnatal support may place home-delivered newborns in "double jeopardy" due to poor quality intra-partum care and reduced access to postnatal care.

  3. 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…

  4. Medicare Episodes of Illness: A Study of Hospital, Skilled Nursing Facility, and Home Health Agency Care

    PubMed Central

    Young, Karen M.; Fisher, Charles R.

    1980-01-01

    This paper analyzes charges incurred under the Medicare program for inpatient hospital, skilled nursing facility (SNF), and home health agency (HHA) care for 1976. This research was made possible through the construction of a new data set which links a beneficiary's use of these three services. Summary highlights reveal that an overwhelming majority of the 7.5 million Medicare episodes of illness do not involve post-hospital SNF or HHA care. Those episodes of illness that use only hospital care are substantially (53%) cheaper than all other episodes. A large percentage of these charge differences reflect the greater number of hospital days of care associated with post-hospital care services. However, an analysis of the beneficiaries' demographic characteristics suggests that persons who use post-hospital care generally differ from those who receive only hospital care. We found that persons who use post-hospital SNF or HHA, or both types of care are likely to be female, to have cancer, diabetes, fractured bones or a central nervous or vascular system disease, and to be older than persons who do not use these types of care. The data also show that a beneficiary's area of residence greatly influences the amount and types of care received. Persons who reside in the New England, Middle Atlantic, and Pacific Divisions are more likely to receive post-hospital care services than persons who live elsewhere in the United States. These persons also incur among the highest per capita institutional charges in the United States. Part of this variation in institutional charges per capita is explained by the high input price index found in these areas, and in some cases by the high quantity of services index. PMID:10309327

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

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-02

    ... Administrative practice and procedure, Claims, Day care, Dental health, Government contracts, Grant programs..., Incorporation by reference, Mental health programs, Nursing homes, Reporting and recordkeeping...

  7. 33 CFR 158.330 - Ports and terminals: Equipment.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Ports and terminals: Equipment... Certifying That a Port's or Terminal's Facilities Are Adequate for Receiving NLS Residue § 158.330 Ports and terminals: Equipment. Each port and terminal except ship repair yards, in order to pass the inspection under...

  8. 33 CFR 158.330 - Ports and terminals: Equipment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Ports and terminals: Equipment... Certifying That a Port's or Terminal's Facilities Are Adequate for Receiving NLS Residue § 158.330 Ports and terminals: Equipment. Each port and terminal except ship repair yards, in order to pass the inspection under...

  9. 33 CFR 158.330 - Ports and terminals: Equipment.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Ports and terminals: Equipment... Certifying That a Port's or Terminal's Facilities Are Adequate for Receiving NLS Residue § 158.330 Ports and terminals: Equipment. Each port and terminal except ship repair yards, in order to pass the inspection under...

  10. 33 CFR 158.330 - Ports and terminals: Equipment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Ports and terminals: Equipment... Certifying That a Port's or Terminal's Facilities Are Adequate for Receiving NLS Residue § 158.330 Ports and terminals: Equipment. Each port and terminal except ship repair yards, in order to pass the inspection under...

  11. Case-mix and quality indicators in Chinese elder care homes: are there differences between government-owned and private-sector facilities?

    PubMed

    Liu, Chang; Feng, Zhanlian; Mor, Vincent

    2014-02-01

    To assess the association between ownership of Chinese elder care facilities and their performance quality and to compare the case-mix profile of residents and facility characteristics in government-owned and private-sector homes. Cross-sectional study. Census of elder care homes surveyed in Nanjing (2009) and Tianjin (2010). Elder care facilities located in urban Nanjing (n = 140, 95% of all) and urban Tianjin (n = 157, 97% of all). A summary case-mix index based on activity of daily living (ADL) limitations and cognitive impairment was created to measure levels of care needs of residents in each facility. Structure, process, and outcome measures were selected to assess facility-level quality of care. A structural quality measure, understaffing relative to resident levels of care needs, which indicates potentially inadequate staffing given resident case-mix, was also developed. Government-owned homes had significantly higher occupancy rates, presumably reflecting popular demand for publicly subsidized beds, but served residents who, on average, have fewer ADL and cognitive functioning limitations than those in private-sector facilities. Across a range of structure, process, and outcome measures of quality, there is no clear evidence suggesting advantages or disadvantages of either ownership type, although when staffing-to-resident ratio is gauged relative to resident case-mix, private-sector facilities were more likely to be understaffed than government-owned facilities. In Nanjing and Tianjin, private-sector homes were more likely to be understaffed, although their residents were sicker and frailer on average than those in government facilities. It is likely that the case-mix differences are the result of selective admission policies that favor healthier residents in government facilities than in private-sector homes. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

  12. Ports Primer: 3.2 Port Governance

    EPA Pesticide Factsheets

    State and local governments are important players in port governance and in oversight of transportation projects that may affect ports. Private corporations may also play a role if they lease or own a terminal at a port.

  13. 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

  14. 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.

  15. 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…

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

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of a State home must be designed, constructed, equipped, and maintained to protect the health and... the American Institute of Architects, or other general conditions required by the State, for awarding..., including the Uniform Federal Accessibility Standards (UFAS) (24 CFR part 40, appendix A), during the...

  17. 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…

  18. 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)

  19. Port Security in the Persian Gulf

    DTIC Science & Technology

    2008-06-01

    national oil company , Saudi Aramco , claim to have invested massive resources in order to ensure the security of vital infrastructure. It is unclear...port security, ISPS, CSI, Saudi Arabia , United Arab Emirates, Iraq, maritime infrastructure, IMO, port facility, terrorism, smuggling, oil , fuel...petrochemicals and LPG.40 Petroleum exports shipped through Saudi Aramco -controlled ports are also significant. After Saudi oil is pumped from fields

  20. Nursing home facility risk factors for infection and hospitalization: importance of registered nurse turnover, administration, and social factors.

    PubMed

    Zimmerman, Sheryl; Gruber-Baldini, Ann L; Hebel, J Richard; Sloane, Philip D; Magaziner, Jay

    2002-12-01

    Determine the relationship between a broad array of structure and process elements of nursing home care and (a) resident infection and (b) hospitalization for infection. Baseline data were collected from September 1992 through March 1995, and residents were followed for 2 years; facility data were collected at the midpoint of follow-up. A stratified random sample of 59 nursing homes across Maryland. Two thousand fifteen new admissions aged 65 and older. Facility-level data were collected from interviews with facility administrators, directors of nursing, and activity directors; record abstraction; and direct observation. Main outcome measures included infection (written diagnosis, a course of antibiotic therapy, or radiographic confirmation of pneumonia) and hospitalization for infection (indicated on medical records). The 2-year rate of infection was 1.20 episodes per 100 resident days, and the hospitalization rate for infection was 0.17 admissions per 100 resident days. Except for registered nurse (RN) turnover, which related to both infection and hospitalization, different variables related to each outcome. High rates of incident infection were associated with more Medicare recipients, high levels of physical/occupational therapist staffing, high licensed practical nurse staffing, low nurses' aide staffing, high intensity of medical and therapeutic services, dementia training, staff privacy, and low levels of psychotropic medication use. High rates of hospitalization for infection were associated with for-profit ownership, chain affiliation, poor environmental quality, lack of resident privacy, lack of administrative emphasis on staff satisfaction, and low family/friend visitation rates. Adjustment for resident sex, age, race, education, marital status, number of morbid diagnoses, functional status, and Resource Utilization Group, Version III score did not alter the relationship between the structure and process of care and outcomes. The association between RN

  1. [System for dispensing medicines in home medical care-pharmacy's function as medical care facility-].

    PubMed

    Kushida, Kazuki; Ebihara, Tsuyoshi; Shiraishi, Takeya

    2011-12-01

    The continually increasing pace of the graying of Japan's population has brought us tremendous changes in the function of pharmacy and role of the pharmacist responsible for medical treatment for regional populations. In 1994, the then-Ministry of Health and Welfare suggested a maturity model for dispensing pharmacies, announcing that pharmacies at the 4th level of maturity should participate in the home medical care system. This participation of pharmacies in the home medical care system involved a separation of the prescribing and dispensing of drugs and clinics have been separated, and pharmacy now furnishing medicines. With the separation of prescribing and dispensing, the total number of prescriptions filled by pharmacists exceeds 700 million prescriptions, over 60%of the total number of legal prescriptions, firmly established this system in society. However, problems still remain in regard to the system for dispensing injectable medicines and responding to demand for pediatric prescriptions. This report discusses issues related to the system for furnishing medicines as the home medical care system advances.

  2. 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.

  3. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... emergency standby generator of sufficient size to serve the connected load or other approved sources. (f... provisions of the National Fire Protection Association's NFPA 101, Life Safety Code (2009 edition), except... edition of the Code by the agency or jurisdiction”), and the NFPA 99, Standard for Health Care Facilities...

  4. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... emergency standby generator of sufficient size to serve the connected load or other approved sources. (f... provisions of the National Fire Protection Association's NFPA 101, Life Safety Code (2009 edition), except... edition of the Code by the agency or jurisdiction”), and the NFPA 99, Standard for Health Care Facilities...

  5. 38 CFR 59.130 - General requirements for all State home facilities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... emergency standby generator of sufficient size to serve the connected load or other approved sources. (f... provisions of the National Fire Protection Association's NFPA 101, Life Safety Code (2009 edition), except... edition of the Code by the agency or jurisdiction”), and the NFPA 99, Standard for Health Care Facilities...

  6. Power Begins at Home: DoD’s Facilities Energy Strategy

    DTIC Science & Technology

    2011-10-31

    Effectively low cost per Watt installed •  Validate whether BIPV roofs can endure weather conditions as well as conventional roofs –  Luke AFB...Promote adoption of BIPV roof technology within DoD through the Unified Facilities Guide Specification (UFGS) •  NAVFAC ESC •  Lawrence Berkeley

  7. From home deliveries to health care facilities: establishing a traditional birth attendant referral program in Kenya.

    PubMed

    Tomedi, Angelo; Stroud, Sophia R; Maya, Tania Ruiz; Plaman, Christopher R; Mwanthi, Mutuku A

    2015-07-16

    To assess the effectiveness of a traditional birth attendant (TBA) referral program on increasing the number of deliveries overseen by skilled birth attendants (SBA) in rural Kenyan health facilities before and after the implementation of a free maternity care policy. In a rural region of Kenya, TBAs were recruited to educate pregnant women about the importance of delivering in healthcare facilities and were offered a stipend for every pregnant woman whom they brought to the healthcare facility. We evaluated the percentage of prenatal care (PNC) patients who delivered at the intervention site compared with the percentage of PNC patients who delivered at rural control facilities, before and after the referral program was implemented, and before and after the Kenya government implemented a policy of free maternity care. The window period of the study was from July of 2011 through September 2013, with a TBA referral intervention conducted from March to September 2013. The absolute increases from the pre-intervention period to the TBA referral intervention period in SBA deliveries were 5.7 and 24.0% in the control and intervention groups, respectively (p < 0.001). The absolute increases in SBA delivery rates from the pre-intervention period to the intervention period before the implementation of the free maternity care policy were 4.7 and 17.2% in the control and intervention groups, respectively (p < 0.001). After the policy implementation the absolute increases from pre-intervention to post-intervention were 1.8 and 11.6% in the control and intervention groups, respectively (p < 0.001). The percentage of SBA deliveries at the intervention health facility significantly increased compared to control health facilities when TBAs educated women about the need to deliver with a SBA and when TBAs received a stipend for bringing women to local health facilities to deliver. Furthermore, this TBA referral program proved to be far more effective in the target region

  8. 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, ...

  9. 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, ...

  10. 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.

  11. 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 to...

  12. 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 to...

  13. 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 to...

  14. 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 to...

  15. 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 to...

  16. 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... PROTECTION AND SECURITY OF VESSELS, HARBORS, AND WATERFRONT FACILITIES Definitions § 6.01-3 Captain of the Port. Captain of the Port as used in this part, means the officer of the Coast Guard, under the...

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

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Captain of the Port. 6.01-3... PROTECTION AND SECURITY OF VESSELS, HARBORS, AND WATERFRONT FACILITIES Definitions § 6.01-3 Captain of the Port. Captain of the Port as used in this part, means the officer of the Coast Guard, under the...

  18. 33 CFR 6.01-3 - Captain of the Port.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Captain of the Port. 6.01-3... PROTECTION AND SECURITY OF VESSELS, HARBORS, AND WATERFRONT FACILITIES Definitions § 6.01-3 Captain of the Port. Captain of the Port as used in this part, means the officer of the Coast Guard, under the...

  19. 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... PROTECTION AND SECURITY OF VESSELS, HARBORS, AND WATERFRONT FACILITIES Definitions § 6.01-3 Captain of the Port. Captain of the Port as used in this part, means the officer of the Coast Guard, under the...

  20. 33 CFR 6.01-3 - Captain of the Port.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Captain of the Port. 6.01-3... PROTECTION AND SECURITY OF VESSELS, HARBORS, AND WATERFRONT FACILITIES Definitions § 6.01-3 Captain of the Port. Captain of the Port as used in this part, means the officer of the Coast Guard, under the...

  1. 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

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION... Port AGENCY: Maritime Administration, Department of Transportation. ACTION: Notice of Intent; Notice of... Transportation, Docket Management Facility, West Building, Ground Floor, Room W12-140, 1200 New Jersey Avenue SE...

  2. [Well-Being in old age – content validity of the Ryff Scale for residents of nursing homes and assisted living facilities].

    PubMed

    Bernsteiner, Mariella; Boggatz, Thomas

    2016-01-01

    Well-being is an important but rarely assessed outcome of care. The Ryff Scale of Psychological Well-Being measures this concept, but was not designed specifically for residents of assisted living facilities and nursing homes. To create a variant of this scale for the elderly in nursing homes and assisted living facilities in German speaking regions and to determine its content validity. A study was conducted in Salzburg using the Delphi method, which consisted of two rounds containing 56 experts working in nursing homes and assisted living facilities. Suggestions for improvements were obtained by means of open-end questions. Acceptance of the items was rated on a 4-point Likert-scale. Items were accepted if a minimum of 80 % of the experts agreed at least partially. During the qualitative analysis the statements of the experts were compared and summarised into codes and categories. In the first round (response rate: 34.6 %) 38 items out of 54 items were modified. The revised questionnaire received approval (≥ 80 %) for all items in the second round (response rate: 64.7 %). The experts criticised the phrasing of some items and also aspects of well-being, which in their opinion, are not relevant for the elderly in need of care anymore (e. g. performance of obligations). A modified scale was developed which was deemed appropriate by the experts for residents of nursing homes and assisted living facilities. This scale now requires psychometric testing.

  3. Near-Port Communities

    EPA Pesticide Factsheets

    Information to help near-port community leaders participate effectively in the decision-making process by increasing the understanding of the role of ports, how ports can impact local land use, economic trends, and environment.

  4. Port CQ

    NASA Image and Video Library

    2015-04-24

    ISS043E137178 (04/24/2015) --- NASA astronaut Scott Kelly on the International Space Station shows off his personal living quarters in space. Scott tweeted this image out with the comment: " My #bedroom aboard #ISS. All the comforts of #home. Well, most of them. #YearInSpace".

  5. Evaluation and Repair of War-Damaged Port Facilities. Report 4. Concepts for Expedient War-Damage Repair of Pier and Wharf Support Structures

    DTIC Science & Technology

    1986-10-01

    Materials Following hostile action on a port, there will be substantial debris to be disposed of and repairs to be made. If repairs must be done...wwovtf w itofrt and stacking or pHing on süt lor ramoval st ground *yal. 3 For disposal up to fiv» Mies, us* t.S man-hours per cubic yard...tor salvage of materials (cleaning, pulling naKs . etc.) is included In this Table 3-14. Hand Excavation MAN-NOURS WORK ELEMENT DESCRIPTION UNIT

  6. 76 FR 14652 - Port Barre Investments, L.L.C.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-17

    ... Energy Regulatory Commission Port Barre Investments, L.L.C.; Notice of Application Take notice that on March 4, 2011, Port Barre Investments, L.L.C. (Bobcat) filed in Docket No. CP11-124-000 an application... pipeline facilities. \\1\\ Port Barre Investments, L.L.C., 126 FERC ] 61,240 (2009). \\2\\ Port Barre...

  7. Facilities

    NASA Technical Reports Server (NTRS)

    1999-01-01

    An expansion of medical data collection facilities was necessary to implement the Extended Duration Orbiter Medical Project (EDOMP). The primary objective of the EDOMP was to ensure the capability of crew members to reenter the Earth's atmosphere, land, and egress safely following a 16-day flight. Therefore, access to crew members as soon as possible after landing was crucial for most data collection activities. Also, with the advent of EDOMP, the quantity of investigations increased such that the landing day maximum data collection time increased accordingly from two hours to four hours. The preflight and postflight testing facilities at the Johnson Space Center (JSC) required only some additional testing equipment and minor modifications to the existing laboratories in order to fulfill EDOMP requirements. Necessary modifications at the landing sites were much more extensive.

  8. Airborne particles in indoor environment of homes, schools, offices and aged care facilities: The main routes of exposure.

    PubMed

    Morawska, L; Ayoko, G A; Bae, G N; Buonanno, G; Chao, C Y H; Clifford, S; Fu, S C; Hänninen, O; He, C; Isaxon, C; Mazaheri, M; Salthammer, T; Waring, M S; Wierzbicka, A

    2017-11-01

    It has been shown that the exposure to airborne particulate matter is one of the most significant environmental risks people face. Since indoor environment is where people spend the majority of time, in order to protect against this risk, the origin of the particles needs to be understood: do they come from indoor, outdoor sources or both? Further, this question needs to be answered separately for each of the PM mass/number size fractions, as they originate from different sources. Numerous studies have been conducted for specific indoor environments or under specific setting. Here our aim was to go beyond the specifics of individual studies, and to explore, based on pooled data from the literature, whether there are generalizable trends in routes of exposure at homes, schools and day cares, offices and aged care facilities. To do this, we quantified the overall 24h and occupancy weighted means of PM10, PM2.5 and PN - particle number concentration. Based on this, we developed a summary of the indoor versus outdoor origin of indoor particles and compared the means to the WHO guidelines (for PM10 and PM2.5) and to the typical levels reported for urban environments (PN). We showed that the main origins of particle metrics differ from one type of indoor environment to another. For homes, outdoor air is the main origin of PM10 and PM2.5 but PN originate from indoor sources; for schools and day cares, outdoor air is the source of PN while PM10 and PM2.5 have indoor sources; and for offices, outdoor air is the source of all three particle size fractions. While each individual building is different, leading to differences in exposure and ideally necessitating its own assessment (which is very rarely done), our findings point to the existence of generalizable trends for the main types of indoor environments where people spend time, and therefore to the type of prevention measures which need to be considered in general for these environments. Copyright © 2017 The Authors

  9. 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 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...

  10. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 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...

  11. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 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...

  12. 33 CFR 158.210 - Ports and terminals loading crude oil.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 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...

  13. 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...

  14. Severe Weather Guide - Mediterranean Ports - 24. Cartagena

    DTIC Science & Technology

    1988-08-01

    number) This handbook for the port of Cartagena, one in a series of severe weather guides for Mediterranean ports, provides decision-making guidance for... handbook is organized in four sections for ready reference: general guidance on handbook content and use; a quick-look captain’s summary; a more...34 R - 8 8 - RC (20) Un c lass i -f i ed rep or t DE (23) *PORTS, (FACILITIES), *1A|EA! HER, HANDBOOKS , HAZARDS, riED I 1 ::;;.;■ :H.:i:;;.HN EiEA

  15. Port-Wine Stains

    MedlinePlus

    ... their own, they can be treated. In fact, laser therapies can make many port-wine stains much ... mark might be. The good news is that lasers (highly concentrated light energy) can make many port- ...

  16. Learning binary matroid ports

    SciTech Connect

    Coullard, C.; Hellerstein, L.

    1994-12-31

    Given a binary matroid M specified by a port oracle, we can in polynomial number of calls to the oracle construct a binary representation for M. For general matroids, we can in polynomial number of calls to a port oracle determine whether a given subset is independent (that is, we can simulate an independence oracle with a port oracle). The work is related to a theorem of Lehman on matroid ports, and is motivated by issues in computational learning theory.

  17. 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

  18. Entry/Exit Port testing, test report

    SciTech Connect

    Winkelman, R.H.

    1993-05-01

    The Waste Receiving and Processing Module I (WRAP-1) facility must have the ability to allow 55-gallon drums to enter and exit glovebox enclosures. An Entry/Exit Port (Appendix 1, Figure 1), designed by United Engineers and Constructors (UE&C), is one method chosen for drum transfer. The Entry/Exit Port is to be used for entry of 55-gallon drums into both process entry gloveboxes, exit of 55-gallon drum waste pucks from the low-level waste (LLW) glovebox, and loadout of waste from the restricted waste management glovebox. The Entry/Exit Port relies on capture velocity air flow and a neoprene seal to provide alpha confinement when the Port is in the open and closed positions, respectively. Since the glovebox is in a slight vacuum, air flow is directed into the glovebox through the space between the overpack drum and glovebox floor. The air flow is to direct any airborne contamination into the glovebox. A neoprene seal is used to seal the Port door to the glovebox floor, thus maintaining confinement in the closed position. Entry/Exit Port testing took place February 17, 1993, through April 14, 1993, in the 305 building of Westinghouse Hanford Company. Testing was performed in accordance with the Entry/Exit Port Testing Test Plan, document number WHC-SD-WO26-TP-005. A prototype Entry/Exit Port built at the Hanford Site was tested using fluorescent paint pigment and smoke candles as simulant contaminants. This test report is an interim test report. Further developmental testing is required to test modifications made to the Port as the original design of the Port did not provide complete confinement during all stages of operation.

  19. Severe Weather Guide - Mediterranean Ports. 13. Monaco

    DTIC Science & Technology

    1988-03-01

    harbor -facilities at the Port o-f Monaco are situated between Cap d’Ail, about 1 n mi southwest, and Point of la Veille , about 1 n mi northeast...Figure 2-2). • y^"^ -POINT OF LA VEILLE SCALE IN NAUTICAL MILES 0 0.5 t ji 1 t MONTE-CARLO / 5...harbor -facilities o-f the Port of Monaco are situated between Cap d’Ail, about 1 n mi southwest, and Point of la Veille , about 1 n mi northeast (Figure

  20. 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

  1. 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.

  2. Grants to states for construction or acquisition of state home facilities--update of authorized beds. Final rule.

    PubMed

    2010-04-08

    This document adopts as a final rule the proposed rule to amend Department of Veterans Affairs (VA) regulations regarding grants to States for construction or acquisition of State homes. This final rule updates the maximum number of nursing home and domiciliary beds designated for each State and amends the definition of "State" for purposes of these grants to include Guam, the Northern Mariana Islands, and American Samoa.

  3. Implementation of Home based management of malaria in children reduces the work load for peripheral health facilities in a rural district of Burkina Faso

    PubMed Central

    Tiono, Alfred B; Kaboré, Youssouf; Traoré, Abdoulaye; Convelbo, Nathalie; Pagnoni, Franco; Sirima, Sodiomon B

    2008-01-01

    Background Home Management of Malaria (HMM) is one of the key strategies to reduce the burden of malaria for vulnerable population in endemic countries. It is based on the evidence that well-trained communities health workers can provide prompt and adequate care to patients close to their homes. The strategy has been shown to reduce malaria mortality and severe morbidity and has been adopted by the World Health Organization as a cornerstone of malaria control in Africa. However, the potential fall-out of this community-based strategy on the work burden at the peripheral health facilities level has never been investigated. Methods A two-arm interventional study was conducted in a rural health district of Burkina Faso. The HMM strategy has been implemented in seven community clinics catchment's area (intervention arm). For the other seven community clinics in the control arm, no HMM intervention was implemented. In each of the study arms, presumptive treatment was provided for episodes of fevers/malaria (defined operationally as malaria). The study drug was artemether-lumefantrine, which was sold at a subsidized price by community health workers/Key opinion leaders at the community level and by the pharmacists at the health facility level. The outcome measured was the proportion of malaria cases among all health facility attendance (all causes diseases) in both arms throughout the high transmission season. Results A total of 7,621 children were enrolled in the intervention arm and 7,605 in the control arm. During the study period, the proportions of malaria cases among all health facility attendance (all causes diseases) were 21.0%, (445/2,111, 95% CI [19.3%–22.7%]) and 70.7% (2,595/3,671, 95% CI 68.5%–71.5%), respectively in the intervention and control arms (p << 0.0001). The relative risk ratio for a fever/malaria episode to be treated at the HF level was 30% (0.30 < RR < 0.32). The number of malaria episodes treated in the intervention arm was much higher

  4. 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.

  5. Impact of establishing an Alzheimer's special care unit in a nursing home on facility occupancy and payer mix.

    PubMed

    Castle, Nicholas G

    2007-01-01

    In this research, we used national data collected over a period of 12 years (1991 to 2003) to examine whether nursing homes opening an Alzheimer's Special Care Unit (A-SCU) subsequently influenced their occupancy, Medicare payer mix, or private-pay mix. Data used in this investigation primarily came from the 1991 to 2003 On-line Survey Certification of Automated Records and the Area Resource File. Approximately, 20% (n=2,815) of nursing homes had an A-SCU in 2003. We found that opening an A-SCU promoted more favorable occupancy rates and private-pay mix, but did not influence Medicare payer mix. Three years after opening an A-SCU, the gain in occupancy rate for nursing homes was more than 3% and the gain in private-pay census was approximately 2%. These gains occurred while the national trend was one of declining occupancy and private-pay census.

  6. Effects of small-scale, home-like facilities in dementia care on residents' behavior, and use of physical restraints and psychotropic drugs: a quasi-experimental study.

    PubMed

    Verbeek, Hilde; Zwakhalen, Sandra M G; van Rossum, Erik; Ambergen, Ton; Kempen, Gertrudis I J M; Hamers, Jan P H

    2014-04-01

    Small-scale, home-like care environments are increasingly implemented in institutional nursing care as a model to promote resident-directed care, although evidence on its effects is sparse. This study focuses on the effects of small-scale living facilities on the behavior of residents with dementia and use of physical restraints and psychotropic drugs. A quasi-experimental study was conducted comparing residents in two types of long-term institutional nursing care (i.e., small-scale living facilities and traditional psychogeriatric wards) on three time points: at baseline and follow-ups after six and 12 months. Residents were matched at baseline on cognitive and functional status to increase comparability of groups at baseline. Nurses assessed neuropsychiatric and depressive symptoms, agitation, social engagement, and use of physical restraints using questionnaires. Psychotropic drug use was derived from residents' medical records. In total, 259 residents were included: 124 in small-scale living facilities and 135 controls. Significantly fewer physical restraints and psychotropic drugs were used in small-scale living facilities compared with traditional wards. Residents in small-scale living facilities were significantly more socially engaged, at baseline and after six months follow-up, and displayed more physically non-aggressive behavior after 12 months than residents in traditional wards. No other differences were found. This study suggests positive effects of small-scale living facilities on the use of physical restraints and psychotropic drugs. However, the results for behavior were mixed. More research is needed to gain an insight on the relationship between dementia care environment and other residents' outcomes.

  7. 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…

  8. 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... each State based on the projected demand for care ten years in the future and that this method would...

  9. Racial Inequities in Receipt of Influenza Vaccination Among Nursing Home Residents in the United States, 2008–2009: A Pattern of Low Overall Coverage in Facilities in Which Most Residents are Black

    PubMed Central

    Bardenheier, Barbara; Wortley, Pascale; Shefer, Abigail; McCauley, Mary Mason; Gravenstein, Stefan

    2015-01-01

    Objectives Nationwide among nursing home residents, receipt of the influenza vaccine is 8 to 9 percentage points lower among blacks than among whites. The objective of this study was to determine if the national inequity in vaccination is because of the characteristics of facilities and/or residents. Design Cross-sectional study with multilevel modeling. Setting and Participants States in which 1% or more of nursing home residents were black and the difference in influenza vaccination coverage between white and black nursing home residents was 1 percentage point or higher (n = 39 states and the District of Columbia). Data on residents (n = 2,359,321) were obtained from the Centers for Medicare & Medicaid Service’s Minimum Data Set for October 1, 2008, through March 31, 2009. Measurements Residents’ influenza vaccination status (vaccinated, refused vaccine, or not offered vaccination). Results States with higher overall influenza vaccination coverage among nursing home residents had smaller racial inequities. In nursing homes with higher proportions of black residents, vaccination coverage was lower for both blacks and whites. The most dramatic inequities existed between whites in nursing homes with 0% blacks (L1) and blacks in nursing homes with 50% or more blacks (L5) in states with overall racial inequities of 10 percentage points or more. In these states, more black nursing home residents lived in nursing homes with 50% or more blacks (L5); in general, the same homes with low overall coverage. Conclusion Inequities in influenza vaccination coverage among nursing home residents are largely because of low vaccination coverage in nursing homes with a high proportion of black residents. Findings indicate that implementation of culturally appropriate interventions to increase vaccination in facilities with larger proportions of black residents may reduce the racial gap in influenza vaccination as well as increase overall state-level vaccination. PMID:22420974

  10. 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 Port...

  11. 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 Port...

  12. 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 Port...

  13. 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 Port...

  14. 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 Port...

  15. Nursing homes and intermediate care facilities mortgage insurance eligibility requirements definitions: Department of Housing and Urban Development (HUD). Final rule.

    PubMed

    1980-05-30

    This final rule amends Part 232 to allow mortgage insurance for additional facilities for nonresident care of elderly individuals and others who are able to live independently but who require care during the day.

  16. KENNEDY SPACE CENTER, FLA. - STS-115 Mission Specialist Heidemarie Stefanyshyn-Piper talks to workers in the Space Station Processing Facility. She and other crew members are at KSC for hardware familiarization. The mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

    NASA Image and Video Library

    2003-07-18

    KENNEDY SPACE CENTER, FLA. - STS-115 Mission Specialist Heidemarie Stefanyshyn-Piper talks to workers in the Space Station Processing Facility. She and other crew members are at KSC for hardware familiarization. The mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

  17. Ports Primer: 2.0 The Role of Ports

    EPA Pesticide Factsheets

    Our nation’s ports are an important part of our national economy and intermodal transportation system. The port industry faces many challenges, many of which can also involve and affect near-port communities.

  18. Ports Primer: 4.1 Port Impacts to Local Communities

    EPA Pesticide Factsheets

    State and local governments are important players in port governance and in oversight of transportation projects that may affect ports. Private corporations may also play a role if they lease or own a terminal at a port.

  19. Ports Primer: 4.0 Port-Community Relations

    EPA Pesticide Factsheets

    Ports support and benefit local, regional and national economies through their role in creating jobs and transporting goods. The relationship between ports and near-port communities can be complex, as illustrated by case studies.

  20. Suicide attempts and completions in Veterans Affairs nursing home care units and long-term care facilities: a review of root-cause analysis reports.

    PubMed

    Mills, Peter D; Gallimore, Bradley I; Watts, B Vince; Hemphill, Robin R

    2016-05-01

    Suicide was the 10th leading cause of death for Americans in 2010. The suicide rate is highest among men who are aged 75 and older. The prevalence of suicidal behavior in nursing homes and long-term care (LTC) facilities was estimated to be 1%. This study describes the systemic vulnerabilities found after suicidal behavior in LTC facilities as well as steps to decrease or mitigate the risk. This is a retrospective review of root-cause analysis (RCA) reports of suicide attempts and completions between 1 January 2000 and 31 December 2013 in the Veterans Health Administration LTC and nursing home care units. The RCA reports of suicide attempts and completions were coded for patient demographics, method of attempt or completion, root causes, and actions developed to address the root cause. Thirty-five RCA reports were identified. The average age was 65 years, 11 had a previous suicide attempt, and the primary mental health diagnoses were depression, posttraumatic stress disorder, and schizophrenia. The primary methods of self-harm were cutting with a sharp object, overdose, and strangulation. It is recommended that all staff members are aware of the signs and risk factors for depression and suicide in this population and should systematically assess and treat mental disorders. In addition, LTC facilities should have a standard protocol for evaluating the environment for suicide hazards and use interdisciplinary teams to promote good communication about risk factors identified among patients. Finally, staff should go beyond staff education and policy to make clinical changes at the bedside. Published 2015. This article is a U.S. Government work and is in the public domain in the USA. Published 2015. This article is a U.S. Government work and is in the public domain in the USA.

  1. Port-wine stain

    MedlinePlus

    ... Laser therapy is most successful in removing port-wine stains. It is the only method that can destroy the tiny blood vessels in the skin without causing much damage to the skin. The exact type ... on the person's age, skin type, and particular port-wine stain.

  2. Port Stakeholder Summit - April 2014

    EPA Pesticide Factsheets

    EPA's National Port Stakeholders Summit, Advancing More Sustainable Ports, focused on actions to protect air quality while reducing climate risk and supporting economic growth, making ports more environmentally sustainable.

  3. 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…

  4. Skilled nursing or rehabilitation facilities

    MedlinePlus

    ... skilled nursing or rehabilitation facility. Who Needs to go to a Skilled Nursing or Rehabilitation Facility? Your ... ones can manage at home. Before you can go home from the hospital, you should be able ...

  5. 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

  6. 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."

  7. Port-Wine Stains

    MedlinePlus

    ... their own, they can be treated. In fact, laser therapies can make many port-wine stains much less ... aren't as effective — or as safe — as laser therapy. Laser surgery is the only treatment that works ...

  8. National Port Strategy Assessment

    EPA Pesticide Factsheets

    The assessment finds that air pollution at the Nation's ports can be significantly reduced by implementing currently available strategies and technologies to reduce emissions of harmful pollutants from diesel vehicles and engines.

  9. Port Security Strategy 2012

    DTIC Science & Technology

    2007-06-15

    into a major petrochemical hub, an increase in the number of tanker calls can be expected [8]. 12 There are a total of thirty-two anchorages and... emission scanners) or similar systems be incorporated. The majority of the additional screening should be based on intelligence of possible threats...defray intruders from planting contraband in containers. In addition, the procedures that the port authority and port operators devise, 39 such

  10. Prevalence of Musculoskeletal Disorders for Nurses in Hospitals, Long-Term Care Facilities, and Home Health Care: A Comprehensive Review.

    PubMed

    Davis, Kermit G; Kotowski, Susan E

    2015-08-01

    The aim of this study was to determine the prevalence of musculoskeletal pain and reported injuries for nurses and nursing aides. Nurses and nursing aides suffer from work-related pain and musculoskeletal disorders (MSDs). Although there have been a plethora of studies on MSDs, an overall understanding of the prevalence of MSDs and pain can lead to better prioritization of research needs with respect to the health care industry. A total of 132 articles on prevalence of MSD pain and injuries were included in the review. All articles were published in peer-reviewed English-speaking journals and subjected to a quality review. Reported prevalence of MSD pain for nurses and nursing aides was highest in the low back, followed by shoulders and neck. However, the majority of the studies have been concentrated on 12-month pain in the low back and predominantly in hospitals. Few researchers have investigated pain in the upper and lower extremities (less than 27% of the studies). Even fewer researchers have evaluated reported injuries or even subjective lost-time injuries (less than 15% of the studies). MSD pain in the nursing profession has been widely investigated worldwide, with a major focus on low-back pain. Given new directions in health care, such as patients who live longer with more chronic diseases, bariatric patients, early mobility requirements, and those who want to be at home during sickness, higher prevalence levels may shift to different populations--home health care workers, long-term care workers, and physical therapists--as well as shift to different body regions, such as shoulders and upper extremities. © 2015, Human Factors and Ergonomics Society.

  11. 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.

  12. 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.

  13. 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…

  14. A Pilot Health Information Technology-Based Effort to Increase the Quality of Transitions From Skilled Nursing Facility to Home: Compelling Evidence of High Rate of Adverse Outcomes.

    PubMed

    Donovan, Jennifer L; Kanaan, Abir O; Gurwitz, Jerry H; Tjia, Jennifer; Cutrona, Sarah L; Garber, Lawrence; Preusse, Peggy; Field, Terry S

    2016-04-01

    Older adults are often transferred from hospitals to skilled nursing facilities (SNFs) for post-acute care. Patients may be at risk for adverse outcomes after SNF discharges, but little research has focused on this period. Assessment of the feasibility of a transitional care intervention based on a combination of manual information transmission and health information technology to provide automated alert messages to primary care physicians and staff; pre-post analysis to assess potential impact. A multispecialty group practice. Adults aged 65 and older, discharged from SNFs to home; comparison group drawn from SNF discharges during the previous 1.5 years, matched on facility, patient age, and sex. For the pre-post analysis, we tracked rehospitalization within 30 days after discharge and adverse drug events within 45 days. The intervention was developed and implemented with manual transmission of information between 8 SNFs and the group practice followed by entry into the electronic health record. The process required a 5-day delay during which a large portion of the adverse events occurred. Over a 1-year period, automated alert messages were delivered to physicians and staff for the 313 eligible patients discharged from the 8 SNFs to home. We compared outcomes to those of individually matched discharges from the previous 1.5 years and found similar percentages with 30-day rehospitalizations (31% vs 30%, adjusted HR 1.06, 95% CI 0.80-1.4). Within the adverse drug event (ADE) study, 30% of the discharges during the intervention period and 30% of matched discharges had ADEs within 45 days. Older adults discharged from SNFs are at high risk of adverse outcomes immediately following discharge. Simply providing alerts to outpatient physicians, especially if delivered multiple days after discharge, is unlikely to have any impact on reducing these rates. Copyright © 2016 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All

  15. 23. CREW'S BERTHING, TOWARDS PORT, BUNKS ALONG PORT WALL, LOCKERS ...

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

    23. CREW'S BERTHING, TOWARDS PORT, BUNKS ALONG PORT WALL, LOCKERS LINE CROSS CORRIDOR. - U.S. Coast Guard Cutter WHITE LUPINE, U.S. Coast Guard Station Rockland, east end of Tillson Avenue, Rockland, Knox County, ME

  16. 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

  17. Delivering at home or in a health facility? health-seeking behaviour of women and the role of traditional birth attendants in Tanzania

    PubMed Central

    2013-01-01

    Background Traditional birth attendants retain an important role in reproductive and maternal health in Tanzania. The Tanzanian Government promotes TBAs in order to provide maternal and neonatal health counselling and initiating timely referral, however, their role officially does not include delivery attendance. Yet, experience illustrates that most TBAs still often handle complicated deliveries. Therefore, the objectives of this research were to describe (1) women’s health-seeking behaviour and experiences regarding their use of antenatal (ANC) and postnatal care (PNC); (2) their rationale behind the choice of place and delivery; and to learn (3) about the use of traditional practices and resources applied by traditional birth attendants (TBAs) and how they can be linked to the bio-medical health system. Methods Qualitative and quantitative interviews were conducted with over 270 individuals in Masasi District, Mtwara Region and Ilala Municipality, Dar es Salaam, Tanzania. Results The results from the urban site show that significant achievements have been made in terms of promoting pregnancy- and delivery-related services through skilled health workers. Pregnant women have a high level of awareness and clearly prefer to deliver at a health facility. The scenario is different in the rural site (Masasi District), where an adequately trained health workforce and well-equipped health facilities are not yet a reality, resulting in home deliveries with the assistance of either a TBA or a relative. Conclusions Instead of focusing on the traditional sector, it is argued that more attention should be paid towards (1) improving access to as well as strengthening the health system to guarantee delivery by skilled health personnel; and (2) bridging the gaps between communities and the formal health sector through community-based counselling and health education, which is provided by well-trained and supervised village health workers who inform villagers about promotive

  18. Delivering at home or in a health facility? health-seeking behaviour of women and the role of traditional birth attendants in Tanzania.

    PubMed

    Pfeiffer, Constanze; Mwaipopo, Rosemarie

    2013-02-28

    Traditional birth attendants retain an important role in reproductive and maternal health in Tanzania. The Tanzanian Government promotes TBAs in order to provide maternal and neonatal health counselling and initiating timely referral, however, their role officially does not include delivery attendance. Yet, experience illustrates that most TBAs still often handle complicated deliveries. Therefore, the objectives of this research were to describe (1) women's health-seeking behaviour and experiences regarding their use of antenatal (ANC) and postnatal care (PNC); (2) their rationale behind the choice of place and delivery; and to learn (3) about the use of traditional practices and resources applied by traditional birth attendants (TBAs) and how they can be linked to the bio-medical health system. Qualitative and quantitative interviews were conducted with over 270 individuals in Masasi District, Mtwara Region and Ilala Municipality, Dar es Salaam, Tanzania. The results from the urban site show that significant achievements have been made in terms of promoting pregnancy- and delivery-related services through skilled health workers. Pregnant women have a high level of awareness and clearly prefer to deliver at a health facility. The scenario is different in the rural site (Masasi District), where an adequately trained health workforce and well-equipped health facilities are not yet a reality, resulting in home deliveries with the assistance of either a TBA or a relative. Instead of focusing on the traditional sector, it is argued that more attention should be paid towards (1) improving access to as well as strengthening the health system to guarantee delivery by skilled health personnel; and (2) bridging the gaps between communities and the formal health sector through community-based counselling and health education, which is provided by well-trained and supervised village health workers who inform villagers about promotive and preventive health services, including

  19. 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

  20. Tsunami Defense Efforts at Samcheok Port, Korea

    NASA Astrophysics Data System (ADS)

    Cho, Y. S.

    2016-02-01

    Tsunamis mainly triggered by impulsive undersea motions are long waves and can propagate a long distance. Thus, they can cause huge casualties not only neighboring countries but also distant countries. Recently, several devastating tsunamis have been occurred around the Pacific Ocean rim. Among them, the Great East Japan tsunami occurred on March 11, 2011 is probably recorded as one of the most destructive tsunamis during last several decades. The Tsunami killed more than 20,000 people (including missing people) and deprived of property damage of approximately 300 billion USD. The eastern coast of the Korean Peninsula has been attacked historically by unexpected tsunami events. These tsunamis were generated by undersea earthquakes occurred off the west coast of Japan. For example, the Central East Sea Tsunami occurred on May 26, 1983 killed 3 people and caused serious property damage at Samcheok Port located at the eastern coast of Korea. Thus, a defense plan against unexpected tsunami strikes is an essential task for the port authority to protect lives of human beings and port facilities. In this study, a master plan of tsunami defense is introduced at Samcheok Port. A tsunami hazard map is also made by employing both propagation and inundation models. Detailed defense efforts are described including the procedure of development of a tsunami hazard map. Keywords: tsunami, hazard map, run-up height, emergency action plan

  1. 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)

  2. Port Gibson, Mississippi, Revisited.

    ERIC Educational Resources Information Center

    Carter, Charles E.

    1982-01-01

    Reviews the background of and salient issues raised by a 1982 Supreme Court decision in the case arising from a boycott (begun in 1966) of certain Port Gibson, Mississippi, businesses by local Blacks and the National Association for the Advancement of Colored People. (GC)

  3. Ports Primer: 7.2 Air Emissions

    EPA Pesticide Factsheets

    Near-port communities are often disproportionately impacted by air emissions due to port operations, goods movement operations and other industries that may be co-located with ports. Air emissions at ports also impact regional air quality.

  4. Ports Primer: 7.4 Agency Responsibilities

    EPA Pesticide Factsheets

    Near-port communities are often disproportionately impacted by air emissions due to port operations, goods movement operations and other industries that may be co-located with ports. Air emissions at ports also impact regional air quality.

  5. Hospital readmissions for catheter-related bloodstream infection and use of ethanol lock therapy: comparison of patients receiving parenteral nutrition or intravenous fluids in the home vs a skilled nursing facility.

    PubMed

    Corrigan, Mandy L; Pogatschnik, Cassandra; Konrad, Denise; Kirby, Donald F

    2013-01-01

    Catheter-related bloodstream infection (CRBSI) is the most serious long-term infectious complication of long-term home parenteral nutrition (PN). Ethanol is being used more commonly as a catheter locking solution in the home PN setting for prevention of CRBSI; however, no current literature reports the use of ethanol lock (ETL) in skilled nursing facility (SNF) patients. The authors evaluated the number of hospital readmissions for CRBSI and length of stay between SNF (not receiving ETL) and home patients (receiving or not receiving ETL) receiving PN or intravenous fluid therapy. SNF patients had a significantly longer length of stay (LOS) for CRBSI hospital admissions compared with patients receiving PN at home with or without ETL (P < .001; 16 vs 8 vs 8 days). There was no LOS difference for CRBSI between home patients with or without ETL. Home PN patients not receiving ETL were more likely to have a CRBSI from Staphylococcus sp (48% vs 27%; P = .015), whereas SNF PN patients not receiving ETL were more likely to have a CRBSI from Enterococcus sp (16% vs 3%; P = .004). Despite different causative organisms and medical acuity likely affecting the differences observed in LOS, the SNF population is another setting ETL can be used to prevent CRBSI.

  6. 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.

  7. 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. (a...

  8. 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 Cards...

  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. (a...

  10. 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. (a...

  11. 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 the...

  12. 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 Cards...

  13. 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. (a...

  14. 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 the...

  15. 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. (a...

  16. 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. (a...

  17. 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 Cards...

  18. 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 the...

  19. 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. (a...

  20. 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. (a...

  1. 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 Cards...

  2. 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. (a...

  3. 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 the...

  4. 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. (a...

  5. 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 Cards...

  6. 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 the...

  7. 33 CFR 165.1701 - Port Valdez, Valdez, Alaska-safety zone.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 2 2014-07-01 2014-07-01 false Port Valdez, Valdez, Alaska... § 165.1701 Port Valdez, Valdez, Alaska—safety zone. The waters within the following boundaries are a safety zone—The area within 200 yards of any waterfront facility at the Trans-Alaska Pipeline Valdez...

  8. 33 CFR 165.1701 - Port Valdez, Valdez, Alaska-safety zone.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 2 2013-07-01 2013-07-01 false Port Valdez, Valdez, Alaska... § 165.1701 Port Valdez, Valdez, Alaska—safety zone. The waters within the following boundaries are a safety zone—The area within 200 yards of any waterfront facility at the Trans-Alaska Pipeline Valdez...

  9. 33 CFR 165.1701 - Port Valdez, Valdez, Alaska-safety zone.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 2 2011-07-01 2011-07-01 false Port Valdez, Valdez, Alaska... § 165.1701 Port Valdez, Valdez, Alaska—safety zone. The waters within the following boundaries are a safety zone—The area within 200 yards of any waterfront facility at the Trans-Alaska Pipeline Valdez...

  10. 33 CFR 165.1701 - Port Valdez, Valdez, Alaska-safety zone.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 2 2012-07-01 2012-07-01 false Port Valdez, Valdez, Alaska... § 165.1701 Port Valdez, Valdez, Alaska—safety zone. The waters within the following boundaries are a safety zone—The area within 200 yards of any waterfront facility at the Trans-Alaska Pipeline Valdez...

  11. 33 CFR 165.1701 - Port Valdez, Valdez, Alaska-safety zone.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Port Valdez, Valdez, Alaska... § 165.1701 Port Valdez, Valdez, Alaska—safety zone. The waters within the following boundaries are a safety zone—The area within 200 yards of any waterfront facility at the Trans-Alaska Pipeline Valdez...

  12. 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 were...

  13. 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 were...

  14. 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 were...

  15. 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 were...

  16. 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 were...

  17. 76 FR 58769 - Ports and Maritime Technology Trade Mission to India

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-22

    ... largest dry dock facility in India and handled 46.5 million tons of cargo in year 2010. Over 3,500 vessels... International Trade Administration Ports and Maritime Technology Trade Mission to India AGENCY: International... (CS), is organizing an executive-led Ports and Maritime Technology Trade Mission to India from...

  18. 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.

  19. Public Participation Guide: Container Handling in the Port of Durban, South Africa

    EPA Pesticide Factsheets

    This case study describes the public participation process that was conducted in the context of an Integrated Environmental Management exercise related to the proposed expansion of container handling facilities at the Port of Durban, South Africa.

  20. 76 FR 4417 - Liberty Natural Gas LLC, Liberty Liquefied Natural Gas (LNG) Deepwater Port License Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Maritime Administration Liberty Natural Gas LLC, Liberty Liquefied Natural Gas (LNG) Deepwater Port License... should be addressed to: Department of Transportation, Docket Management Facility, West Building, Ground...

  1. 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

  2. 33 CFR 158.330 - Ports and terminals: Equipment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false Ports and terminals: Equipment. 158.330 Section 158.330 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) POLLUTION RECEPTION FACILITIES FOR OIL, NOXIOUS LIQUID SUBSTANCES, AND GARBAGE Criteria...

  3. 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

  4. 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

  5. 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.

  6. 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.

  7. Single port transvesical prostatectomy.

    PubMed

    Vicentini, Fabio C; Hisano, Marcelo; Agresta, Tulio S; Murta, Claudio B; Claro, Joaquim F A

    2012-01-01

    To describe a case of a transvesical prostatectomy performed by a single port technique. JLS, 64y, diabetic and hypertense, under treatment of LUTS for 8 years with 4mg doxazosin and 5mg finasteride. The IPSS score was 26. The digital rectal exam showed a more than 60g benign prostate. The Body Mass Index was 28.9. The total PSA was 5.4ng/mL and the free/total PSA was 22%. A 12-fragments prostate biopsy showed BPH. The sonography revealed a 106g prostate and the maximum urinary flow was 12 mL/s. The patient was under general anesthesia and was positioned in dorsal decubitus with Trendelemburg. The bladder was filled until that a bexigoma was visible. A 2 cm longitudinal infra-umbelical incision was done. The Gel Point Single Port System (Applied, Ca, USA) was placed inside the bladder and the pneumovesicum was done until 10mmHg. A peri-bladder neck incision was done and the adenoma dissection was performed until its remotion. The hemostasia was done under vision. A 3-way 24-Fr Foley catheter and an 8-Fr plastic catheter were placed inside the bladder. The adenoma was removed and the bladder and the abdominal wall were closed. The procedure took 55 minutes and the blood loss was 180 ml. The patient evolved uneventfully, the bladder irrigation stayed for 24 h, the hemoglobin drop was 2.4g/dL and the patient was discharge after 36 hours. The urethral catheters stayed for 5 days. The postoperative IPSS was 6 and the maximum flow was 26 ml/s. The surgery was safe and effective, showing that the single port transvesical prostatectomy can be an option in the surgical treatment of large prostates.

  8. NRL Tropical Exposure Facilities

    DTIC Science & Technology

    1947-04-01

    canal. To the east, on the opposite side of Limon Bay, lies Cristobal , Coco Solo, and Colon . Travel between Fort Sherman and Cristobal is accomplished...precision equipment. I 4 NRL TROPICAL EXPOSURE FACILITIES 5 Accessibility Proximity of the station to the port of Cristobal and to the Naval Air Station

  9. Porting GENESIS to SIMULINK.

    PubMed

    Rodriguez Campos, Francisco; Enderle, John D

    2004-01-01

    This paper describes the porting of the general simulation system (GENESIS) to Matrix Language Laboratory language (MatLab) SIMULINK, based in the cable theory to simulate the behavior of neurons. A graphic programming approach serves as ideal platform for teaching physiological modeling and neuroengineering courses. The ultimate goal of this project is to integrate all of the chemical, electrical, material, mechanical and neural interactions into a single model that can be viewed seamlessly from a molecular model to the large scale model. Integration of all interactions is not possible with GENESIS, but can be accomplished with SIMULINK.

  10. Irrigation of port sites: prevention of port site metastases?

    PubMed

    Wittich, Philippe; Mearadji, Amir; Marquet, Richard L; Bonjer, H Jaap

    2004-06-01

    Port site metastases can occur when free viable tumor cells implant at trocar wounds. Irrigation of port sites with cytotoxic agents has been suggested to prevent port site metastases. The objective of this study is to assess whether tumor growth at port sites can be reduced by irrigation of these port sites. WAG rats were insufflated with CO(2) for 20 minutes and 5 x 10(5) CC531 tumor cells were injected intraperitoneally. Port sites were irrigated after completion of the pneumoperitoneum with povidone-iodine, a mixture of taurolidine and heparin, or sodium chloride. Controls did not undergo any irrigation of port sites. In experiment 1, all 16 rats had all 4 irrigation modalities. In experiment 2, four groups of 20 rats had one type of irrigation on two trocar wounds. Tumor growth was evaluated 4 weeks after the procedure. No difference in tumor growth at trocar wounds was found between any type of irrigation and controls in both experiments. In this experimental model, no beneficial or adverse effects of irrigation of port sites could be shown.

  11. Log exports by port, 1987.

    Treesearch

    Debra D. Warren

    1989-01-01

    Volumes and average values of log exports by port have been compiled by quarter for 1987. The tables show the four Northwest customs districts by ports, species, and destinations. These data were received from the U.S. Department of Commerce too late to be published in the 1987 quarterly reports, "Production, Prices, Employment, and Trade in Northwest Forest...

  12. SeaPort-e Workshop

    DTIC Science & Technology

    2014-08-01

    aquilent.com 22 QUESTIONS?? 23 Back-up 24 Program Evolution Category SeaPort Original (2001 – 2004) SeaPort-Enhanced (2004...Function = Industry User Function External System Interfaces: Create Purchase Request (Navy ERP ) Receive CAR Data (FPDS-NG) Receive Award Documents (EDA) Receive Award Data (SPS)

  13. FDA Certified Mammography Facilities

    MedlinePlus

    ... Products Radiation-Emitting Products Home Radiation-Emitting Products Mammography Quality Standards Act and Program Consumer Information (MQSA) ... it Email Print This list of FDA Certified Mammography Facilities is updated weekly. If you click on ...

  14. A Cost-Effectiveness Analysis of a Home-Based HIV Counselling and Testing Intervention versus the Standard (Facility Based) HIV Testing Strategy in Rural South Africa.

    PubMed

    Tabana, Hanani; Nkonki, Lungiswa; Hongoro, Charles; Doherty, Tanya; Ekström, Anna Mia; Naik, Reshma; Zembe-Mkabile, Wanga; Jackson, Debra; Thorson, Anna

    2015-01-01

    There is growing evidence concerning the acceptability and feasibility of home-based HIV testing. However, less is known about the cost-effectiveness of the approach yet it is a critical component to guide decisions about scaling up access to HIV testing. This study examined the cost-effectiveness of a home-based HIV testing intervention in rural South Africa. Two alternatives: clinic and home-based HIV counselling and testing were compared. Costs were analysed from a provider's perspective for the period of January to December 2010. The outcome, HIV counselling and testing (HCT) uptake was obtained from the Good Start home-based HIV counselling and testing (HBHCT) cluster randomised control trial undertaken in KwaZulu-Natal province. Cost-effectiveness was estimated for a target population of 22,099 versus 23,864 people for intervention and control communities respectively. Average costs were calculated as the cost per client tested, while cost-effectiveness was calculated as the cost per additional client tested through HBHCT. Based on effectiveness of 37% in the intervention (HBHCT) arm compared to 16% in control arm, home based testing costs US$29 compared to US$38 per person for clinic HCT. The incremental cost effectiveness per client tested using HBHCT was $19. HBHCT was less costly and more effective. Home-based HCT could present a cost-effective alternative for rural 'hard to reach' populations depending on affordability by the health system, and should be considered as part of community outreach programs.

  15. 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

  16. 13. Photocopy of engineering drawing. LAUNCHING FACILITY BLOCKHOUSE: ELEVATIONS AND ...

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

    13. Photocopy of engineering drawing. LAUNCHING FACILITY BLOCKHOUSE: ELEVATIONS AND OBSERVATION PORT DETAILS-ARCHITECTURAL, 1964 (ORIGINALLY APPROVED MARCH 1954). - Cape Canaveral Air Station, Launch Complex 17, Facility 28401, East end of Lighthouse Road, Cape Canaveral, Brevard County, FL

  17. Opportunistic Ports and Spaces of Exchange in Late Roman Cyprus

    NASA Astrophysics Data System (ADS)

    Leidwanger, Justin

    2013-12-01

    Ports served not only as interfaces between land and sea, but as central gathering spaces for economic and cultural exchange. Drawing on case studies from the eastern Mediterranean island of Cyprus, this paper situates opportunistic ports lacking built facilities within a broader socioeconomic context of diverse maritime communications, expanding rural settlement, and increased agricultural productivity during late antiquity. Though simple, these sites served as active agents in the development of new maritime networks as well as local markets throughout their hinterlands, adding flexibility and dynamism to the economic ties between city, countryside, and the wider late Roman world.

  18. 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

  19. 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 following...

  20. 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 following...

  1. 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 following...

  2. 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 following...

  3. 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 following...

  4. Single plus one port laparoscopic radical prostatectomy: a report of 8 cases in one center.

    PubMed

    Gao, Yi; Xu, Dan-Feng; Liu, Yu-Shan; Cui, Xin-Gang; Che, Jian-Ping; Yao, Ya-Cheng; Yin, Lei

    2011-05-01

    Laparoscopic radical prostatectomy is considered the first treatment of choice for local prostate cancer due to its minimal invasion advantage. To further achieve the goal of minimal invasion, single port laparoscopic radical prostatectomy has been developed to minimize the complications associated with puncture tracks. The aim of this study was to illustrate the technique for single port laparoscopic radical prostatectomy and evaluate its efficacy and safety. We reported 8 cases of radical prostatectomy with excellent early outcome carried out in Shanghai Changzheng Hospital from June 2009 to August 2009 using a home-made multiple instrument access port and adding an additional small incision at McBurney point.

  5. 3D spatial information infrastructure: The case of Port Rotterdam

    NASA Astrophysics Data System (ADS)

    Zlatanova, S.; Beetz, J.

    2012-10-01

    The development and maintenance of the infrastructure, facilities, logistics and other assets of the Port of Rotterdam requires a broad spectrum of heterogeneous information. This information concerns features, which are spatially distributed above ground, underground, in the air and in the water. The data are managed in a variety of data models with varying levels of dimensionality, granularity, accuracy and up-to-dateness. Additionally increasing number of 3D design models is becoming available. This complexity of tasks and diversity of information challenges the Port authority to look for more advanced 3D solutions. This paper presents research in progress related to developing a 3D SII in support of information and process management within the Port of Rotterdam.

  6. Homes away from Home.

    ERIC Educational Resources Information Center

    Hansen, Laurel D.; And Others

    1993-01-01

    Describes the construction of a variety of inexpensive, escape-proof, and safe insect homes--each complete with window, ventilation screen, and cover--so students can observe firsthand the intriguing world of insects. (PR)

  7. 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), are...

  8. Port-au-Prince, Haiti

    NASA Image and Video Library

    2010-01-14

    This image, produced from instrument data aboard NASA Space Shuttle Endeavour, is a perspective view of the topography of Port-au-Prince, Haiti where a magnitude 7.0 earthquake occurred on January 12, 2010.

  9. 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…

  10. 47 CFR 52.35 - Porting Intervals.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Portability § 52.35 Porting Intervals. (a) All telecommunications carriers required by the Commission to port telephone numbers must complete a simple wireline-to-wireline or simple intermodal port request within one... p.m. local time for a simple port request to be eligible for activation at midnight on the same...

  11. 47 CFR 52.35 - Porting Intervals.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Portability § 52.35 Porting Intervals. (a) All telecommunications carriers required by the Commission to port telephone numbers must complete a simple wireline-to-wireline or simple intermodal port request within one... p.m. local time for a simple port request to be eligible for activation at midnight on the same...

  12. 47 CFR 52.35 - Porting Intervals.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Portability § 52.35 Porting Intervals. (a) All telecommunications carriers required by the Commission to port telephone numbers must complete a simple wireline-to-wireline or simple intermodal port request within one... p.m. local time for a simple port request to be eligible for activation at midnight on the same...

  13. 47 CFR 52.35 - Porting Intervals.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Portability § 52.35 Porting Intervals. (a) All telecommunications carriers required by the Commission to port telephone numbers must complete a simple wireline-to-wireline or simple intermodal port request within one... p.m. local time for a simple port request to be eligible for activation at midnight on the same...

  14. 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. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE TREASURY TRANSPORTATION... Port marks. Port marks may be added by authority of the port director and under the supervision of...

  15. Home Modifications

    MedlinePlus

    ... My Home HomeFit ? (AARP) (PDF) Back to top Financial Assistance Minor improvements and repairs can cost between $ ... Learn more by visiting https://www.ncoa.org/economic-security/home-equity/ . Search for additional resources in ...

  16. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Overtime work at laboratories, border ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND PLANT... laboratories, border ports, ocean ports, and airports. 1 1 For designated ports of entry for certain animals...

  17. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Overtime work at laboratories, border ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND PLANT... laboratories, border ports, ocean ports, and airports. 1 1 For designated ports of entry for certain animals...

  18. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Overtime work at laboratories, border ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND PLANT... laboratories, border ports, ocean ports, and airports. 1 1 For designated ports of entry for certain animals...

  19. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Overtime work at laboratories, border ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND PLANT... laboratories, border ports, ocean ports, and airports. 1 1 For designated ports of entry for certain animals...

  20. 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

    ... Information Collection (Per Diem for Nursing Home Care of Veterans in State Homes; Per Diem for Adult Day Care... solicits comments on information needed to ensure that nursing home and adult day health care facilities... approved collection. Abstract: VA pays per diem to State homes providing nursing home and adult day health...

  1. KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-115 Mission Specialists Joseph Tanner (left) and Heidemarie Stefanyshyn-Piper (right) look over the Japanese Experiment Module (JEM) Pressurized Module located in the Space Station Processing Facility. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

    NASA Image and Video Library

    2003-07-18

    KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-115 Mission Specialists Joseph Tanner (left) and Heidemarie Stefanyshyn-Piper (right) look over the Japanese Experiment Module (JEM) Pressurized Module located in the Space Station Processing Facility. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

  2. 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.

  3. Current state of palliative and end-of-life care in home versus inpatient facilities and urban versus rural settings in Africa.

    PubMed

    Jang, Jessica; Lazenby, Mark

    2013-10-01

    Because palliative care in sub-Saharan Africa may not fit the style of delivery of palliative care in the global north, exploring the evidence can serve to reduce existing barriers and help streamline national policies that determine the optimal setting to implement formal palliative and end-of-life services. A search was conducted in Ovid MEDLINE®, PubMed, and Google Scholar databases using the search terms nursing care, terminal care, end of life care, palliative care, dying, death, hospice, opioids, morphine, Africa, sub-Saharan Africa, caregivers, and place of death. Eighty-seven relevant articles were found using the search terms. Of these, 22 matched inclusion criteria and were reviewed. Opioid availability and distribution is best accessed at the inpatient level, and hence, pain and end-of-life symptoms are best managed at the inpatient level. Despite the great need, nurses' lack of prescription power in the home-based setting is a shortcoming. Home deaths have not been adequately studied, but research suggests that palliative care generally causes economic strain, psychosocial distress on family members, and increased risk of transmission of communicable disease. Hospice is understudied but shows favorable outcomes. Funding and research need to focus on development of inpatient palliative and hospice care units in urban areas. In rural areas, the priority should be a home-based care model that involves nurses who are privileged to prescribe opioids and adjunctive medication therapies.

  4. 75 FR 9219 - Notice of Intent To Prepare an Environmental Impact Statement for the Otay Mesa Land Port of Entry

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-01

    ... the existing port to improve its functionality, capacity, and security. The facility currently handles... pedestrians. Built in 1984 and expanded in 1994 to accommodate new commercial facilities and southbound... facility through the acquisition of approximately 10 acres of land along the eastern boundary of the...

  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. Temporary vs. Permanent Sub-slab Ports: A Comparative ...

    EPA Pesticide Factsheets

    Vapor intrusion (VI) is the migration of subsurface vapors, including radon and volatile organic compounds (VOCs), from the subsurface to indoor air. The VI exposure pathway extends from the contaminant source, which can be impacted soil, non-aqueous phase liquid, or contaminated groundwater, to indoor air-exposure points. Therefore, contaminated matrices may include groundwater, soil, soil gas, and indoor air. VOC contaminants of concern typically include halogenated solvents such as trichloroethene, tetrachloroethene, and chloroform, as well as petroleum hydrocarbons, such as the aromatic VOCs benzene, toluene, and xylenes. Radon is a colorless radioactive gas that is released by radioactive decay of radionuclides in rock and soil that migrate into homes through VI in a similar fashion to VOCs. This project focused on the performance of permanent versus temporary sub-slab sampling ports for the determination of VI of halogenated VOCs and radon into an unoccupied house. VOC and radon concentrations measured simultaneously in soil gas using collocated temporary and permanent ports appeared to be independent of the type of port. The variability between collocated temporary and permanent ports was much less than the spatial variability between different locations within a single residential duplex. The agreement of the majority of VOC and radon concentrations, 0–36% relative percent difference, and 2–19% relative standard deviation respectively, of each sub-sl

  7. Main Port Mechanism for PRISMA

    NASA Astrophysics Data System (ADS)

    Caprini, G. C.; Ceccherini, M.; Brotini, M.; Bini, A.; Corsini, R.; Gasparini, L.; Battazza, F.; Formaro, R.

    2013-09-01

    A high complexity Main Port Mechanism (MPM) has been designed and produced by Selex ES in co- operation with HighFTech Engineering, an Italian PMI, in the frame of PRISMA (PRecursore IperSpettrale della Missione Applicativa) instrument.The Main Port Mechanism is located at the entrance of the Optical Head having the function of opening and closing a door.The paper describes the requirements drived the conceptual design, the detailed design and the qualification tests performed on the mechanism. A description of the foreseen test flow and set-up is also given.

  8. 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.

  9. 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…

  10. 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…

  11. 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…

  12. 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…

  13. Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities.

    PubMed

    Seal, Karen H; Bertenthal, Daniel; Miner, Christian R; Sen, Saunak; Marmar, Charles

    2007-03-12

    Veterans of Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) have endured high combat stress and are eligible for 2 years of free military service-related health care through the Department of Veterans Affairs (VA) health care system, yet little is known about the burden and clinical circumstances of mental health diagnoses among OEF/OIF veterans seen at VA facilities. US veterans separated from OEF/OIF military service and first seen at VA health care facilities between September 30, 2001 (US invasion of Afghanistan), and September 30, 2005, were included. Mental health diagnoses and psychosocial problems were assessed using International Classification of Diseases, Ninth Revision, Clinical Modification codes. The prevalence and clinical circumstances of and subgroups at greatest risk for mental health disorders are described herein. Of 103 788 OEF/OIF veterans seen at VA health care facilities, 25 658 (25%) received mental health diagnosis(es); 56% of whom had 2 or more distinct mental health diagnoses. Overall, 32 010 (31%) received mental health and/or psychosocial diagnoses. Mental health diagnoses were detected soon after the first VA clinic visit (median of 13 days), and most initial mental health diagnoses (60%) were made in nonmental health clinics, mostly primary care settings. The youngest group of OEF/OIF veterans (age, 18-24 years) were at greatest risk for receiving mental health or posttraumatic stress disorder diagnoses compared with veterans 40 years or older. Co-occurring mental health diagnoses and psychosocial problems were detected early and in primary care medical settings in a substantial proportion of OEF/OIF veterans seen at VA facilities. Targeted early detection and intervention beginning in primary care settings are needed to prevent chronic mental illness and disability.

  14. Spontaneous partial fracture of the catheter of a totally implantable subcutaneous infusion port.

    PubMed

    Inoue, Y; Nezu, R; Nakai, S; Takagi, Y; Okada, A

    1992-01-01

    A totally implantable subcutaneous infusion port was inserted via the left subclavian vein with peel-away sheath in a 45-year-old male patient receiving home parenteral nutrition. Sixteen months after implantation, the patient noted pain in his left clavicular region during home infusion. This was found to be due to the leakage of infusion fluid resulting from partial fracture of the catheter at the level where the catheter passed between the clavicle and first rib. Because the fracture was partial, the catheter did not embolize to the heart or large vessels. Although subcutaneous infusion ports afford patients greater freedom and the ability to lead a more active life than do external catheters, it is emphasized that there may be the risk of spontaneous catheter fracture in patients using subcutaneous infusion ports.

  15. Structure, process, and outcomes in skilled nursing facilities: understanding what happens to surgical patients when they cannot go home. A systematic review.

    PubMed

    Hakkarainen, Timo W; Ayoung-Chee, Patricia; Alfonso, Rafael; Arbabi, Saman; Flum, David R

    2015-02-01

    The surgical population is aging, and greater numbers of surgical patients are being discharged to skilled nursing facilities. Post-acute care is a poorly understood but very important aspect of our healthcare system. This systematic review examines the current body of literature surrounding the structural, process of care, and outcomes measurements for patients in skilled nursing facilities. English language articles published between 1998 and 2011 that purposed to examine nursing facility structure, process of care, and/or outcomes were included. Abstracts (2129) were screened and 102 articles were reviewed in full. Twenty-nine articles were included in the qualitative synthesis. The role of the care setting and care delivery in contributing to outcomes has not been well studied, and no strong conclusions can be made. This area of care currently represents a "black box" to practicing surgeons. An understanding of these factors maybe instrumental to determining future directions for research to maximize positive outcomes for these patients. Copyright © 2015 Elsevier Inc. All rights reserved.

  16. Risk Factors for Pressure Ulcers Including Suspected Deep Tissue Injury in Nursing Home Facility Residents: Analysis of National Minimum Data Set 3.0.

    PubMed

    Ahn, Hyochol; Cowan, Linda; Garvan, Cynthia; Lyon, Debra; Stechmiller, Joyce

    2016-04-01

    To provide information on risk factors associated with pressure ulcers (PrUs), including suspected deep tissue injury (sDTI), in nursing home residents in the United States. This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. After participating in this educational activity, the participant should be better able to:1. Examine the literature related to risk factors for the development of PrUs.2. Compare risk factors associated with the prevalence of PrUs and sDTI from the revised Minimum Data Set 3.0 2012 using a modified Defloor's conceptual model of PrUs as a theoretical framework. This study aims to characterize and compare risk factors associated with pressure ulcers (PrUs), including suspected deep tissue injury (sDTI), in nursing home (NH) residents in the United States. Secondary analysis of the 2012 Minimum Data Set (MDS 3.0). Medicare- or Medicaid-certified NHs in the United States. Nursing home residents (n = 2,936,146) 18 years or older with complete PrU data, who received comprehensive assessments from January to December 2012. Pressure ulcer by stage was the outcome variable. Explanatory variables (age, gender, race and ethnicity, body mass index, skin integrity, system failure, disease, infection, mobility, and cognition) from the MDS 3.0 were aligned with the 4 elements of Defloor's conceptual model: compressive forces, shearing forces, tissue tolerance for pressure, and tissue tolerance for oxygen. Of 2,936,146 NH residents who had complete data for PrU, 89.9% had no PrU; 8.4% had a Stage 2, 3, or 4 or unstagable PrU; and 1.7% had an sDTI. The MDS variables corresponding to the 4 elements of Defloor's model were significantly predictive of both PrU and sDTI. Black residents had the highest risk of any-stage PrU, and Hispanic residents had the highest risk of sDTI. Skin integrity, system failure, infection, and disease risk factors had larger effect sizes for sDTI than for other PrU stages

  17. Draft Environmental Justice Primer for Ports

    EPA Pesticide Factsheets

    This document is intended to help port decision-makers better understand the needs of near-port communities and how they can help address these needs and build productive community relationships during planning activities and operations.

  18. Ports Primer: 7.1 Environmental Impacts

    EPA Pesticide Factsheets

    Port operations can lead to environmental impacts on air, water and land. Many communities with environmental justice concerns also experience disparities in health outcomes that they attribute to exposure to emissions from port operations.

  19. Ports Primer: 7.0 Environmental Impacts

    EPA Pesticide Factsheets

    Port operations can lead to environmental impacts on air, water and land. Many communities with environmental justice concerns also experience disparities in health outcomes that they attribute to exposure to emissions from port operations.

  20. 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

  1. Cruise Ship Port Planning Factors

    DTIC Science & Technology

    2001-01-01

    The cruise ship industry started off like a healthy plant in a small pot. When it was small, it struggled, survived and flourished in the small pot... cruise ship port planning issues, and demonstrates that the market demand will continue to increase in the future. This increase in demand will be driven

  2. 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.

  3. The inter-rater reliability of the incontinence-associated dermatitis intervention tool-D (IADIT-D) between two independent registered nurses of nursing home residents in long-term care facilities.

    PubMed

    Braunschmidt, Brigitte; Müller, Gerhard; Jukic-Puntigam, Margareta; Steininger, Alfred

    2013-01-01

    Incontinence-associated dermatitis (IAD) is the clinical manifestation of moisture related skin damage (Beeckman, Woodward, & Gray, 2011). Valid assessment instruments are needed for risk assessment and classification of IAD. Aim of the quantitative-descriptive cross-sectional study was to determine the inter-rater reliability of the item scores of the German Incontinence Associated Dermatitis Intervention Tool (IADIT-D) between two independent assessors of nursing home residents (n = 381) in long-term care facilities. The 19 pairs of assessors consisted of registered nurses. The data analysis was computed first with the calculation of the total percentage of agreement. Because this value is not randomly adjusted, the calculation of the Kappa-coefficients and AC1-Statistic was done as well. The total percentage of the inter-rater agreement was 84% (n = 319). In a second step of analysis, the calculation of all items determined high (kappa = .70) and very high agreement (AC1 = .83) levels, respectively. For the risk assessment (kappa = .82; AC1 = .94), the values amounted to very high agreement levels and for the classification (kappa(w) = .70; AC1 = .76) to high agreement levels. The high to very high agreement values of IADIT-D demonstrate that the items can be regarded as stable in regards to the inter-rater reliability for the use in long-term care facilities. In addition, further validation studies are needed.

  4. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 7 2014-10-01 2014-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST... Port lights. (a) A vessel may have port lights below the bulkhead deck if— (1) It is greater than 150 gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if...

  5. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 7 2012-10-01 2012-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST... Port lights. (a) A vessel may have port lights below the bulkhead deck if— (1) It is greater than 150 gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if...

  6. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 7 2013-10-01 2013-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST... Port lights. (a) A vessel may have port lights below the bulkhead deck if— (1) It is greater than 150 gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if...

  7. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 7 2011-10-01 2011-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST... Port lights. (a) A vessel may have port lights below the bulkhead deck if— (1) It is greater than 150 gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if...

  8. 46 CFR 171.116 - Port lights.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Port lights. 171.116 Section 171.116 Shipping COAST... Port lights. (a) A vessel may have port lights below the bulkhead deck if— (1) It is greater than 150 gross tons; and (2) It is in ocean service. (b) All port lights in a space must be non-opening if...

  9. Offshore Deepwater Liquified Natural Gas (LNG) Ports ...

    EPA Pesticide Factsheets

    2017-04-10

    EPA received three National Pollution Discharge Elimination System (NPDES) permit applications for wastewater discharges related to the construction and operation of deepwater LNG ports in state and federal waters of Massachusetts Bay. One was for construction-related discharges associated with the Northeast Gateway LNG deepwater port, one was for operations-related discharges associated with the Northeast Gateway LNG deepwater port, and the other was for both construction-related and operations-related discharges for the Neptune LNG deepwater port.

  10. Offshore Deepwater Liquified Natural Gas (LNG) Ports ...

    EPA Pesticide Factsheets

    2017-04-10

    EPA received three National Pollution Discharge Elimination System (NPDES) permit applications for wastewater discharges related to the construction and operation of deepwater LNG ports in state and federal waters of Massachusetts Bay. One was for construction-related discharges associated with the Northeast Gateway LNG deepwater port, one was for operations-related discharges associated with the Northeast Gateway LNG deepwater port, and the other was for both construction-related and operations-related discharges for the Neptune LNG deepwater port.

  11. Northwest Ports Achievements in Reducing Emissions and Improving Performance

    EPA Pesticide Factsheets

    Case history on the status of the Northwest Ports Clean Air Strategy for the Port of Seattle, Port of Tacoma, and Port Metro Vancouver. Presents key objectives, emission and performance goals and outcomes.

  12. 7 CFR 354.1 - Overtime work at border ports, sea ports, and airports.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 5 2013-01-01 2013-01-01 false Overtime work at border ports, sea ports, and airports... EXPORTS; AND USER FEES § 354.1 Overtime work at border ports, sea ports, and airports. (a)(1) Any person... of aircraft at airports of entry or other places of inspection as a consequence of the operation of...

  13. 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

  14. 47 CFR 52.35 - Porting Intervals.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 47 Telecommunication 3 2012-10-01 2012-10-01 false Porting Intervals. 52.35 Section 52.35 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES (CONTINUED) NUMBERING Number Portability § 52.35 Porting Intervals. (a) All telecommunications carriers required by the Commission to port...

  15. 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 Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  16. 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 Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  17. 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 Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  18. 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 Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  19. 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 Relations DEPARTMENT OF STATE INTERNATIONAL TRAFFIC IN ARMS REGULATIONS PURPOSE AND DEFINITIONS § 120.24 Port Directors. Port Directors of U.S. Customs and Border Protection means the U.S. Customs and...

  20. Nursing Homes

    MedlinePlus

    ... Most nursing homes have nursing aides and skilled nurses on hand 24 hours a day. Some nursing ... speech and occupational therapy. There might be a nurses' station on each floor. Other nursing homes try ...

  1. 78 FR 36014 - Deepwater Port License Application: Liberty Natural Gas, LLC, Port Ambrose Deepwater Port

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION... Deepwater Port AGENCY: Maritime Administration, Department of Transportation. ACTION: Notice of Application.... ADDRESSES: The public docket for USCG-2013-0363 is maintained by the U.S. Department of Transportation...

  2. [Application of modified single port laparoscopic radical cystoprostatectomy and orthotopic ileal neobladder].

    PubMed

    Huang, Jian; Lin, Tian-Zin; Xu, Ke-Wei; Han, Jin-Li; Ye, Feng; Huang, Hai; Jiang, Chun; Zhang, Cai-Xia; Yao, You-Sheng; Xie, Wen-Lian; Liu, Hao

    2010-06-08

    To evaluated the feasibility and therapeutic effect of laparoscopic-endoscopic single-site surgery (LESS) for radical cystoprostatectomy and orthotopic ileal neobladder. Between November 2008 and August 2009, 8 male patients with bladder cancer underwent modified single port laparoscopic cystoprostatectomy and orthotopic ileal neobladder with a home-made multichannel port made up of two stretchable rings and a surgical glove with trocars and valves attached to its fingers. A 4 - 5 cm midline incision was made in lower abdomen and the multichannel port placed into this incision. Laparoscopic instrument was extended through the multichannel port. Another port was placed at the umbilicus site for laparoscope. The investigators performed the modified single port transperitoneal technique neobladder extracorporeally and urethro-pouch anastomosis under laparoscopy with a slipknot running suture technique. The perioperative and postoperative data were collected and analyzed prospectively. In all cases, no conversion into conventional laparoscopic or open surgery was necessary. The mean operative duration, including extended lymph node dissection, was 399 min (range: 355 - 455 min). Mean estimated blood loss was 154 ml (range: 90 -210 ml). The mean postoperative hospital stay was 15 d (range: 14 - 18 d). No peri-operative mortality was reported. One case had delirium 2 days postoperatively and there was no port-related complication. The pathological report confirmed surgical margins were tumor-free for all cases. The average number of removed lymph node was 20. The mean follow-up period was 6.1 months (range: 2.0 -10.0 months). All patients remained disease-free until the last follow-up. With a reduction of 4 ports, modified single port laparoscopic radical cystectomy with orthotopic ileal neobladder is technically feasible with a low complication rate. Our initial outcome is encouraging, but additional work and a further follow-up are warranted to critically compare the

  3. 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 part...

  4. 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 part...

  5. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 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. When veterans are evacuated from a community nursing home as the result of an emergency, they may be relocated...

  6. 38 CFR 17.58 - Evacuation of community nursing homes.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 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. When veterans are evacuated from a community nursing home as the result of an emergency, they may be relocated...

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

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 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. When veterans are evacuated from a community nursing home as the result of an emergency, they may be relocated...

  8. 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 part...

  9. 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 part...

  10. 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 part...

  11. 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…

  12. 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…

  13. 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.

  14. Home sweet orbital home.

    PubMed

    Kross, J

    1990-01-01

    The design of Space Station Freedom is discussed, with an emphasis on the measures taken to ensure the morale and productivity of the inhabitants. Special efforts have been taken to design the station with creature comforts of Earth, such as better food preparation and hygiene equipment than is found in current or past spacecraft. The galley for food storage and preparation is described, as are the shower and laundry facilities. Designers of the space station hope to ensure astronaut mental health and productivity by supplying them with a current working and living space.

  15. Legionnaires' Hiding in Hospital, Nursing Home Plumbing Systems: CDC

    MedlinePlus

    ... news/fullstory_166302.html Legionnaires' Hiding in Hospital, Nursing Home Plumbing Systems: CDC Effective water management, sanitation ... is lurking in the water systems of hospitals, nursing homes and long-term care facilities, putting the ...

  16. 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....

  17. Gulf Coast Deep Water Port Facilities Study. Environmental Assessment.

    DTIC Science & Technology

    1973-04-01

    both minimize dredging (under the current assumptions) and to facilitate possible future expansion to accommodate ships of deeper draft. Artr dtim -~zA...by percolating water which becomes a weak acid as it penetrates the residual soil mantling the bed rock. Because of variability in bed rock...composition and soil conditions, the soil layer developed on bed rock in Karst terrains is extremely variable in thickness and structural competence. Core

  18. 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 by...

  19. 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 by...

  20. 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 by...

  1. 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 by...

  2. 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

  3. Port Operational Marine Observing System

    NASA Astrophysics Data System (ADS)

    Palazov, A.; Stefanov, A.; Slabakova, V.; Marinova, V.

    2009-04-01

    The Port Operational Marine Observing System (POMOS) is a network of distributed sensors and centralized data collecting, processing and distributing unit. The system is designed to allow for the real-time assessment of weather and marine conditions throughout the major Bulgarian ports: Varna, Burgas and Balchik, supporting thereby Maritime administration to secure safety navigation in bays, canals and ports. Real-time information within harbors is obtained using various sensors placed at thirteen strategic locations to monitor the current state of the environment. The most important for navigation weather and sea-state parameters are measured: wind speed and direction, air temperature, relative humidity, atmospheric pressure, visibility, solar radiation, water temperature and salinity, sea level, currents speed and direction, mean wave's parameters. The system consist of: 11 weather stations (3 with extra solar radiation and 4 with extra visibility measurement), 9 water temperature and salinity sensors, 9 sea-level stations, two sea currents and waves stations and two canal currents stations. All sensors are connected to communication system which provides direct intranet access to the instruments. Every 15 minutes measured data is transmitted in real-time to the central collecting system, where data is collected, processed and stored in database. Database is triple secured to prevent data losses. Data collection system is double secured. Measuring system is secured against short power failure and instability. Special software is designed to collect, store, process and present environmental data and information on different user-friendly screens. Access to data and information is through internet/intranet with the help of browsers. Actual data from all measurements or from separate measuring place can be displayed on the computer screens as well as data for the last 24 hours. Historical data are available using report server for extracting data for selectable

  4. Home front.

    PubMed

    2001-04-04

    Ninety-year-old Ivy Tabberer protested against the closure of her care home at the Houses of Parliament last week. She was joined by fellow residents in the Havering Action Against Home Closures group and three generations of her family. Ms Tabberer is pictured with daughter Doreen Walpole (left), granddaughter Annette (far right) and great granddaughter Shereen (middle). 'If all the homes close,' said Ms Tabberer, 'where are we going to stay?'

  5. KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-115 Mission Specialists Joseph Tanner (center) and Heidemarie Stefanyshyn-Piper (right) look at the inside of the Japanese Experiment Module (JEM) Pressurized Module. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

    NASA Image and Video Library

    2003-07-18

    KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-115 Mission Specialists Joseph Tanner (center) and Heidemarie Stefanyshyn-Piper (right) look at the inside of the Japanese Experiment Module (JEM) Pressurized Module. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

  6. KENNEDY SPACE CENTER, FLA. - STS-115 Mission Specialist Joseph Tanner is dressed in protective gear to enter the Japanese Experiment Module (JEM) Pressurized Module located in the Space Station Processing Facility. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

    NASA Image and Video Library

    2003-07-18

    KENNEDY SPACE CENTER, FLA. - STS-115 Mission Specialist Joseph Tanner is dressed in protective gear to enter the Japanese Experiment Module (JEM) Pressurized Module located in the Space Station Processing Facility. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

  7. KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-115 Mission Specialists Heidemarie Stefanyshyn-Piper (left) and Joseph Tanner (center) get ready to check out the Japanese Experiment Module (JEM) Pressurized Module. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

    NASA Image and Video Library

    2003-07-18

    KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-115 Mission Specialists Heidemarie Stefanyshyn-Piper (left) and Joseph Tanner (center) get ready to check out the Japanese Experiment Module (JEM) Pressurized Module. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

  8. KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-115 Mission Specialist Heidemarie Stefanyshyn-Piper (left) gets ready to check out the Japanese Experiment Module (JEM) Pressurized Module. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

    NASA Image and Video Library

    2003-07-18

    KENNEDY SPACE CENTER, FLA. - In the Space Station Processing Facility, STS-115 Mission Specialist Heidemarie Stefanyshyn-Piper (left) gets ready to check out the Japanese Experiment Module (JEM) Pressurized Module. Known as Kibo, the JEM consists of six components: two research facilities -- the Pressurized Module and Exposed Facility; a Logistics Module attached to each of them; a Remote Manipulator System; and an Inter-Orbit Communication System unit. Kibo also has a scientific airlock through which experiments are transferred and exposed to the external environment of space. The various components of JEM will be assembled in space over the course of three Space Shuttle missions. The STS-115 mission will deliver the second port truss segment, the P3/P4 Truss, to attach to the first port truss segment, the P1 Truss, as well as deploy solar array sets 2A and 4A.. The crew is scheduled to activate and check out the Solar Alpha Rotary Joint (SARJ) and deploy the P4 Truss radiator.

  9. Impact of Medicare's prospective payment system on hospitals, skilled nursing facilities, and home health agencies: how the Balanced Budget Act of 1997 may have altered service patterns for Medicare providers.

    PubMed

    Kulesher, Robert R

    2006-01-01

    The prospective payment system is one of many changes in reimbursement that has affected the delivery of health care. Originally developed for the payment of inpatient hospital services, it has become a major factor in how all health insurance is reimbursed. The policy implications extend beyond the Medicare program and affect the entire health care delivery system. Initially implemented in 1982 for payments to hospitals, prospective payment system was extended to payments for skilled nursing facility and home health agency services by the Balanced Budget Act of 1997. The intent of the Balanced Budget Act was to bring into balance the federal budget through reductions in spending. The decisions that providers have made to mitigate the impact are a function of ownership type, organizational mission, and current level of Medicare participation. This article summarizes the findings of several initial studies on the Balanced Budget Act's impact and discusses how changes in Medicare reimbursement policy have influenced the delivery of health care for the general public and for Medicare beneficiaries.

  10. Smart Home Test Bed: Examining How Smart Homes Interact with the Power Grid

    SciTech Connect

    2016-11-01

    This fact sheet highlights the Smart Home Test Bed capability at the Energy Systems Integration Facility. The National Renewable Energy Laboratory (NREL) is working on one of the new frontiers of smart home research: finding ways for smart home technologies and systems to enhance grid operations in the presence of distributed, clean energy technologies such as photovoltaics (PV). To help advance this research, NREL has developed a controllable, flexible, and fully integrated Smart Home Test Bed.

  11. 75 FR 70350 - Liberty Natural Gas LLC, Liberty Liquefied Natural Gas (LNG) Deepwater Port License Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF TRANSPORTATION Maritime Administration Liberty Natural Gas LLC, Liberty Liquefied Natural Gas (LNG) Deepwater Port License... Transportation, Docket Management Facility, West Building, Ground Floor, Room W12-140, 1200 New Jersey Avenue, SE...

  12. The home health aide as a member of the home healthcare team.

    PubMed

    Harris, M D

    1997-11-01

    Individuals of all ages are discharged from acute-care facilities with a variety of medical and nursing diagnoses. Many of these individuals require home health aides services in addition to their skilled care. In the changing healthcare environment of the 1990s, home healthcare professionals are being challenged to provide effective, skilled care that is the most cost-effective and appropriate for patients. It is important that all professional home healthcare personnel work as a team with home health aides to accomplish these goals. The home health aide is an important member of the home care team.

  13. Laparoscopic Assisted Two Port Open Appendicectomy

    PubMed Central

    Golash, Vishwanath

    2008-01-01

    Objectives The laparoscopic appendicectomy can be performed using one to several ports. We present our experience of two port laparoscopic assisted open appendicectomy. The objective was to assess the results retrospectively in terms of complications and its limitations. Methods Between years 1998-2007, a two port laparoscopic assisted appendectomy was attempted in 2380 adult patients with suspected appendicitis. The patients with localized or generalized peritonitis were included. The appendicectomy was performed via an assisted two port method using 10 mm umbilical optical port and another 10 mm port in right iliac fossa. The children aged 12 and below and pregnant patients were excluded. All patients had their laparoscopic appendicectomy within 48 hours of admission. Results Two port laparoscopic assisted appendicectomy was successful in 86.9% of cases. Acute appendicitis was the cause of acute abdomen in 88.9% of the patients. The accessory port was required in 8.5% of patients to complete the appendicectomy and the conversion rate to open was 4.6%. The mean operation time was 25 minutes and the mean hospital stay was 1.5 days. The port site infection was seen in 14, bleeding in 20, parietal wall abscess in three cases and intra-abdominal abscesses in 4 patients. Conclusion This approach is simple, can be converted to total intracorporeal by inserting accessory port or to open appendicectomy when required and has advantage of full laparoscopy of abdomen. It has its limitations in cases of extreme obesity, thick mesentery, gangrenous appendix, very large and thick appendix, and difficulty in finding the appendix, control of bleeding, division of adhesions and to deal with other associated pathology. Cost was minimized by using non-disposable port. The overall morbidity was low. There were no specific complications related to this technique and incidence of port site infection was similar to other approaches of laparoscopic appendicectomy. PMID:22359707

  14. Severe Weather Guide - Mediterranean Ports. 7. Marseille

    DTIC Science & Technology

    1988-03-01

    Naval vessels normally utilize Avant Port Nord, the northern part of the Port, which is comprised of the following basins: Bassin Mirabeau , where the... Mirabeau -Mole de Leon Gourret GULF OF MARSEILLE ■43°16’N- NAUTICAL MILE SCALE 0 1 2 I I I 5°16’E...comprised of Avant Port Nord at the northern entrance, and the following basins: Bassin Mirabeau , Bassin Leon Bourret (Darse Sud), Bassin du President

  15. Modeling Flow through a Lock Manifold Port

    DTIC Science & Technology

    2013-01-01

    computational model is to provide reliable loss coefficients. Energy losses for flow issuing from a port occur primarily in the submerged jet . The...computational flow model to determine the velocity and pressure distribution in a single-port manifold for a range of port-to-culvert discharge ...Engineers 2006). Navigation lock manifolds can be evaluated using analytical methods when the hydraulic characteristics associated with the manifold’s

  16. Generalized two-port elements

    NASA Astrophysics Data System (ADS)

    Tenreiro Machado, J.; Galhano, Alexandra M.

    2017-01-01

    The development of models constitutes a fundamental step in the study of natural and artificial systems. Present day science aims to address broader and more complex areas of application requiring, therefore, new concepts and models. This paper explores the concept of generalized two-port network by embedding the ideas of fractional calculus, memristor, transformer and gyrator. Each element represents separately one possible direction for generalizing the classical elements, but the cross-fertilization of the distinct topics has been overlooked. In this line of thought, the proposal of a novel element is a logical conjecture for obeying the symmetries that have been discovered in nature.

  17. 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.

  18. A quantitative risk analysis approach to port hydrocarbon logistics.

    PubMed

    Ronza, A; Carol, S; Espejo, V; Vílchez, J A; Arnaldos, J

    2006-01-16

    A method is presented that allows quantitative risk analysis to be performed on marine hydrocarbon terminals sited in ports. A significant gap was identified in the technical literature on QRA for the handling of hazardous materials in harbours published prior to this work. The analysis is extended to tanker navigation through port waters and loading and unloading facilities. The steps of the method are discussed, beginning with data collecting. As to accident scenario identification, an approach is proposed that takes into account minor and massive spills due to loading arm failures and tank rupture. Frequency estimation is thoroughly reviewed and a shortcut approach is proposed for frequency calculation. This allows for the two-fold possibility of a tanker colliding/grounding at/near the berth or while navigating to/from the berth. A number of probability data defining the possibility of a cargo spill after an external impact on a tanker are discussed. As to consequence and vulnerability estimates, a scheme is proposed for the use of ratios between the numbers of fatal victims, injured and evacuated people. Finally, an example application is given, based on a pilot study conducted in the Port of Barcelona, where the method was tested.

  19. Aerial surveillance vehicles augment security at shipping ports

    NASA Astrophysics Data System (ADS)

    Huck, Robert C.; Al Akkoumi, Muhammad K.; Cheng, Samuel; Sluss, James J., Jr.; Landers, Thomas L.

    2008-10-01

    With the ever present threat to commerce, both politically and economically, technological innovations provide a means to secure the transportation infrastructure that will allow efficient and uninterrupted freight-flow operations for trade. Currently, freight coming into United States ports is "spot checked" upon arrival and stored in a container yard while awaiting the next mode of transportation. For the most part, only fences and security patrols protect these container storage yards. To augment these measures, the authors propose the use of aerial surveillance vehicles equipped with video cameras and wireless video downlinks to provide a birds-eye view of port facilities to security control centers and security patrols on the ground. The initial investigation described in this paper demonstrates the use of unmanned aerial surveillance vehicles as a viable method for providing video surveillance of container storage yards. This research provides the foundation for a follow-on project to use autonomous aerial surveillance vehicles coordinated with autonomous ground surveillance vehicles for enhanced port security applications.

  20. [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.

  1. Home Care

    MedlinePlus

    ... also available to help with home assessment. Assistive Technology to improve home safety can also be an option. For example, necklace or wrist radio devices that allow the older person to call for help. There ... technologies can provide help in administering and tracking medications, ...

  2. 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…

  3. Home Groups.

    ERIC Educational Resources Information Center

    Stahler, Theresa M.

    All students enrolled in the entry level foundations course in the College of Education of Kutztown University (Pennsylvania) participate in home groups, a cooperative learning strategy. Each student is assigned to a five- or six-person home group on the first day of class. Although group placements are made on the basis of class lists, every…

  4. Community Near-Port Modeling System (C-PORT): Briefing for Environmental Defense Fund

    EPA Science Inventory

    What C-PORT is: Screening level tool for assessing port activities and exploring the range of potential impacts that changes to port operations might have on local air quality; Analysis of decision alternatives through mapping of the likely pattern of potential pollutant dispersi...

  5. 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.

  6. 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.

  7. 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)

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

    NASA Astrophysics Data System (ADS)

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

    1994-07-01

    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.

  9. 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

  10. A novel home laparoscopic simulator.

    PubMed

    Al-Abed, Yahya; Cooper, David G

    2009-01-01

    As laparoscopic surgery becomes increasingly accepted as the technique of choice for many procedures, changes in training structure and working practice limit opportunities for trainees to acquire these new skills. A solution to this problem is the development of simulators that help to develop and hone skills before exposure to the operating theater. Several excellent yet costly simulators exist that have been demonstrated to improve laparoscopic skills. Furthermore, several reports in the literature describe the development of "home simulators"; however, each of these has limitations. The development of a home laparoscopic simulator is reported here that is cheap and easy to build and incorporates an extra dimension of practical port insertion as well as a novel design for a mobile light and camera source.

  11. 78 FR 25184 - Federal Housing Administration (FHA): Section 232 Healthcare Facility Insurance Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-30

    ... nursing homes, intermediate care facilities, board and care homes, and assisted-living facilities. The..., Nursing homes, Reporting and recordkeeping requirements. Accordingly, part 232 of title 24 of the Code of Federal Regulations is amended as follows: PART 232--MORTGAGE INSURANCE FOR NURSING HOMES,...

  12. Phytophthora lateralis on Port-Orford-cedar.

    Treesearch

    John. Hunt

    1959-01-01

    Results from annual surveys of the destructive Phytophthora root disease of Port-Orford-cedar (Chamaecyparis lawsoniana (A. Murr.) Parl.) show that the disease is gradually spreading and intensifying within the natural range of Port-Orford-cedar. The disease became established on native trees in the early 1950's in the vicinity of Coos Bay,...

  13. 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 GUARD, DEPARTMENT OF HOMELAND SECURITY UNINSPECTED VESSELS REQUIREMENTS FOR COMMERCIAL FISHING INDUSTRY VESSELS Stability § 28.555 Freeing ports. (a) Except as provided in paragraph (i) of this section, each...

  14. Port-Orford-Cedar Root Disease

    Treesearch

    Lewis F. Roth; Robert D. Jr. Harvey; John T. Kliejunas

    1987-01-01

    The most serious disease of Port-Orford-cedar (Chamaecyparis lawsoniana (A. Murr.) Parl.) is a root disease caused by the fungus Phytophthora lateralis. Nursery stock, ornamentals, and timber trees are subject to attack. Other species of Chamaecyparis are less susceptible than Port-Orford-cedar, and trees of other genera are not affected.

  15. 33 CFR 6.14-2 - Condition of waterfront facility a danger to vessel.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Condition of waterfront facility... of Waterfront Facilities and Vessels in Port § 6.14-2 Condition of waterfront facility a danger to... facility therein by reason of conditions existing on or about such wharf, dock, pier, or other waterfront...

  16. AP@home

    PubMed Central

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

    2016-01-01

    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

  17. Ports Primer: 3.3 Federal and International Governance

    EPA Pesticide Factsheets

    State and local governments are important players in port governance and in oversight of transportation projects that may affect ports. Private corporations may also play a role if they lease or own a terminal at a port.

  18. National Conversation on Ports: Webinar Slides and Transcripts

    EPA Pesticide Factsheets

    To exchange views and develop a shared understanding of the challenges and opportunities of ports and port communities, EPA's Office of Transportation and Air Quality is hosting a series of webinars, bringing together port stakeholders.

  19. 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

  20. Home Economics Special Needs Activity Guide.

    ERIC Educational Resources Information Center

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

    The purpose of this activity guide is to aid the home economics teacher to teach more successfully life and employment skills to special needs students. It offers suggestions for the home economics teacher with handicapped students to use to adapt teaching materials and/or facilities sufficiently to meet the goals of these special students. The…

  1. Navigation Safety Analysis in Taiwanese Ports

    NASA Astrophysics Data System (ADS)

    Liu, Chung-Ping; Liang, Gin-Shuh; Su, Yuhling; Chu, Ching-Wu

    2006-05-01

    Many researchers have studied vessel systems to enhance navigation safety at sea, or analysed the statistics of marine casualties of different flagged vessels as well as the fatalities and injuries in ferry accidents. However, little research has been devoted to port safety and especially navigation safety within Taiwanese territorial waters where over a 10-year period there have been 3428 marine accidents with 548 deaths and 524 vessels sunk. In this paper, we use the Grey Relational Analysis (GRA) to analyse the marine accident records of each of Taiwan's commercial ports from 1992 2003. Then, after interviewing the port authority managers and marine specialists, we discover the concerns felt by these professionals about Taiwanese commercial ports. We provide suggestions to strengthen port navigation safety.

  2. 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.

  3. Nursing Homes

    MedlinePlus

    ... estimated 50-70% of residents. More than three fourths of nursing-home residents have problems making daily ... to communicate the needs of the resident. Updated: July 2017 Posted: March 2012 © 2017 Health in Aging. ...

  4. 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.

  5. 75 FR 12730 - Foreign-Trade Zone 158-Vicksburg/Jackson, MS; Amendment to Application for Subzone; Max Home, LLC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-17

    ... Subzone; Max Home, LLC (Upholstered Furniture); Fulton and Iuka, MS A request has been submitted to the... furniture manufacturing facilities of Max Home, LLC (Max Home), located in Fulton and Iuka, Mississippi....

  6. 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.

  7. 49 CFR 28.150 - Program accessibility: Existing facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... equipment, reassignment of services to accessible buildings, assignment of aides to beneficiaries, home... of fixed facilities to accommodate technological changes is planned to occur within five years from...

  8. 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.

  9. The Pterional Port in Dual-Port Endoscopy: A 2D and 3D Cadaveric Study

    PubMed Central

    Beer-Furlan, André; Evins, Alexander I.; Rigante, Luigi; Anichini, Giulio; Stieg, Philip E.; Bernardo, Antonio

    2014-01-01

    Objective We propose a novel dual-port endonasal and pterional endoscopic approach targeting midline lesions of the anterior cranial fossa with lateral extension beyond the optic nerve. Methods Ten dual-port approaches were performed on five cadaveric heads. All specimens underwent an endoscopic transtuberculum/transplanum approach followed by placement of a pterional port. The endonasal port was combined with an endoscopic extradural pterional keyhole craniectomy. The pterional port was placed at the intersection of the sphenoparietal and coronal sutures. The extradural space was explored using two-dimensional and three-dimensional endoscopes. Results The superolateral access provided by the pterional port may improve the ability to achieve a gross total resection of tumors with lateral extensions. The complete opening of the optic canal achieved through the dual-port approach may enable resection of the intracanalicular portion of a tumor, a crucial step in improvement of visual function and reduction of tumor recurrence. Conclusion The pterional port may enhance control of midline anterior skull base lesions with lateral extension beyond the optic nerve and optic canal. Dual-port endoscopy maintains minimally invasiveness and dramatically increases the working limits and control of anatomical structures well beyond what is attainable through single-port neuroendoscopy. PMID:25685654

  10. 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

  11. 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 Home...

  12. Open port placement through the umbilical cicatrix.

    PubMed

    Sadhu, Sagar; Jahangir, Tarshid Ali; Sarkar, Sujit; Dubey, Sanjoy Kumar; Roy, Manas Kumar

    2009-10-01

    Peritoneal access and creation of pneumoperitoneum are the key initial steps of laparoscopic surgery. This is commonly achieved by either introducing Veress needle or by gradual dissection of all the layers of the abdominal wall and then introducing a port under direct vision. The two techniques are extremely safe, but large outcome studies have found slightly increased complications with the Veress needle. Randomized trials do not support such finding and both techniques continue to have their enthusiasts. We hereby describe an open method of initial port placement, wherein the port is introduced through the umbilical cicatrix under direct vision.

  13. 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.

  14. NASA White Sands Test Facility Remote Hypervelocity Test Laboratory

    NASA Image and Video Library

    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/...

  15. Reuse Study: Port Austin Air Force Station, Port Austin, Michigan

    DTIC Science & Technology

    1990-09-01

    swimming pool, baseball diamond, tennis courts, gym /fitness center, racquetball courts and a two-lane bowling alley. EXECLTMIVE SUMMARY 1-3 The structures...appear to be well constructed and all furnishings, fiytures and equipment have been removed. A water/wastewater treatment facility at the site is...Michigan, Air Defense Sector. In April 1962, the station’s equipment was modified to include the Back-Up Intercept Control (BUIC) I capability. Modified

  16. The new Medicare PPS and home dialysis.

    PubMed

    Curtis, Jim; Schatell, Dori

    2010-09-01

    Overall, we believe that bundling of payments to dialysis facilities is positive for home dialysis. The incentive for higher utilization of home therapies comes down to the fact that, with treatments for all modalities being paid at the same rate, providers will see that home modalities cost less than facility-based treatments. The adjustment for home training treatments is certainly helpful, but it is not incentive enough on its own. From our perspective, one of the biggest financial incentives for home dialysis and more frequent dialysis therapies is that these patients are statistically known to spend less time in the hospital, over time costing taxpayers and the ESRD Program less money. We will continue to encourage CMS to consider the overall cost implications of more frequent dialysis. We are hopeful that when hospitalization costs are accounted for, CMS will do even more to encourage the use of these modalities.

  17. 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.

  18. 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.

  19. 46 CFR 45.137 - Cargo ports.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ....137 Cargo ports. (a) Unless otherwise authorized by the Commandant, the lower edge of any opening for... is drawn parallel to the freeboard deck at side and has as its lowest point the upper edge of the...

  20. 46 CFR 45.137 - Cargo ports.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ....137 Cargo ports. (a) Unless otherwise authorized by the Commandant, the lower edge of any opening for... is drawn parallel to the freeboard deck at side and has as its lowest point the upper edge of the...

  1. 50 CFR 24.12 - Designated ports.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Orlando, Florida Honolulu, Hawaii New Orleans, Louisiana Hoboken, New Jersey (Port of New York) Jamaica... New York, New York Jamaica, New York Rouses Point, New York Morehead City, North Carolina Wilmington...

  2. 50 CFR 24.12 - Designated ports.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Orlando, Florida Honolulu, Hawaii New Orleans, Louisiana Hoboken, New Jersey (Port of New York) Jamaica... New York, New York Jamaica, New York Rouses Point, New York Morehead City, North Carolina Wilmington...

  3. 50 CFR 24.12 - Designated ports.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Orlando, Florida Honolulu, Hawaii New Orleans, Louisiana Hoboken, New Jersey (Port of New York) Jamaica... New York, New York Jamaica, New York Rouses Point, New York Morehead City, North Carolina Wilmington...

  4. 50 CFR 24.12 - Designated ports.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Orlando, Florida Honolulu, Hawaii New Orleans, Louisiana Hoboken, New Jersey (Port of New York) Jamaica... New York, New York Jamaica, New York Rouses Point, New York Morehead City, North Carolina Wilmington...

  5. 50 CFR 24.12 - Designated ports.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Orlando, Florida Honolulu, Hawaii New Orleans, Louisiana Hoboken, New Jersey (Port of New York) Jamaica... New York, New York Jamaica, New York Rouses Point, New York Morehead City, North Carolina Wilmington...

  6. Two-port circularly polarized microstrip antennas

    NASA Astrophysics Data System (ADS)

    Wang, B. F.

    A circularly polarized (CP) two-port microstrip antenna simultaneously operated at two CP states is investigated. The CP bandwidth of this antenna is increased by 0.35 percent to about 5 percent, almost 14 times wider than that of a single port patch. The antenna directivity due to the loss in the load is reduced by about 3 dB. Such a tradeoff should make the antenna much more useful for transmitting or receiving simultaneously two CP waves of opposite senses. The crosstalk between the two ports depends on the purity of the CP and is about -19 dB for axial ratios equal to 2 dB and -14 dB for axial ratio equal to 3 dB. A method for improving the isolation between the two antenna ports is discussed.

  7. 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)

  8. 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)

  9. 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

  10. Port of Baltimore. Workshop Report

    DTIC Science & Technology

    2001-02-22

    Mgmt Agency (410) 517-3627 gdonahue@mema.state.md.us LT Al Durham Sr. DC Harbor Police (202) 727-4582 alfreddurham@netscape.net Mr. Frank Hamons...actbalt.uscg.mil Mr. Chuck Hughes DWTC (410) 742-9559 N/A Mr. Ray Jankowiak Assoc. of Maryland Docking Pilots (410) 515-1595 rayjan1@home.com CAPT Kenny...USCG Commander (AOWW) (757) 398-6230 jwalters@lantd5.uscg.mil Mr. Alan Williams MD Dept. of the Environment (410) 631-3994 awilliams@mde.state.md.us

  11. 4. View of houses from Port Ludlow, houses no. 69 ...

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

    4. View of houses from Port Ludlow, houses no. 69 and 70, facing southwest. House no. 69 in foreground, house no. 70 in background. - Houses Moved from Port Ludlow, Various Addresses (moved from Port Ludlow, WA), Port Gamble, Kitsap County, WA

  12. 77 FR 24656 - Extension of Port Limits of Indianapolis, IN

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... SECURITY U.S. Customs and Border Protection 19 CFR Part 101 Extension of Port Limits of Indianapolis, IN.... Customs and Border Protection (CBP) is proposing to extend the geographical limits of the port of entry of... limits of the Indianapolis, Indiana, port of entry. CBP ports of entry are locations where CBP officers...

  13. GIS-aided port area plane design on project for Dongluo island-port in Fuzhou

    NASA Astrophysics Data System (ADS)

    Yang, Wei; Zong, Yueguang; He, Jinliao

    2008-10-01

    Up to now, the site selection of deepwater port has become a hot issue in the construction and planning of many estuary port cities. At the same time, there are various schemes about the location of deepwater port in Fuzhou and different opinions on them. Under this background, a new project for Dongluo Island-Port has been put forward. Port engineering has distinct spatial attributes, so its design is closely related to geographic spatial location. According to common engineering technique standards of seaport's location and construction, this paper explores the port area plane design of the new project by spatial analysis means of GIS. Main technical processes include applying the ARC/INFO9.0 and ArcView3.2 software to build elevation data firstly, then overlay the feature coverage to the base map to implement spatial analysis, and obtain the design coverage for port area finally. Combining with technical criterions of port area plane design, the paper analyses the design effect and concludes that the berths arrangement accords with the demand of transport capacity and the items layout accords with the engineering technique criterions as well, therefore the port area plane design is technically feasible as a whole.

  14. 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 ...

  15. Severe Weather Guide, Mediterranean Ports. 18. Ibiza

    DTIC Science & Technology

    1988-05-01

    two piers (Figure 2-3). A fuel pier extends southwest from the northern side of the port, while Estacion Maritima pier extends northeastward from the...side of the port, while Estacion Maritima (Maritime Station) pier extends northeastward from the southern side. The westernmost basin is used...wind velocity. At a given wind speed and a given state of wave development, each spectrum has a band of frequencies where most of the total energy is

  16. Agile Port and High Speed Ship Technologies

    DTIC Science & Technology

    2009-12-31

    Report PNW Agile Port System Demonstration Center for the Commercial Deployment of Transportation Technologies milestone agenda for accomplishing the... report summarizes the results of the remaining three projects in the FY05 program cycle, in particular the PNW Agile Port System Demonstration, a system...the accomplishment of each project and the program objectives. With the submission of this report the FY05 CCDoTT Program is complete. Bibliography

  17. Single port entry - are there any advantages?

    PubMed

    Mencaglia, L; Mereu, L; Carri, G; Arena, I; Khalifa, H; Tateo, S; Angioni, S

    2013-06-01

    Minimal-invasive, single-port laparoscopic surgery is a recent innovation that may improve surgical outcomes. In this chapter, we review published research on single-port surgery in gynaecology, and the different surgical instruments available. Challenges, advantages, indications and potential future rules of this new approach are also discussed. Sixty-five studies were available for review: 17 case reports, 32 case studies, 13 retrospective comparative studies, and three randomised-controlled trials (RCTs). The recent availability of advanced instruments has made single-port surgery safer and more feasible for most benign gynaecologic surgeries. Single-port surgery has many potential benefits, but comparative trials have found no differences between single-port surgery and conventional laparoscopy in postoperative complications, postoperative pain, hospital stay, and cosmetic results. Single-port surgery seems to provide another option in the area of minimal invasive surgery, and further development of this technique, along with robotics and natural orifice transgastric endoscopic surgery, will improve dissemination of this approach. Copyright © 2012 Elsevier Ltd. All rights reserved.

  18. 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 any...

  19. 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 any...

  20. 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 any...

  1. 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 any...

  2. 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 any...

  3. 78 FR 73441 - Grants to States for Construction or Acquisition of State Homes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... AFFAIRS 38 CFR Part 59 RIN 2900-AO60 Grants to States for Construction or Acquisition of State Homes... prioritization of State applications for VA grants for the construction or acquisition of State home facilities... the acquisition, construction, expansion, remodeling or alteration by States of State home facilities...

  4. 33 CFR 6.14-2 - Condition of waterfront facility a danger to vessel.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... vessel. Whenever the captain of the port finds that the mooring of any vessel to a wharf, dock, pier, or... facility therein by reason of conditions existing on or about such wharf, dock, pier, or other waterfront... of the port may prevent the mooring of any vessel to such wharf, dock, pier, or other waterfront...

  5. Facility Microgrids

    SciTech Connect

    Ye, Z.; Walling, R.; Miller, N.; Du, P.; Nelson, K.

    2005-05-01

    Microgrids are receiving a considerable interest from the power industry, partly because their business and technical structure shows promise as a means of taking full advantage of distributed generation. This report investigates three issues associated with facility microgrids: (1) Multiple-distributed generation facility microgrids' unintentional islanding protection, (2) Facility microgrids' response to bulk grid disturbances, and (3) Facility microgrids' intentional islanding.

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

    SciTech Connect

    and Oscar Hernandez, Wei Ding

    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.

  7. Private rest homes in the care of the elderly.

    PubMed

    Andrews, K

    1984-05-19

    Sixteen private rest homes were visited to assess their facilities and the types of disability of the residents. Apart from one home, which was a hotel for the elderly, all the homes provided care for physically and mentally frail elderly people over the long term. Although care was good the trends in the use of the homes are worrying, and stricter regulations are required to ensure appropriate levels of care. Greater support is also required from district nursing services.

  8. Upsurge in coal port developments. [Developments at Savannah, GA and Baltimore, MD for coal export

    SciTech Connect

    Not Available

    1980-11-01

    A major new port for exporting coal is being developed at Savannah, GA. Annual capacity is to be up to 15,000,000 tpy and the cost about $60,000,000. Storage will be provided for 1,000,000 tons of coal and blending facilities will be provided. Consolidation Coal Co. has purchased the Canton Terminal and Railroad Co., at Baltimore, MD. The annual capacity will be increased to 10,000,000 tpy. Occidental Petroleum Co. has contracted for an export facility at Curtis Bay, Baltimore with a 300,000 ton storage facility and unloading facilities rated at 3500 tph and ship loading facilities rated at 6000 tph. (LTN)

  9. 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, ...

  10. Nursing home safety: does financial performance matter?

    PubMed

    Oetjen, Reid M; Zhao, Mei; Liu, Darren; Carretta, Henry J

    2011-01-01

    This study examines the relationship between financial performance and selected safety measures of nursing homes in the State of Florida. We used descriptive analysis on a total sample of 1,197. Safety information was from the Online Survey, Certification and Reporting (OSCAR) data of 2003 to 2005, while the financial performance measures were from the Medicare cost reports of 2002 to 2004. Finally, we examined the most frequently cited deficiencies as well as the relationship between financial performance and quality indicators. Nursing homes in the bottom quartile of financial performance perform poorly on most resident-safety measures of care; however, nursing homes in the top two financial categories also experienced a higher number of deficiencies. Nursing homes in the next to lowest quartile of financial performance category best perform on most of these safety measures. The results reinforce the need to monitor nursing home quality and resident safety in US nursing homes, especially among facilities with poor overall financial performance.

  11. Education materials for home nutrition support consumers.

    PubMed

    Metzger, Lisa Crosby

    2010-10-01

    Parenteral and enteral nutrition (PEN) are life-sustaining therapies that can be administered in the home. They are also complex therapies, with many facets about which patients and caregivers must learn. Once home on PEN, the patient assumes much of the responsibility for day-to-day care. Although patients are trained in many aspects of home PEN management before they leave the hospital and often again upon arrival home, there is much to retain and put into practice. Many health care facilities, companies, and nonprofit organizations create home PEN patient education materials. In 1993 and 1995, directories were created to list the home nutrition support materials that were available. The 1995 directory has been updated and appended to this article. This directory was created in the spirit of the original: to encourage communication and the exchange of information between individuals and institutions.

  12. 9 CFR 97.1 - Overtime work at laboratories, border ports, ocean ports, and airports. 1

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... Testing, Certification, or Quarantine of Animals, Animal Products or Other Regulated Commodities Outside... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Overtime work at laboratories, border ports, ocean ports, and airports. 1 97.1 Section 97.1 Animals and Animal Products ANIMAL AND PLANT...

  13. 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...

  14. 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

    ... traffic and the general public from traffic congestion associated with the tournament weigh-in. The safety... the fishing tournament, resulting in heavy vessel traffic within Port Canaveral Harbor. This event... vessel traffic within Port Canaveral Harbor. This safety zone extends approximately 1100 yards west...

  15. Ownership Conversions and Nursing Home Performance

    PubMed Central

    Grabowski, David C; Stevenson, David G

    2008-01-01

    Objective To examine the effects of ownership conversions on nursing home performance. Data Source Online Survey, Certification, and Reporting system data from 1993 to 2004, and the Minimum Data Set (MDS) facility reports from 1998 to 2004. Study Design Regression specification incorporating facility fixed effects, with terms to identify trends in the pre- and postconversion periods. Principal Findings The annual rate of nursing home conversions almost tripled between 1994 and 2004. Our regression results indicate converting facilities are generally different throughout the pre/postconversion years, suggesting little causal effect of ownership conversions on nursing home performance. Before and after conversion, nursing homes converting from nonprofit to for-profit status generally exhibit deterioration in their performance, while nursing homes converting from for-profit to nonprofit status generally exhibit improvement. Conclusions Policy makers have expressed concern regarding the implications of ownership conversions for nursing home performance. Our results imply that regulators and policy makers should not only monitor the outcomes of nursing home conversions, but also the targets of these conversions. PMID:18355255

  16. 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.…

  17. 81 FR 20617 - Notification of Proposed Production Activity; Max Home, LLC; Subzone 158F (Upholstered Furniture...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2016-04-08

    ... Foreign-Trade Zones Board Notification of Proposed Production Activity; Max Home, LLC; Subzone 158F... Max Home, LLC (Max Home), for its facilities in Iuka and Fulton, Mississippi. The notification..., 2016. Max Home previously had authority to conduct cut-and-sew activity using certain foreign...

  18. 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.…

  19. 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.

  20. 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.

  1. 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

  2. Contaminated property redevelopment: A port, business, regulatory partnership

    SciTech Connect

    Stetz, E.L.; Otten, M.T.

    1994-12-31

    The Port of Seattle recently acquired over 100 acres of contaminated industrial properties with the intent of cleanup and redevelopment to return the property to beneficial industrial use. Development is necessary to expand an existing marine container terminal with deep water berths and an on-dock intermodal rail yard area in Elliott Bay. The acquired properties include: a wood treating facility; a shipyard; municipal landfill; slag and scrap steel yards; a small foundry; a chemical distribution warehouse; a railroad switching yard; and several industrial and commercial establishments. Soil, sediment, and groundwater are contaminated with organic and inorganic contaminants such as creosote, pentachlorophenol (Penta), polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAH), petroleum hydrocarbons (TPH), and metals. Soil gas in the vicinity of the municipal landfill contained methane, as well as hydrogen sulfide and volatile organics.

  3. 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

  4. Community Near-Port Modeling System (C-PORT): Briefing for ...

    EPA Pesticide Factsheets

    What C-PORT is: Screening level tool for assessing port activities and exploring the range of potential impacts that changes to port operations might have on local air quality; Analysis of decision alternatives through mapping of the likely pattern of potential pollutant dispersion and an estimated change in pollutant concentrations for user-designated scenarios; Designed primarily to evaluate the local air quality impacts of proposed port expansion or modernization, as well as to identify options for mitigating any impacts; Currently includes data from 21 US seaports and features a map-based interface similar to the widely used Google Earth; Still under development, C-PORT is designed as an easy-to-use computer modeling tool for users, such as state air quality managers and planners. This is part of our product outreach prior to model public release and to solicit for additional beta testers.

  5. Applications for the University of Texas Neutron Depth Profiling Facility

    SciTech Connect

    Uenlue, K.; Wehring, B.W.

    1994-12-31

    A permanent neutron depth profiling (NDP) facility is operational at a tangential beam port of the 1-MW TRIGA Mark II research reactor at the University of Texas at Austin (UT). This facility was developed to perform materials research, specifically measurements of interest to the microelectronics industry. After brief descriptions of the UT-NDP facility and its operation, this paper discusses applications we are planning that are not related to microelectronics materials.

  6. 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.

  7. Rendezvous facilities

    SciTech Connect

    Gehani, N.H.; Roome, W.D.

    1988-11-01

    The concurrent programming facilities in both Concurrent C and the Ada language are based on the rendezvous concept. Although these facilities are similar, there are substantial differences. Facilities in Concurrent C were designed keeping in perspective the concurrent programming facilities in the Ada language and their limitations. Concurrent C facilities have also been modified as a result of experience with its initial implementations. In this paper, the authors compare the concurrent programming facilities in Concurrent C and Ada, and show that it is easier to write a variety of concurrent programs in Concurrent C than in Ada.

  8. Development of five port reflectometer for reflection based sensing system

    NASA Astrophysics Data System (ADS)

    Baharuddin, S. A.; Cheng, E. M.; Lee, K. Y.; Zaaba, S. K.; Syahirah, K. N.; Abbas, Z.; Nasir, N. F. Mohd; Afendi, M.; Zakaria, Z.

    2017-03-01

    Five-Port Reflectometer is a microwave passivedevice where it implements the six-port algorithm to measure the complex reflection coefficient of material under test (MUT) through reflection on interface between MUT and microwave sensor. Initially, the Six-Port Reflectometer (SPR) was introduced by Engen in 1977 and major component used insix-port technique was designed in many types. When Riblet and Hanssonproposed ring junction with 5 ports only on 1981. Six ports ring junction has been reduced to five ports. In this paper, a dual frequency five ports ring junction circuit was designed, simulated and fabricated for reflection based sensing system. The fabricated five port ring junction is operating at frequencies of 0.64 GHz and 2.42 GHz. The measured result had good agreement with the simulated results for dual frequencies in terms of magnitude and phase.

  9. 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.

  10. A propensity matched comparison of effects between video assisted thoracoscopic single-port, two-port and three-port pulmonary resection on lung cancer.

    PubMed

    Mu, Ju-Wei; Gao, Shu-Geng; Xue, Qi; Mao, You-Sheng; Wang, Da-Li; Zhao, Jun; Gao, Yu-Shun; Huang, Jin-Feng; He, Jie

    2016-07-01

    To summarize our experiences of single-port, two-port vs. three-port VATS pulmonary resection for lung cancer patients. Data of consecutive 1,553 patients who underwent video assisted thoracoscopic surgery (VATS) pulmonary resection for lung cancer in the Department of Thoracic Surgery of Cancer Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College between November 2014 and January 2016 were prospectively collected and analyzed. A propensity-matched analysis was used to compare the short-term outcomes of lung cancer patients who received VATS single-port, two-port and three-port pulmonary resection. There were 716 males and 837 females. The mean age was 58.90 years (range, 25-82 years) and the conversion rate was 2.7% (42/1,553) in this cohort. After propensity score matching, there were 207 patients in single-port and two-port group, and 680 patients in three-port group. Propensity-matched analysis demonstrated that there were no significant differences in duration of operation (129 vs. 131 min, P=0.689), intra-operative blood loss (63 vs. 70 mL, P=0.175), number of dissected lymph nodes (12 vs. 13, P=0.074), total hospital expense (﹩9,928 vs. ﹩9,956, P=0.884) and cost of operation (﹩536 vs. ﹩535, P=0.879) between VATS single-port, two-port and conventional three-port pulmonary resection groups. There was no significant difference in the complication rate between two groups (5.3% vs. 4.7%, P=0.220). However, compared with three-port group, patients who underwent single port and two-port experienced shorter postoperative length of stay (6.24 vs. 5.61 d, P=0.033), shorter duration of chest tube (4.92 vs. 4.25 d, P=0.008), and decreased volume of drainage (926 vs. 791 d, P=0.003). The short term outcomes between VATS single-port, two-port and conventional three-port groups for the surgical treatment of lung cancer were comparable. However, compared with three-port VATS pulmonary resection, single-port and two-port were associated

  11. The U.S. home infusion market.

    PubMed

    Monk-Tutor, M R

    1998-10-01

    Medicare legislation stimulated the development of home care services but also resulted in fragmentation of service components. In the 1980s, prospective pricing and diagnosis-related groups, and resulting pressures to reduce inpatient length of stay, prompted additional growth of the industry. Even so, in 1995 home care represented only 3% of total national expenditures on health care. The annual growth rate of the home infusion industry dropped from 64% in 1982-86 to 24% in 1986-93. While revenue per patient for home infusion is expected to decrease under managed care, an increasing number of patients will support continued market growth. The home infusion market is highly competitive, with only a few large national providers and many small local providers. In 1996, 29% of acute care hospitals provided or were developing a home care program. Community pharmacists' options in the home infusion area include independent services, partnerships, joint ventures, contracts with hospitals, and franchises. The home infusion market is being integrated into alternative sites, such as ambulatory infusion centers (AICs), as providers attempt to diversify to maintain managed care contracts. AICs provide infusion therapy and nursing to noninstitutionalized, nonhome-bound patients. Untapped sources for future growth of the infusion market include long-term-care facilities. More consistent studies of the home care market are needed. Despite slowed growth in recent years, home care has a strong market in the United States.

  12. Factors Associated with Increasing Nursing Home Closures

    PubMed Central

    Castle, Nicholas G; Engberg, John; Lave, Judith; Fisher, Andrew

    2009-01-01

    Purpose We determine the rate of nursing home closures for 7 years (1999–2005) and examine internal (e.g., quality), organizational (e.g., chain membership), and external (e.g., competition) factors associated with these closures. Design and Method The names of the closed facilities and dates of closure from state regulators in all 50 states were obtained. This information was linked to the Online Survey, Certification, and Reporting data, which contains information on internal, organizational, and market factors for almost all nursing homes in the United States. Results One thousand seven hundred and eighty-nine facilities closed over this time period (1999–2005). The average annual rate of closure was about 2 percent of facilities, but the rate of closure was found to be increasing. Nursing homes with higher rates of deficiency citations, hospital-based facilities, chain members, small bed size, and facilities located in markets with high levels of competition were more likely to close. High Medicaid occupancy rates were associated with a high likelihood of closure, especially for facilities with low Medicaid reimbursement rates. Implications As states actively debate about how to redistribute long-term care services/dollars, our findings show that they should be cognizant of the potential these decisions have for facilitating nursing home closures. PMID:19674434

  13. Nursing home-acquired pneumonia.

    PubMed

    El Solh, Ali A

    2009-02-01

    Nursing home-acquired pneumonia (NHAP) was first described in 1978. Since then there has been much written regarding NHAP and its management despite the lack of well-designed studies in this patient population. The most characteristic features of patients with NHAP are the atypical presentation, which may lead to delay in diagnosis and therapy. The microbial etiology of pneumonia encompasses a wide spectrum that spans microbes recovered from patients with community-acquired pneumonia to organisms considered specific only to nosocomial settings. Decision to transfer a nursing home patient to an acute care facility depends on a host of factors, which include the level of staffing available at the nursing home, patients' advance directives, and complexity of treatment. The presence of risk factors for multidrug-resistant pathogens dictates approach to therapy. Prevention remains the cornerstone of reducing the incidence of disease. Despite the advance in medical services, mortality from NHAP remains high.

  14. Analysis of criticality accident alarm system coverage in the X-700, X-705, and X-720 facilities at the Portsmouth Gaseous Diffusion plant

    SciTech Connect

    Skapik, C.W.; Dobelbower, M.C.; Woollard, J.E.

    1995-12-01

    Additional services for the uranium enrichment cascade process, such as maintenance and decontamination operations, are provided by several ancillary facilities at the PORTS site. These facilities include the X-700 Maintenance Facility, the X-705 Decontamination Facility, and the X-720 Maintenance and Stores Facility. As uranium operations are performed within these facilities, the potential for a criticality accident exists. In the event of a criticality accident within one of these facilities at PORTS, a Criticality Accident Alarm System (CAAS) is in place to detect the criticality accident and sound an alarm. In this report, an analysis was performed to provide verification that the existing CAAS at PORTS provides complete criticality accident coverage in the X-700, X-705, and X-720 facilities. The analysis has determined that the X-705 and X-720 facilities have complete CAAS coverage; the X-700 facility has not been shown to have complete CAAS coverage at this time.

  15. 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

  16. Private investment purchase and nursing home financial health.

    PubMed

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

    2015-02-01

    To explore the impact of nursing home acquisition by private investment firms on nursing home costs, revenue, and overall financial health. Merged data from the Medicare Cost Reports and the Online Survey, Certification, and Reporting system for the period 1998-2010. Regression specification incorporating facility and time fixed effects. 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. 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. © Health Research and Educational Trust.

  17. Single incision laparoscopic splenectomy with double port.

    PubMed

    Vatansev, Celalettin; Ece, Ilhan

    2009-12-01

    In response to the increasing interest in minimally invasive surgery by both patients and surgeons, most abdominal surgery today is carried out laparoscopically. Laparoscopic splenectomy has become a gold standard in the treatment of spleen disorders related to hematologic diseases. Increasing laparoscopic surgery experience and improved new vessel sealing equipment have led to a decreasing number of ports in laparoscopic surgery and to operations from 1 incision. We carried out single-incision double-port laparoscopic splenectomy in a patient with immune thrombocytopenic purpura using only 2 trocars with a simple manipulation. Our review of the related literature revealed no earlier description of a single-incision double-port laparoscopic splenectomy. We therefore present herein this earlier unreported technique.

  18. 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.

  19. 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.

  20. Severe Weather Guide - Mediterranean Ports - 31. Taormina

    DTIC Science & Technology

    1989-06-01

    FRANCE 13 MONACO 14 ASHDOD, ISRAEL 15 HAIFA, ISRAEL 16 BARCELONA, SPAIN 17 PALMA , SPAIN 18 IBIZA, SPAIN 19 POLLENSA BAY, SPAIN 20 LIVORNO...active volcano , is located approximately 15 mi west-southwest of the Port. Figure 2-2. East Coast of Sicily 2-2 The Port of Taormina is located...2 mi inland often approaching 2,000 ft (610 m) . Mt. Etna, a 10,902 ft (3,323 m) active volcano , is located approximately 15 mi west-southwest of

  1. Severe Weather Guide - Mediterranean Ports. 30. Messina

    DTIC Science & Technology

    1989-06-01

    HAIFA, ISRAEL TANGIER, MOROCCO 16 BARCELONA, SPAIN ALGIERS, ALGERIA 17 PALMA , SPAIN TUNIS, TUNISIA 18 IBIZA, SPAIN BIZERTE, TUNISIA 19 POLLENSA BAY...a 10,902 ft (3,323 m) active volcano , lies about 38 n mi southwest of the Port. ITALY / I Vess -a 1 CATANIA 5jLF N ~AffA C.11 AN I ISEA AUGUSTA...3,323 m) active volcano , lies about 38 n mi southwest of the Port. IMESSINA ..... 7 CATANIA SICILY GULF OF I NA CA TANIA INA SEA -37-N NAUTICAL MILE

  2. Severe Weather Guide, Mediterranean Ports. 16. Barcelona

    DTIC Science & Technology

    1988-05-01

    and Besos rivers at 41»22’N 002»11’E (Figure 2-2). Figure 2-2. Region of the Port of Barcelona. 2-2 The Port of Barcelona is capable of...Llobregat and Besos rivers at 41൞’N 002»11’E (Figure 3-2). NAUTICAL MILE SCALE -^ It >■ 0 , UobngatR. ’BARCELONA Bhro f^: GULF OF VALENCIA...OOCUMENTATION 2. AVENUE RAPP 75340 PARIS CEDEX 07 FRANCE SERVICE HYDROGRAPHIQUE ET OCEANOGRAPHIQUE DE LA MARINE ESTABLISSEMENT PRINCIPAL RUE OU

  3. 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

  4. Relocation Decisions and Constructing the Meaning of Home: A Phenomenological Study of the Transition into a Nursing Home

    PubMed Central

    Johnson, Rebecca A.; Bibbo, Jessica

    2014-01-01

    The transition from community dwelling to a nursing home is a common, though idiosyncratic, experience in the United States. This study employed an interpretive phenomenological approach to uncover how eight older adults in nursing homes in the Midwestern U.S. constructed the meaning of home shortly following the relocation and again approximately two months later. The degree to which the individual had been involved in the decision making process was also explored as it related to the meaning of home within the nursing home setting. The majority of individuals did not consider the facility to be “home,” but actively changed their attitudes toward the facility and themselves to better adjust to the setting. The findings demonstrate the importance of autonomy in older adults’ definitions of home. PMID:24984908

  5. “Would You Do That in Your Home?” Making Nursing Homes Home-like in Culture Change Implementation

    PubMed Central

    SHIELD, RENÉE R.; TYLER, DENISE; LEPORE, MICHAEL; LOOZE, JESSICA; MILLER, SUSAN C.

    2017-01-01

    Qualitative interviews with nursing home administrators reveal innovative and cost-conscious ways to physically modify facilities that help institute culture change practices. Telephone interviews were conducted following a national survey of nursing home nursing directors and administrators. In this cross-sectional snapshot of administrator experiences, motivations for making facilities more home-like and less institutional and creative responses to challenges are described. State and corporate support and regulator encouragement are noted that help their reform efforts. Administrators note that small steps to create a more home-like environment can result in a positive impact that minimizes disruption to existing care processes. They describe how they respond to challenges, such as the physical plant and high costs, and note how comparative shopping, cost-conscious physical improvements, and continuous involvement of staff and residents contribute to successful efforts. Their examples illustrate novel ways to humanize long-term care facilities that other nursing homes can emulate. PMID:28344379

  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. Fire Safety in Nursing Facilities: Participant's Coursebook.

    ERIC Educational Resources Information Center

    Walker (Bonnie) and Associates, Inc., Crofton, MD.

    Fewer people die in nursing facility fires than in fires occurring in other places where older people live. Fire remains, however, a significant threat in nursing facilities. This book is centered around six "modules" that present a fire safety training program for managers and staff in nursing homes. These modules present the following…

  8. Sampling Challenges in Nursing Home Research

    PubMed Central

    Tilden, Virginia P.; Thompson, Sarah A.; Gajewski, Byron J.; Buescher, Colleen M.; Bott, Marjorie J.

    2012-01-01

    Background Research on end-of-life care in nursing homes is hampered by challenges in retaining facilities in samples through study completion. Large-scale longitudinal studies in which data are collected on-site can be particularly challenging. Objectives To compare characteristics of nursing homes that dropped from study to those that completed the study. Methods 102 nursing homes in a large geographic 2-state area were enrolled in a prospective study of end-of-life care of residents who died in the facility. The focus of the study was the relationship of staff communication, teamwork, and palliative/end-of-life care practices to symptom distress and other care outcomes as perceived by family members. Data were collected from public data bases of nursing homes, clinical staff on site at each facility at two points in time, and from decedents’ family members in a telephone interview. Results 17 of the 102 nursing homes dropped from the study before completion. These non-completer facilities had significantly more deficiencies and a higher rate of turnover of key personnel compared to completer facilities. A few facilities with a profile typical of non-completers actually did complete the study after an extraordinary investment of retention effort by the research team. Discussion Nursing homes with a high rate of deficiencies and turnover have much to contribute to the goal of improving end-of-life care, and their loss to study is a significant sampling challenge. Investigators should be prepared to invest extra resources to maximize retention. PMID:23041332

  9. 7 CFR 322.27 - Eligible ports for transit shipments.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... of Restricted Organisms Through the United States § 322.27 Eligible ports for transit shipments. You may transit restricted organisms only through a port of entry staffed by an APHIS inspector. 7 7...

  10. Radiation and Shipping Port Security | RadTown USA | US ...

    EPA Pesticide Factsheets

    2016-02-23

    Cargo comes into the U.S. from all over the world. Ports can ensure safety by: Screening cargo for radiation before it gets here. Safely handling any radioactive material that needs to pass through a port.

  11. EPA Partnership Agreement with Broward County's Port Everglades

    EPA Pesticide Factsheets

    The U.S. EPA announced that it was seeking to partner with a seaport to coordinate research and modeling covering port-related operations, technologies, and growth scenarios. Broward County's Port Everglades submitted a letter of interest.

  12. 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.

  13. 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).

  14. 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

  15. 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.

  16. 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)

  17. Essential newborn care after home delivery in Nepal.

    PubMed

    Målqvist, Mats; Pun, Asha; Kc, Ashish

    2017-03-01

    Postnatal care of the newborn is essential in order to reduce neonatal mortality. Nepal has made great efforts to improve maternal and child health by focusing on accessibility and outreach over the past decades. This study aims to examine trends, over the past decade, in levels and equity of facility delivery rates and the provision of newborn care after home delivery in Nepal. Household-level data from the Demographic Health Surveys (DHS) 2006 and 2011 and the Multiple Indicator Cluster Survey (MICS5) from 2014 performed in Nepal was sourced for the study. Coverage rates of facility delivery and newborn care after home delivery were calculated and logistic regression models were used to ascertain inequity. Home delivery rate dropped from 79.2% in 2006 to 46.5% in 2014, a development showing an inequitable distribution, with a larger share of better-off families shifting to facility delivery. For those who still delivered at home there was an increased rate of early initiation of breastfeeding and adequate temperature control, but only 2.2% of women delivering at home received a home visit by a health professional in the first week of delivery. No inequity in receiving newborn care after home delivery could be detected. There have been significant improvements in facility delivery rates over the last 10 years in Nepal and postnatal care at home has improved. There is, however, an alarmingly low level of home visits during an infant's first week.

  18. Building the Portes ouvertes CD-ROM.

    ERIC Educational Resources Information Center

    Jones, Christopher M.; Frommer, Judith

    1999-01-01

    Describes the development of the "Portes ouvertes" CD-ROM, which was produced as an integrated part of a first-year method for elementary French. Details the design and production of the CD-ROM with reference to video and textbook elements where such reference is indispensable to an understanding of pedagogical foundations. (Author/VWL)

  19. Supplement: Supreme Court Port Gibson, Miss., Decision.

    ERIC Educational Resources Information Center

    Crisis, 1982

    1982-01-01

    Presents the recent Supreme Court Opinion No. 81-202, "National Association for the Advancement of Colored People, et al., v. Claiborne Hardware Company et al.," on a case which arose from a boycott of various Port Gibson, Mississippi, businesses. Appended is a 1969 speech about the boycott by Charles Evers. (GC)

  20. 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.…