Sample records for imco
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Glover, McKinley; Daye, Dania; Khalilzadeh, Omid; Pianykh, Oleg; Rosenthal, Daniel I; Brink, James A; Flores, Efrén J
2017-11-01
The extent to which racial and socioeconomic disparities exist in accessing clinically appropriate, advanced diagnostic imaging has not been well studied. This study assesses the relationship between demographic and socioeconomic factors and the incidence of imaging missed care opportunities (IMCOs). We performed a retrospective review of outpatient CT and MRI appointments at a quaternary academic medical center and affiliated outpatient facilities during a 12-month period. Missed appointments not rescheduled in advance were classified as IMCOs. Appropriateness criteria scores and demographics were also obtained. Univariate and multivariate analyses were performed to determine if demographic and socioeconomic factors were predictive of IMCOs. Overall, 57,847 patients met inclusion criteria, representing 89,943 scheduled unique imaging appointments of which 5,840 (6.1%) were IMCOs; 0.8% of IMCO appointments had low appropriateness scores compared with 1.2% of completed appointments (P < .01). Appointments covered by commercial insurance (5.2%) had a significantly lower rate of IMCOs than other payers: Medicare = 6.3%, Medicaid = 14.5%, self-pay = 12.0% (P < .05). The following factors were independent predictors of a patient having ≥ 1 IMCO: noncommercial insurance [odds ratio (OR) = 1.7-2.6], African American (OR = 1.8), Hispanic (OR = 1.2), other race (OR = 1.1), language other than English or Spanish (OR = 1.2), male gender (OR = 1.2), age ≥ 65 (OR = 0.71), and median household income of patient home zip code <$50,000 (OR = 1.4). Race and socioeconomic status are independent predictors of IMCOs. In efforts to enhance patient engagement, radiologists should be aware of the impact of race and socioeconomic status on access to clinically appropriate advanced diagnostic imaging. Copyright © 2017 American College of Radiology. Published by Elsevier Inc. All rights reserved.
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33 CFR 143.207 - Requirements for foreign MODUs.
Code of Federal Regulations, 2010 CFR
2010-07-01
... the International Maritime Organization (IMO, formerly Inter-Governmental Maritime Consultative Organization or IMCO) (IMO) Code for Construction and Equipment of Mobile Offshore Drilling Units (IMO Assembly...
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33 CFR 146.205 - Requirements for foreign MODUs.
Code of Federal Regulations, 2010 CFR
2010-07-01
...) The operating standards for mobile offshore drilling units contained in the International Maritime Organization (IMO, formerly Inter-Governmental Maritime Consultative Organization or IMCO) (IMO) Code for the...
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AGOR 28: SIO Shipyard Representative Bi-Weekly Progress Report
2013-12-05
Valves Model 70-300 Series Bronze Ball Valve)(R/ASR) 507/0 AGOR27 A027- 38 DWG Report - FLUID SYSTEM CLEANING, FLUSHING, AND MAINTENANCE ...LOCATIONS ( DI-051 (VRS) for PL 72012-02 IMCOS CCTV System)(R/ASR) 748/0 AGOR27 A055 TM Report - COMMERCIAL TECHNICAL MANUALS AND SUPPLEMENTAL DATA
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46 CFR 56.50-57 - Bilge piping and pumps, alternative requirements.
Code of Federal Regulations, 2010 CFR
2010-10-01
... standards referred to in this section, which are contained in the Inter-governmental Maritime Consultative Organization (IMCO) Resolution A.265 (VIII), dated December 10, 1973, are incorporated by reference. This... chapter II of the International Convention for the Safety of Life at Sea, 1960” (Volume IV of the U.S...
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1973-01-01
Committee of the Intergovernmental Maritime Con - sultative Organization (IMCO), an agency of the United Nations. In the course of these representations...han 1.8 m. In applying the fcrmula the actual GMo should be known to a sufficicnt degree of accuracy. If a rolling test, on inclining experiment...off oil fuel burners of boilers, fuel oil valves and air dampers should be so arranged that fuel oil inlet valves con bc opened only after air iulet
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Safety and health in the construction of fixed offshore installations in the petroleum industry
DOE Office of Scientific and Technical Information (OSTI.GOV)
Not Available
1981-01-01
A meeting convened by the ILO (International Labor Office) on safety problems in the offshore petroleum industry recommended the preparation of a code of practice setting out standards for safety and health during the construction of fixed offshore installations. Such a code, to be prepared by the ILO in co-operation with other bodies, including the Inter-Governmental Maritime Consultative Organisation (IMCO), was to take into consideration existing standards applicable to offshore construction activities and to supplement the ILO codes of practice on safety and health in building and civil engineering work, shipbuilding and ship repairing. (Copyright (c) International Labour Organisation 1981.)
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Dynamic Deformation Properties of Energetic Composite Materials
2005-04-01
Whitley 189 (rotating mirror, 25 frames) up to 4 x 106 s-1 Hadland Imacon 792 (8 full or up to 24 half frames) up to 107 s-1 or streak IMCO Ultranac...CAVENDISH LABORATORY Material Density/kg m-3 Wave Speed/m s-1 Impedance/kgm-2 s-1 Magnesium 1798 4920 8.85x106 AZM Dural 2711 5040 13.7 x 106 Ti6Al4V 4418...4840 21.4 x 106 Stainless steel 7835 4842 37.9 x 106 Maraging steel 8080 4830 39.1 x 106 Inconel 718 8269 4980 41.3 x 106 Tungsten 16900 4406 75.3 x 106
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INMARSAT - The International Maritime Satellite Organization: Origins and structure
NASA Technical Reports Server (NTRS)
Doyle, S. E.
1977-01-01
The third session of the International Conference on the Establishment of an International Maritime Satellite System established the International Maritime Satellite Organization (INMARSAT) in 1976. Its main functions are to improve maritime communications via satellite, thereby facilitating more efficient emergency communications, ship management, and maritime public correspondence services. INMARSAT's aims are similar to those of the Intergovernmental Maritime Consultative Organization (IMCO), the main United Nations organization dealing with maritime affairs. The specific functions of INMARSAT have been established by an Intersessional Working Group (IWG) which met three times between general conference meetings. Initial investment shares for the creation of INMARSAT were shared by the United States (17%), the United Kingdom (12%), the U.S.S.R. (11%), Norway (9.50%), Japan (8.45%), Italy (4.37%), and France (3.50%).
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2012-01-01
Background The Danish Multiple Sclerosis Society initiated a large-scale bridge building and integrative treatment project to take place from 2004–2010 at a specialized Multiple Sclerosis (MS) hospital. In this project, a team of five conventional health care practitioners and five alternative practitioners was set up to work together in developing and offering individualized treatments to 200 people with MS. The purpose of this paper is to present results from the six year treatment collaboration process regarding the development of an integrative treatment model. Discussion The collaborative work towards an integrative treatment model for people with MS, involved six steps: 1) Working with an initial model 2) Unfolding the different treatment philosophies 3) Discussing the elements of the Intervention-Mechanism-Context-Outcome-scheme (the IMCO-scheme) 4) Phrasing the common assumptions for an integrative MS program theory 5) Developing the integrative MS program theory 6) Building the integrative MS treatment model. The model includes important elements of the different treatment philosophies represented in the team and thereby describes a common understanding of the complexity of the courses of treatment. Summary An integrative team of practitioners has developed an integrative model for combined treatments of People with Multiple Sclerosis. The model unites different treatment philosophies and focuses on process-oriented factors and the strengthening of the patients’ resources and competences on a physical, an emotional and a cognitive level. PMID:22524586
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[Hygiene problems in inland and sea navigation].
Goethe, H
1983-09-01
Both waste and sewage disposal are ubiquitous problems which have also affected navigation. Shipping is a very important transport carrier on a worldwide basis which together with the fishing industry employs roughly two million people. The problems associated with waste and sewage disposal obviously present a severe hazard to the coastal areas, narrow sea basins and, in particular, to inland and open-sea waterways. These problems are particularly alarming in large sea-ports, docks without outfall etc. The reduction of the crews aboard the ships operated by the industialised countries has helped to quantitatively ease the problem of waste and sewage disposal caused by the crews. However, passenger steamers with high waste and sewage volumes cause considerable nuisance in small harbours and the same holds for the disposal of technical waste products from ships such as dunnage packing material, ropes, plastic material, oil, etc. The quantity of waste water aboard a sea-going vessel including that from the toilets, washrooms, galley, and cleaning is rather considerable and is estimated at 300 litres per person and day under tropical climates. The volume of waste varies greatly and depends mainly on the type of material used aboard as mentioned above. Passenger liners with a very high volume of kitchen refuse and other solid waste give rise to specially insidious problems. In the past, sea-going vessels as well as ships employed in inland navigation used to throw overboard any type of refuse and sewage. However, during the last few decades the port authorities and also governments have introduced local and national regulations ruling that waste may no longer be thrown into harbour basins, but must be collected and disposed of on shore. Most ships have complied with these provisions, but some of them kept the collected refuse aboard and disposed of it on the open sea outside the harbours. International agreements on the prohibition of emptying oil and oil-containing waste into the sea were reached as early as 1954. The first rigorous provisions on the strict prohibition of discharging sewage and throwing spoilage overboard on the sea were promulgated around 1960 for the Great Lakes (USA and Canada) as well as for some Baltic Sea and Black Sea harbours (USSR). This legislation has been increasingly tightened. The international agreement on the prevention of sea pollution by ships, submitted by the International Maritime Consultative Organization (IMCO) in 1973 and 1978, strictly bans the throwing overboard or discharging of oil, plastic material, stowing and packing materials etc. as well as unperishable substances.(ABSTRACT TRUNCATED AT 400 WORDS)
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Continuous Severe Plastic Deformation Processing of Aluminum Alloys
DOE Office of Scientific and Technical Information (OSTI.GOV)
Raghavan Srinivasan; Prabir K. Chaudhury; Balakrishna Cherukuri
2006-06-30
Metals with grain sizes smaller than 1-micrometer have received much attention in the past decade. These materials have been classified as ultra fine grain (UFG) materials (grain sizes in the range of 100 to 1000-nm) and nano-materials (grain size <100-nm) depending on the grain size. This report addresses the production of bulk UFG metals through the use of severe plastic deformation processing, and their subsequent use as stock material for further thermomechanical processing, such as forging. A number of severe plastic deformation (SPD) methods for producing bulk UFG metals have been developed since the early 1990s. The most promising ofmore » these processes for producing large size stock that is suitable for forging is the equal channel angular extrusion or pressing (ECAE/P) process. This process involves introducing large shear strain in the work-piece by pushing it through a die that consists of two channels with the same cross-sectional shape that meet at an angle to each other. Since the cross-sections of the two channels are the same, the extruded product can be re-inserted into the entrance channel and pushed again through the die. Repeated extrusion through the ECAE/P die accumulates sufficient strain to breakdown the microstructure and produce ultra fine grain size. It is well known that metals with very fine grain sizes (< 10-micrometer) have higher strain rate sensitivity and greater elongation to failure at elevated temperature, exhibiting superplastic behavior. However, this superplastic behavior is usually manifest at high temperature (> half the melting temperature on the absolute scale) and very low strain rates (< 0.0001/s). UFG metals have been shown to exhibit superplastic characteristics at lower temperature and higher strain rates, making this phenomenon more practical for manufacturing. This enables part unitization and forging more complex and net shape parts. Laboratory studies have shown that this is particularly true for UFG metals produced by SPD techniques. This combination of properties makes UFG metals produced by SPD very attractive as machining, forging or extrusion stock, both from the point of view of formability as well as energy and cost saving. However, prior to this work there had been no attempt to transfer these potential benefits observed in the laboratory scale to industrial shop floor. The primary reason for this was that the laboratory scale studies had been conducted to develop a scientific understanding of the processes that result in grain refinement during SPD. Samples that had been prepared in the laboratory scale were typically only about 10-mm diameter and 50-mm long (about 0.5-inch diameter and 2-inches long). The thrust of this project was three-fold: (i) to show that the ECAE/P process can be scaled up to produce long samples, i.e., a continuous severe plastic deformation (CSPD) process, (ii) show the process can be scaled up to produce large cross section samples that could be used as forging stock, and (iii) use the large cross-section samples to produce industrial size forgings and demonstrate the potential energy and cost savings that can be realized if SPD processed stock is adopted by the forging industry. Aluminum alloy AA-6061 was chosen to demonstrate the feasibility of the approach used. The CSPD process developed using the principles of chamber-less extrusion and drawing, and was demonstrated using rolling and wire drawing equipment that was available at Oak Ridge National Laboratory. In a parallel effort, ECAE/P dies were developed for producing 100-mm square cross section SPD billets for subsequent forging. This work was carried out at Intercontinental Manufacturing Co. (IMCO), Garland TX. Forging studies conducted with the ECAE/P billets showed that many of the potential benefits of using UFG material can be realized. In particular, the material yield can be increased, and the amount of material that is lost as scrap can be reduced by as much as 50%. Forging temperatures can also be reduced by over 150ºC, resulting in energy savings in the operation of billet heating furnaces. Looking at only the energy required to make forgings from stock materials, estimated energy savings associated with reduced scrap and lower furnace operating temperatures were greater than 40% if ECAE/P stock material was used instead of conventionally extruded stock. Subsequent heat treatment of the forged materials to the T6 condition showed that the mechanical properties of parts made from the ECAE/P stock material were the same as of those made from conventional extruded stock material. Therefore, the energy and cost savings benefits can be realized by the use SPD processed material as forging stock without sacrificing properties in the final part.« less