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Sample records for long-term waste management

  1. 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

  2. Current Status of the United Kingdom Programme for Long-Term Radioactive Waste Management

    SciTech Connect

    Murray, C. H.; Hooper, A. J.; Mathieson, J.

    2002-02-27

    In 1997, the UK programme for the deep disposal of radioactive waste was ''stopped dead in its tracks'' with the refusal by the Secretary of State for the Environment to allow Nirex to go ahead with its plans for an underground Rock Characterisation Facility at Sellafield in north-west England. Since that time a House of Lords' Select Committee has held an inquiry into what went wrong and what the way ahead should be. In addition, Nirex and the nuclear industry players have also been analyzing the past with a view to learning from the experience in taking things forward. In Nirex's view this is essentially an ethical issue; the waste exists and we should deal with it in this generation. Three areas need to be better addressed if a successful program of management of the nation's radioactive waste is to be achieved: the process of how policy development and implementation can be achieved; the structure of the nuclear industry and its relationship to the waste management organization; and the behavior of the players in their interaction with stakeholders. All three are underpinned by the need for transparency. In recognition that developing a policy for managing radioactive waste has to be achieved with the support of all stakeholders, the Government instigated a consultation exercise in September 2001. The initial phase of this initiative is essentially a consultation about consultation and is intended to decide on how the next stages of a six year policy development program should be addressed. In addition to this exercise, the Government is undertaking a fundamental review of the structuring of the United Kingdom Atomic Energy Authority (UKAEA) and British Nuclear Fuels plc (BNFL). They are both shareholders in Nirex and in November 2001 the Government announced the setting up of a Liabilities Management Authority (LMA) to manage the long-term nuclear liabilities that are publicly owned, particularly through those organizations. The future of Nirex will be

  3. Governing Long-Term Risks in Radioactive Waste Management: Reversibility and Knowledge Transfer Across Generations

    NASA Astrophysics Data System (ADS)

    Lehtonen, M.

    2014-12-01

    Safe management of the long-lived and high-level radioactive waste originating primarily from nuclear power stations requires isolating and confining the waste for periods up to 100 000 years. Disposal in deep geological formations is currently the solution advocated by international organisations (e.g. the IAEA and the OECD-NEA) and governments, but nowhere in the world is such repository for civilian nuclear waste in operation yet. Concerns about the governance of the involved risks and uncertainties for such long periods lie at the heart of the controversies that have slowed down the identification of a solution. In order to draw lessons potentially relevant for the governance of long-term climate risks, this paper examines the ways in which two interrelated aspects have been addressed in nuclear waste management in France, the US, and the Nordic countries. The first issue concerns "reversibility" - i.e. the possibility on one hand to retrieve the waste once it has been disposed of in a repository, and on the other to return at any point in time along the decision-making process to the previous decision-making phase. Reversibility constitutes today a fundamental, legally binding requirement in French radioactive waste policy. A strategy for managing risk and uncertainty as such, reversibility nevertheless also poses significant safety challenges of its own. The second topic goes beyond the timescales (max. 300 years) in which reversibility is usually considered applicable, addressing the question of intergenerational knowledge transfer, comparing the Nordic and the American approaches to the issue. The key challenge here is ensuring the transfer to the future generations - for periods up to 100 000 years - of sufficient knowledge concerning the siting, characteristics and management of the waste deposited in a repository. Even more fundamentally, instead of knowledge transfer, should we rather aim at "active forgetting", in order to prevent the curious in the

  4. Concrete long-term behaviour in the context of nuclear waste management: Experimental and modelling research strategy

    NASA Astrophysics Data System (ADS)

    Gallé, C.; Peycelon, H.; Le Bescop, P.; Bejaoui, S.; L'Hostis, V.; Bary, B.; Bouniol, P.; Richet, C.

    2006-11-01

    This paper draws the main lines of the scientific strategy adopted by CEA for its R&D programme dedicated to the study of the long-term behaviour of cement-based materials in relationship with cemented nuclear waste management. In the framework of the safety assessment analysis, the long-term stability of waste package confinement and mechanical properties is required. This analysis was achieved considering the different environmental conditions atmospheric and water saturated environments which could affect the waste package. As far as the unsaturated phase (storage) is concerned, corrosion and air carbonation of reinforced concrete were identified as the two main phenomena which could jeopardize the waste package long-term performances. During the disposal phase, underground water leaching may significantly contribute to the chemical degradation of concrete. The understanding and modelling of phenomena and mechanisms responsible of such degradation are therefore essential to make relevant and robust long-term predictions. With this aim, CEA has developed an extended research programme to assess the long-term degradation of concrete through a chemistry-transport and mechanical coupled approach. The relevancy and validity of such a programme are discussed here.

  5. A review of approaches for the long-term management of municipal solid waste landfills.

    PubMed

    Laner, David; Crest, Marion; Scharff, Heijo; Morris, Jeremy W F; Barlaz, Morton A

    2012-03-01

    After closure, municipal solid waste (MSW) landfills must be managed and controlled to avoid adverse effects on human health and the environment (HHE). Aftercare (or post-closure care) can be brought to an end when the authorities consider the landfill to no longer pose a threat to HHE. Different approaches have been suggested for long-term landfill management and evaluation of aftercare completion. In this paper, research on aftercare and its completion is analyzed and regulatory approaches for the completion of landfill aftercare are reviewed. Approaches to aftercare could be categorized as (i) target values, (ii) impact/risk assessment, and (iii) performance based. Comparison of these approaches illustrates that each has limitations and strengths. While target values are typically used as screening indicators to be complemented with site-specific assessments, impact/risk assessment approaches address the core issue about aftercare completion, but face large uncertainties and require a high level of expertise. A performance-based approach allows for the combination of target values and impact/risk assessments in a consistent evaluation framework with the aim of sequentially reducing aftercare intensity and, ultimately, leading to the completion of aftercare. At a regulatory level, simple qualitative criteria are typically used as the primary basis for defining completion of aftercare, most likely due to the complexity of developing rigorous evaluation methodologies. This paper argues that development of transparent and consistent regulatory procedures represents the basis for defining the desired state of a landfill at the end of aftercare and for reducing uncertainty about the intensity and duration of aftercare. In this context, recently presented technical guidelines and the ongoing debate with respect to their regulatory acceptance are a valuable step towards developing strategies for the cost-effective protection of HHE at closed MSW landfills. To assess the

  6. Sandia National Laboratories performance assessment methodology for long-term environmental programs : the history of nuclear waste management.

    SciTech Connect

    Marietta, Melvin Gary; Anderson, D. Richard; Bonano, Evaristo J.; Meacham, Paul Gregory

    2011-11-01

    Sandia National Laboratories (SNL) is the world leader in the development of the detailed science underpinning the application of a probabilistic risk assessment methodology, referred to in this report as performance assessment (PA), for (1) understanding and forecasting the long-term behavior of a radioactive waste disposal system, (2) estimating the ability of the disposal system and its various components to isolate the waste, (3) developing regulations, (4) implementing programs to estimate the safety that the system can afford to individuals and to the environment, and (5) demonstrating compliance with the attendant regulatory requirements. This report documents the evolution of the SNL PA methodology from inception in the mid-1970s, summarizing major SNL PA applications including: the Subseabed Disposal Project PAs for high-level radioactive waste; the Waste Isolation Pilot Plant PAs for disposal of defense transuranic waste; the Yucca Mountain Project total system PAs for deep geologic disposal of spent nuclear fuel and high-level radioactive waste; PAs for the Greater Confinement Borehole Disposal boreholes at the Nevada National Security Site; and PA evaluations for disposal of high-level wastes and Department of Energy spent nuclear fuels stored at Idaho National Laboratory. In addition, the report summarizes smaller PA programs for long-term cover systems implemented for the Monticello, Utah, mill-tailings repository; a PA for the SNL Mixed Waste Landfill in support of environmental restoration; PA support for radioactive waste management efforts in Egypt, Iraq, and Taiwan; and, most recently, PAs for analysis of alternative high-level radioactive waste disposal strategies including repositories deep borehole disposal and geologic repositories in shale and granite. Finally, this report summarizes the extension of the PA methodology for radioactive waste disposal toward development of an enhanced PA system for carbon sequestration and storage systems

  7. OBRA: a European project to create an observatory for long-term governance on radioactive waste management

    SciTech Connect

    Martell, Meritxell; Duro, Lara; Bruno, Jordi; Kopetz, Irene

    2007-07-01

    Available in abstract form only. Full text of publication follows: This paper introduces a number of topics that will be addressed by the 'OBRA' project. The OBRA project (2006-2008) is a 2-year Coordination Action under the 6. EURATOM Framework Program (FP) which started on 1. November 2006 and will finish on 31. October 2008. The project aims to assess the feasibility of creating an Observatory for Long-term Governance on Radioactive Waste Management in Europe. OBRA will devise an Observatory to promote appropriate forms of interaction between stakeholders, mainly local and regional communities and experts. The focus and value of OBRA lies on the development of a concrete tool to promote governance processes. With respect to this objective, the paper introduces the project and some of the key questions that have been addressed in the first creative workshop and which will be the focus of OBRA in the following months. (authors)

  8. Design and operation of an anaerobic digester for waste management and fuel generation during long term lunar mission

    NASA Astrophysics Data System (ADS)

    Dhoble, Abhishek S.; Pullammanappallil, Pratap C.

    2014-10-01

    Waste treatment and management for manned long term exploratory missions to moon will be a challenge due to longer mission duration. The present study investigated appropriate digester technologies that could be used on the base. The effect of stirring, operation temperature, organic loading rate and reactor design on the methane production rate and methane yield was studied. For the same duration of digestion, the unmixed digester produced 20-50% more methane than mixed system. Two-stage design which separated the soluble components from the solids and treated them separately had more rapid kinetics than one stage system, producing the target methane potential in one-half the retention time than the one stage system. The two stage system degraded 6% more solids than the single stage system. The two stage design formed the basis of a prototype digester sized for a four-person crew during one year exploratory lunar mission.

  9. Transuranic waste: long-term planning

    SciTech Connect

    Young, K.C.

    1985-07-01

    Societal concerns for the safe handling and disposal of toxic waste are behind many of the regulations and the control measures in effect today. Transuranic waste, a specific category of toxic (radioactive) waste, serves as a good example of how regulations and controls impact changes in waste processing - and vice versa. As problems would arise with waste processing, changes would be instituted. These changes improved techniques for handling and disposal of transuranic waste, reduced the risk of breached containment, and were usually linked with regulatory changes. Today, however, we face a greater public awareness of and concern for toxic waste control; thus, we must anticipate potential problems and work on resolving them before they can become real problems. System safety analyses are valuable aids in long-term planning for operations involving transuranic as well as other toxic materials. Examples of specific system safety analytical methods demonstrate how problems can be anticipated and resolution initiated in a timely manner having minimal impacts upon allocation of resource and operational goals. 7 refs., 1 fig.

  10. Environmental evaluation of alternatives for long-term management of Defense high-level radioactive wastes at the Idaho Chemical Processing Plant

    SciTech Connect

    Not Available

    1982-09-01

    The U.S. Department of Energy (DOE) is considering the selection of a strategy for the long-term management of the defense high-level wastes at the Idaho Chemical Processing Plant (ICPP). This report describes the environmental impacts of alternative strategies. These alternative strategies include leaving the calcine in its present form at the Idaho National Engineering Laboratory (INEL), or retrieving and modifying the calcine to a more durable waste form and disposing of it either at the INEL or in an offsite repository. This report addresses only the alternatives for a program to manage the high-level waste generated at the ICPP. 24 figures, 60 tables.

  11. Topical report on release scenario analysis of long-term management of high-level defense waste at the Hanford Site

    SciTech Connect

    Wallace, R.W.; Landstrom, D.K.; Blair, S.C.; Howes, B.W.; Robkin, M.A.; Benson, G.L.; Reisenauer, A.E.; Walters, W.H.; Zimmerman, M.G.

    1980-11-01

    Potential release scenarios for the defense high-level waste (HLW) on the Hanford Site are presented. Presented in this report are the three components necessary for evaluating the various alternatives under consideration for long-term management of Hanford defense HLW: identification of scenarios and events which might directly or indirectly disrupt radionuclide containment barriers; geotransport calculations of waste migration through the site media; and consequence (dose) analyses based on groundwater and air pathways calculations. The scenarios described in this report provide the necessary parameters for radionuclide transport and consequence analysis. Scenarios are categorized as either bounding or nonbounding. Bounding scenarios consider worst case or what if situations where an actual and significant release of waste material to the environment would happen if the scenario were to occur. Bounding scenarios include both near-term and long-term scenarios. Near-term scenarios are events which occur at 100 years from 1990. Long term scenarios are potential events considered to occur at 1000 and 10,000 years from 1990. Nonbounding scenarios consider events which result in insignificant releases or no release at all to the environment. Three release mechanisms are described in this report: (1) direct exposure of waste to the biosphere by a defined sequence of events (scenario) such as human intrusion by drilling; (2) radionuclides contacting an unconfined aquifer through downward percolation of groundwater or a rising water table; and (3) cataclysmic or explosive release of radionuclides by such mechanisms as meteorite impact, fire and explosion, criticality, or seismic events. Scenarios in this report present ways in which these release mechanisms could occur at a waste management facility. The scenarios are applied to the two in-tank waste management alternatives: in-situ disposal and continued present action.

  12. Long-term management of liquid high-level radioactive wastes stored at the Western New York Nuclear Service Center, West Valley

    NASA Astrophysics Data System (ADS)

    1981-07-01

    Environmental implications of possible alternatives for long-term management of the liquid high-level radioactive wastes stored in underground tanks in West Valley, New York were assessed and compared. Four basic alternatives, as well as options within these alternatives, considered in the EIS: (1) onsite processing to a terminal waste form for shipment and disposal in a federa repository; (2) onsite conversion to a solid interim form for shipment to a federal waste facility for later processing to a terminal form and shipment and subsequent disposal in a federal repository; (3) mixing the liquid wastes with cement and other additives, pouring it back into the existing tanks, and leaving onsite; and (4) no action (continued storage of the wastes in liquid form in the underground tanks at West Valley). Mitigative measures for environmental impacts were be required.

  13. 'CATT' A project on Co-operation and Technology Transfer on Long-Term Radioactive Waste Management for EU Member States with Small Nuclear Programmes

    SciTech Connect

    Mathieson, J.; Lindberg, C.

    2006-07-01

    Many of the European Union's (EU) 25 countries have considerable inventories of long-lived radioactive waste that will remain potentially hazardous for many thousands of years. Of these, several have advanced concepts and programmes for the treatment and disposal (and other long - term management options) for spent fuel and long-lived radioactive waste. Collectively, these Member States have spent the equivalent of many billions of euros in developing such concepts and some have further developed the concepts into proposed operational facilities. Member States with small nuclear programmes, face the expensive and daunting prospect o f developing their own concepts for dealing with their spent fuel and high level waste. One answer would be to seek solutions which could take advantage of the investment costs in the technology and underpinning science already incurred in the more established programmes. Thus technology transfer between Member States in areas of high level waste and spent fuel encapsulation, repository development etc. would allow the establishment of disposal facilities within any Member State for it to deal with its own wastes. The national waste management organisations of the UK (Mirex), Sweden (SKB), German y (DBE), Lithuania (RATA), Bulgaria (DPRAO) and Slovenia (ARAO), together with JRC of the Netherlands, are to undertake a project under the auspices of the EU's 6. R and D Framework Programme (FP6). The 18 month project will examine the technical, intellectual property, legal, financial and societal implications of the idea. It goes by the acronym 'CATT' - 'Cooperation and technology transfer on long term radioactive waste management for Member States with small nuclear programmes'. This paper describes the CATT project which will look at technology transfer methodologies by which Member States could co-operate. It covers the potential issues which may arise and ho w these may be addressed. (authors)

  14. Inexact fuzzy-stochastic mixed-integer programming approach for long-term planning of waste management--Part A: methodology.

    PubMed

    Guo, P; Huang, G H

    2009-01-01

    In this study, an inexact fuzzy chance-constrained two-stage mixed-integer linear programming (IFCTIP) approach is proposed for supporting long-term planning of waste-management systems under multiple uncertainties in the City of Regina, Canada. The method improves upon the existing inexact two-stage programming and mixed-integer linear programming techniques by incorporating uncertainties expressed as multiple uncertainties of intervals and dual probability distributions within a general optimization framework. The developed method can provide an effective linkage between the predefined environmental policies and the associated economic implications. Four special characteristics of the proposed method make it unique compared with other optimization techniques that deal with uncertainties. Firstly, it provides a linkage to predefined policies that have to be respected when a modeling effort is undertaken; secondly, it is useful for tackling uncertainties presented as intervals, probabilities, fuzzy sets and their incorporation; thirdly, it facilitates dynamic analysis for decisions of facility-expansion planning and waste-flow allocation within a multi-facility, multi-period, multi-level, and multi-option context; fourthly, the penalties are exercised with recourse against any infeasibility, which permits in-depth analyses of various policy scenarios that are associated with different levels of economic consequences when the promised solid waste-generation rates are violated. In a companion paper, the developed method is applied to a real case for the long-term planning of waste management in the City of Regina, Canada.

  15. Geologic processes in the RWMC area, Idaho National Engineering Laboratory: Implications for long term stability and soil erosion at the radioactive waste management complex

    SciTech Connect

    Hackett, W.R.; Tullis, J.A.; Smith, R.P.

    1995-09-01

    The Radioactive Waste Management Complex (RWMC) is the disposal and storage facility for low-level radioactive waste at the Idaho National Engineering Laboratory (INEL). Transuranic waste and mixed wastes were also disposed at the RWMC until 1970. It is located in the southwestern part of the INEL about 80 km west of Idaho Falls, Idaho. The INEL occupies a portion of the Eastern Snake River Plain (ESRP), a low-relief, basalt, and sediment-floored basin within the northern Rocky Mountains and northeastern Basin and Range Province. It is a cool and semiarid, sagebrush steppe desert characterized by irregular, rolling terrain. The RWMC began disposal of INEL-generated wastes in 1952, and since 1954, wastes have been accepted from other Federal facilities. Much of the waste is buried in shallow trenches, pits, and soil vaults. Until about 1970, trenches and pits were excavated to the basalt surface, leaving no sediments between the waste and the top of the basalt. Since 1970, a layer of sediment (about 1 m) has been left between the waste and the basalt. The United States Department of Energy (DOE) has developed regulations specific to radioactive-waste disposal, including environmental standards and performance objectives. The regulation applicable to all DOE facilities is DOE Order 5820.2A (Radioactive Waste Management). An important consideration for the performance assessment of the RWMC is the long-term geomorphic stability of the site. Several investigators have identified geologic processes and events that could disrupt a radioactive waste disposal facility. Examples of these {open_quotes}geomorphic hazards{close_quotes} include changes in stream discharge, sediment load, and base level, which may result from climate change, tectonic processes, or magmatic processes. In the performance assessment, these hazards are incorporated into scenarios that may affect the future performance of the RWMC.

  16. Social scientist on board in long-term management of high level and/or long-lived radioactive waste in Belgium

    SciTech Connect

    Parotte, C.

    2013-07-01

    In Belgium, the long-term management of radioactive waste is under the exclusive competence of the Belgian Agency for Radioactive Waste and Enriched Fissile Materials (knew as ONDRAF/NIRAS). Unlike low-level waste, no institutional policy has yet been formally approved for the long-term management of high level and/or long-lived radioactive waste (knew as B and C waste). In this context, ONDRAF/NIRAS considers the public and stakeholders' participation as an essential factor in the formulation of an effective and legitimate policy. This is why it has decided to integrate them in different ways during the elaboration of the Waste Plan (ONDRAF/NIRAS-document containing guidelines to make a principled policy decision about nuclear waste management). To do so, social scientists have been regularly mobilized either as external evaluators, follow-up committee members, or participatory observants. Hence, the Waste Plan is only the first step in a long decision-making process. For a PhD student under contract with ONDRAF/NIRAS, this mandate consists of thinking out a way to construct an inter-organizational innovative communication system that would be participative, transparent and embedded in a long-term perspective, thus integrating all the further legal steps to take throughout the decision-making process. In this regard, two paradoxical constraints must be taken into account: on the one hand, my own influence on the legal decision-making process should remain limited, because of a series of constraints, lock-ins and previous decisions which have to be respected; on the other hand, ONDRAF/NIRAS expects the research conclusions to be policy relevant and useful. In this paper, the purpose is twofold. Firstly, the issues raised by this policy mandate is an opportunity to question the per-formative dimensions of the social scientist in the decision-making process and, more specifically, to have a reflexive view on our position as PhD Student. Secondly, assuming the role of

  17. Landfilling of solid and hazardous waste: Facing long-term liability

    SciTech Connect

    Lee, G.F.; Jones-Lee, A.

    1994-12-31

    In the past, the cheapest method available was used for the management of solid non-hazardous and hazardous waste. Now with cradle-to-grave liability, many companies are more critically evaluating the near-term and long-term liabilities and costs associated with various options for solid and liquid waste management. Recycle and reuse of wastes with residue management that eliminates long-term liability are the most desirable. However, most waste management programs involve some landfilling of wastes and/or treated residues. The disposal of hazardous and non-hazardous wastes in such landfills carries a significant, perpetual liability for clean-up of contaminated groundwaters and eventual Superfund-like activities for waste removal and proper management. The inability of US EPA-prescribed Subtitle C and D landfills to prevent groundwater pollution by landfill leachate for as long as the wastes are a threat should be of significant concern to all waste generators. Solid and hazardous waste generators should critically evaluate the potential near-term and long-term liabilities associated with any particular approach for waste management, resource recovery (including fuel blending, solvent recovery, and reuse), and management of waste residues. This paper reviews why landfills of the type being developed today do no eliminate long-term liability associated with wastes and issues of long-term liability associated with alternative methods of waste management.

  18. Managing Records for the Long Term - 12363

    SciTech Connect

    Montgomery, John V.; Gueretta, Jeanie

    2012-07-01

    The U.S. Department of Energy (DOE) is responsible for managing vast amounts of information documenting historical and current operations. This information is critical to the operations of the DOE Office of Legacy Management. Managing legacy records and information is challenging in terms of accessibility and changing technology. The Office of Legacy Management is meeting these challenges by making records and information management an organizational priority. The Office of Legacy Management mission is to manage DOE post-closure responsibilities at former Cold War weapons sites to ensure the future protection of human health and the environment. These responsibilities include environmental stewardship and long-term preservation and management of operational and environmental cleanup records associated with each site. A primary organizational goal for the Office of Legacy Management is to 'Preserve, Protect, and Share Records and Information'. Managing records for long-term preservation is an important responsibility. Adequate and dedicated resources and management support are required to perform this responsibility successfully. Records tell the story of an organization and may be required to defend an organization in court, provide historical information, identify lessons learned, or provide valuable information for researchers. Loss of records or the inability to retrieve records because of poor records management processes can have serious consequences and even lead to an organisation's downfall. Organizations must invest time and resources to establish a good records management program because of its significance to the organization as a whole. The Office of Legacy Management will continue to research and apply innovative ways of doing business to ensure that the organization stays at the forefront of effective records and information management. DOE is committed to preserving records that document our nation's Cold War legacy, and the Office of Legacy

  19. Long-term management of prolactinomas.

    PubMed

    Schlechte, Janet A

    2007-08-01

    Prolactinomas are a frequent cause of gonadal dysfunction and infertility, especially in young women. The regulation of prolactin secretion and the efficacy of dopamine agonists in the therapy of prolactinomas are well established. The current challenges in management of prolactinomas are related to follow-up after successful therapy. Issues and questions to be addressed in this approach to long-term management of prolactinomas include the frequency of radiographic monitoring, effect of pregnancy and menopause, safety of estrogen in women taking oral contraceptives, and the potential for discontinuation of dopamine agonist therapy.

  20. Managing soils for long-term productivity

    PubMed Central

    Syers, J. K.

    1997-01-01

    Meeting the goal of long-term agricultural productivity requires that soil degradation be halted and reversed. Soil fertility decline is a key factor in soil degradation and is probably the major cause of declining crop yields. There is evidence that the contribution of declining soil fertility to soil degradation has been underestimated.
    Sensitivity to soil degradation is implicit in the assessment of the sustainability of land management practices, with wide recognition of the fact that soils vary in their ability to resist change and recover subsequent to stress. The concept of resilience in relation to sustainability requires further elaboration and evaluation.
    In the context of soil degradation, a decline in soil fertility is primarily interpreted as the depletion of organic matter and plant nutrients. Despite a higher turnover rate of organic matter in the tropics there is no intrinsic difference between the organic matter content of soils from tropical and temperate regions. The level of organic matter in a soil is closely related to the above and below ground inputs. In the absence of adequate organic material inputs and where cultivation is continuous, soil organic matter declines progressively. Maintaining the quantity and quality of soil organic matter should be a guiding principle in developing management practices.
    Soil microbial biomass serves as an important reservoir of nitrogen (N), phosphorus (P) and sulphur (S), and regulates the cycling of organic matter and nutrients. Because of its high turnover rate, microbial biomass reacts quickly to changes in management and is a sensitive indicator for monitoring and predicting changes in soil organic matter. Modelling techniques have been reasonably successful in predicting changes in soil organic matter with different organic material inputs, but there is little information from the tropics.
    Nutrient depletion through harvested crop components and residue removal, and by leaching and soil

  1. Comprehensive monitoring and management of a long-term thermophilic CSTR treating coffee grounds, coffee liquid, milk waste, and municipal sludge.

    PubMed

    Shofie, Mohammad; Qiao, Wei; Li, Qian; Takayanagi, Kazuyuki; Li, Yu-You

    2015-09-01

    The CSTR process has previously not been successfully applied to treat coffee residues under thermophilic temperature and long term operation. In this experiment, the CSTR was fed with mixture substrate (TS ∼ 70 g/L) of coffee grounds, coffee wastewater, milk waste and municipal sludge and it was operated under 55 °C for 225 days. A steady state was achieved under HRT 30 days and OLR 4.0 kg-COD/m(3)/d. However, there was an 35 days inhibition with VFA accumulation (propionic acid 700-1900 mg/L) when doubling the OLR by shortening HRT to 15 days. But, an addition of microelements and sulfate (0.5 g/L) in feedstock increased reactor resilience and stability under high loading rate and propionic acid stress. Continuous monitoring of hydrogen in biogas indicated the imbalance of acetogenesis. The effectiveness of comprehensive parameters (total VFA, propionic acid, IA/PA, IA/TA and CH4 content) was proved to manage the thermophilic system.

  2. Environmental Management Long-Term Stewardship Transition Guidance

    SciTech Connect

    Kristofferson, Keith

    2001-11-01

    Long-term stewardship consists of those actions necessary to maintain and demonstrate continued protection of human health and the environment after the completion of facility cleanup. Long-term stewardship is administered and overseen by the U.S. Department of Energy Environmental Management Office of Science and Technology. This report describes the background of long-term stewardship and gives general guidance about considerations when ownership and/or responsibility of a site should be transferred to a long-term stewardship program. This guidance document will assist the U.S. Department of Energy in: (a) ensuring that the long-term stewardship program leads transition planning with respect to facility and site areas, and (b) describing the classes and types of criteria and data required to initiate transition for areas and sites where the facility mission has ended and cleanup is complete.

  3. Neonatal management and long-term sequelae.

    PubMed

    Halliday, Henry L

    2009-12-01

    Intrauterine or fetal growth restriction is best defined by using customised birth weight percentiles based upon the growth potential for an individual infant. Growth restriction in utero may be classified as asymmetric or symmetric depending upon the duration of the process. Asymmetric growth restriction is caused by placental insufficiency, maternal hypertensive conditions, long-standing maternal diabetes, smoking, living at altitude or multiple gestation. Symmetric growth restriction may be due to congenital infections, chromosomal or other abnormalities, fetal alcohol syndrome, low socioeconomic status or be constitutional. The underlying cause of growth restriction often predicts the potential adverse effects on the foetus and newborn and later effects in childhood and adulthood. With placental insufficiency, there may be chronic or acute on chronic fetal hypoxia with birth asphyxia and hypothermia, neonatal hypoglycaemia, polycythaemia and coagulopathy. Management is directed at prevention or early treatment of these conditions. In contrast, symmetrically growth-restricted infants should be examined carefully to look for congenital infections and malformations that may need specific interventions. Infants with constitutional short stature generally do not need any specific management. Feeding of growth-restricted infants is important to overcome deficiencies incurred in utero. Most infants show catch-up growth although about 10% do not. Those with excessive catch-up growth may be at greatest risk of developing insulin resistance in adulthood leading to diabetes, obesity and heart disease. The so-called fetal origins of disease may actually have a postnatal onset related more to excessive weight gain in infancy. There is still controversy over the indications for growth hormone treatment in growth-restricted infants who remain of short stature in early childhood. Intrauterine growth restriction is also associated with a five- to seven-fold increased risk of

  4. Radionuclide Incorporation and Long Term Performance of Apatite Waste Forms

    SciTech Connect

    Wang, Jianwei; Lian, Jie; Gao, Fei

    2016-01-04

    This project aims to combines state-of-the-art experimental and characterization techniques with atomistic simulations based on density functional theory (DFT) and molecular dynamics (MD) simulations. With an initial focus on long-lived I-129 and other radionuclides such as Cs, Sr in apatite structure, specific research objectives include the atomic scale understanding of: (1) incorporation behavior of the radionuclides and their effects on the crystal chemistry and phase stability; (2) stability and microstructure evolution of designed waste forms under coupled temperature and radiation environments; (3) incorporation and migration energetics of radionuclides and release behaviors as probed by DFT and molecular dynamics (MD) simulations; and (4) chemical durability as measured in dissolution experiments for long term performance evaluation and model validation.

  5. Long-term management of patients with multiple sclerosis.

    PubMed

    Weightman, Cherie

    2006-07-01

    This article explores the challenges of long-term case management for patients who have multiple sclerosis (MS). Currently there is scant research into district nursing input into long-term management of patients who have MS. Until now the role of the community nurses has been confined to palliation or terminal care, focusing on the more physical manifestations of MS. The contemporary role of district nurse is going to evolve to include proactive approaches. Governmental initiatives demand proactive services, and place emphasis on self-care for patients with MS. Themes that emerge from this article relate to the pre-existing skills--such as managing patients with complex needs and the advanced assessment skills--that will be required to achieve this. What is clear is that community nurses already possess many of the prerequisite skills needed for long-term management, and they should not be daunted by this prospect.

  6. Method for Water Management Considering Long-term Probabilistic Forecasts

    NASA Astrophysics Data System (ADS)

    Hwang, J.; Kang, J.; Suh, A. S.

    2015-12-01

    This research is aimed at predicting the monthly inflow of the Andong-dam basin in South Korea using long-term probabilistic forecasts to apply long-term forecasts to water management. Forecasted Cumulative Distribution Functions (CDFs) of monthly precipitation are plotted by combining the range of monthly precipitation based on proper Probability Density Function (PDF) in past data with probabilistic forecasts in each category. Ensembles of inflow are estimated by entering generated ensembles of precipitation based on the CDFs into the 'abcd' water budget model. The bias and RMSE between averages in past data and observed inflow are compared to them in forecasted ensembles. In our results, the bias and RMSE of average precipitation in the forecasted ensemble are bigger than in past data, whereas the average inflow in the forecasted ensemble is smaller than in past data. This result could be used for reference data to apply long-term forecasts to water management, because of the limit in the number of forecasted data for verification and differences between the Andong-dam basin and the forecasted regions. This research has significance by suggesting a method of applying probabilistic information in climate variables from long-term forecasts to water management in Korea. Original data of a climate model, which produces long-term probabilistic forecasts should be verified directly as input data of a water budget model in the future, so that a more scientific response in water management against uncertainty of climate change could be reached.

  7. Long term management practices influenced soil aggregation and carbon dynamics

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Soil aggregation protects soil organic C (SOC) against rapid decomposition, improves soil quality, and reduces soil erosion potential. The objectives of this study are to evaluate the effects of long-term (21 yrs.) management practices on SOC, water stable aggregate (WSA), and aggregate-associated ...

  8. San Francisco Bay Long Term Management Strategy for Dredging

    EPA Pesticide Factsheets

    The San Francisco Bay Long Term Management Strategy (LTMS) is a cooperative effort to develop a new approach to dredging and dredged material disposal in the San Francisco Bay area. The LTMS serves as the Regional Dredging Team for the San Francisco area.

  9. National long-term high-level waste-technology program

    NASA Astrophysics Data System (ADS)

    Gray, P. L.

    The national program for long-term management of high level waste (HLW) from nuclear fuels reprocessing is discussed. This covers only DOE defense wastes. Current emphasis is on solidification of waste into a form that, along with additional barriers, may be permanently stored in a repository. An integrated national plan incorporates all the elements of such an overall HLW disposal system. Interim storage is in near-surface tanks at the Hanford and Savannah River sites. At the Idaho site, waste is stored in bins after being calcined. Some Idaho waste is liquid and is also stored in tanks before calcination. Retrieval and immobilization of HLW into a solid, low-release form represent the major elements for which our long-term program has responsibility. Once solidified, the waste will temporarily remain onsite until the final disposal site is prepared for receipt of waste. Currently, a geologic repository is favored for ultimate disposal, although other possibilities such as seabed, icecap, space, and near-surface disposal are also being considered.

  10. The aging network and managed long-term care.

    PubMed

    Polivka, Larry; Zayac, Helen

    2008-10-01

    Since the early 1980s, service providers and area agencies on aging, that is, the aging network, have developed a number of strengths as they built a community-based long-term-care system in most states. Many area agencies and providers now have the capacity to assess the needs of older persons, identify appropriate services, and administer cost-effective community programs while operating within fixed, capped budgets. They have also been able to identify and maintain roles for informal caregivers, draw on community resources through donations and the use of volunteers, and create substantial political support. In this article we argue that the aging network should draw on these strengths to develop integrated long-term-care systems designed to shift the balance of state long-term-care systems from institutional to home- and community-based services. We also argue that the nonprofit aging network, because it is made up of area agencies on aging and service providers, provides a potentially more effective framework for the integration of long-term-care resources than do proprietary managed care organizations.

  11. The Long-term Management of Used Nuclear Fuel in Canada: A Geoscientific Prespective

    NASA Astrophysics Data System (ADS)

    Belfadhel, B.

    2009-05-01

    The Nuclear Waste Management Organization (NWMO) is responsible for implementing Adaptive Phased Management, the approach selected by the Government of Canada for long-term management of used nuclear fuel waste generated by Canadian nuclear reactors. In support of this objective, NWMO is pursuing an active technical research and development program in areas such as repository engineering, repository geoscience and repository safety. The geoscience work program is designed to develop a geoscientific basis for understanding long-term geosphere barrier performance, as well as building confidence in deep geological repository safety in both sedimentary and crystalline settings. This is achieved through a multidisciplinary approach involving the coordinated effort of research groups drawn from universities, consultants, and international nuclear waste management organizations. The main objectives of the program are to: develop tools and methods to improve NWMO's geosphere characterization capabilities and develop readiness for evaluating potential candidate sites in willing host communities; advance the understanding of long-term physical and geochemical evolution of the geosphere at time scales relevant to repository safety; and improve numerical methods to assess the geosphere evolution and its response to long-term perturbations. The paper provides an overview of the geoscience issues and challenges associated with the development of deep geological repositories and key activities that the NWMO is pursuing to address them.

  12. Estimating the Long Term Liability from Landfilling Hazardous Waste

    DTIC Science & Technology

    1992-01-01

    Hazardous and Solid Waste Amendments make the key element in...Society of Civil Engineers, New York, Nov. 1990. 44 required by the 1984 Hazardous and Solid Waste Amendments to RCRA, as shown in Figure 10...reauthorized in 1984 by the Hazardous and Solid Waste Amendments , is due for reauthorization in 1992 and it is probable that leachate flow rates shall

  13. Medication management for nurses working in long-term care.

    PubMed

    Ellis, Wendy; Kaasalainen, Sharon; Baxter, Pamela; Ploeg, Jenny

    2012-09-01

    In long-term care (LTC), the complexity of residents' conditions and their treatment requirements present challenges for nurses managing medications. The purpose of this qualitative descriptive study was to explore medication management as described by licensed nurses working in LTC. A total of 22 licensed nurses from 2 LTC facilities located in the Canadian province of Ontario participated in 4 focus groups. Thematic content analysis was used to organize data into themes and a conceptual model was developed. The overarching theme was that nurses are "racing against time" to manage medications and 3 subthemes described how they coped with this important care process: preparing to race, running the race, and finishing the race. Barriers to safe medication management included time restraints, knowledge limitations, interruptions and distractions, and poor communication. The findings can be used to better inform health-care providers and to guide future research. They also have the potential to directly impact outcomes related to safe medication management in LTC.

  14. General practitioners' management of the long-term sick role.

    PubMed

    Higgins, Angela; Porter, Sam; O'Halloran, Peter

    2014-04-01

    In this paper, we use qualitative research techniques to examine the role of general practitioners in the management of the long-term sickness absence. In order to uncover the perspectives of all the main agents affected by the actions of general practitioners, a case study approach focussing on one particular employment sector, the public health service, is adopted. The role of family physicians is viewed from the perspectives of health service managers, occupational health physicians, employees/patients, and general practitioners. Our argument is theoretically framed by Talcott Parsons's model of the medical contribution to the sick role, along with subsequent conceptualisations of the social role and position of physicians. Sixty one semi-structured interviews and three focus group interviews were conducted in three Health and Social Care Trusts in Northern Ireland between 2010 and 2012. There was a consensus among respondents that general practitioners put far more weight on the preferences and needs of their patients than they did on the requirements of employing organisations. This was explained by respondents in terms of the propinquity and longevity of relationships between doctors and their patients, and by the ideology of holistic care and patient advocacy that general practitioners viewed as providing the foundations of their approach to patients. The approach of general practitioners was viewed negatively by managers and occupational health physicians, and more positively by general practitioners and patients. However, there is some evidence that general practitioners would be prepared to forfeit their role as validators of sick leave. Given the imperatives of both state and capital to reduce the financial burden of long-term sickness, this preparedness puts into doubt the continued role of general practitioners as gatekeepers to legitimate long-term sickness absence.

  15. Change Ahead: Transient Scenarios for Long-term Water Management

    NASA Astrophysics Data System (ADS)

    Haasnoot, Marjolijn; Beersma, Jules; Schellekens, Jaap

    2013-04-01

    While the use of an ensemble of transient scenarios is common in climate change studies, they are rarely used in water management studies. Present planning studies on long-term water management often use a few plausible futures for one or two projection years, ignoring the dynamic aspect of adaptation through the interaction between the water system and society. Over the course of time society experiences, learns and adapts to changes and events, making policy responses part of a plausible future, and thus the success of a water management strategy. Exploring transient scenarios and policy options over time can support decision making on water management strategies in an uncertain and changing environment. We have developed and applied such a method, called exploring adaptation pathways (Haasnoot et al., 2012; Haasnoot et al., 2011). This method uses multiple realisations of transient scenarios to assess the efficacy of policy actions over time. In case specified objectives are not achieved anymore, an adaptation tipping point (Kwadijk et al., 2010) is reached. After reaching a tipping point, additional actions are needed to reach the objectives. As a result, a pathway emerges. In this presentation we describe the development of transient scenarios for long term water management, and how these scenarios can be used for long term water management under uncertainty. We illustrate this with thought experiments, and results from computational modeling experiment for exploring adaptation pathways in the lower Rhine delta. The results and the thought experiments show, among others, that climate variability is at least just as important as climate change for taking decisions in water management. References Haasnoot, M., Middelkoop, H., Offermans, A., Beek, E., Deursen, W.A.v. (2012) Exploring pathways for sustainable water management in river deltas in a changing environment. Climatic Change 115, 795-819. Haasnoot, M., Middelkoop, H., van Beek, E., van Deursen, W

  16. Long-term high-level waste technology

    NASA Astrophysics Data System (ADS)

    Cornman, W. R.

    1980-07-01

    This series of reports summarizes research and development studies on the immobilization of high level wastes from the chemical reprocessing of nuclear reactor fuels. Immobilization of the wastes (defense and commercial) consists of placing them in a high integrity form with a very low potential for radionuclide release. Immobilization of commercial wastes is being considered on a contingency basis in the event that reprocessing is resumed. The basic plan for meeting the goal of immobilization of the DOE high level wastes is: (1) to develop technology to support a realistic choice of waste form alternatives for each of the three DOE sites; (2) to develop product and processing technology with sufficient scaleup to provide design data for full scale facilities; and (3) to construct and operate the facilities.

  17. The long term storage of radioactive waste and spent fuel: safety and policy considerations

    SciTech Connect

    Rowat, J.; Metcalf, P.

    2007-07-01

    Storage is a necessary step in the overall management of radioactive waste. In recent years, due to the unavailability of disposal facilities, storage facilities intended originally as temporary, have had their lifetimes extended and consideration has been given, in some countries, to the use of long term storage (LTS) as a management option. In 2003, the IAEA published a position paper titled 'The Long Term Storage of Radioactive Waste: Safety and Sustainability'. The position paper, which written for a non-specialist audience, focused on seven key factors for safety and sustainability of LTS, namely: safety, maintenance/institutional control, retrieval, security, costs, community attitudes and retention of information. The Agency is preparing a follow-up report to the position paper that elaborates in a more technical manner upon the issues raised in the position paper and issues important for implementation of LTS. It also provides some discussion of the reasons for implementing a LTS option and contrasts LTS with aspects of other management options. The present paper provides an overview of the draft follow-up report. (authors)

  18. An analysis of precipitation occurrences in Los Alamos, New Mexico, for long-term predictions of waste repository behavior

    SciTech Connect

    Nyhan, J.; Beckman, R.; Bowen, B.

    1989-02-01

    This study describes precipitation as an uncontrolled natural input influencing the hydrology of waste repositories in terms of their ultimate long-term closure. The general climatology of the western states, including that of New Mexico and Los Alamos, is first described. An analysis of the precipitation patterns at Los Alamos is then presented to be used for predicting long-term precipitation occurrences and shallow land burial site behavior. The waste management implications of this precipitation analysis are then discussed and future meteorological research needs are identified. 13 refs., 10 figs., 2 tabs.

  19. Geological Disposal of Radioactive Waste: A Long-Term Socio-Technical Experiment.

    PubMed

    Schröder, Jantine

    2016-06-01

    In this article we investigate whether long-term radioactive waste management by means of geological disposal can be understood as a social experiment. Geological disposal is a rather particular technology in the way it deals with the analytical and ethical complexities implied by the idea of technological innovation as social experimentation, because it is presented as a technology that ultimately functions without human involvement. We argue that, even when the long term function of the 'social' is foreseen to be restricted to safeguarding the functioning of the 'technical', geological disposal is still a social experiment. In order to better understand this argument and explore how it could be addressed, we elaborate the idea of social experimentation with the notion of co-production and the analytical tools of delegation, prescription and network as developed by actor-network theory. In doing so we emphasize that geological disposal inherently involves relations between surface and subsurface, between humans and nonhumans, between the social, material and natural realm, and that these relations require recognition and further elaboration. In other words, we argue that geological disposal concurrently is a social and a technical experiment, or better, a long-term socio-technical experiment. We end with proposing the idea of 'actor-networking' as a sensitizing concept for future research into what geological disposal as a socio-technical experiment could look like.

  20. Complications and management of forgotten long-term biliary stents

    PubMed Central

    Sohn, Se Hoon; Park, Jae Hyun; Kim, Kook Hyun; Kim, Tae Nyeun

    2017-01-01

    AIM To evaluate complications and management outcomes of retained long-term plastic biliary stents. METHODS Endoscopic plastic biliary stent placement was performed in 802 patients at Yeungnam University Hospital between January 2000 and December 2014. Follow-up loss with a subsequently forgotten stent for more than 12 mo occurred in 38 patients. We retrospectively examined the cause of biliary stent insertion, status of stents, complications associated with biliary stents and management outcomes of long-term plastic biliary stents. Continuous variables were analyzed using the t test. Observed frequencies in subsets of the study population were compared using Fisher’s exact test and χ2 tests. Statistical significance was defined as P < 0.05 (two-tailed). RESULTS Mean age of patients was 73.7 ± 12 years and male-to-female ratio was 2.2:1. Indications of plastic biliary stent insertion were bile duct stones (63.2%, 24/38) and benign bile duct stricture (52.6%, 20/38). Mean duration of retained plastic stent was 22.6 ± 12.2 mo, and in 10 cases (26.3%), stents were retained for more than 24 mo. Common bile duct (CBD) stones or sludge were found in most cases (92.1%, 35/38). The most common complication was acute cholangitis (94.7%, 36/38). Stent removal by endoscopic approach was successfully performed in 92.1% (35/38) of the cases. In 3 cases, an additional plastic stent was inserted alongside the previous stent due to failure of the stent removal. Endoscopic removal of bile duct stones was successful in 73.7% (28/38) of the cases. When patients were divided into two groups by duration of stent placement (12 to 24 mo vs over 24 mo), there were no differences in the development of cholangitis, presence of biliary stones, and success rate of endoscopic removal of stones and biliary stents. CONCLUSION The most common complication of retained long-term plastic biliary stents was acute cholangitis associated with CBD stones. Endoscopic management was successfully

  1. Long-term strategy in the management of postmenopausal osteoporosis.

    PubMed

    Rizzoli, René

    2007-12-01

    The lifetime fracture risk at 50 years of age is about 50% in women and 20% in men. Osteoporotic fractures are associated with severe morbidity, increased mortality, quality-of-life alterations, and high management costs, most notably in the oldest age groups. The steady increase in life expectancy is matched by a rise in the absolute fracture risk. Effective prevention is therefore crucial. The goal of prevention, which must be not only effective, but also safe, is to diminish the risk of vertebral, peripheral, and hip fractures. Several medications were effective in double-blind controlled trials in which the fracture incidence was the primary endpoint. Long-term data are available to confirm the good safety profile of these medications.

  2. Long-term management of patients with urea cycle disorders.

    PubMed

    Berry, G T; Steiner, R D

    2001-01-01

    The long-term treatment of patients with urea cycle disorders (UCDs) includes diet treatment and use of specific medications. Guidelines are provided for patients with a severe phenotype. However, treatment must be tailored for each individual, especially with regard to residual enzyme function and in vivo metabolic capacity. This will be reflected in tests used for monitoring therapy that should be performed on a periodic basis. The goal of therapy is to eliminate chronic complications, a laudable but rarely attainable goal. Sick-day rules are discussed. Chronic management also includes diverse services that are essential to the success of the metabolic program. These include neurologic and developmental evaluations, feeding team evaluation and therapy, physical and occupational therapies, speech therapy, school and educational services, social service intervention, psychologic services, and genetic counseling.

  3. Development of long-term performance models for radioactive waste forms

    SciTech Connect

    Bacon, Diana H.; Pierce, Eric M.

    2011-03-22

    The long-term performance of solid radioactive waste is measured by the release rate of radionuclides into the environment, which depends on corrosion or weathering rates of the solid waste form. The reactions involved depend on the characteristics of the solid matrix containing the radioactive waste, the radionuclides of interest, and their interaction with surrounding geologic materials. This chapter describes thermo-hydro-mechanical and reactive transport models related to the long-term performance of solid radioactive waste forms, including metal, ceramic, glass, steam reformer and cement. Future trends involving Monte-Carlo simulations and coupled/multi-scale process modeling are also discussed.

  4. [Outsourcing in long-term care: a risk management approach].

    PubMed

    Guimarães, Cristina Machado; Carvalho, José Crespo de

    2012-05-01

    This article seeks to investigate outsourcing decisions in supply chain management of healthcare organizations, namely the motives and constraints behind the decision, the selection criteria for activities to be outsourced to third parties, the type of possible agreements, and the impact of this decision on the organization per se. A case study of the start-up phase of a Long-term Care unit with an innovative approach and high levels of customization was conducted to understand the outsourcing process in a start-up context (not in the standard context of organizational change) and a risk evaluation matrix was created for outsourcing activities in order to define and implement a performance monitoring process. This study seeks to understand how to evaluate and assess the risks of an outsourcing strategy and proposes a monitoring model using risk management tools. It was shown that the risk management approach can be a solution for monitoring outsourcing in the organizational start-up phase. Conclusions concerning dissatisfaction with the results of outsourcing strategies adopted are also presented.

  5. Gas Generation Rates as an Indicator for the Long Term Stability of Radioactive Waste Products

    SciTech Connect

    Steyer, S.; Brennecke, P.; Bandt, G.; Kroger, H.

    2007-07-01

    Pursuant to the 'Act on the Peaceful Utilization of Atomic Energy and the Protection against its Hazards' (Atomic Energy Act) the Federal Office for Radiation Protection (Bundesamt fuer Strahlenschutz, BfS) is legally responsible for the construction and operation of federal facilities for the disposal of radioactive waste. Within the scope of this responsibility, particular due to par. 74(1) Ordinance on Radiation Protection, BfS defines all safety-related requirements on waste packages envisaged for disposal, establishes guidelines for the conditioning of radioactive waste and approves the fulfillment of the waste acceptance requirements within the radioactive waste quality control system. BfS also provides criteria to enable the assessment of methods for the treatment and packaging of radioactive waste to produce waste packages suitable for disposal according to par. 74(2) Ordinance on Radiation Protection. Due to the present non-availability of a repository in Germany, quality control measures for all types of radioactive waste products are carried out prior to interim storage with respect to the future disposal. As a result BfS approves the demonstrated properties of the radioactive waste packages and confirms the fulfillment of the respective requirements. After several years of storage the properties of waste packages might have changed. By proving, that such changes have no significant impact on the quality of the waste product, the effort of requalification could be minimized. Therefore, data on the long-term behavior of radioactive waste products need to be acquired and indicators to prove the long-term stability have to be quantified. Preferably, such indicators can be determined easily with non-destructive methods, even for legacy waste packages. A promising parameter is the gas generation rate. The relationship between gas generation rate and long term stability is presented as first result of an ongoing study on behalf of BfS. Permissible gas

  6. Final Long-Term Management and Storage of Elemental Mercury Environmental Impact Statement Volume 2

    SciTech Connect

    Not Available

    2011-01-01

    Pursuant to the Mercury Export Ban Act of 2008 (P.L. 110-414), DOE was directed to designate a facility or facilities for the long-term management and storage of elemental mercury generated within the United States. Therefore, DOE has analyzed the storage of up to 10,000 metric tons (11,000 tons) of elemental mercury in a facility(ies) constructed and operated in accordance with the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (74 FR 31723). DOE prepared this Final Mercury Storage EIS in accordance with the National Environmental Policy Act of 1969 (NEPA), as amended (42 U.S.C. 4321 et seq.), the Council on Environmental Quality (CEQ) implementing regulations (40 CFR 1500–1508), and DOE’s NEPA implementing procedures (10 CFR 1021) to evaluate reasonable alternatives for a facility(ies) for the long-term management and storage of elemental mercury. This Final Mercury Storage EIS analyzes the potential environmental, human health, and socioeconomic impacts of elemental mercury storage at seven candidate locations: Grand Junction Disposal Site near Grand Junction, Colorado; Hanford Site near Richland, Washington; Hawthorne Army Depot near Hawthorne, Nevada; Idaho National Laboratory near Idaho Falls, Idaho; Kansas City Plant in Kansas City, Missouri; Savannah River Site near Aiken, South Carolina; and Waste Control Specialists, LLC, site near Andrews, Texas. As required by CEQ NEPA regulations, the No Action Alternative was also analyzed as a basis for comparison. DOE intends to decide (1) where to locate the elemental mercury storage facility(ies) and (2) whether to use existing buildings, new buildings, or a combination of existing and new buildings. DOE’s Preferred Alternative for the long-term management and storage of mercury is the Waste Control Specialists, LLC, site near Andrews, Texas.

  7. Final Long-Term Management and Storage of Elemental Mercury Environmental Impact Statement Volume1

    SciTech Connect

    Not Available

    2011-01-01

    Pursuant to the Mercury Export Ban Act of 2008 (P.L. 110-414), DOE was directed to designate a facility or facilities for the long-term management and storage of elemental mercury generated within the United States. Therefore, DOE has analyzed the storage of up to 10,000 metric tons (11,000 tons) of elemental mercury in a facility(ies) constructed and operated in accordance with the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (74 FR 31723).DOE prepared this Final Mercury Storage EIS in accordance with the National Environmental Policy Act of 1969 (NEPA), as amended (42 U.S.C. 4321 et seq.), the Council on Environmental Quality (CEQ) implementing regulations (40 CFR 1500–1508), and DOE’s NEPA implementing procedures (10 CFR 1021) to evaluate reasonable alternatives for a facility(ies) for the long-term management and storage of elemental mercury. This Final Mercury Storage EIS analyzes the potential environmental, human health, and socioeconomic impacts of elemental mercury storage at seven candidate locations:Grand Junction Disposal Site near Grand Junction, Colorado; Hanford Site near Richland, Washington; Hawthorne Army Depot near Hawthorne, Nevada; Idaho National Laboratory near Idaho Falls, Idaho;Kansas City Plant in Kansas City, Missouri; Savannah River Site near Aiken, South Carolina; and Waste Control Specialists, LLC, site near Andrews, Texas. As required by CEQ NEPA regulations, the No Action Alternative was also analyzed as a basis for comparison. DOE intends to decide (1) where to locate the elemental mercury storage facility(ies) and (2) whether to use existing buildings, new buildings, or a combination of existing and new buildings. DOE’s Preferred Alternative for the long-term management and storage of mercury is the Waste Control Specialists, LLC, site near Andrews, Texas.

  8. The Aging Network and Managed Long-Term Care

    ERIC Educational Resources Information Center

    Polivka, Larry; Zayac, Helen

    2008-01-01

    Since the early 1980s, service providers and area agencies on aging, that is, the aging network, have developed a number of strengths as they built a community-based long-term-care system in most states. Many area agencies and providers now have the capacity to assess the needs of older persons, identify appropriate services, and administer…

  9. The Basics of Long-Term Debt Issuance and Management

    ERIC Educational Resources Information Center

    Van Meter, Christine M.

    2011-01-01

    Issuing long-term debt can be a complex, multifaceted process. Although the process varies by stare, typically the school business official and the district solicitor work with the financing ream, which includes a financial adviser, bond counsel, underwriter, raring agency, and possibly a bond insurance agent, paying agent, and architect.…

  10. Actinobacterial community dynamics in long term managed grasslands.

    PubMed

    Jenkins, Sasha N; Waite, Ian S; Blackburn, Adrian; Husband, Rebecca; Rushton, Steven P; Manning, David C; O'Donnell, Anthony G

    2009-05-01

    Palace Leas, a long-term experiment at Cockle Park Farm, Northumberland, UK was established in winter 1896-1897 since when the 13 plots have received regular and virtually unchanged mineral fertiliser and farm yard manure inputs. Fertilisers have had a profound impact on soil pH with the organically fertilised plots showing a significantly higher pH than those receiving mineral fertiliser where ammonium sulphate has led to soil acidification. Here, we investigate the impact of organic and mineral fertilisers on the actinobacterial community structure of these soils using terminal restriction fragment length polymorphism (T-RFLP) and 16S rRNA gene analysis. To differentiate fertiliser effects from seasonal variation, soils were sampled three times over one growing season between May and September 2004 and January 2005. Community profiles obtained using T-RFLP were analysed using multivariate statistics to investigate the relationship between community structure, seasonality and fertiliser management. Soil pH was shown to be the most significant edaphic factor influencing actinobacterial communities. Canonical correspondence analysis, used to investigate the relationship between the 16S rRNA gene community profiles and the environmental parameters, showed that actinobacterial communities also responded to soil water content with major changes evident over the summer months between May and September. Quantitative PCR of the actinobacterial and fungal 16S and 18S rRNA genes, respectively suggested that fungal rRNA gene copy numbers were negatively correlated (P = 0.0131) with increasing actinobacterial signals. A similar relationship (P = 0.000365) was also evident when fatty acid methyl esters indicative of actinobacterial biomass (10-methyloctadecanoic acid) were compared with the amounts of fungal octadecadienoic acid (18:2omega9,12). These results show clearly that soil pH is a major driver of change in actinobacterial communities and that genera such as

  11. Review article: the long-term management of ulcerative colitis.

    PubMed

    Hanauer, S B

    2004-10-01

    After the induction of remission, the second priority of therapy for ulcerative colitis is sustained clinical remission, defined as the absence of inflammatory symptoms (diarrhoea, bleeding, rectal urgency) and the maintenance of an intact mucosa, with the absence of ulcers, friability or significant granularity at endoscopy. The 'optimal' maintenance strategy will depend on the therapy needed to induce remission. Thus, the transition from induction to maintenance therapy will be determined by the intensity of acute therapy necessary to induce remission and the duration of therapy required to complete the resolution of clinical symptoms. There are few controlled clinical trials pertaining to maintenance after each induction regimen. However, experience dictates that aminosalicylates are efficacious after aminosalicylate-induced remissions, that steroids should be tapered according to the time required to induce remission, that patients requiring ciclosporin will benefit from the addition of long-term immunomodulation with azathioprine or mercaptopurine, and that many patients with distal colitis who require topical mesalazine (mesalamine) will continue to need topical therapy to maintain remission, albeit at reduced frequency. The expectations for maintenance therapy require patient adherence to the prescribed treatment regimen. Patients require education with regard to the long-term goals of maintenance therapy (e.g. prevention of relapse, reduction of long-term complications of disease activity or risks of acute therapy with steroids), and should be warned against the use of nonsteroidal anti-inflammatory drugs and cautioned about the cessation of smoking, when applicable, due to potential risks of relapse or chronic activity.

  12. Effects of aqueous environment on long-term durability of phosphate-bonded ceramic waste forms

    SciTech Connect

    Singh, D.; Wagh, A.S.; Jeong, S.Y.

    1996-03-01

    Over the last few years, Argonne National Laboratory has been developing room-temperature-setting chemically-bonded phosphate ceramics for solidifying and stabilizing low-level mixed wastes. This technology is crucial for stabilizing waste streams that contain volatile species and off-gas secondary waste streams generated by high-temperature treatment of such wastes. Magnesium phosphate ceramic has been developed to treat mixed wastes such as ash, salts, and cement sludges. Waste forms of surrogate waste streams were fabricated by acid-base reactions between the mixtures of magnesium oxide powders and the wastes, and phosphoric acid or acid phosphate solutions. Dense and hard ceramic waste forms are produced in this process. The principal advantage of this technology is that the contaminants are immobilized by both chemical stabilization and subsequent microencapsulation of the reaction products. This paper reports the results of durability studies conducted on waste forms made with ash waste streams spiked with hazardous and radioactive surrogates. Standard leaching tests such as ANS 16.1 and TCLP were conducted on the final waste forms. Fates of the contaminants in the final waste forms were established by electron microscopy. In addition, stability of the waste forms in aqueous environments was evaluated with long-term water-immersion tests.

  13. Long-term degradation (or improvement?) of cementitious grout/concrete for waste disposal at Hanford

    SciTech Connect

    Piepho, M.G.

    1997-12-31

    If grout and/or concrete barriers and containments are considered for long-term (500 yrs to 100,000 ) waste disposal, then long-term degradation of grout/cement materials (and others) need to be studied. Long-term degradations of a cementitious grout monolith (15.4mW x 10.4mH x 37.6mL) and its containment concrete shell and asphalt shell (each 1-m thick) were analyzed. The main degradation process of the concrete shell was believed to be fractures due to construction joints, shrinkage, thermal stress, settlement, and seismic events. A scenario with fractures was modeled (flow and transport model) for long-term risk performance (out to a million yrs). Even though the concrete/grout is expected to fracture, the concrete/grout chemistry, which has high Ph value, is very beneficial in causing calcite deposits from calcium in the water precipitating in the fractures. These calcite deposits will tend to plug the fracture and keep water from entering. The effectiveness of such plugging needs to be studied more. It`s possible that the plugged fractures are more impermeable than the original concrete/grout. The long-term performance of concrete/grout barriers will be determined by its chemistry, not its mechanical properties.

  14. Nuclear Waste Disposal and Strategies for Predicting Long-Term Performance of Material

    SciTech Connect

    Wicks, G G

    2001-03-28

    Ceramics have been an important part of the nuclear community for many years. On December 2, 1942, an historic event occurred under the West Stands of Stagg Field, at the University of Chicago. Man initiated his first self-sustaining nuclear chain reaction and controlled it. The impact of this event on civilization is considered by many as monumental and compared by some to other significant events in history, such as the invention of the steam engine and the manufacturing of the first automobile. Making this event possible and the successful operation of this first man-made nuclear reactor, was the use of forty tons of UO2. The use of natural or enriched UO2 is still used today as a nuclear fuel in many nuclear power plants operating world-wide. Other ceramic materials, such as 238Pu, are used for other important purposes, such as ceramic fuels for space exploration to provide electrical power to operate instruments on board spacecrafts. Radioisotopic Thermoelectric Generators (RTGs) are used to supply electrical power and consist of a nuclear heat source and converter to transform heat energy from radioactive decay into electrical power, thus providing reliable and relatively uniform power over the very long lifetime of a mission. These sources have been used in the Galileo spacecraft orbiting Jupiter and for scientific investigations of Saturn with the Cassini spacecraft. Still another very important series of applications using the unique properties of ceramics in the nuclear field, are as immobilization matrices for management of some of the most hazardous wastes known to man. For example, in long-term management of radioactive and hazardous wastes, glass matrices are currently in production immobilizing high-level radioactive materials, and cementious forms have also been produced to incorporate low level wastes. Also, as part of nuclear disarmament activities, assemblages of crystalline phases are being developed for immobilizing weapons grade plutonium, to

  15. Improving self-management for patients with long-term conditions.

    PubMed

    Davies, Nicola J

    An increasing number of people are living with long-term conditions. These conditions cannot be cured, but can be managed through education, health promotion, medication, therapy and self-management. Self-management involves people taking responsibility for their own health and wellbeing, as well as learning to manage any long-term illnesses. Nurses play a pivotal role in providing advice, guidance, education and support to people living with long-term conditions. Self-management is important as it not only benefits the patient, but also provides wider opportunities for community and specialist nurses to use and develop their clinical and interpersonal skills.

  16. An international initiative on long-term behavior of high-level nuclear waste glass

    SciTech Connect

    Gin, Stephane; Criscenti, Louise J.; Ebert, W. L.; Ferrand, Karine; Geisler, Thorsten; Harrison, Mike T.; Inagaki, Yaohiro; Mitsui, Seiichiro; Mueller, Karl T.; Marra, James C.; Pantano, Carlo G.; Pierce, Eric M.; Ryan, Joseph V.; Schofield, James M.; Steefel, Carl I.; Vienna, John D.

    2013-06-01

    Nations producing borosilicate glass as an immobilization material for radioactive wastes resulting from spent nuclear fuel reprocessing have reinforced scientific collaboration to obtain consensus on mechanisms controlling the long-term dissolution rate of glass. This goal is deemed to be crucial for the development of reliable performance assessment models for geological disposal. The collaborating laboratories all conduct fundamental and/or applied research with modern materials science techniques. The paper briefly reviews the radioactive waste vitrification programmes of the six participant nations and summarizes the state-of-the-art of glass corrosion science, emphasizing common scientific needs and justifications for on-going initiatives.

  17. An international initiative on long-term behavior of high-level nuclear waste glass

    SciTech Connect

    Gin, S.; Abdelouas, A.; Criscenti, L. J.; Ebert, W. L.; Ferrand, K.; Geisler, T.; Harrison, M. T.; Inagaki, Y.; Mitsui, S.; Mueller, K. T.; Marra, J. C.; Pantano, C. G.; Pierce, E. M.; Ryan, J. V.; Schofield, J. M.; Steefel, C. I.; Vienna, J. D.

    2013-08-07

    Nations using borosilicate glass as an immobilization material for radioactive waste have reinforced the importance of scientific collaboration to obtain a consensus on the mechanisms controlling the long-term dissolution rate of glass. This goal is deemed to be crucial for the development of reliable performance assessment models for geological disposal. The collaborating laboratories all conduct fundamental and/or applied research using modern materials science techniques. This paper briefly reviews the radioactive waste vitrification programs of the six participant nations and summarizes the current state of glass corrosion science, emphasizing the common scientific needs and justifications for on-going initiatives.

  18. Hepatocellular carcinoma: Advances in diagnosis, management, and long term outcome.

    PubMed

    Bodzin, Adam S; Busuttil, Ronald W

    2015-05-28

    Hepatocellular carcinoma (HCC) remains a common and lethal malignancy worldwide and arises in the setting of a host of diseases. The incidence continues to increase despite multiple vaccines and therapies for viruses such as the hepatitis B and C viruses. In addition, due to the growing incidence of obesity in Western society, there is anticipation that there will be a growing population with HCC due to non-alcoholic fatty liver disease. Due to the growing frequency of this disease, screening is recommended using ultrasound with further imaging using magnetic resonance imaging and multi-detector computed tomography used for further characterization of masses. Great advances have been made to help with the early diagnosis of small lesions leading to potential curative resection or transplantation. Resection and transplantation maybe used in a variety of patients that are carefully selected based on underlying liver disease. Using certain guidelines and clinical acumen patients may have good outcomes with either resection or transplantation however many patients are inoperable at time of presentation. Fortunately, the use of new locoregional therapies has made down staging patients a potential option making them potential surgical candidates. Despite a growing population with HCC, new advances in viral therapies, chemotherapeutics, and an expanding population of surgical and transplant candidates might all contribute to improved long-term survival of these patients.

  19. Hepatocellular carcinoma: Advances in diagnosis, management, and long term outcome

    PubMed Central

    Bodzin, Adam S; Busuttil, Ronald W

    2015-01-01

    Hepatocellular carcinoma (HCC) remains a common and lethal malignancy worldwide and arises in the setting of a host of diseases. The incidence continues to increase despite multiple vaccines and therapies for viruses such as the hepatitis B and C viruses. In addition, due to the growing incidence of obesity in Western society, there is anticipation that there will be a growing population with HCC due to non-alcoholic fatty liver disease. Due to the growing frequency of this disease, screening is recommended using ultrasound with further imaging using magnetic resonance imaging and multi-detector computed tomography used for further characterization of masses. Great advances have been made to help with the early diagnosis of small lesions leading to potential curative resection or transplantation. Resection and transplantation maybe used in a variety of patients that are carefully selected based on underlying liver disease. Using certain guidelines and clinical acumen patients may have good outcomes with either resection or transplantation however many patients are inoperable at time of presentation. Fortunately, the use of new locoregional therapies has made down staging patients a potential option making them potential surgical candidates. Despite a growing population with HCC, new advances in viral therapies, chemotherapeutics, and an expanding population of surgical and transplant candidates might all contribute to improved long-term survival of these patients. PMID:26019732

  20. Arsenic solubility and distribution in poultry waste and long-term amended soil.

    PubMed

    Han, F X; Kingery, W L; Selim, H M; Gerard, P D; Cox, M S; Oldham, J L

    2004-03-05

    The purpose of this study was to quantify the solubility and distribution of As among solid-phase components in poultry wastes and soils receiving long-term poultry waste applications. Arsenic in the water-soluble, NaOCl-extractable (organically bound), NH(2)OH x HCl-extractable (oxide bound) and residual fractions were quantified in an Upper Coastal Plain soil (Neshoba County, MS) that received annual waste applications. After 25 years, As in the amended soil had a mean of 8.4 mg kg(-1) compared to 2.68 mg kg(-1) for a non-amended soil. Arsenic in the amended soil was mainly in the residual fraction (72% of total), which is generally considered the least bioavailable fraction. Arsenic in poultry waste samples was primarily water-soluble (5.3-25.1 mg kg(-1)), representing 36-75% of the total As. To assess the extent of spatial heterogeneity, total As in a 0.5-ha area within the long-term waste-amended field was quantified. Soil surface samples were taken on 10-m grid points and results for total As appeared negatively skewed and approximated a bimodal distribution. Total As in the amended soil was strongly correlated with Fe oxides, clay and hydroxy interlayered vermiculite concentrations, and negatively correlated with Mehlich III-P, mica and quartz contents.

  1. Long-term anaerobic digestion of food waste stabilized by trace elements.

    PubMed

    Zhang, Lei; Jahng, Deokjin

    2012-08-01

    The purpose of this study was to examine if long-term anaerobic digestion of food waste in a semi-continuous single-stage reactor could be stabilized by supplementing trace elements. Contrary to the failure of anaerobic digestion of food waste alone, stable anaerobic digestion of food waste was achieved for 368 days by supplementing trace elements. Under the conditions of OLR (organic loading rates) of 2.19-6.64 g VS (volatile solid)/L day and 20-30 days of HRT (hydraulic retention time), a high methane yield (352-450 mL CH(4)/g VS(added)) was obtained, and no significant accumulation of volatile fatty acids was observed. The subsequent investigation on effects of individual trace elements (Co, Fe, Mo and Ni) showed that iron was essential for maintaining stable methane production. These results proved that the food waste used in this study was deficient in trace elements.

  2. Some Trends in Radioactive Waste Form Behavior Revealed in Long-Term Field Tests

    SciTech Connect

    Ojovan, M. I.; Ojovan, N. V.; Startceva, I. V.; Barinov, A. S.

    2002-02-25

    Results from long-term field tests with borosilicate glass, cement and bitumen waste forms containing actual intermediate-level radioactive waste are summarized and discussed in the paper. Leaching behavior of the waste forms was evaluated by monitoring the contamination of contacting water. Measured leach rates of the three waste-form materials were in a narrow range in shallow subsurface repositories, but varied in a wide range at an open testing site owing to weathering of bitumen and cement materials. The repositories were opened after 12-year testing for visual examination, sampling and analysis. All retrieved waste forms were in good physical condition. The study has not revealed any negative changes in the waste glass. Some ageing processes were detected in cement and bitumen waste forms, which can positively (bitumen) or negatively (cement) affect physical and containment properties of these waste materials. It has been established that a significant proportion of the radioactive inventory in the bitumen waste form became associated with the bitumen phase. Phase separation of this radioactive bitumen has shown, than the asphaltene fraction is responsible for the major part of the radioactivity retained by the bitumen.

  3. A United States perspective on long-term management of areas contaminated with radioactive materials.

    PubMed

    Jones, C Rick

    2004-01-01

    The US has far-reaching and extensive experience in the long-term management of areas contaminated with radioactive materials. This experience base includes the Department of Energy's continued follow-up with Hiroshima and Nagasaki from the 1940s at the Radiological Effects Research Foundation in Hiroshima, Japan, the long-term management of the Marshall Islands Programme, the clean-up of the US nuclear weapons complex and the ongoing management of accident sites such as in Palomares, Spain. This paper discusses the lessons learnt and best practices gained from this far-reaching and extensive experience in the long-term management of areas contaminated with radioactive materials.

  4. Barriers and Facilitators in Pain Management in Long-Term Care Institutions: A Qualitative Study

    ERIC Educational Resources Information Center

    Fox, Patricia; Solomon, Patricia; Raina, Parminder; Jadad, Alejandro R.

    2004-01-01

    The purpose of this study was to identify barriers to the management of pain in long-term care institutions. Formal caregivers practising in four long-term care institutions in Hamilton, Ontario participated in eight focus groups. Participants included 6 physicians, 19 registered nurses, 8 registered practical nurses, 13 health care aides and 8…

  5. Accumulation of heavy metals in a long-term poultry waste-amended soil

    SciTech Connect

    Han, F.X.; Kingery, W.L.; Selim, H.M.; Gerard, P.D.

    2000-03-01

    Various metals are added to poultry diets to facilitate weight increase and disease prevention. The large amounts of poultry waste produced annually are dispersed intensively over relatively small areas of land, resulting in accumulations that pose potential environmental risks to the surface and groundwater. The focus of this study was to assess the distribution of heavy metals among various solid-phase fractions in soil profiles from a 25-year poultry waste-amended soil. Copper and Zn accumulated close to the soil surface where the total amounts of Cu and Zn in waste-amended soils were significantly higher than in nonamended soils. The total metal concentrations in amended soils were not critically high. Copper in the amended soil was present mostly in the organic matter (OM) fraction (46.9%), whereas Zn was found in the easily reducible oxide (ERO) fraction (47.3%). This suggests that the Cu and Zn in this long-term amended soil are potentially bioavailable and mobile. The authors observed the mobility of Zn through much of the soil profile of the long-term waste-amended soil. Zinc in this soil profile was found primarily in forms of the residual (RES) and crystalline iron oxide bound (CryFe) fractions, followed by the organic matter-bound and exchangeable (EXC) fractions.

  6. Development of an Innovative Direct Push Sensor System for Long Term Monitoring of Environmental Waste Sites

    NASA Astrophysics Data System (ADS)

    Eddy-Dilek, C. A.; Riha, B. D.; Bosze, S.; Rossabi, J.

    2001-12-01

    As the focus of environmental restoration in the federal complex moves from active characterization and remediation to long term monitoring, the costs of long-term monitoring will escalate and eventually dominate ongoing environmental restoration budgets. Most of the major DOE sites including the Savannah River Site have a documented need for some type of long term monitoring system that does not rely on the use of standard groundwater monitoring wells. We have developed and installed a prototype monitoring system that can be used to measure and/or sample multiple parameters appropriate for long term monitoring of environmental waste sites. This system is designed to function as a sentinel system that detects when a significant change in water quality parameters or contaminant concentration occurs in a well characterized system. The sensor drive configuration is flexible and the sensor system is installed using direct push methods. Site specific monitoring scenarios will be need to be developed to address the specific long term monitoring objectives at a given site. The drive point has a sample port (soil gas or groundwater) and windows/ports for additional sensors. A prototype system was installed and has been monitored at the D-area at the Savannah River Site since July. The probes are located in an area where multiple contaminant plumes dominated by volatile organic compounds, metals and tritium are currently monitored using standard groundwater wells. Currently, the prototype system measures temperature, resisitivity, ORP and pH on a continuous basis. In addition, concetrations of volatile organic compounds and tritium are measured periodically by laboratory analysis of diffusion bag samples deployed in the sample ports of the prototype system. Results will be reported from a three-month monitoring interval. The results will be compared with baseline analyses of samples collected from the adjacent groundwater well.

  7. Long-term anaerobic digestion of food waste stabilized by trace elements

    SciTech Connect

    Zhang Lei; Jahng, Deokjin

    2012-08-15

    Highlights: Black-Right-Pointing-Pointer Korean food waste was found to contain low level of trace elements. Black-Right-Pointing-Pointer Stable anaerobic digestion of food waste was achieved by adding trace elements. Black-Right-Pointing-Pointer Iron played an important role in anaerobic digestion of food waste. Black-Right-Pointing-Pointer Cobalt addition further enhanced the process performance in the presence of iron. - Abstract: The purpose of this study was to examine if long-term anaerobic digestion of food waste in a semi-continuous single-stage reactor could be stabilized by supplementing trace elements. Contrary to the failure of anaerobic digestion of food waste alone, stable anaerobic digestion of food waste was achieved for 368 days by supplementing trace elements. Under the conditions of OLR (organic loading rates) of 2.19-6.64 g VS (volatile solid)/L day and 20-30 days of HRT (hydraulic retention time), a high methane yield (352-450 mL CH{sub 4}/g VS{sub added}) was obtained, and no significant accumulation of volatile fatty acids was observed. The subsequent investigation on effects of individual trace elements (Co, Fe, Mo and Ni) showed that iron was essential for maintaining stable methane production. These results proved that the food waste used in this study was deficient in trace elements.

  8. Decreasing Stress among Nurse Managers: A Long-Term Solution.

    ERIC Educational Resources Information Center

    Judkins, Sharon K.; Ingram, Melba

    2002-01-01

    Hospital nursing managers (n=31) in a rural Texas hospital completed a self-paced module on stress and hardiness (beliefs related to control, commitment, and challenge). Pre/posttest scores showed the module had a significant effect on understanding of stress and coping and increased their hardiness levels. (Contains 25 references.) (SK)

  9. Summary of U.S. EPA research on solidified/stabilized waste form long-term durability

    SciTech Connect

    Kirk, D.R.

    1996-12-31

    Successful performance of solidification and stabilization treatment technologies largely depends on the ability of the treated waste to endure long term exposure to physical and chemical stresses. The available test methods to assess durability of treated wastes rely on results from laboratory tests; these procedures rely on freeze/thaw cycles, elevated temperature, and exposure to various solutions to simulate the stresses exerted on a solidified/stabilized (S/S) waste form over time. Unfortunately, none of the methods has been verified as replicating field behavior. In addition, the speciation of contaminants is a critical factor in determining long-term immobilization. Research is needed to cover areas which will address the issues associated with long-term performance of S/S waste forms. This paper discusses technical issues associated with long-term behavior of S/S waste forms and U.S. EPA research addressing these issues.

  10. Analysis of long-term impacts of TRU waste remaining at generator/storage sites for No Action Alternative 2

    SciTech Connect

    Buck, J.W.; Bagaasen, L.M.; Bergeron, M.P.; Streile, G.P.

    1997-09-01

    This report is a supplement to the Waste Isolation Pilot Plant Disposal-Phase Final Supplemental Environmental Impact Statement (SEIS-II). Described herein are the underlying information, data, and assumptions used to estimate the long-term human-health impacts from exposure to radionuclides and hazardous chemicals in transuranic (TRU) waste remaining at major generator/storage sites after loss of institutional control under No Action Alternative 2. Under No Action Alternative 2, TRU wastes would not be emplaced at the Waste Isolation Pilot Plant (WIPP) but would remain at generator/storage sites in surface or near-surface storage. Waste generated at smaller sites would be consolidated at the major generator/storage sites. Current TRU waste management practices would continue, but newly generated waste would be treated to meet the WIPP waste acceptance criteria. For this alternative, institutional control was assumed to be lost 100 years after the end of the waste generation period, with exposure to radionuclides and hazardous chemicals in the TRU waste possible from direct intrusion and release to the surrounding environment. The potential human-health impacts from exposure to radionuclides and hazardous chemicals in TRU waste were analyzed for two different types of scenarios. Both analyses estimated site-specific, human-health impacts at seven major generator/storage sites: the Hanford Site (Hanford), Idaho National Engineering and Environmental Laboratory (INEEL), Lawrence Livermore National Laboratory (LLNL), Los Alamos National Laboratory (LANL), Oak Ridge National Laboratory (ORNL), Rocky Flats Environmental Technology Site (RFETS), and Savannah River Site (SRS). The analysis focused on these seven sites because 99 % of the estimated TRU waste volume and inventory would remain there under the assumptions of No Action Alternative 2.

  11. Long-term geochemical evolution of acidic mine wastes under anaerobic conditions.

    PubMed

    Lu, Wenzhou; Lin, Chuxia; Ma, Yingqun

    2013-08-01

    A nearly 5-year anaerobic incubation experiment was conducted to observe the geochemical evolution of an acidic mine waste. Long-term storage of the mine waste under strict anaerobic conditions caused marked increase in aqueous sulfur, while aqueous iron showed no remarkable change. Co-existing oxidation and reduction of elemental sulfur appeared to play a central role in controlling the evolutionary trends of aqueous sulfur and iron. Addition of organic matter increased the aqueous Fe concentration, possibly due to enhanced iron mobilization by microbial iron reduction and increased iron solubility by forming organically complexed Fe species. Further addition of CaCO3 resulted in immobilization of aqueous iron and sulfur due to elevated pH and gypsum formation. The chemical behaviors of environmentally significant metals were markedly affected by the added organic matter; Al, Cr, Cu, Ni and Zn tended to be immobilized probably due to elevated pH and complexation with insoluble organic molecules, while As and Pb tended to be mobilized. Jarosite exhibited high stability after nearly 5 years of anaerobic incubation and even under circumneutral pH conditions. Long-term weathering of aluminosilicate through acid attack raised pH, while continuous reaction between the added CaCO3 and mine waste-borne stored acid decreased pH.

  12. Strategy for identifying natural analogs of the long-term performance of low-level waste disposal sites

    SciTech Connect

    Chatters, J.C.; Waugh, W.J.; Foley, M.G.; Kincaid, C.T.

    1990-07-01

    The US Department of Energy's Low-Level Waste (LLW) Management Program has asked Pacific Northwest Laboratory (PNL) to explore the feasibility of using natural analogs of anticipated waste site and conditions to help validate predictions of the performance of LLW disposal sites. Current regulations require LLW facilities to control the spread of hazardous substances into the environment for at least the next 500 years. Natural analog studies can provide information about processes affecting waste containment that cannot be fully explored through laboratory experimentation and modeling because of the extended period of required performance. For LLW applications, natural analogs include geochemical systems, pedogenic (soil formation) indicators, proxy climate data, and ecological and archaeological settings that portray long-term changes in disposal site environments and the survivability of proposed waste containment materials and structures. Analog data consist of estimates of performance assessment (PA) model input parameters that define possible future environmental states of waste sites, validation parameters that can be predicted by PA models, and descriptive information that can build public confidence in waste disposal practices. This document describes PNL's overall stategy for identifying analogs for LLW disposal systems, reviews lessons learned from past analogs work, outlines the findings of the workshop, and presents examples of analog studies that workshop participants found to be applicable to LLW performance assessment. The lessons from the high-level waste analogs experience and workshop discussions will be used to develop detailed study plans during FY 1990. 39 refs.

  13. Community Solutions for Stormwater Management: A Guide for Voluntary Long-Term Planning

    EPA Pesticide Factsheets

    This draft guide describes how to develop a comprehensive long-term community stormwater plan that integrates stormwater management with communities’ broader plans for economic development, infrastructure investment and environmental compliance.

  14. Intended long term performances of cementitious engineered barriers for future storage and disposal facilities for radioactive wastes in Romania

    NASA Astrophysics Data System (ADS)

    Fako, R.; Barariu, Gh.; Toma, R.; Georgescu, R.; Sociu, F.

    2013-07-01

    Considering the EU statements, Romania is engaged to endorse in the near future the IAEA relevant publications on geological repository (CNCANa), to update the Medium and Long Term National Strategy for Safe Management of Radioactive Waste and to approve the Road Map for Geological Repository Development. Currently, for example, spent fuel is wet stored for 6 years and after this period it is transported to dry storage in MACSTOR-200 (a concrete monolithic module) where it is intended to remain at least 50 years. The present situation for radioactive waste management in Romania is reviewed in the present paper. Focus will be done on existent disposal facilities but, also, on future facilities planned for storage / disposal of radioactive wastes. Considering specific data for Romanian radioactive waste inventory, authors are reviewing the advance in the radioactive waste management in Romania considering its particularities. The team tries to highlight the expected limitations and unknown data related with cementitious engineered barriers that has to be faced in the near future incase of interim storage or for the upcoming long periods of disposal.

  15. Long-term management--the way forward?

    PubMed

    Wallentin, L

    2000-01-01

    The mainstay of treatment for unstable coronary artery disease (UCAD) currently consists of antithrombotic therapy with aspirin plus unfractionated heparin (UFH), together with anti-ischemic treatment with beta blockers and nitrates. Recently, there has been a trend toward replacement of UFH with low-molecular-weight heparins (LMWHs), since these products offer significant advantages over the parent compound. Several lines of evidence suggest that prolongation of treatment with LMWHs beyond the acute phase may be appropriate in patients with UCAD. The Fragmin and Fast Revascularization during InStability in Coronary artery disease (FRISC II) study was designed to evaluate this hypothesis using the LMWH dalteparin sodium (Fragmin). A factorial design was used to randomize patients enrolled in the FRISC II study to an invasive or noninvasive management strategy, and to treatment with dalteparin sodium or placebo. Treatment with dalteparin sodium significantly reduced incidences of death and/or myocardial infarction (MI) during the first months of treatment (the reduction in the relative risk of double endpoint events was statistically significant at 47.0% at 1 month, and remained so at 2 months, but was no longer statistically significant at the 3-month assessment). However, risk, as defined by the triple endpoint of death, MI, and revascularization, was significantly lower (13.0% relative risk reduction) at 3-month follow-up in the treatment group randomized to dalteparin sodium than among patients receiving placebo. In patients in whom revascularization procedures were carried out, the risk of new, postprocedural events was low in both the placebo and dalteparin sodium arms. Thus, dalteparin sodium appears to protect patients from cardiac events until they undergo invasive procedures, and it can therefore be used as a bridge to revascularization.

  16. Detailed description of a long-term low-level waste degradation experiment

    SciTech Connect

    Caron, F.; Torok, J.; Haas, M.K.; Manni, G.

    1997-12-31

    This work gives a detailed description of the important aspects of a long-term Low-Level Radioactive Waste (LLRW) degradation experiment, performed at Chalk River Laboratories (CRL). This experiment utilized actual LLRW. The wastes consist of unconditioned compacted refuse (paper, mop heads, paper towels, used clothing, etc.), which represents the bulk of the waste volume intended for near-surface disposal at CRL. Waste material was collected and compacted to make a total of 11 bales for this experiment. Each bale was then placed and sealed in separate steel containers which were connected to sampling lines. After a dry monitoring period, water was added to promote leaching and decomposition of the wastes. The leachate sampled had a composition similar to landfill leachates. Some applications of this experiment, used to support the safety case of near-surface disposal, are briefly discussed in this paper, e.g., the production of colloidal material, the nature and role of dissolved organics of microbial origin, etc.

  17. Evaluating the feasibility of biological waste processing for long term space missions.

    PubMed

    Garland, J L; Alazraki, M P; Atkinson, C F; Finger, B W

    1998-01-01

    Recycling waste products during orbital (e.g., International Space Station) and planetary missions (e.g., lunar base, Mars transit mission, Martian base) will reduce storage and resupply costs. Wastes streams on the space station will include human hygiene water, urine, faeces, and trash. Longer term missions will contain human waste and inedible plant material from plant growth systems used for atmospheric regeneration, food production, and water recycling. The feasibility of biological and physical-chemical waste recycling is being investigated as part of National Aeronautics and Space Administration's (NASA) Advanced Life Support (ALS) Program. In-vessel composting has lower manpower requirements, lower water and volume requirements, and greater potential for sanitization of human waste compared to alternative bioreactor designs such as continuously stirred tank reactors (CSTR). Residual solids from the process (i.e. compost) could be used a biological air filter, a plant nutrient source, and a carbon sink. Potential in-vessel composting designs for both near- and long-term space missions are presented and discussed with respect to the unique aspects of space-based systems.

  18. Evaluating the feasibility of biological waste processing for long term space missions

    NASA Technical Reports Server (NTRS)

    Garland, J. L.; Alazraki, M. P.; Atkinson, C. F.; Finger, B. W.; Sager, J. C. (Principal Investigator)

    1998-01-01

    Recycling waste products during orbital (e.g., International Space Station) and planetary missions (e.g., lunar base, Mars transit mission, Martian base) will reduce storage and resupply costs. Wastes streams on the space station will include human hygiene water, urine, faeces, and trash. Longer term missions will contain human waste and inedible plant material from plant growth systems used for atmospheric regeneration, food production, and water recycling. The feasibility of biological and physical-chemical waste recycling is being investigated as part of National Aeronautics and Space Administration's (NASA) Advanced Life Support (ALS) Program. In-vessel composting has lower manpower requirements, lower water and volume requirements, and greater potential for sanitization of human waste compared to alternative bioreactor designs such as continuously stirred tank reactors (CSTR). Residual solids from the process (i.e. compost) could be used a biological air filter, a plant nutrient source, and a carbon sink. Potential in-vessel composting designs for both near- and long-term space missions are presented and discussed with respect to the unique aspects of space-based systems.

  19. The long-term acceleration of waste glass corrosion: A preliminary review

    SciTech Connect

    Kielpinski, A.L.

    1995-07-01

    Whereas a prior conception of glass dissolution assumed a relatively rapid initial dissolution which then slowed to a smaller, fairly constant longer-term rate, some recent work suggests that these two stages are followed by a third phase of dissolution, in which the dissolution rate is accelerated with respect to what had previously been thought of as the final long-term rate. The goals of the present study are to compile experimental data which may have a bearing on this phenomena, and to provide an initial assessment of these data. The Savannah River Technology Center (SRTC) is contracted to develop glass formulation models for vitrification of Hanford low-level waste (LLW), in support of the Hanford Tank Waste Remediation System Technology Development Program. The phenomenon of an increase in corrosion rate, following a period characterized by a low corrosion rate, has been observed by a number of researchers on a number of waste glass compositions. Despite inherent ambiguities arising from SA/V (glass surface area to solution volume ratio) and other effects, valid comparisons can be made in which accelerated corrosion was observed in one test, but not in another. Some glass compositions do not appear to attain a plateau region; it may be that the observation of continued, non-negligible corrosion in these glasses represents a passage from the initial rate to the accelerated rate. The long-term corrosion is a function of the interaction between the glass and its environment, including the leaching solution and the surrounding materials. Reaction path modeling and stability field considerations have been used with some success to predict the changes in corrosion rate over time, due to these interactions. The accelerated corrosion phenomenon highlights the need for such integrated corrosion modeling and the scenario-specific nature of a particular glass composition`s durability.

  20. Long-Term Performance of Transuranic Waste Inadvertently Disposed in a Shallow Land Burial Trench at the Nevada Test Site

    SciTech Connect

    Gregory J. Shott; Vefa Yucel

    2009-07-16

    In 1986, 21 m3 of transuranic (TRU) waste was inadvertently disposed in a shallow land burial trench at the Area 5 Radioactive Waste Management Site on the Nevada Test Site. U.S. Department of Energy (DOE) TRU waste must be disposed in accordance with Title 40, Code of Federal Regulations (CFR), Part 191, Environmental Radiation Protection Standard for Management and Disposal of Spent Nuclear Fuel, High-Level, and Transuranic Radioactive Wastes. The Waste Isolation Pilot Plant is the only facility meeting these requirements. The National Research Council, however, has found that exhumation of buried TRU waste for disposal in a deep geologic repository may not be warranted when the effort, exposures, and expense of retrieval are not commensurate with the risk reduction achieved. The long-term risks of leaving the TRU waste in-place are evaluated in two probabilistic performance assessments. A composite analysis, assessing the dose from all disposed waste and interacting sources of residual contamination, estimates an annual total effective dose equivalent (TEDE) of 0.01 mSv, or 3 percent of the dose constraint. A 40 CFR 191 performance assessment also indicates there is reasonable assurance of meeting all requirements. The 40 CFR 191.15 annual mean TEDE for a member of the public is estimated to reach a maximum of 0.055 mSv at 10,000 years, or approximately 37 percent of the 0.15 mSv individual protection requirement. In both assessments greater than 99 percent of the dose is from co-disposed low-level waste. The simulated probability of the 40 CFR 191.13 cumulative release exceeding 1 and 10 times the release limit is estimated to be 0.0093 and less than 0.0001, respectively. Site characterization data and hydrologic process modeling support a conclusion of no groundwater pathway within 10,000 years. Monte Carlo uncertainty analysis indicates that there is reasonable assurance of meeting all regulatory requirements. Sensitivity analysis indicates that the results

  1. Investigation on polyetheretherketone composite for long term storage of nuclear waste

    NASA Astrophysics Data System (ADS)

    Ajeesh, G.; Bhowmik, Shantanu; Sivakumar, Venugopal; Varshney, Lalit; Kumar, Virendra; Abraham, Mathew

    2015-12-01

    This investigation highlights the effect of radiation, chemical and thermal environments on mechanical and thermal properties of Polyetheretherketone (PEEK) composites, which could prove to be an alternative material for long term storage of nuclear wastes. The tests are conducted on specimens made from PEEK and PEEK reinforced with carbon short fiber. The specimens are subjected to radiation doses, equivalent to the cumulative dosage for 500 years followed by exposure under highly corrosive and thermal environments. Studies under optical microscopy reveal that the dispersion of carbon short fiber in the PEEK Composites is significantly uniform. Differential scanning calorimeter (DSC) and thermo gravimetric analysis (TGA) indicates that there are no significant changes in thermal properties of PEEK composite when exposed to aggressive environments. It is further observed that there are no significant changes in mechanical properties of the composite after exposure to radiation and thermo-chemical environment.

  2. Evaluating long-term performance of in situ vitrified waste forms: Methodology and results

    SciTech Connect

    McGrail, B.P.; Olson, K.M.

    1992-11-01

    In situ vitrification (ISV) is an emerging technology for the remediation of hazardous and radioactive waste sites. The concept relies on the principle of Joule heating to raise the temperature of a soil between an array of electrodes above the melting temperature. After cooling, the melt solidifies into a massive glass and crystalline block similar to naturally occurring obsidian. Determining the long-term performance of ISV products in a changing regulatory environment requires a fundamental understanding of the mechanisms controlling the dissolution behavior of the material. A series of experiments was performed to determine the dissolution behavior of samples produced from the ISV processing of typical soils from the Idaho National Engineering Laboratory subsurface disposal area. Dissolution rate constant measurements were completed at 90{degrees}C over the pH range 2 to 11 for one sample obtained from a field test of the ISV process.

  3. Evaluating long-term performance of in situ vitrified waste forms: Methodology and results

    SciTech Connect

    McGrail, B.P.; Olson, K.M.

    1992-11-01

    In situ vitrification (ISV) is an emerging technology for the remediation of hazardous and radioactive waste sites. The concept relies on the principle of Joule heating to raise the temperature of a soil between an array of electrodes above the melting temperature. After cooling, the melt solidifies into a massive glass and crystalline block similar to naturally occurring obsidian. Determining the long-term performance of ISV products in a changing regulatory environment requires a fundamental understanding of the mechanisms controlling the dissolution behavior of the material. A series of experiments was performed to determine the dissolution behavior of samples produced from the ISV processing of typical soils from the Idaho National Engineering Laboratory subsurface disposal area. Dissolution rate constant measurements were completed at 90[degrees]C over the pH range 2 to 11 for one sample obtained from a field test of the ISV process.

  4. Impact of microbial activity on the radioactive waste disposal: long term prediction of biocorrosion processes.

    PubMed

    Libert, Marie; Schütz, Marta Kerber; Esnault, Loïc; Féron, Damien; Bildstein, Olivier

    2014-06-01

    This study emphasizes different experimental approaches and provides perspectives to apprehend biocorrosion phenomena in the specific disposal environment by investigating microbial activity with regard to the modification of corrosion rate, which in turn can have an impact on the safety of radioactive waste geological disposal. It is found that iron-reducing bacteria are able to use corrosion products such as iron oxides and "dihydrogen" as new energy sources, especially in the disposal environment which contains low amounts of organic matter. Moreover, in the case of sulphate-reducing bacteria, the results show that mixed aerobic and anaerobic conditions are the most hazardous for stainless steel materials, a situation which is likely to occur in the early stage of a geological disposal. Finally, an integrated methodological approach is applied to validate the understanding of the complex processes and to design experiments aiming at the acquisition of kinetic data used in long term predictive modelling of biocorrosion processes.

  5. Long-term impacts on sewers following food waste disposer installation in housing areas.

    PubMed

    Mattsson, Jonathan; Hedström, Annelie; Viklander, Maria

    2014-01-01

    To increase biogas generation and decrease vehicle transportation of solid waste, the integration of food waste disposers (FWDs) into the wastewater system has been proposed. However, concerns have been raised about the long-term impact of the additional load of the FWDs on sewer systems. To examine the said impact, this study has used closed-circuit television inspection techniques to evaluate the status of 181 concrete pipes serving single family housing areas with a diameter of 225 mm, ranging from a 100% connection rate of households with an FWD to none. A minor study was also performed on a multi-family housing area, where mainly plastic pipes (200 mm) were used. The extent and distribution of deposits related to the ratio of FWDs, inclination and pipe sagging (backfalls) were ascertained by using linear regression and analysis of variance. The results showed that FWDs have had an impact on the level of deposits in the sewer, but this has, in turn, been of minor significance. With a high connection rate of FWDs upstream of a pipe, the extent of the total level of deposits, as well as finer sediments, was statistically determined to be greater. However, the majority of the deposits were observed to be small, which would suggest the impact of FWDs on sewer performance to be minor. As food waste not compatible with the FWD was seen in the sewers, educational campaigns could be beneficial to further lower the risks of sewer blocking.

  6. Long-term stability and risk assessment of lead in mill waste treated by soluble phosphate.

    PubMed

    Tang, Xi; Yang, John

    2012-11-01

    In an effort to address public concerns of the long-term stability and ecological risk reduction of phosphate (P)-stabilized lead (Pb) in mine wastes, mill tailings located at the Jasper County Superfund Site of southwest Missouri, containing ~4000 mg Pb kg(-1), were treated in situ by phosphoric acid at three rates: 0; 7.5; and 10.0 g P kg(-1) soil. Field experiment consisted of 2- by 4-m plots arranged in a randomized complete block design with four replicates of each P level. Soil and plant samples were collected at a 3-month interval during five to six (5-6) years post treatments and analyzed for Pb bioaccessibility and leachability, microbial toxicity, Pb chemical fraction, and elemental composition of Pb solids, and Pb concentration in plant tissue. Results indicated that the P treatments significantly reduced bioaccessible and leachable Pb in the mill waste, and the reductions were maintained during the sampling period. Lead concentration in plant tissue was positively related to the Pb bioaccessibility. There was no significant toxicological effect of the treatments on soil microbial community. The treatment using 10 g P kg(-1) appeared to be most effective for overall risk reduction. The Pb stabilization and risk reduction by the P treatments were accomplished by the induced transformation of labile Pb species to relatively insoluble forms, probably pyromorphite-like minerals. This study illustrated that in situ Pb stabilization by soluble phosphate would be long-term and ecologically-safe, which could safeguard human health and ecosystem from Pb contamination in mining areas.

  7. CONCRETE CONTAINERS FOR LONG TERM STORAGE AND FINAL DISPOSAL OF TRU WASTE AND LONG LIVED ILW

    SciTech Connect

    Sakamoto, H.; Asano, H.; Tunaboylu, K.; Mayer, G.; Klubertanz, G.; Kobayashi, S.; Komuro, T.; Wagner, E.

    2003-02-27

    Transuranic (TRU) waste packaging development has been conducted since 1998 by the Radioactive Waste Management Funding and Research Centre (RWMC) to support the TRU waste disposal concept in Japan. In this paper, the overview of development status of the reinforced concrete package is introduced. This package has been developed in order to satisfy the Japanese TRU waste disposal concept based on current technology and to provide a low cost package. Since 1998, the basic design work (safety evaluation, manufacturing and handling procedure, economic evaluation, elemental tests etc.) have been carried out. As a result, the basic specification of the package was decided. This report presents the concept as well as the results of basic design, focused on safety analysis and handling procedure of the package. Two types of the packages exist: - Package-A: for non-heat generating TRU waste from reprocessing in 200 l drums and - Package-B: for heat generating TRU-waste from reprocessing.

  8. EPA'S OFFICE OF RESEARCH AND DEVELOPMENT PERSPECTIVE ON THE LONG-TERM MANAGEMENT OF EXCESS MERCURY

    EPA Science Inventory

    The Agency is discussing the issues of the long-tem management and retirement of excess mercury. The concept of mercury "retirement" or the long-term management of excess mercury is in its infancy. Currently, the regulatory system supports all mercury recycling initiatives. There...

  9. Emergency Response and Long Term Planning: Two sides of the Coin for Managing Water Resources

    NASA Astrophysics Data System (ADS)

    Metchis, K.; Beller-Simms, N.

    2014-12-01

    As projected by the US National Climate Assessment and the IPCC, extreme climate and weather events are occurring more frequently and with more intensity across the nation. Communities - and the water resource managers that serve them - are facing difficult choices to increase emergency preparedness, recover from costly impacts, and increase long term resilience. The presentation is based on a recent set of case studies about what happened in six communities that experienced one or more extreme events, focusing on water resource management. Two of the case studies will be presented, revealing that building climate resilience is not just about long term planning - it is also about taking the steps to be prepared for - and to be able to recover from - emergency events. The results of this study have implications for educating local officials on ways to think about resilience to balance both long-term and short-term preparedness.

  10. Long-term metapopulation study of the Glanville fritillary butterfly (Melitaea cinxia): survey methods, data management, and long-term population trends

    PubMed Central

    Ojanen, Sami P; Nieminen, Marko; Meyke, Evgeniy; Pöyry, Juha; Hanski, Ilkka

    2013-01-01

    Long-term observational studies conducted at large (regional) spatial scales contribute to better understanding of landscape effects on population and evolutionary dynamics, including the conditions that affect long-term viability of species, but large-scale studies are expensive and logistically challenging to keep running for a long time. Here, we describe the long-term metapopulation study of the Glanville fritillary butterfly (Melitaea cinxia) that has been conducted since 1991 in a large network of 4000 habitat patches (dry meadows) within a study area of 50 by 70 km in the Åland Islands in Finland. We explain how the landscape structure has been described, including definition, delimitation, and mapping of the habitat patches; methods of field survey, including the logistics, cost, and reliability of the survey; and data management using the EarthCape biodiversity platform. We describe the long-term metapopulation dynamics of the Glanville fritillary based on the survey. There has been no long-term change in the overall size of the metapopulation, but the level of spatial synchrony and hence the amplitude of fluctuations in year-to-year metapopulation dynamics have increased over the years, possibly due to increasing frequency of exceptional weather conditions. We discuss the added value of large-scale and long-term population studies, but also emphasize the need to integrate more targeted experimental studies in the context of long-term observational studies. For instance, in the case of the Glanville fritillary project, the long-term study has produced an opportunity to sample individuals for experiments from local populations with a known demographic history. These studies have demonstrated striking differences in dispersal rate and other life-history traits of individuals from newly established local populations (the offspring of colonizers) versus individuals from old, established local populations. The long-term observational study has stimulated the

  11. Long-term biological monitoring of environmental quality around a solid waste landfill assessed with lichens.

    PubMed

    Paoli, L; Corsini, A; Bigagli, V; Vannini, J; Bruscoli, C; Loppi, S

    2012-02-01

    The diversity of epiphytic lichens and the accumulation of selected trace elements in the lichen Flavoparmelia caperata L. (Hale) were used as indicators of pollution around a landfill in central Italy along 14 years of waste management. Lichens revealed an increased deposition for some elements (i.e., Cd, Cr, Fe and Ni) and a decrease of the lichen diversity at sites facing the landfill after an enlargement of the dumping area. However, the results allowed to exclude a significant increase in heavy metal depositions in the surrounding area and suggested that successful waste management may be associated with environmental quality. It is concluded that lichen monitoring might provide essential information to enhance the implementation of ecological impact assessment, supporting industrial regulatory procedures, also when waste management is concerned.

  12. Soil organic carbon and nitrogen in long-term manure management system

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Long-term studies are extremely beneficial to understand and evaluate changes in soil quality and sustainability of specific management practices. The objectives of this study were to evaluate the effects of 70 yr of moldboard plowing with manure (M) and commercial fertilizer (F) additions on soil o...

  13. A Pilot Study of CME on Risk Management in Long-Term Care

    ERIC Educational Resources Information Center

    Powers, James; Pichert, James W.; Habermann, Ralf; Ribble, Rachel

    2004-01-01

    This pilot study's purpose was to evaluate behavioral changes among medical directors and physicians following CME on risk management in long-term care (LTC) facilities. The setting was a satellite conference at the AGS Meeting Symposium 2000. CME participants included 51 medical directors, attending physicians, and nurses. Evaluations were based…

  14. ANALYSIS OF ALTERNATIVES FOR THE LONG TERM MANAGEMENT OF EXCESS MERCURY

    EPA Science Inventory

    This paper describes a systematic method for comparing options for the long-term management of surplus elemental mercury in the U.S., using the Analytic Hierarchy Process (AHP) as embodied in commercially available Expert Choice software. A limited scope multi-criteria decisionan...

  15. Predicting agricultural management influence on long-term soil organic carbon dynamics: implications for biofuel production

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Long-term field experiments (LTE) are ideal for predicting the influence of agricultural management on soil organic carbon (SOC) dynamics and examining biofuel crop residue removal policy questions. Our objectives were (i) to simulate SOC dynamics in LTE soils under various climates, crop rotations,...

  16. Creature comforts: personal communities, pets and the work of managing a long-term condition

    PubMed Central

    Brooks, Helen L; Rogers, Anne; Kapadia, Dharmi; Pilgrim, Jack; Reeves, David; Vassilev, Ivaylo

    2013-01-01

    Objectives: To explore in the context of peoples’ personal social networks, the contribution that pets make to ‘the work’ associated with the management of long-term conditions. Method: Mixed methods survey with nested parallel qualitative study; 300 participants were drawn from diabetes and chronic heart disease registers of General Practices across Greater Manchester in the North West of England. Notions of ‘work’ were used to describe the illness and everyday activities associated with chronic illness. Results: Nineteen percent of participants identified at least one pet within their network. Pets contributed mostly to managing emotions (emotional work), to enhancing a sense of self identity (biographical work) and to a lesser extent practical tasks (everyday work). There were indicators that pets mediated relationships for people living with a long-term condition through very weak ties with others in domestic and community settings. Conclusion: The findings suggest that pets have unique qualities and are not simply substitutes for human relationships in long-term condition management. The study has potential implications for furthering a social contextual analysis of chronic illness, the understanding of relationships, and the meaning and the role of companion animals in long-term condition management. PMID:22777565

  17. PRELIMINARY ANALYSIS OF ALTERNATIVES FOR THE LONG TERM MANAGEMENT OF EXCESS MERCURY

    EPA Science Inventory

    This report describes the use of a systematic method for comparing options for the long term management and retirement of surplus mercury in the U.S. The method chosen is the Analytical Hierarchy Procedure (AHP) as embodied in the Expert Choice 2000 software. The goal, criteria, ...

  18. In-Vessel Composting of Simulated Long-Term Missions Space-Related Solid Wastes

    NASA Technical Reports Server (NTRS)

    Rodriguez-Carias, Abner A.; Sager, John; Krumins, Valdis; Strayer, Richard; Hummerick, Mary; Roberts, Michael S.

    2002-01-01

    Reduction and stabilization of solid wastes generated during space missions is a major concern for the Advanced Life Support - Resource Recovery program at the NASA, Kennedy Space Center. Solid wastes provide substrates for pathogen proliferation, produce strong odor, and increase storage requirements during space missions. A five periods experiment was conducted to evaluate the Space Operation Bioconverter (SOB), an in vessel composting system, as a biological processing technology to reduce and stabilize simulated long-term missions space related solid-wastes (SRSW). For all periods, SRSW were sorted into components with fast (FBD) and slow (SBD) biodegradability. Uneaten food and plastic were used as a major FBD and SBD components, respectively. Compost temperature (C), CO2 production (%), mass reduction (%), and final pH were utilized as criteria to determine compost quality. In period 1, SOB was loaded with a 55% FBD: 45% SBD mixture and was allowed to compost for 7 days. An eleven day second composting period was conducted loading the SOB with 45% pre-composted SRSW and 55% FBD. Period 3 and 4 evaluated the use of styrofoam as a bulking agent and the substitution of regular by degradable plastic on the composting characteristics of SRSW, respectively. The use of ceramic as a bulking agent and the relationship between initial FBD mass and heat production was investigated in period 5. Composting SRSW resulted in an acidic fermentation with a minor increase in compost temperature, low CO2 production, and slightly mass reduction. Addition of styrofoam as a bulking agent and substitution of regular by biodegradable plastic improved the composting characteristics of SRSW, as evidenced by higher pH, CO2 production, compost temperature and mass reduction. Ceramic as a bulking agent and increase the initial FBD mass (4.4 kg) did not improve the composting process. In summary, the SOB is a potential biological technology for reduction and stabilization of mission space

  19. Modeling Cd and Cu mobility in soils amended by long-term urban waste compost applications

    NASA Astrophysics Data System (ADS)

    Filipović, Vilim; Cambier, Philippe; Matijević, Lana; Coquet, Yves; Pot, Valérie; Houot, Sabine; Benoit, Pierre

    2016-04-01

    Urban waste compost application to soil is an effective way for organic waste disposal and at the same time may have a positive effect on various soil rhizosphere processes. However, long term applications of organic waste amendments may lead to a noteworthy accumulation of micropollutants in soil. The long-term field experiment QualiAgro, an INRA-Veolia partnership (https://www6.inra.fr/qualiagro_eng/), has been conducted since 1998 with the objectives to characterize the agronomic value of urban composts and the environmental impacts of their application. Numerical modeling was performed using HYDRUS-2D to estimate the movement of Cd and Cu from compost incroporation in the tilled layer. Experimental plots regularly amended with co-compost of sewage sludge and green wastes (SGW), or a municipal solid waste compost (MSW) have been compared to control plot without any organic amendment (CONT). Field site was equipped with wicks lysimeters, TDR probes and tensiometers in order to determine water balance and trace metal concentrations during a 6 years' time period (2004-2010). In the tilled layer different structures (Δ - compacted clods, Γ - macroporous zone, IF - interfurrows, PP - plough pan) corresponding to the tillage and compost incorporation were delimited and reproduced in a 2-D model. The increase of Cd and Cu concentrations due to each compost addition was assumed to be located in IFs for further modeling. Four compost additions were performed during 2004-2010 period which increased the Cd and Cu concentrations in the IF zones considerably. After successful model description of water flow in highly heterogeneous soil profiles, Cd and Cu were added into the model and their fate was simulated during the same time period. Two approaches were followed to estimate plausible trace metals sorption coefficients (Kd), both while assuming equilibrium between dissolved and EDTA-extractable metals. The first approach was based on Kd estimated from ratios between

  20. Final Long-Term Management and Storage of Elemental Mercury Environmental Impact Statement Summary and Guide for Stakeholders

    SciTech Connect

    Not Available

    2011-01-01

    Pursuant to the Mercury Export Ban Act of 2008 (P.L. 110-414), DOE was directed to designate a facility or facilities for the long-term management and storage of elemental mercury generated within the United States. Therefore, DOE has analyzed the storage of up to 10,000 metric tons (11,000 tons) of elemental mercury in a facility(ies) constructed and operated in accordance with the Solid Waste Disposal Act, as amended by the Resource Conservation and Recovery Act (74 FR 31723). DOE prepared this Final Mercury Storage EIS in accordance with the National Environmental Policy Act of 1969 (NEPA), as amended (42 U.S.C. 4321 et seq.), the Council on Environmental Quality (CEQ) implementing regulations (40 CFR 1500–1508), and DOE’s NEPA implementing procedures (10 CFR 1021) to evaluate reasonable alternatives for a facility(ies) for the long-term management and storage of elemental mercury. This Final Mercury Storage EIS analyzes the potential environmental, human health, and socioeconomic impacts of elemental mercury storage at seven candidate locations: Grand Junction Disposal Site near Grand Junction, Colorado; Hanford Site near Richland, Washington; Hawthorne Army Depot near Hawthorne, Nevada; Idaho National Laboratory near Idaho Falls, Idaho; Kansas City Plant in Kansas City, Missouri; Savannah River Site near Aiken, South Carolina; and Waste Control Specialists, LLC, site near Andrews, Texas. As required by CEQ NEPA regulations, the No Action Alternative was also analyzed as a basis for comparison. DOE intends to decide (1) where to locate the elemental mercury storage facility(ies) and (2) whether to use existing buildings, new buildings, or a combination of existing and new buildings. DOE’s Preferred Alternative for the long-term management and storage of mercury is the Waste Control Specialists, LLC, site near Andrews, Texas.

  1. Long-term effect of ZnO nanoparticles on waste activated sludge anaerobic digestion.

    PubMed

    Mu, Hui; Chen, Yinguang

    2011-11-01

    The increasing use of zinc oxide nanoparticles (ZnO NPs) raises concerns about their environmental impacts, but the potential effect of ZnO NPs on sludge anaerobic digestion remains unknown. In this paper, long-term exposure experiments were carried out to investigate the influence of ZnO NPs on methane production during waste activated sludge (WAS) anaerobic digestion. The presence of 1 mg/g-TSS of ZnO NPs did not affect methane production, but 30 and 150 mg/g-TSS of ZnO NPs induced 18.3% and 75.1% of inhibition respectively, which showed that the impact of ZnO NPs on methane production was dosage dependant. Then, the mechanisms of ZnO NPs affecting sludge anaerobic digestion were investigated. It was found that the toxic effect of ZnO NPs on methane production was mainly due to the release of Zn(2+) from ZnO NPs, which may cause the inhibitory effects on the hydrolysis and methanation steps of sludge anaerobic digestion. Further investigations with enzyme and fluorescence in situ hybridization (FISH) assays indicated that higher concentration of ZnO NPs decreased the activities of protease and coenzyme F(420), and the abundance of methanogenesis Archaea.

  2. Long-term environmental impacts of building composites containing waste materials: Evaluation of the leaching protocols.

    PubMed

    Drinčić, Ana; Nikolić, Irena; Zuliani, Tea; Milačič, Radmila; Ščančar, Janez

    2017-01-01

    The NEN 7375 test has been proposed for evaluating the long-term environmental impacts caused by the release of contaminants from monolithic building and waste materials. Over a period of 64days, at specific points in time, the leaching solution (demineralised water) is replenished. By applying the NEN 7375 test, leaching of contaminants that is based mainly on diffusion is followed. In the present work, the results from modified leaching protocols were evaluated against those obtained by NEN 7375 test. In modified protocols, synthetic sea, surface and MilliQ water were used for the leaching of selected elements and chromate, molybdate and vanadate from compact and ground building composites (98% mixture of fly ash (80%) and cement (20%), and 2% of electric arc furnace (EAF) dust) over 6months. The leaching solutions were not replenished, imitating both the diffusion and the dissolution of contaminants. The data revealed larger extent of leaching when the leaching solution was not replenished. More extensive was also leaching from ground composites, which simulated the disintegration of the material over time. The composition of the leaching solution influenced the release of the matrix constituents from the composites and, consequently, the amount of elements and their chemical species. Synthetic sea and surface water used as leaching solutions, without replenishing, were found to be suitable to simulate the conditions when the building material is immersed in stagnant environmental waters.

  3. Mixing-controlled uncertainty in long-term predictions of acid rock drainage from heterogeneous waste-rock piles

    NASA Astrophysics Data System (ADS)

    Pedretti, D.; Beckie, R. D.; Mayer, K. U.

    2015-12-01

    The chemistry of drainage from waste-rock piles at mine sites is difficult to predict because of a number of uncertainties including heterogeneous reactive mineral content, distribution of minerals, weathering rates and physical flow properties. In this presentation, we examine the effects of mixing on drainage chemistry over timescales of 100s of years. We use a 1-D streamtube conceptualization of flow in waste rocks and multicomponent reactive transport modeling. We simplify the reactive system to consist of acid-producing sulfide minerals and acid-neutralizing carbonate minerals and secondary sulfate and iron oxide minerals. We create multiple realizations of waste-rock piles with distinct distributions of reactive minerals along each flow path and examine the uncertainty of drainage geochemistry through time. The limited mixing of streamtubes that is characteristic of the vertical unsaturated flow in many waste-rock piles, allows individual flowpaths to sustain acid or neutral conditions to the base of the pile, where the streamtubes mix. Consequently, mixing and the acidity/alkalinity balance of the streamtube waters, and not the overall acid- and base-producing mineral contents, control the instantaneous discharge chemistry. Our results show that the limited mixing implied by preferential flow and the heterogeneous distribution of mineral contents lead to large uncertainty in drainage chemistry over short and medium time scales. However, over longer timescales when one of either the acid-producing or neutralizing primary phases is depleted, the drainage chemistry becomes less controlled by mixing and in turn less uncertain. A correct understanding of the temporal variability of uncertainty is key to make informed long-term decisions in mining settings regarding the management of waste material.

  4. Summary of the engineering analysis report for the long-term management of depleted uranium hexafluoride

    SciTech Connect

    Dubrin, J.W., Rahm-Crites, L.

    1997-09-01

    The Department of Energy (DOE) is reviewing ideas for the long-term management and use of its depleted uranium hexafluoride. DOE owns about 560,000 metric tons (over a billion pounds) of depleted uranium hexafluoride. This material is contained in steel cylinders located in storage yards near Paducah, Kentucky; Portsmouth, Ohio; and at the East Tennessee Technology Park (formerly the K-25 Site) in Oak Ridge, Tennessee. On November 10, 1994, DOE announced its new Depleted Uranium Hexafluoride Management Program by issuing a Request for Recommendations and an Advance Notice of Intent in the Federal Register (59 FR 56324 and 56325). The first part of this program consists of engineering, costs and environmental impact studies. Part one will conclude with the selection of a long-term management plan or strategy. Part two will carry out the selected strategy.

  5. Vitamin D deficiency in HIV: a shadow on long-term management?

    PubMed

    Orkin, Chloe; Wohl, David A; Williams, Andrew; Deckx, Henri

    2014-01-01

    Vitamin D deficiency in HIV infection has attracted much interest. The best known clinical outcomes of vitamin D deficiency are rickets (children) and osteomalacia (adults). Several non-skeletal disorders have also been linked to suboptimal vitamin D levels in the general population. The prevalence of vitamin D deficiency varies widely (6-100%) across diverse patient populations, with no evidence that it is higher in HIV-positive versus noninfected adults. Vitamin D deficiency may blunt immune restoration and exacerbate HIV complications (e.g. opportunistic infections, poor perinatal outcomes, wasting, HIV disease progression, AIDS events, and death). The nonnucleoside reverse transcriptase inhibitor efavirenz was associated with a relatively high risk of vitamin D deficiency; nevirapine, etravirine, and rilpivirine were noted to have less or no impact on vitamin D versus efavirenz in the limited data available. Protease inhibitors have either no or a low association with vitamin D deficiency. Nucleoside/nucleotide reverse transcriptase inhibitors (with the possible exception of zidovudine) also did not appear to be associated with vitamin D deficiency. Management of vitamin D deficiency in HIV-positive adults has not been rigorously evaluated; some guidelines recommend more vitamin D supplementation for HIV-positive adults on antiretrovirals versus the general population (e.g. 2-3 times higher vitamin D daily intake for the age group; loading dose up to 10,000 IU/day for 8-10 weeks and a maintenance dose of 800-2,000 IU/day). In conclusion, although vitamin D deficiency in HIV-positive adults can be prevalent, current evidence for its causes and impact is relatively weak. More data, particularly from large, controlled, long-term trials, regarding the benefits of correcting vitamin D levels in HIV-positive adults are needed.

  6. Muscle wasting associated with the long-term use of mTOR inhibitors

    PubMed Central

    Gyawali, Bishal; Shimokata, Tomoya; Honda, Kazunori; Kondoh, Chihiro; Hayashi, Naomi; Yoshino, Yasushi; Sassa, Naoto; Nakano, Yasuyuki; Gotoh, Momokazu; Ando, Yuichi

    2016-01-01

    Some targeted therapies alter muscle mass due to interference with pathways of muscle metabolism. The effects of mammalian target of ra pamycin (mTOR) inhibitors on muscle mass have yet to be fully elucidated. In the present study, the computerized tomography (CT) scans of patients receiving mTOR inhibitors for at least 6 months taken at baseline and post-therapy were retrospectively retrieved, and body composition analyses were performed using the software, sliceOmatic version 5.0 (TomoVision, Inc., Magog, QC, Canada). The difference in body composition parameters was evaluated for significance. The time to treatment (TTF) failure was also compared between the sarcopenic and non-sarcopenic patients at the baseline. Of the 75 patients studied, 20 matched the inclusion criteria (including 16 males). The mean duration between the CT scans was 14.4±2.0 months. A total of 12 (60%) patients were sarcopenic at the baseline, whereas three more (75% in total) became sarcopenic following treatment. The use of mTOR inhibitors significantly decreased the skeletal muscle area (P=0.011) and lean body mass (P=0.007), although it had no effect on adipose tissue (P=0.163) or body weight (P=0.262). The rate of skeletal muscle wasting was 2.6 cm2/m2, or 2.3 kg in 6 months. The TTF did not differ between sarcopenic and non-sarcopenic patients, and was not significantly associated with any other parameter. To the best of our knowledge, this is the first study to demonstrate that the long-term use of mTOR inhibitors induces a marked loss of muscle mass. Due to the predictive and prognostic role of sarcopenia in cancer patients, these findings may have important clinical implications. PMID:27900103

  7. Short- and long-term releases of fluorocarbons from disposal of polyurethane foam waste.

    PubMed

    Kjeldsen, Peter; Scheutz, Charlotte

    2003-11-01

    Several halocarbons having very high global warming or ozone depletion potentials have been used as a blowing agent (BA) for insulation foam in home appliances, such as refrigerators and freezers. Many appliances are shredded after the end of their useful life. Release experiments carried out in the laboratory on insulation foam blown with the blowing agents CFC-11, HCFC-141b, HCF-134fa, and HFC-245fa revealed that not all blowing agents are released during a 6-week period following the shredding process. The experiments confirmed the hypothesis that the release could be divided into three segments: By shredding foam panels, a proportion of the closed cells is either split or damaged to a degree allowing for a sudden release of the contained atmosphere in the cell (the instantaneous release). Cells adjacent to the cut surface may be only slightly damaged by tiny cracks or holes allowing a relative slow release of the BA to the surroundings (the short-term release). A significant portion of the cells in the foam particle will be unaffected and only allows release governed by slow diffusion through the PUR cell wall (the long-term release). The magnitude of the releases is for all three types highly dependent on how fine the foam is shredded. The residual blowing agent remaining after the 6-week period may be very slowly released if the integrity of the foam particles with respect to diffusion properties is kept after disposal of the foam waste on landfills. It is shown by setting up a national model simulating the BA releases following decommissioning of used domestic refrigerators/freezers in the United States that the release patterns are highly dependent on how the appliances are shredded.

  8. Long-term management of an idiopathic gingival fibromatosis patient with the primary dentition.

    PubMed

    Kamolmatyakul, S; Kietthubthew, S; Anusaksathien, O

    2001-01-01

    Gingival fibromatosis is usually seen as an isolated finding or occasionally in association with other features as part of a syndrome. The combination of gingival enlargement, hypertrichosis, epilepsy and mental retardation is also a commonly reported syndrome that features gingival fibromatosis. The following report is about a mentally retarded patient who has shown no sign of hypertrichosis, but has been taking phenobarbital as a long-term therapy drug for anti-convulsion. Long-term management of this patient has been carried out from the age of one-and-a-half years to 14 years old. The patient's clinical features, treatment received, histopathologic presentation of gingival fibromatosis and proper management of the condition are discussed.

  9. Female long term survivors after allo-HSCT: evaluation and management

    PubMed Central

    Shanis, Dana; Merideth, Melissa; Pulanic, Tajana Klepac; Savani, Bipin N; Battiwalla, Minoo; Stratton, Pamela

    2011-01-01

    Female long term survivors of allogeneic hematopoietic stem cell transplantation incur a significant burden of late effects. Genital GVHD, HPV reactivation, ovarian failure and infertility, sexual dysfunction and osteoporosis are concerns that can significantly impact quality of life. This review examines the risk, pathogenesis, clinical presentation and implications of these common complications. Recommendations are provided for evaluation and management of these late effects, and other obstetric and gynecologic issues that may arise in this patient population. PMID:22221788

  10. A Specific Long-Term Plan for Management of U.S. Nuclear Spent Fuel

    SciTech Connect

    Levy, Salomon

    2006-07-01

    A specific plan consisting of six different steps is proposed to accelerate and improve the long-term management of U.S. Light Water Reactor (LWR) spent nuclear fuel. The first step is to construct additional, centralized, engineered (dry cask) spent fuel facilities to have a backup solution to Yucca Mountain (YM) delays or lack of capacity. The second step is to restart the development of the Integral Fast Reactor (IFR), in a burner mode, because of its inherent safety characteristics and its extensive past development in contrast to Acceleration Driven Systems (ADS). The IFR and an improved non-proliferation version of its pyro-processing technology can burn the plutonium (Pu) and minor actinides (MA) obtained by reprocessing LWR spent fuel. The remaining IFR and LWR fission products will be treated for storage at YM. The radiotoxicity of that high level waste (HLW) will fall below that of natural uranium in less than one thousand years. Due to anticipated increased capital, maintenance, and research costs for IFR, the third step is to reduce the required number of IFRs and their potential delays by implementing multiple recycles of Pu and Neptunium (Np) MA in LWR. That strategy is to use an advanced separation process, UREX+, and the MIX Pu option where the role and degradation of Pu is limited by uranium enrichment. UREX+ will decrease proliferation risks by avoiding Pu separation while the MIX fuel will lead to an equilibrium fuel recycle mode in LWR which will reduce U. S. Pu inventory and deliver much smaller volumes of less radioactive HLW to YM. In both steps two and three, Research and Development (R and D) is to emphasize the demonstration of multiple fuel reprocessing and fabrication, while improving HLW treatment, increasing proliferation resistance, and reducing losses of fissile material. The fourth step is to license and construct YM because it is needed for the disposal of defense wastes and the HLW to be generated under the proposed plan. The

  11. Organic wastes decomposition technology, perspective for long-term autonomous missions

    NASA Astrophysics Data System (ADS)

    Viacheslav, Ilyin; Korshunov, Denis; Mardanov, Robert; Starkova, Lyubov; Deshevaya, Elena; Smirnov, Igor

    At present time there is no large problem in waste management in ISS space flight conditions, since spacecrafts "Progress" is used for it's removal from orbital station and the wastes burns in dense layers of Earth's atmosphere. However such method does not approach for far inter-planetary flights since interplanetary quarantine desires do not allow to deposit contaminated wastes outside the spacecraft. Essential part of wastes is formed by disposed means of personal hygiene and greenhouse wastes which are not safe from sanitary-epidemiological aspect. Above mentioned materials have one common feature: they can be subjected to biodegradation using different microbial compositions. Microbial decomposition of wastes as meets the main crite-ria of safety and power consumption. We investigated the effectiveness of method of disposed personal hygiene means biodegradation by anaerobic thermophiles with further purification of obtained decomposition products from chemical solvents with the help of mesophilic isolates in microaerophile conditions. Bacteria of Clostridium genera were selected for cellulolysis be-cause of their high specific endoglucanasic activity which less depends on substrate nature and relatively high growth rate on cellulose contaning substrates. As result some strains in case of optimal conditions (substrata pretreating, pH correction) decomposed means of personal hygiene with level of biodegradation up to 90With the purpose of purification, liqiud medi-ums originating from Closrtidium sp. exhibiting used like substrates for cellololitic fungi. It was shown that the cultures are able to change pH of media from slow-acid to neutral. Also the effectiveness of plant wastes biodegradation (vegetables homogenates) was studied using associations of mesophile aerobes trophically adapted to substrates. Rate of biodestruction of dry mass varied near 76To purify liquid products of biodegradation from chemicals cellulolytic fungal strains as well as bacterial

  12. 78 FR 23548 - Draft Supplemental Environmental Impact Statement for the Long-Term Management and Storage of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-19

    ... Supplemental Environmental Impact Statement for the Long- Term Management and Storage of Elemental Mercury... (DOE) announces the availability of the Draft Long-Term Management and Storage of Elemental Mercury Supplemental Environmental Impact Statement (Mercury Storage SEIS, DOE/ EIS-0423-S1) for public comment....

  13. Challenges Experienced by School Managers in the Nkangala District, Mpumalanga, Regarding the Provision of Long Term Leadership

    ERIC Educational Resources Information Center

    van Niekerk, E. J.

    2012-01-01

    The long term leadership task of creating favourable circumstances for followers to excel are discussed in this article using narratives supplied by education managers in schools of the Nkangala District in Mpumalanga Province. Thereby deficiencies in the long term leadership proficiency of these managers are identified with a view to be able to…

  14. Long-Term Outcome of the Management of Chronic Neuropathic Pain: A Prospective Observational Study.

    PubMed

    Moulin, Dwight E; Clark, A John; Gordon, Allan; Lynch, Mary; Morley-Forster, Patricia K; Nathan, Howard; Smyth, Cathy; Toth, Cory; VanDenKerkhof, Elizabeth; Gilani, Ammar; Ware, Mark A

    2015-09-01

    This prospective observational cohort study addressed the long-term clinical effectiveness of the management of chronic neuropathic noncancer pain at 7 Canadian tertiary pain centers. Patients were treated according to standard guidelines and were followed at 3, 6, 12, 18, and 24 months. Standard outcome measures for pain, mood, quality of life, and overall treatment satisfaction were administered, with the primary outcome measure designated as the composite of 30% reduction in average pain intensity and 1-point decrease in the mean Interference Scale Score (0-10) of the Brief Pain Inventory at 12 months relative to baseline. Of 789 patients recruited, mean age was 53.5 ± 14.2 years (55% female) and mean duration of pain was 4.88 ± 5.82 years. Mean average pain intensity (0-10) at baseline was 6.1 ± 1.9. All standard outcome measures showed statistically significant improvement at 12 months relative to baseline (P < .001). However, only 23.7% attained clinically significant improvement in pain and function at 12 months as the primary outcome measure. Univariable analyses showed poorer outcomes at 12-month follow-up with longer duration of pain (P = .002), greater cigarette use (P = .01), more disability compensation (P = .001), and higher opioid doses at baseline and at 12 months (P < .02). Our present treatment modalities provide significant long-term benefit in only about a quarter of patients with neuropathic pain managed at tertiary care pain clinics. Opioid therapy may not be beneficial for the long term. Perspective: Evidence-based treatment of chronic neuropathic pain provides long-term benefit in only about one-quarter of patients seen in tertiary care centers. Opioid therapy may not be beneficial.

  15. Characterization of options and their analysis requirements for the long-term management of depleted uranium hexafluoride

    SciTech Connect

    Dubrin, J.W.; Rosen, R.S.; Zoller, J.N.; Harri, J.W.; Schwertz, N.L.

    1995-12-01

    The Department of Energy (DOE) is examining alternative strategies for the long-term management of depleted uranium hexafluoride (UF{sub 6}) currently stored at the gaseous diffusion plants at Portsmouth, Ohio, and Paducah, Kentucky, and on the Oak Ridge Reservation in Oak Ridge, Tennessee. This paper describes the methodology for the comprehensive and ongoing technical analysis of the options being considered. An overview of these options, along with several of the suboptions being considered, is presented. The long-term management strategy alternatives fall into three broad categories: use, storage, or disposal. Conversion of the depleted UF6 to another form such as oxide or metal is needed to implement most of these alternatives. Likewise, transportation of materials is an integral part of constructing the complete pathway between the current storage condition and ultimate disposition. The analysis of options includes development of pre-conceptual designs; estimates of effluents, wastes, and emissions; specification of resource requirements; and preliminary hazards assessments. The results of this analysis will assist DOE in selecting a strategy by providing the engineering information necessary to evaluate the environmental impacts and costs of implementing the management strategy alternatives.

  16. Potential for long-term isolation by the Waste Isolation Pilot Plant disposal system

    SciTech Connect

    Bertram-Howery, S.G. ); Swift, P.N. )

    1990-06-01

    The US Department of Energy's (DOE) Waste Isolation Pilot Plant (WIPP) must comply with EPA regulation 40 CFR Part 191, Subpart B, which sets environmental standards for radioactive waste disposal. The regulation, Environmental Radiation Protection Standards for Management and Disposal of Spent Nuclear Fuel, High-Level and Transuranic Radioactive Wastes (hereafter referred to as the Standard), was vacated in 1987 by a Federal Court of Appeals and is underground revision. By agreement with the Sate of New Mexico, the WIPP project is evaluating compliance with the Standard as promulgated, in 1985 until a new regulation is available. This report summarizes the early-1990 status of Sandia National Laboratories' (SNL) understanding of the Project's ability to achieve compliance. The report reviews the qualitative and quantitative requirements for compliance, and identifies unknowns complicating performance assessment. It discusses in relatively nontechnical terms the approaches to resolving those unknowns, and concludes that SNL has reasonable confidence that compliance is achievable with the Standard as first promulgated. 46 refs., 7 figs.

  17. Long-Term Soil Experiments: A Key to Managing Earth's Rapidly Changing Critical Zones

    NASA Astrophysics Data System (ADS)

    Richter, D., Jr.

    2014-12-01

    In a few decades, managers of Earth's Critical Zones (biota, humans, land, and water) will be challenged to double food and fiber production and diminish adverse effects of management on the wider environment. To meet these challenges, an array of scientific approaches is being used to increase understanding of Critical Zone functioning and evolution, and one amongst these approaches needs to be long-term soil field studies to move us beyond black boxing the belowground Critical Zone, i.e., to further understanding of processes driving changes in the soil environment. Long-term soil experiments (LTSEs) provide direct observations of soil change and functioning across time scales of decades, data critical for biological, biogeochemical, and environmental assessments of sustainability; for predictions of soil fertility, productivity, and soil-environment interactions; and for developing models at a wide range of temporal and spatial scales. Unfortunately, LTSEs globally are not in a good state, and they take years to mature, are vulnerable to loss, and even today remain to be fully inventoried. Of the 250 LTSEs in a web-based network, results demonstrate that soils and belowground Critical Zones are highly dynamic and responsive to human management. The objective of this study is to review the contemporary state of LTSEs and consider how they contribute to three open questions: (1) can soils sustain a doubling of food production in the coming decades without further impinging on the wider environment, (2) how do soils interact with the global C cycle, and (3) how can soil management establish greater control over nutrient cycling. While LTSEs produce significant data and perspectives for all three questions, there is on-going need and opportunity for reviews of the long-term soil-research base, for establishment of an efficiently run network of LTSEs aimed at sustainability and improving management control over C and nutrient cycling, and for research teams that

  18. Unsaturated consolidation theory for the prediction of long-term municipal solid waste landfill settlement.

    PubMed

    Liu, Chia-Nan; Chen, Rong-Her; Chen, Kuo-Sheng

    2006-02-01

    The understanding of long-term landfill settlement is important for landfill design and rehabilitation. However, suitable models that can consider both the mechanical and biodecomposition mechanisms in predicting the long-term landfill settlement are generally not available. In this paper, a model based on unsaturated consolidation theory and considering the biodegradation process is introduced to simulate the landfill settlement behaviour. The details of problem formulations and the derivation of the solution for the formulated differential equation of gas pressure are presented. A step-by-step analytical procedure employing this approach for estimating settlement is proposed. The proposed model can generally model the typical features of short-term and long-term behaviour. The proposed model also yields results that are comparable with the field measurements.

  19. Potential of mass trapping for long-term pest management and eradication of invasive species.

    PubMed

    El-Sayed, A M; Suckling, D M; Wearing, C H; Byers, J A

    2006-10-01

    Semiochemical-based pest management programs comprise three major approaches that are being used to provide environmentally friendly control methods of insect pests: mass trapping, "lure and kill," and mating disruption. In this article, we review the potential of mass trapping in long-term pest management as well as in the eradication of invasive species. We discuss similarities and differences between mass trapping and other two main approaches of semiochemical-based pest management programs. We highlight several study cases where mass trapping has been used either in long-term pest management [e.g., codling moth, Cydia pomonella (L.); pink bollworm, Pectinophora gossypiella (Saunders); bark beetles, palm weevils, corn rootworms (Diabrotica spp.); and fruit flies] or in eradication of invasive species [e.g., gypsy moth, Lymantria dispar (L.); and boll weevil, Anthonomus grandis grandis Boheman). We list the critical issues that affect the efficacy of mass trapping and compare these with previously published models developed to investigate mass trapping efficacy in pest control. We conclude that mass trapping has good potential to suppress or eradicate low-density, isolated pest populations; however, its full potential in pest management has not been adequately realized and therefore encourages further research and development of this technology.

  20. Simulating long-term effectiveness and efficiency of management scenarios for an invasive grass

    USGS Publications Warehouse

    Jarnevich, Catherine S.; Holcombe, Tracy R.; Cullinane Thomas, Catherine; Frid, Leonardo; Olsson, Aaryn D.

    2015-01-01

    Resource managers are often faced with trade-offs in allocating limited resources to manage plant invasions. These decisions must often be made with uncertainty about the location of infestations, their rate of spread and effectiveness of management actions. Landscape level simulation tools such as state-and-transition simulation models (STSMs) can be used to evaluate the potential long term consequences of alternative management strategies and help identify those strategies that make efficient use of resources. We analyzed alternative management scenarios for African buffelgrass (Pennisetum ciliare syn. Cenchrus ciliaris) at Ironwood Forest National Monument, Arizona using a spatially explicit STSM implemented in the Tool for Exploratory Landscape Scenario Analyses (TELSA). Buffelgrass is an invasive grass that is spreading rapidly in the Sonoran Desert, affecting multiple habitats and jurisdictions. This invasion is creating a novel fire risk and transforming natural ecosystems. The model used in this application incorporates buffelgrass dispersal and establishment and management actions and effectiveness including inventory, treatment and post-treatment maintenance. We simulated 11 alternative scenarios developed in consultation with buffelgrass managers and other stakeholders. The scenarios vary according to the total budget allocated for management and the allocation of that budget between different kinds of management actions. Scenario results suggest that to achieve an actual reduction and stabilization of buffelgrass populations, management unconstrained by fiscal restrictions and across all jurisdictions and private lands is required; without broad and aggressive management, buffelgrass populations are expected to increase over time. However, results also suggest that large upfront investments can achieve control results that require relatively minimal spending in the future. Investing the necessary funds upfront to control the invasion results in the most

  1. Long-Term Information Management (LTIM) of Safeguards Data at Repositories: Phase II

    SciTech Connect

    Haddal, Risa N.

    2016-10-01

    One of the challenges of implementing safeguards for geological repositories will be the long-term preservation of safeguards-related data for 100 years or more. While most countries considering the construction and operation of such facilities agree that safeguards information should be preserved, there are gaps with respect to standardized requirements, guidelines, timescales, and approaches. This study analyzes those gaps and explores research to clarify stakeholder needs, identify current policies, approaches, best practices and international standards, and explores existing safeguards information management infrastructure. The study also attempts to clarify what a safeguards data classification system might look like, how long data should be retained, and how information should be exchanged between stakeholders at different phases of a repository’s life cycle. The analysis produced a variety of recommendations on what information to preserve, how to preserve it, where to store it, retention options and how to exchange information in the long term. Key findings include the use of the globally recognized international records management standard, ISO15489, for guidance on the development of information management systems, and the development of a Key Information File (KIF). The KIF could be used to identify only the most relevant, high-level safeguards information and the history of decision making about the repository. The study also suggests implementing on-site and off-site records storage in digital and physical form; developing a safeguards data classification system; long-term records retention with periodic reviews every 5 to 10 years during each phase of the repository life cycle; and establishing transition procedures well in advance so that data shepherds and records officers can transfer information with incoming facility managers effectively and efficiently. These and other recommendations are further analyzed in this study.

  2. Regulatory issues for Waste Isolation Pilot Plant long-term compliance with U.S. Environmental Protection Agency 40 CFR 191B and 268

    SciTech Connect

    Anderson, D.R.; Marietta, M.G.; Higgins, P.J. Jr.

    1993-10-01

    Before disposing of transuranic radioactive waste at the Waste Isolation Pilot Plant (WIPP), the United States Department of Energy (DOE) must evaluate compliance with long-term regulations of the United States Environmental Protection Agency (EPA), specifically the Environmental Standards for the Management and Disposal of Spent Nuclear Fuel, High-Level and Transuranic Radioactive Wastes (40 CFR 191), and the Land Disposal Restrictions (40 CFR 268) of the Hazardous and Solid Waste Amendments to the Resource Conservation and Recovery Act (RCRA). Sandia National Laboratories (SNL) is conducting iterative performance assessments (PAs) of the WIPP for the DOE to provide interim guidance while preparing for final compliance evaluations. This paper provides background information on the regulations, describes the SNL WIPP PA Departments approach to developing a defensible technical basis for consistent compliance evaluations, and summarizes the major observations and conclusions drawn from the 1991 and 1992 PAs.

  3. Chemical restrictions of roots in Ultisol subsoils lessened by long-term management

    NASA Technical Reports Server (NTRS)

    Hardy, D. H.; Raper, C. D. Jr; Miner, G. S.; Raper CD, J. r. (Principal Investigator)

    1990-01-01

    Exchangeable Al in subsoils of Ultisols in the southeastern USA can restrict rooting depth. Downward movement of basic cations (Ca, Mg, and K), applied as lime and fertilizer, may diminish that restriction over time. Materials from the argillic horizon were collected from three paired sites, having managed (long-term cropping) and nonmanaged topsoils (Typic Paleudults and Hapludults). One managed site was cropped continuously for 15 yr while the others were cultivated for more than 30 yr. Concentrations of extractable cations and other nutrients from the paired sites were compared to determine the magnitude of change due to management. The ability of the subsoils to support plant growth was evaluated in a missing-nutrient greenhouse experiment with sorghum [Sorghum bicolor (L.) Moench]. Subsoils of managed sites had greater effective cation-exchange capacity (CEC) and base saturation than those of non-managed sites. While availabilities of Ca, Mg, and K in subsoils of nonmanaged sites were inadequate to support maximal plant growth, they were adequate in subsoils of managed sites. Compared with nonmanaged sites, KCl-exchangeable Al in subsoils of managed sites was 23% lower at the 15-yr location and 65 and 100% lower at the two other locations. In the absence of lime, sorghum growth was almost totally inhibited on nonmanaged subsoils amended with optimum nutrients. On the managed subsoils, where 100, 65, and 23% of the nonmanaged exchangeable Al had been neutralized by topsoil fertilization and liming, growth reductions under the same conditions were 0, 50, and 100%, respectively. Thus, relatively long-term management had improved these Ultisol subsoils for root growth and development.

  4. Long-Term Engagement with Health-Management Technology: a Dynamic Process in Diabetes.

    PubMed

    Klasnja, Predrag; Kendall, Logan; Pratt, Wanda; Blondon, Katherine

    2015-01-01

    Diabetes management is a complex, dynamic process that is largely incumbent on patient choices and behavior. We explore how health-management needs-and the needs for technological support-change over time for individuals with diabetes. Through interviews and a focus group, we found that after initial diagnosis, individuals face acute information needs and chiefly turn to mobile applications and Internet resources to help understand the diabetes-specific factors that affect their health. Over time their focus shifts from highly regimented routines to more flexible ones that enable them to maintain a quality of life. Our results suggest that long-term engagement with health technology does not necessarily require continuous, sustained use: routine disease management could lead to a decrease in use, until a new event occurs. Our findings point to a need for tools that help patients with diabetes to effectively manage their health as their bodies, treatment and circumstances change over time.

  5. Challenges Associated With Managing Suicide Risk in Long-Term Care Facilities

    PubMed Central

    O'Riley, Alisa; Nadorff, Michael R.; Conwell, Yeates; Edelstein, Barry

    2016-01-01

    Little information about suicidal ideation and behavior in long-term care (LTC) facilities is available. Nonetheless, the implementation of the Minimum Data Set 3.0 requires that LTC facilities screen their residents for suicide risk and have protocols in place to effectively manage residents’ responses. In this article, the authors briefly discuss the risk factors of suicide in the elderly and the problems that suicidal ideation and behavior pose in the LTC environment. The authors explain issues that arise when trying to manage suicide risk in the elderly LTC population with general, traditional approaches. These inherent issues make it difficult to develop an effective protocol for managing suicide risk in LTC facilities, leading the authors to propose their own framework for assessing and managing suicide risk in the LTC setting. PMID:27610048

  6. Exploring the Nurse Practitioner Role in Managing Fractures in Long-Term Care

    PubMed Central

    Kaasalainen, Sharon; Papaioannou, Alexandra; Burgess, Jennifer; Van der Horst, Mary Lou

    2016-01-01

    The purpose of this study was to assess the current level of involvement of nurse practitioners (NPs) in activities related to preventing and managing fractures in long-term care (LTC). This study used a sequential explanatory mixed methods design that included two phases—a cross-sectional survey followed by qualitative interviews. A final sample of 12 NPs completed the online survey for a response rate of 67%. Eleven of the 12 NPs who completed the survey agreed to participate in a follow-up interview. NPs reported that they were quite engaged in managing fractures in LTC; specifically, they were most active in caring for residents post-fracture. NPs described their role as being holistic in nature in their assessment and treatments related to managing fractures. The findings from this mixed method study add to the growing body of knowledge related to how NPs manage fractures in LTC. PMID:25825270

  7. Long-Term Engagement with Health-Management Technology: a Dynamic Process in Diabetes

    PubMed Central

    Klasnja, Predrag; Kendall, Logan; Pratt, Wanda; Blondon, Katherine

    2015-01-01

    Diabetes management is a complex, dynamic process that is largely incumbent on patient choices and behavior. We explore how health-management needs—and the needs for technological support—change over time for individuals with diabetes. Through interviews and a focus group, we found that after initial diagnosis, individuals face acute information needs and chiefly turn to mobile applications and Internet resources to help understand the diabetes-specific factors that affect their health. Over time their focus shifts from highly regimented routines to more flexible ones that enable them to maintain a quality of life. Our results suggest that long-term engagement with health technology does not necessarily require continuous, sustained use: routine disease management could lead to a decrease in use, until a new event occurs. Our findings point to a need for tools that help patients with diabetes to effectively manage their health as their bodies, treatment and circumstances change over time. PMID:26958211

  8. From Sky to Archive: Long Term Management of Sky Survey Data

    NASA Astrophysics Data System (ADS)

    Darch, Peter T.; Sands, Ashley E.; Borgman, Christine; Golshan, Milena S.; Traweek, Sharon

    2017-01-01

    Sky survey data may remain scientifically valuable long beyond the end of a survey’s operational period, both for continuing inquiry and for calibrating and testing instruments for subsequent generations of surveys. Astronomy infrastructure has many stakeholders, including those concerned with data management. Research libraries are increasingly partnering with scholars to sustain access to data.The Sloan Digital Sky Survey (SDSS) was among the first major scientific projects to partner with libraries in this way, embarking on a data transfer process with two university libraries. We report on a qualitative case study of this process.Ideally, long-term sustainability of sky survey data would be a key part of planning and construction, but rarely does this occur. Teams are under pressure to deliver a project on time and on budget that produces high-quality data during its operational period, leaving few resources available to plan long-term data management. The difficulty of planning is further compounded by the complexity of predicting circumstances and needs of the astronomy community in future decades. SDSS team members regarded libraries, long-lived institutions concerned with access to scholarship, as a potential solution to long-term data sustainability.As the SDSS data transfer was the first of this scale attempted - 160 TB of data - astronomers and library staff were faced with scoping the range of activities involved. They spent two years planning this five-year process. While successful overall as demonstration projects, the libraries encountered many obstacles. We found all parties experienced difficulty in articulating their notions of “scientific data,” “archiving,” “serving,” and “providing access” to the datasets. Activities and interpretations of the data transfer process varied by institutional motivations for participation and by available infrastructure. We conclude several, rather than a single, “library solutions” for long-term

  9. Institutional Staff Training and Management: A Review of the Literature and a Model for Geriatric, Long-Term-Care Facilities.

    ERIC Educational Resources Information Center

    Burgio, Louis D.; Burgio, Kathryn L.

    1990-01-01

    Asserts that, if long-term care is to progress from custodial model to therapeutic model of rehabilitation, role of nursing assistants must be redesigned. Reviews current methods of institutional staff training and management and proposes model for geriatric, long-term care facilities. Discusses organizational resistance and offers suggestions for…

  10. Towards sustainable groundwater use: Setting long-term goals, backcasting, and managing adaptively

    USGS Publications Warehouse

    Gleeson, T.; Alley, W.M.; Allen, D.M.; Sophocleous, M.A.; Zhou, Y.; Taniguchi, M.; Vandersteen, J.

    2012-01-01

    The sustainability of crucial earth resources, such as groundwater, is a critical issue. We consider groundwater sustainability a value-driven process of intra- and intergenerational equity that balances the environment, society, and economy. Synthesizing hydrogeological science and current sustainability concepts, we emphasize three sustainability approaches: setting multigenerational sustainability goals, backcasting, and managing adaptively. As most aquifer problems are long-term problems, we propose that multigenerational goals (50 to 100 years) for water quantity and quality that acknowledge the connections between groundwater, surface water, and ecosystems be set for many aquifers. The goals should be set by a watershed- or aquifer-based community in an inclusive and participatory manner. Policies for shorter time horizons should be developed by backcasting, and measures implemented through adaptive management to achieve the long-term goals. Two case histories illustrate the importance and complexity of a multigenerational perspective and adaptive management. These approaches could transform aquifer depletion and contamination to more sustainable groundwater use, providing groundwater for current and future generations while protecting ecological integrity and resilience. ?? 2011, The Author(s). Ground Water ?? 2011, National Ground Water Association.

  11. Towards sustainable groundwater use: setting long-term goals, backcasting, and managing adaptively.

    PubMed

    Gleeson, Tom; Alley, William M; Allen, Diana M; Sophocleous, Marios A; Zhou, Yangxiao; Taniguchi, Makoto; VanderSteen, Jonathan

    2012-01-01

    The sustainability of crucial earth resources, such as groundwater, is a critical issue. We consider groundwater sustainability a value-driven process of intra- and intergenerational equity that balances the environment, society, and economy. Synthesizing hydrogeological science and current sustainability concepts, we emphasize three sustainability approaches: setting multigenerational sustainability goals, backcasting, and managing adaptively. As most aquifer problems are long-term problems, we propose that multigenerational goals (50 to 100 years) for water quantity and quality that acknowledge the connections between groundwater, surface water, and ecosystems be set for many aquifers. The goals should be set by a watershed- or aquifer-based community in an inclusive and participatory manner. Policies for shorter time horizons should be developed by backcasting, and measures implemented through adaptive management to achieve the long-term goals. Two case histories illustrate the importance and complexity of a multigenerational perspective and adaptive management. These approaches could transform aquifer depletion and contamination to more sustainable groundwater use, providing groundwater for current and future generations while protecting ecological integrity and resilience.

  12. Soil aggregation and aggregating agents as affected by long term contrasting management of an Anthrosol

    NASA Astrophysics Data System (ADS)

    Zhang, Shulan; Wang, Renjie; Yang, Xueyun; Sun, Benhua; Li, Qinghui

    2016-12-01

    Soil aggregation was studied in a 21-year experiment conducted on an Anthrosol. The soil management regimes consisted of cropland abandonment, bare fallow without vegetation and cropping system. The cropping system was combined with the following nutrient management treatments: control (CONTROL, no nutrient input); nitrogen, phosphorus and potassium (NPK); straw plus NPK (SNPK); and manure (M) plus NPK (MNPK). Compared with the CONTROL treatment, the abandonment treatment significantly increased the formation of large soil macroaggregates (>2 mm) and consequently improved the stability of aggregates in the surface soil layer due to enhancement of hyphal length and of soil organic matter content. However, in response to long-term bare fallow treatment aggregate stability was low, as were the levels of aggregating agents. Long term fertilization significantly redistributed macroaggregates; this could be mainly ascribed to soil organic matter contributing to the formation of 0.5–2 mm classes of aggregates and a decrease in the formation of the >2 mm class of aggregates, especially in the MNPK treatment. Overall, hyphae represented a major aggregating agent in both of the systems tested, while soil organic compounds played significantly different roles in stabilizing aggregates in Anthrosol when the cropping system and the soil management regimes were compared.

  13. Soil aggregation and aggregating agents as affected by long term contrasting management of an Anthrosol

    PubMed Central

    Zhang, Shulan; Wang, Renjie; Yang, Xueyun; Sun, Benhua; Li, Qinghui

    2016-01-01

    Soil aggregation was studied in a 21-year experiment conducted on an Anthrosol. The soil management regimes consisted of cropland abandonment, bare fallow without vegetation and cropping system. The cropping system was combined with the following nutrient management treatments: control (CONTROL, no nutrient input); nitrogen, phosphorus and potassium (NPK); straw plus NPK (SNPK); and manure (M) plus NPK (MNPK). Compared with the CONTROL treatment, the abandonment treatment significantly increased the formation of large soil macroaggregates (>2 mm) and consequently improved the stability of aggregates in the surface soil layer due to enhancement of hyphal length and of soil organic matter content. However, in response to long-term bare fallow treatment aggregate stability was low, as were the levels of aggregating agents. Long term fertilization significantly redistributed macroaggregates; this could be mainly ascribed to soil organic matter contributing to the formation of 0.5–2 mm classes of aggregates and a decrease in the formation of the >2 mm class of aggregates, especially in the MNPK treatment. Overall, hyphae represented a major aggregating agent in both of the systems tested, while soil organic compounds played significantly different roles in stabilizing aggregates in Anthrosol when the cropping system and the soil management regimes were compared. PMID:27958366

  14. Gastric bypass patients' goal-strategy-monitoring networks for long-term dietary management.

    PubMed

    Lynch, Amanda; Bisogni, Carole A

    2014-10-01

    Following gastric bypass surgery, patients must make dramatic dietary changes, but little is known about patients' perspectives on long-term dietary management after this surgery. This grounded theory, qualitative study sought to advance conceptual understanding of food choice by examining how gastric bypass patients constructed personal food systems to guide food and eating behaviors 12 months post-surgery. Two in-depth interviews were conducted with each of 16 adults, purposively sampled from bariatric support groups. Using constant comparative analysis of verbatim interview transcripts, researchers identified participants' goal-strategy-monitoring networks representing how participants used specific food and eating behaviors towards their main goals of: Weight Management, Overall Health, Avoiding Negative Reactions to Eating, and Integrating Dietary Changes with Daily Life. Linked to each main goal was a hierarchy of intermediary goals, strategies, and tactics. Participants used monitoring behaviors to assess strategy effectiveness towards goal achievement. Individuals' Weight Management networks were compared to uncover similarities and differences among strategy use and monitoring methods among those who maintained weight loss and those who regained weight. The complex, multilevel goal-strategy-monitoring networks identified illustrate the "work" involved in constructing new personal food systems after surgery, as well as advance understanding of strategies as a component of people's personal food systems. These findings provide researchers and practitioners with insight into the long-term dietary issues that gastric bypass patients face and a potential method for representing how people relate deliberate dietary behaviors to their goals.

  15. Managing congestive heart failure in long-term care: development of an interdisciplinary protocol.

    PubMed

    Martinen, Mary; Freundl, Margaret

    2004-12-01

    Congestive heart failure is common among assisted living and nursing home residents. Nationally recognized guidelines for diagnosis and management have been promulgated but are poorly used in clinical practice. This article describes the efforts of one facility to implement an interdisciplinary protocol to improve heart failure care. The protocol addressed identification of residents with heart failure, appropriate use of ACE inhibitors, weight monitoring, resident and family education, and preventive immunization. Following implementation of the guideline, quality indicators were monitored and process improvements addressed. Diagnostic information, use of ACE inhibitors, nursing assessment, and symptom management improved. While episodes of clinical deterioration occurred, most cases were able to be managed in the long-term care setting.

  16. Effect of long-term industrial waste effluent pollution on soil enzyme activities and bacterial community composition.

    PubMed

    Subrahmanyam, Gangavarapu; Shen, Ju-Pei; Liu, Yu-Rong; Archana, Gattupalli; Zhang, Li-Mei

    2016-02-01

    Although numerous studies have addressed the influence of exogenous pollutants on microorganisms, the effect of long-term industrial waste effluent (IWE) pollution on the activity and diversity of soil bacteria was still unclear. Three soil samples characterized as uncontaminated (R1), moderately contaminated (R2), and highly contaminated (R3) receiving mixed organic and heavy metal pollutants for more than 20 years through IWE were collected along the Mahi River basin, Gujarat, western India. Basal soil respiration and in situ enzyme activities indicated an apparent deleterious effect of IWE on microbial activity and soil function. Community composition profiling of soil bacteria using 16S rRNA gene amplification and denaturing gradient gel electrophoresis (DGGE) method indicated an apparent bacterial community shift in the IWE-affected soils. Cloning and sequencing of DGGE bands revealed that the dominated bacterial phyla in polluted soil were affiliated with Firmicutes, Acidobacteria, and Actinobacteria, indicating that these bacterial phyla may have a high tolerance to pollutants. We suggested that specific bacterial phyla along with soil enzyme activities could be used as relevant biological indicators for long-term pollution assessment on soil quality. Graphical Abstract Bacterial community profiling and soil enzyme activities in long-term industrial waste effluent polluted soils.

  17. Long-Term Biological Monitoring of an Impaired Stream: Implications for Environmental Management [Special Issue

    SciTech Connect

    Adams, Marshall; Brandt, Craig C; Christensen, Sigurd W; Efroymson, Rebecca Ann; Greeley Jr, Mark Stephen; Ham, Kenneth; Kszos, Lynn A; Loar, James M; McCracken, Kitty; Morris, Gail Wright; Peterson, Mark J; Ryon, Michael G; Smith, John G; Southworth, George R; Stewart, Arthur J

    2011-01-01

    The long-term ecological recovery of an impaired stream in response to an industrial facility's pollution abatement actions and the implications of the biological monitoring effort to environmental management is the subject of this special issue of Environmental Management. This final article focuses on the synthesis of the biological monitoring program's components and methods, the efficacy of various biological monitoring techniques to environmental management, and the lessons learned from the program that might be applicable to the design and application of other programs. The focus of the 25-year program has been on East Fork Poplar Creek, an ecologically impaired stream in Oak Ridge, Tennessee with varied and complex stressors from a Department of Energy facility in its headwaters. Major components of the long-term program included testing and monitoring of invertebrate and fish toxicity, bioindicators of fish health, fish contaminant accumulation, and instream communities (including periphyton, benthic macroinvertebrate, and fish). Key parallel components of the program include water chemistry sampling and data management. Multiple lines of evidence suggested positive ecological responses during three major pollution abatement periods. Based on this case study and the related literature, effective environmental management of impaired streams starts with program design that is consistent across space and time, but also adaptable to changing conditions. The biological monitoring approaches used for the program provided a strong basis for assessments of recovery from remedial actions, and the likely causes of impairment. This case study provides a unique application of multidisciplinary and quantitative techniques to address multiple and complex regulatory and programmatic goals, environmental stressors, and remedial actions.

  18. Long-term Biological Monitoring of an Impaired Stream: Synthesis and Environmental Management Implications

    SciTech Connect

    Peterson, Mark J; Efroymson, Rebecca Ann; Adams, Marshall

    2011-01-01

    The long-term ecological recovery of an impaired stream in response to an industrial facility's pollution abatement actions and the implications of the biological monitoring effort to environmental management is the subject of this special issue of Environmental Management. This final article focuses on the synthesis of the biological monitoring program's components and methods, the efficacy of various biological monitoring techniques to environmental management, and the lessons learned from the program that might be applicable to the design and application of other programs. The focus of the 25-year program has been on East Fork Poplar Creek, an ecologically impaired stream in Oak Ridge, Tennessee with varied and complex stressors from a Department of Energy facility in its headwaters. Major components of the long-term program included testing and monitoring of invertebrate and fish toxicity, bioindicators of fish health, fish contaminant accumulation, and instream communities (including periphyton, benthic macroinvertebrate, and fish). Key parallel components of the program include water chemistry sampling and data management. Multiple lines of evidence suggested positive ecological responses during three major pollution abatement periods. Based on this case study and the related literature, effective environmental management of impaired streams starts with program design that is consistent across space and time, but also adaptable to changing conditions. The biological monitoring approaches used for the program provided a strong basis for assessments of recovery from remedial actions, and the likely causes of impairment. This case study provides a unique application of multidisciplinary and quantitative techniques to address multiple and complex regulatory and programmatic goals, environmental stressors, and remedial actions.

  19. Long-term management of type 2 diabetes with glucagon-like peptide-1 receptor agonists

    PubMed Central

    Courtney, Hamish; Nayar, Rahul; Rajeswaran, Chinnadorai; Jandhyala, Ravi

    2017-01-01

    Continuously reducing excess blood glucose is a primary goal for the management of type 2 diabetes (T2D). Most patients with T2D require glucose-lowering medications to achieve and maintain adequate glycemic control; however, treatment failure may occur, limiting treatment options. Glucagon-like peptide-1 receptor agonists (GLP-1RAs) are an emerging therapeutic class that can be prescribed for patients instead of basal insulin after the failure of oral therapies. Recent studies have focused on the durability and tolerability of long-term GLP-1RA therapy. This review summarizes the key efficacy and safety findings from prospective phase 3 clinical studies of at least 76 weeks’ duration for the GLP-1RAs currently approved in the United States and the European Union (albiglutide, dulaglutide, exenatide twice daily [BID], exenatide once weekly [QW], liraglutide, and lixisenatide). Currently, most of the long-term data are from uncontrolled extension studies, and continuous patient benefit has been observed for up to 3 years with multiple GLP-1RAs. Four-year comparative data demonstrated a longer time to treatment failure for exenatide BID than for sulfonylurea, and 3-year comparative extension data demonstrated greater glycated hemoglobin (HbA1c) reductions and weight loss with exenatide QW than with insulin glargine. Currently, the longest extension study for a GLP-1RA is the DURATION-1 study of exenatide QW, with >7 years of clinical data available. Data from DURATION-1 demonstrated that continuous HbA1c reductions and weight loss were observed for the patients continuing on the treatment, with no unexpected adverse events. Taken together, these data support GLP-1RAs as a long-term noninsulin treatment option after the failure of oral therapies. PMID:28331351

  20. Integrated Corrosion Facility for long-term testing of candidate materials for high-level radioactive waste containment

    SciTech Connect

    Estill, J.C.; Dalder, E.N.C.; Gdowski, G.E.; McCright, R.D.

    1994-10-01

    A long-term-testing facility, the Integrated Corrosion Facility (I.C.F.), is being developed to investigate the corrosion behavior of candidate construction materials for high-level-radioactive waste packages for the potential repository at Yucca Mountain, Nevada. Corrosion phenomena will be characterized in environments considered possible under various scenarios of water contact with the waste packages. The testing of the materials will be conducted both in the liquid and high humidity vapor phases at 60 and 90{degrees}C. Three classes of materials with different degrees of corrosion resistance will be investigated in order to encompass the various design configurations of waste packages. The facility is expected to be in operation for a minimum of five years, and operation could be extended to longer times if warranted. A sufficient number of specimens will be emplaced in the test environments so that some can be removed and characterized periodically. The corrosion phenomena to be characterized are general, localized, galvanic, and stress corrosion cracking. The long-term data obtained from this study will be used in corrosion mechanism modeling, performance assessment, and waste package design. Three classes of materials are under consideration. The corrosion resistant materials are high-nickel alloys and titanium alloys; the corrosion allowance materials are low-alloy and carbon steels; and the intermediate corrosion resistant materials are copper-nickel alloys.

  1. Case management and long-term conditions: the evolution of community matrons.

    PubMed

    Bentley, Allison

    2014-07-01

    It is now 10 years since the NHS Improvement Plan described a new clinical role for nurses and introduced the concept of community matrons for long-term conditions. This included conditions such as chronic obstructive pulmonary disease, diabetes, dementia, neurological conditions, heart failure, stroke and people with long and enduring mental illness. Despite initial concerns and scepticism about the role, community matrons continue to work with people to provide advanced clinical nursing care, often within a case-management model. Community matrons have continued to shape and develop this role around the main aims of preventing unnecessary emergency admissions, improving quality of life and outcomes for patients, and coordinating all elements of care. This article reviews the evidence, implementation and evolvement of case management within the role of the community matron.

  2. Staff teamwork in long-term care facilities: the influence of management style, training, and feedback.

    PubMed

    Tyler, Denise A; Parker, Victoria A

    2011-04-01

    The purpose of this study was to describe the organizational factors associated with high and low amounts of teamwork among direct-care workers in long-term care (LTC) facilities. A systematic analysis of observation data collected at 20 LTC facilities was first used to categorize facilities as high-, moderate-, or low-teamwork facilities. Next, qualitative analysis of 59 interviews collected in 4 high-teamwork and 5 low-teamwork facilities was used to identify the organizational factors associated with high and low teamwork. Findings showed that high- and low-teamwork LTC facilities in this study differed in three organizational areas: management style, training, and feedback and recognition. As such, improved teamwork in LTC facilities may result from changes to basic management practices, such as training and employee feedback.

  3. Improving Pain Management and Long-Term Outcomes Following High-Energy Orthopaedic Trauma (Pain Study).

    PubMed

    Castillo, Renan C; Raja, Srinivasa N; Frey, Katherine P; Vallier, Heather A; Tornetta, Paul; Jaeblon, Todd; Goff, Brandon J; Gottschalk, Allan; Scharfstein, Daniel O; OʼToole, Robert V

    2017-04-01

    Poor pain control after orthopaedic trauma is a predictor of physical disability and numerous negative long-term outcomes. Despite increased awareness of the negative consequences of poorly controlled pain, analgesic therapy among hospitalized patients after orthopaedic trauma remains inconsistent and often inadequate. The Pain study is a 3 armed, prospective, double-blind, multicenter randomized trial designed to evaluate the effect of standard pain management versus standard pain management plus perioperative nonsteroidal anti-inflammatory drugs or pregabalin in patients of ages 18-85 with extremity fractures. The primary outcomes are chronic pain, opioid utilization during the 48 hours after definitive fixation and surgery for nonunion in the year after fixation. Secondary outcomes include preoperative and postoperative pain intensity, adverse events and complications, physical function, depression, and post-traumatic stress disorder. One year treatment costs are also compared between the groups.

  4. Developing cartoons for long-term condition self-management information

    PubMed Central

    2014-01-01

    Background Advocating the need to adopt more self-management policies has brought with it an increasing demand for information about living with and making decisions about long-term conditions, with a significant potential for using cartoons. However, the purposeful use of cartoons is notably absent in many areas of health care as is evidence of their acceptability to patients and lay others. This paper outlines the process used to develop and evaluate cartoons and their acceptability for a series of self-management guidebooks for people with inflammatory bowel disease, irritable bowel syndrome, diabetes, chronic obstructive pulmonary disease and chronic kidney disease (CKD). Methods Principles for a process to develop information and cartoons were developed. Cartoon topics were created using qualitative research methods to obtain lay views and experiences. The CKD guidebook was used to provide a detailed exemplar of the process. Focus group and trial participants were recruited from primary care CKD registers. The book was part of a trial intervention; selected participants evaluated the cartoons during in-depth interviews which incorporated think-aloud methods. Results In general, the cartoons developed by this process depict patient experiences, common situations, daily management dilemmas, making decisions and choices and the uncertainties associated with conditions. CKD cartoons were developed following two focus groups around the themes of getting a diagnosis; understanding the problem; feeling that facts were being withheld; and setting priorities. Think-aloud interviews with 27 trial participants found the CKD cartoons invoked amusement, recognition and reflection but were sometimes difficult to interpret. Conclusion Humour is frequently utilised by people with long-term conditions to help adjustment and coping. Cartoons can help provide clarity and understanding and could address concerns related to health literacy. Using cartoons to engage and motivate

  5. Potential of "lure and kill" in long-term pest management and eradication of invasive species.

    PubMed

    El-Sayed, A M; Suckling, D M; Byers, J A; Jang, E B; Wearing, C H

    2009-06-01

    "Lure and kill" technology has been used for several decades in pest management and eradication of invasive species. In lure and kill, the insect pest attracted by a semiochemical lure is not "entrapped" at the source of the attractant as in mass trapping, but instead the insect is subjected to a killing agent, which eliminates affected individuals from the population after a short period. In past decades, a growing scientific literature has been published on this concept. This article provides the first review on the potential of lure and kill in long-term pest management and eradication of invasive species. We present a summary of lure and kill, either when used as a stand-alone control method or in combination with other methods. We discuss its efficacy in comparison with other control methods. Several case studies in which lure and kill has been used with the aims of long-term pest management (e.g., pink bollworm, Egyptian cotton leafworm, codling moth, apple maggot, biting flies, and bark beetles) or the eradication of invasive species (e.g., tephritid fruit flies and boll weevils) are provided. Subsequently, we identify essential knowledge required for successful lure and kill programs that include lure competitiveness with natural odor source; lure density; lure formulation and release rate; pest population density and risk of immigration; and biology and ecology of the target species. The risks associated with lure and kill, especially when used in the eradication programs, are highlighted. We comment on the cost-effectiveness of this technology and its strengths and weaknesses, and list key reasons for success and failure. We conclude that lure and kill can be highly effective in controlling small, low-density, isolated populations, and thus it has the potential to add value to long-term pest management. In the eradication of invasive species, lure and kill offers a major advantage in effectiveness by its being inverse density dependent and it provides

  6. Prevention and management of long-term catheter related infections in cancer patients.

    PubMed

    Hachem, Ray; Raad, Issam

    2002-01-01

    Long-term central venous catheters (CVC) are necessary in the care of cancer patients. However, catheter-related bloodstream infection (CRBSI) is commonly associated with serious complications resulting in considerable morbidity and mortality. The diagnosis of CRBSI frequently requires catheter removal to confirm the diagnosis by either quantitative or semiquantitative catheter culture method. Differential time to positivity, whereby a nonquantitative blood culture drawn from the CVC that becomes positive at least 2 hr earlier than the peripheral blood culture, is a new method for the diagnosis of CRBSI without removing the catheter. Prevention of CRBSI may be accomplished with the use of strict infection control measures, antimicrobial-impregnated catheters; and antibiotic-lock technique, as well as other methods. Once infection develops, management of long-term CRBSI is dictated by the type of organism, the severity of the infection, and availability of other venous access sites. If the infection is caused by Staphylococcus aureus, gram-negative bacilli, or Candida, the catheter should be removed and systemic antimicrobial therapy given for 10-14 days or longer in cases of complicated or deep-seated infection. In some cases, where there is no other venous access site, the catheter can remain in place, but a combination of systemic antimicrobials and antibiotic-lock therapy should be used.

  7. Long Term Results of Innovative Procedure in Surgical Management of Chronic Lymphedema

    PubMed Central

    Mousavi, Seyed R.

    2016-01-01

    Background: Lymphedema is the result of impaired lymphatic drainage by the affected organ. This abnormality can be primary or secondary. Different operative approaches have been introduced to treat chronic lymphedema. Materials and Methods: This retrospective study included 816 patients who were diagnosed with chronic lower extremity lymphedema and did not respond to non-operative management for at least six months. Data was collected over 25 years, between March 1987 and March 2013. Doppler ultrasonography of the deep venous system was routinely undertaken in all patients to confirm patency. The patients underwent surgery and their progress was followed for at least one year postoperatively. Results: All patients were operated by the suggested technique and long term fallow-up which is a modified form of the Homan’s technique. The outcome was excellent, and 89.2% of patients were free of complication and 2% had poor results. The most common complication was wound seroma and wound infection. Conclusion: The long term results and considering the difficulties associated with the treatment of chronic lymphedema and the variety of surgical options, our method achieved excellent results, and may be proposed for the standard operative procedure for treating intractable forms of this disease. PMID:27990192

  8. Topical nonsteroidal anti-inflammatory drugs for management of osteoarthritis in long-term care patients

    PubMed Central

    Argoff, Charles E; Gloth, F Michael

    2011-01-01

    Osteoarthritis is common in patients ≥65 years of age. Although nonsteroidal anti-inflammatory drugs (NSAIDs) are often prescribed for osteoarthritis pain, they pose age-related cardiovascular, renal, and gastrointestinal risks. Two topical NSAIDs, diclofenac sodium 1% gel (DSG) and diclofenac sodium 1.5% in 45.5% dimethylsulfoxide solution (D-DMSO), are approved in the US for the treatment of osteoarthritis pain. Topical NSAIDs have shown efficacy and safety in knee (DSG, D-DMSO) and hand (DSG) osteoarthritis. Analyses of data from randomized controlled trials of DSG in hand and knee osteoarthritis demonstrate significant improvement of pain and function in both younger patients (<65 years) and older patients (≥65 years) and suggest good safety and tolerability. However, long-term safety data in older patients are limited. Topical NSAIDs can ease medication administration and help address barriers to pain management in older patients, such as taking multiple medications and inability to swallow, and are a valuable option for long-term care providers. PMID:22076115

  9. Composite quarterly technical report long-term high-level-waste technology, October-December 1981

    SciTech Connect

    Cornman, W.R.

    1982-06-01

    This document summarizes work performed at participating sites on the immobilization of high-level wastes from the chemical reprocessing of reactor fuels. The plan is to develop waste form alternatives for each of the three DOE sites (SRP, ICPP, and Hanford). Progress is reported in the following areas: waste preparation; fixation in glass, concrete, tailored ceramics, and coated particles; process and equipment development; and final handling. 12 figures, 19 tables. (DLC)

  10. Assessing climate change and socio-economic uncertainties in long term management of water resources

    NASA Astrophysics Data System (ADS)

    Jahanshahi, Golnaz; Dawson, Richard; Walsh, Claire; Birkinshaw, Stephen; Glenis, Vassilis

    2015-04-01

    Long term management of water resources is challenging for decision makers given the range of uncertainties that exist. Such uncertainties are a function of long term drivers of change, such as climate, environmental loadings, demography, land use and other socio economic drivers. Impacts of climate change on frequency of extreme events such as drought make it a serious threat to water resources and water security. The release of probabilistic climate information, such as the UKCP09 scenarios, provides improved understanding of some uncertainties in climate models. This has motivated a more rigorous approach to dealing with other uncertainties in order to understand the sensitivity of investment decisions to future uncertainty and identify adaptation options that are as far as possible robust. We have developed and coupled a system of models that includes a weather generator, simulations of catchment hydrology, demand for water and the water resource system. This integrated model has been applied in the Thames catchment which supplies the city of London, UK. This region is one of the driest in the UK and hence sensitive to water availability. In addition, it is one of the fastest growing parts of the UK and plays an important economic role. Key uncertainties in long term water resources in the Thames catchment, many of which result from earth system processes, are identified and quantified. The implications of these uncertainties are explored using a combination of uncertainty analysis and sensitivity testing. The analysis shows considerable uncertainty in future rainfall, river flow and consequently water resource. For example, results indicate that by the 2050s, low flow (Q95) in the Thames catchment will range from -44 to +9% compared with the control scenario (1970s). Consequently, by the 2050s the average number of drought days are expected to increase 4-6 times relative to the 1970s. Uncertainties associated with urban growth increase these risks further

  11. Ecosystem responses to long-term nutrient management in an urban estuary: Tampa Bay, Florida, USA

    NASA Astrophysics Data System (ADS)

    Greening, H.; Janicki, A.; Sherwood, E. T.; Pribble, R.; Johansson, J. O. R.

    2014-12-01

    In subtropical Tampa Bay, Florida, USA, we evaluated restoration trajectories before and after nutrient management strategies were implemented using long-term trends in nutrient loading, water quality, primary production, and seagrass extent. Following citizen demands for action, reduction in wastewater nutrient loading of approximately 90% in the late 1970s lowered external total nitrogen (TN) loading by more than 50% within three years. Continuing nutrient management actions from public and private sectors were associated with a steadily declining TN load rate and with concomitant reduction in chlorophyll-a concentrations and ambient nutrient concentrations since the mid-1980s, despite an increase of more than 1 M people living within the Tampa Bay metropolitan area. Water quality (chlorophyll-a concentration, water clarity as indicated by Secchi disk depth, total nitrogen concentration and dissolved oxygen) and seagrass coverage are approaching conditions observed in the 1950s, before the large increases in human population in the watershed. Following recovery from an extreme weather event in 1997-1998, water clarity increased significantly and seagrass is expanding at a rate significantly different than before the event, suggesting a feedback mechanism as observed in other systems. Key elements supporting the nutrient management strategy and concomitant ecosystem recovery in Tampa Bay include: 1) active community involvement, including agreement about quantifiable restoration goals; 2) regulatory and voluntary reduction in nutrient loadings from point, atmospheric, and nonpoint sources; 3) long-term water quality and seagrass extent monitoring; and 4) a commitment from public and private sectors to work together to attain restoration goals. A shift from a turbid, phytoplankton-based system to a clear water, seagrass-based system that began in the 1980s following comprehensive nutrient loading reductions has resulted in a present-day Tampa Bay which looks and

  12. Long-term affected energy production of waste to energy technologies identified by use of energy system analysis.

    PubMed

    Münster, M; Meibom, P

    2010-12-01

    Affected energy production is often decisive for the outcome of consequential life-cycle assessments when comparing the potential environmental impact of products or services. Affected energy production is however difficult to determine. In this article the future long-term affected energy production is identified by use of energy system analysis. The focus is on different uses of waste for energy production. The Waste-to-Energy technologies analysed include co-combustion of coal and waste, anaerobic digestion and thermal gasification. The analysis is based on optimization of both investments and production of electricity, district heating and bio-fuel in a future possible energy system in 2025 in the countries of the Northern European electricity market (Denmark, Norway, Sweden, Finland and Germany). Scenarios with different CO(2) quota costs are analysed. It is demonstrated that the waste incineration continues to treat the largest amount of waste. Investments in new waste incineration capacity may, however, be superseded by investments in new Waste-to-Energy technologies, particularly those utilising sorted fractions such as organic waste and refuse derived fuel. The changed use of waste proves to always affect a combination of technologies. What is affected varies among the different Waste-to-Energy technologies and is furthermore dependent on the CO(2) quota costs and on the geographical scope. The necessity for investments in flexibility measures varies with the different technologies such as storage of heat and waste as well as expansion of district heating networks. Finally, inflexible technologies such as nuclear power plants are shown to be affected.

  13. Long-term affected energy production of waste to energy technologies identified by use of energy system analysis

    SciTech Connect

    Muenster, M.; Meibom, P.

    2010-12-15

    Affected energy production is often decisive for the outcome of consequential life-cycle assessments when comparing the potential environmental impact of products or services. Affected energy production is however difficult to determine. In this article the future long-term affected energy production is identified by use of energy system analysis. The focus is on different uses of waste for energy production. The Waste-to-Energy technologies analysed include co-combustion of coal and waste, anaerobic digestion and thermal gasification. The analysis is based on optimization of both investments and production of electricity, district heating and bio-fuel in a future possible energy system in 2025 in the countries of the Northern European electricity market (Denmark, Norway, Sweden, Finland and Germany). Scenarios with different CO{sub 2} quota costs are analysed. It is demonstrated that the waste incineration continues to treat the largest amount of waste. Investments in new waste incineration capacity may, however, be superseded by investments in new Waste-to-Energy technologies, particularly those utilising sorted fractions such as organic waste and refuse derived fuel. The changed use of waste proves to always affect a combination of technologies. What is affected varies among the different Waste-to-Energy technologies and is furthermore dependent on the CO{sub 2} quota costs and on the geographical scope. The necessity for investments in flexibility measures varies with the different technologies such as storage of heat and waste as well as expansion of district heating networks. Finally, inflexible technologies such as nuclear power plants are shown to be affected.

  14. Long-term management of a child with regional odontodysplasia: a case report.

    PubMed

    Ferguson, Fred; Schlissel, Edward; Kucine, Allan; Alexander, Stanley; DeSantis, Antony; Hendricks, Regina; Xu, Ling

    2009-01-01

    Regional odontodysplasia, or "ghost teeth," is a dental abnormality derived from both epithelial and mesenchymal components of the tooth bud. Teeth within a particular quadrant are affected. Affected teeth usually have thin enamel and dentin of poor quality with shortened roots, open apices, or enlarged pulp chambers. The permanent teeth and maxillary arch are observed to be more severely affected than primary teeth and the mandibular arch (ratio=1.6:1), respectively. Eruption of the affected teeth is delayed or may not happen. The cause of the phenomenon is unknown. Since this problem affects both dentitions and can involve multiple care disciplines, patients often require oral care over a long period of time. The purpose of this report was to present the management of a case from initial presentation at the age of 20 months to a final prosthesis completion at the age of 22 years. The long-term treatment may involve a pediatric dentist, orthodontist, oral surgeon, and prosthodontist.

  15. Long-term management strategies to achieve optimal function in patients with bipolar disorder.

    PubMed

    Keck, Paul E

    2006-12-01

    Predictors of poor functional outcome in patients with bipolar disorder include psychiatric and medical comorbidity, interepisode subsyndromal symptoms, psychosis during manic or mixed episode, and low premorbid functioning. Cognitive dysfunction may also contribute to functional impairment. Psychosocial intervention has shown success in improving syndromal outcomes for people with bipolar disorder. Lithium, lamotrigine, olanzapine, and aripiprazole have all shown substantial improvements in relapse rates compared with placebo. Combination therapy with antipsychotics and antidepressants has also been shown to produce improvement in symptoms in people with bipolar disorder. However, limited evidence is available for the effects of these treatments on cognitive outcomes. This review discusses treatment strategies for the long-term management of bipolar disorder and functional outcome measures associated with these treatments.

  16. Management of occlusion and thrombosis associated with long-term indwelling central venous catheters

    PubMed Central

    Baskin, Jacquelyn L.; Pui, Ching-Hon; Reiss, Ulrike; Wilimas, Judith A.; Metzger, Monika L.; Ribeiro, Raul C.; Howard, Scott C.

    2010-01-01

    Long-term central venous catheters (CVC) facilitate care for patients with chronic illnesses, but catheter occlusions and catheter-related thrombosis (CRT) are common complications. This review summarizes management of CVC and CRT. Mechanical CVC occlusions require cause-specific therapy; whereas, thrombotic occlusions usually resolve with thrombolytic therapy, such as alteplase. Prophylaxis with thrombolytic flushes may decrease CVC infections and CRT, but confirmatory studies and cost-effectiveness analysis are needed. Risk factors for CRT include previous catheter infections, malposition of the catheter tip, and prothrombotic states. CRT can lead to catheter infection, pulmonary embolism, and post-thrombotic syndrome. CRT is diagnosed primarily using Doppler ultrasound or venography and treated with anticoagulation for 6 weeks to a year, depending on the extent of the thrombus, response to initial therapy, and whether thrombophilic factors persist. Prevention of CRT includes proper positioning of the CVC and prevention of infections; anticoagulation prophylaxis is not recommended at present. PMID:19595350

  17. Risks of nuclear waste disposal in space. III - Long-term orbital evolution of small particle distribution

    NASA Technical Reports Server (NTRS)

    Friedlander, A. L.; Wells, W. C.

    1980-01-01

    A study of long term risks is presented that treats an additional pathway that could result in earth reentry, namely, small radioactive particles released in solar orbit due to payload fragmentation by accidental explosion or meteoroid impact. A characterization of such an event and of the initial mass size distribution of particles is given for two extremes of waste form strength. Attention is given to numerical results showing the mass-time distribution of material and the fraction of initial mass intercepted by earth. It is concluded that it appears that program planners need not be to concerned about the risks of this particular failure mechanism and return pathway.

  18. Long-term risk analysis associated with nuclear waste disposal in space

    NASA Technical Reports Server (NTRS)

    Friedlander, A. L.; Davis, D. R.

    1979-01-01

    An assessment and verification of previous analytic results on the long term risk of earth reentry for hazardous payloads is presented. The two areas were studied: (1) stability of nominal, near-circular storage orbits in the regions between Venus and earth and between earth and Mars, and (2) probability of earth reentry for off-nominal planet-crossing orbits resulting from deployment system failures. In the first area, numerical integrations of the equations of motion are compared with stability predications based on secular perturbation theory. The agreement is good in terms of the heliocentric distances covered and the general behavior of the orbital history, although certain near-resonance situations can lead to difficulty. In the second area, a Monte Carlo simulation of orbital evolution is used and the results compared with Opik's analytic theory of planetary encounters and collision statistics, with data verified to within a close order-of-magnitude.

  19. Understanding long-term variations in an elephant piosphere effect to manage impacts.

    PubMed

    Landman, Marietjie; Schoeman, David S; Hall-Martin, Anthony J; Kerley, Graham I H

    2012-01-01

    Surface water availability is a key driver of elephant impacts on biological diversity. Thus, understanding the spatio-temporal variations of these impacts in relation to water is critical to their management. However, elephant piosphere effects (i.e. the radial pattern of attenuating impact) are poorly described, with few long-term quantitative studies. Our understanding is further confounded by the complexity of systems with elephant (i.e. fenced, multiple water points, seasonal water availability, varying population densities) that likely limit the use of conceptual models to predict these impacts. Using 31 years of data on shrub structure in the succulent thickets of the Addo Elephant National Park, South Africa, we tested elephant effects at a single water point. Shrub structure showed a clear sigmoid response with distance from water, declining at both the upper and lower limits of sampling. Adjacent to water, this decline caused a roughly 300-m radial expansion of the grass-dominated habitats that replace shrub communities. Despite the clear relationship between shrub structure and ecological functioning in thicket, the extent of elephant effects varied between these features with distance from water. Moreover, these patterns co-varied with other confounding variables (e.g. the location of neighboring water points), which limits our ability to predict such effects in the absence of long-term data. We predict that elephant have the ability to cause severe transformation in succulent thicket habitats with abundant water supply and elevated elephant numbers. However, these piosphere effects are complex, suggesting that a more integrated understanding of elephant impacts on ecological heterogeneity may be required before water availability is used as a tool to manage impacts. We caution against the establishment of water points in novel succulent thicket habitats, and advocate a significant reduction in water provisioning at our study site, albeit with greater

  20. Understanding long-term fruit fly (Diptera: Tephritidae) population dynamics: implications for areawide management.

    PubMed

    Aluja, Martín; Ordano, Mariano; Guillén, Larissa; Rull, Juan

    2012-06-01

    Fruit flies (Diptera: Tephritidae) are devastating agricultural pests worldwide but studies on their long-term population dynamics are sparse. Our aim was to determine the mechanisms driving long-term population dynamics as a prerequisite for ecologically based areawide pest management. The population density of three pestiferous Anastrepha species [Anastrepha ludens (Loew), Anastrepha obliqua (Macquart), and Anastrepha serpentina (Wiedemann)] was determined in grapefruit (Citrus x paradisi Macfad.), mango (Mangifera indica L.), and sapodilla [Manilkara zapota (L.) P. Royen] orchards in central Veracruz, México, on a weekly basis over an 11-yr period. Fly populations exhibited relatively stable dynamics over time. Population dynamics were mainly driven by a direct density-dependent effect and a seasonal feedback process. We discovered direct and delayed influences that were correlated with both local (rainfall and air temperature) and global climatic variation (El Niño Southern Oscillation [ENSO] and North Atlantic Oscillation [NAO]), and detected differences among species and location of orchards with respect to the magnitude and nature (linear or nonlinear) of the observed effects, suggesting that highly mobile pest outbreaks become uncertain in response to significant climatic events at both global and local levels. That both NAO and ENSO affected Anastrepha population dynamics, coupled with the high mobility of Anastrepha adults and the discovery that when measured as rate of population change, local population fluctuations exhibited stable dynamics over time, suggests potential management scenarios for the species studied lie beyond the local scale and should be approached from an areawide perspective. Localized efforts, from individual growers will probably prove ineffective, and nonsustainable.

  1. Understanding Long-Term Variations in an Elephant Piosphere Effect to Manage Impacts

    PubMed Central

    Landman, Marietjie; Schoeman, David S.; Hall-Martin, Anthony J.; Kerley, Graham I. H.

    2012-01-01

    Surface water availability is a key driver of elephant impacts on biological diversity. Thus, understanding the spatio-temporal variations of these impacts in relation to water is critical to their management. However, elephant piosphere effects (i.e. the radial pattern of attenuating impact) are poorly described, with few long-term quantitative studies. Our understanding is further confounded by the complexity of systems with elephant (i.e. fenced, multiple water points, seasonal water availability, varying population densities) that likely limit the use of conceptual models to predict these impacts. Using 31 years of data on shrub structure in the succulent thickets of the Addo Elephant National Park, South Africa, we tested elephant effects at a single water point. Shrub structure showed a clear sigmoid response with distance from water, declining at both the upper and lower limits of sampling. Adjacent to water, this decline caused a roughly 300-m radial expansion of the grass-dominated habitats that replace shrub communities. Despite the clear relationship between shrub structure and ecological functioning in thicket, the extent of elephant effects varied between these features with distance from water. Moreover, these patterns co-varied with other confounding variables (e.g. the location of neighboring water points), which limits our ability to predict such effects in the absence of long-term data. We predict that elephant have the ability to cause severe transformation in succulent thicket habitats with abundant water supply and elevated elephant numbers. However, these piosphere effects are complex, suggesting that a more integrated understanding of elephant impacts on ecological heterogeneity may be required before water availability is used as a tool to manage impacts. We caution against the establishment of water points in novel succulent thicket habitats, and advocate a significant reduction in water provisioning at our study site, albeit with greater

  2. The strategic skills of business continuity managers: putting business continuity management into corporate long-term planning.

    PubMed

    Wong, Wei Ning Zechariah

    2009-11-01

    Despite its rapid development in the last two decades, business continuity management (BCM) as a discipline and a profession is still regarded by many as an operational entity of management. Two main issues are discussed in this paper: the role of BCM in strategic management and the strategic skills of business continuity managers. These issues are crucial as they represent the role of BCM in high-level corporate management. The paper discusses the importance of BCM in the long-term planning of organisational success and the preservation of future competitiveness. Finally, salient points that underpin the importance of its role in sustaining organisational performance are addressed.

  3. Hellsgate Winter Range Mitigation Project; Long-term Management Plan, Project Report 1993, Final Draft.

    SciTech Connect

    Berger, Matthew T.

    1994-01-01

    A study was conducted on the Hellsgate Winter Range Mitigation Project area, a 4,943 acre ranch purchased for mitigating some habitat losses associated with the original construction of Grand Coulee Dam and innundation of habitat by Lake Roosevelt. A Habitat Evaluation Procedure (HEP) study was used to determine habitat quality and quantity baseline data and future projections. Target species used in the study were sharp-tailed grouse (Tympanuchus phasianellus), mule deer (Odocoileus hemoinus), mink (Mustela vison), spotted sandpiper (Actiius colchicus), bobcat (Felis reufs), blue grouse (Dendragapus obscurus), and mourning dove (Zenaida macroura). From field data collected, limiting life values or HSI's (Habitat Suitability Index's) for each indicator species was determined for existing habitats on project lands. From this data a long term management plan was developed. This report is designed to provide guidance for the management of project lands in relation to the habitat cover types discussed and the indicator species used to evaluate these cover types. In addition, the plan discusses management actions, habitat enhancements, and tools that will be used to enhance, protect and restore habitats to desired conditions. Through planned management actions biodiversity and vegetative structure can be optimized over time to reduce or eliminate, limiting HSI values for selected wildlife on project lands.

  4. Pain Management in Long-Term Care Communities: A Quality Improvement Initiative

    PubMed Central

    Reid, M C; O’Neil, Kevin W.; Dancy, JaNeen; Berry, Carolyn A.; Stowell, Stephanie A.

    2015-01-01

    Pain is underrecognized and undertreated in the long-term care (LTC) setting. To improve the management of pain for LTC residents, the authors implemented a quality improvement (QI) initiative at one LTC facility. They conducted a needs assessment to identify areas for improvement and designed a 2-hour educational workshop for facility staff and local clinicians. Participants were asked to complete a survey before and after the workshop, which showed significant improvement in their knowledge of pain management and confidence in their ability to recognize and manage residents’ pain. To measure the effectiveness of the QI initiative, the authors performed a chart review at baseline and at 3 and 8 months after the workshop and evaluated relevant indicators of adequate pain assessment and management. The post-workshop chart reviews showed significant improvement in how consistently employees documented pain characteristics (ie, location, intensity, duration) in resident charts and in their use of targeted pain assessments for residents with cognitive dysfunction. The proportion of charts that included a documented plan for pain assessment was high at baseline and remained stable throughout the study. Overall, the findings suggest a QI initiative is an effective way to improve pain care practices in the LTC setting. PMID:25949232

  5. Establishing Long Term Data Management Research Priorities via a Data Decadal Survey

    NASA Astrophysics Data System (ADS)

    Wilson, A.; Uhlir, P.; Meyer, C. B.; Robinson, E.

    2013-12-01

    We live in a time of unprecedented collection of and access to scientific data. Improvements in sensor technologies and modeling capabilities are constantly producing new data sources. Data sets are being used for unexpected purposes far from their point of origin, as research spans projects, discipline domains, and temporal and geographic boundaries. The nature of science is evolving, with more open science, open publications, and changes to the nature of peer review and data "publication". Data-intensive, or computational science, has been identified as a new research paradigm. There is recognition that the creation of a data set can be a contribution to science deserving of recognition comparable to other scientific publications. Federally funded projects are generally expected to make their data open and accessible to everyone. In this dynamic environment, scientific progress is ever more dependent on good data management practices and policies. Yet current data management and stewardship practices are insufficient. Data sets created at great, and often public, expense are at risk of being lost for technological or organizational reasons. Insufficient documentation and understanding of data can mean that the data are used incorrectly or not at all. Scientific results are being scrutinized and questioned, and occasionally retracted due to problems in data management. The volume of data is greatly increasing while funding for data management is meager and generally must be found within existing budgets. Many federal government agencies, including NASA, USGS, NOAA and NSF are already making efforts to address data management issues. Executive memos and directives give substantial impetus to those efforts, such as the May 9 Executive Order directing agencies to implement Open Data Policy requirements and regularly report their progress. However, these distributed efforts risk duplicating effort, lack a unifying, long-term strategic vision, and too often work in

  6. Climate considerations in long-term safety assessments for nuclear waste repositories.

    PubMed

    Näslund, Jens-Ove; Brandefelt, Jenny; Liljedahl, Lillemor Claesson

    2013-05-01

    For a deep geological repository for spent nuclear fuel planned in Sweden, the safety assessment covers up to 1 million years. Climate scenarios range from high-end global warming for the coming 100 000 years, through deep permafrost, to large ice sheets during glacial conditions. In contrast, in an existing repository for short-lived waste the activity decays to low levels within a few tens of thousands of years. The shorter assessment period, 100 000 years, requires more focus on climate development over the coming tens of thousands of years, including the earliest possibility for permafrost growth and freezing of the engineered system. The handling of climate and climate change in safety assessments must be tailor-made for each repository concept and waste type. However, due to the uncertain future climate development on these vast time scales, all safety assessments for nuclear waste repositories require a range of possible climate scenarios.

  7. An International Initiative on Long-Term Behavior of High-Level Nuclear Waste Glass

    SciTech Connect

    Gin, Stephane; Abdelouas, Abdesselam; Criscenti, Louise J; Ebert, William L; Ferrand, K; Geisler, T; Harrison, Michael T; Inagaki, Y; Mitsui, S; Mueller, K T; Marra, James C; Pantano, Carlo G; Pierce, Eric M; Ryan, Joseph V; Schofield, J M; Steefel, Carl I; Vienna, John D.

    2013-01-01

    Nations using borosilicate glass as an immobilization material for radioactive waste have reinforced the importance of scientific collaboration to obtain a consensus on the mechanisms controlling the longterm dissolution rate of glass. This goal is deemed to be crucial for the development of reliable performance assessment models for geological disposal. The collaborating laboratories all conduct fundamental and/or applied research using modern materials science techniques. This paper briefly reviews the radioactive waste vitrification programs of the six participant nations and summarizes the current state of glass corrosion science, emphasizing the common scientific needs and justifications for on-going initiatives.

  8. Method for extracting metals from aqueous waste streams for long term storage

    DOEpatents

    Chaiko, D.J.

    1993-01-01

    A liquid-liquid extraction method for removing metals and hydrous metal colloids from waste streams is provided wherein said waste streams are contacted with a solvent system containing a water-in-oil microemulsion wherein the inverted micelles contain the extracted metal. A silicon alkoxide, either alone or in combination with other metal alkoxide compounds is added to the water-in-oil microemulsion, thereby allowing encapsulation of the extracted metal within a silicon oxide network. Lastly, the now-encapsulated metal is precipitated from the water-in-oil microemulsion phase to yield aggregates of metal-silicate particles having average. individual particle sizes of approximately 40 manometers.

  9. Method for extracting metals from aqueous waste streams for long term storage

    DOEpatents

    Chaiko, D.J.

    1995-03-07

    A liquid-liquid extraction method for removing metals and hydrous metal colloids from waste streams is provided wherein said waste streams are contacted with a solvent system containing a water-in-oil microemulsion wherein the inverted micelles contain the extracted metal. A silicon alkoxide, either alone or in combination with other metal alkoxide compounds is added to the water-in-oil microemulsion, thereby allowing encapsulation of the extracted metal within a silicon oxide network. Lastly, the now-encapsulated metal is precipitated from the water-in-oil microemulsion phase to yield aggregates of metal-silicate particles having average individual particle sizes of approximately 40 nanometers. 2 figs.

  10. Method for extracting metals from aqueous waste streams for long term storage

    DOEpatents

    Chaiko, David J.

    1995-01-01

    A liquid--liquid extraction method for removing metals and hydrous metal colloids from waste streams is provided wherein said waste streams are contacted with a solvent system containing a water-in-oil microemulsion wherein the inverted micelles contain the extracted metal. A silicon alkoxide, either alone or in combination with other metal alkoxide compounds is added to the water-in-oil microemulsion, thereby allowing encapsulation of the extracted metal within a silicon oxide network. Lastly, the now-encapsulated metal is precipitated from the water-in-oil microemulsion phase to yield aggregates of metal-silicate particles having average individual particle sizes of approximately 40 nanometers.

  11. Basalt glass: an analogue for the evaluation of the long-term stability of nuclear waste form borosilicate glasses

    SciTech Connect

    Byers, C.D.; Jercinovic, M.J.; Ewing, R.C.; Keil, K.

    1984-01-01

    The long-term stability of nuclear waste form borosilicate glasses can be evaluated by understanding the processes that effect the long-term alteration of glass and by comparing laboratory alteration of synthetic basalt and borosilicate glasses with the observed stability of naturally occurring basaltic glasses in diverse geologic environments. This paper presents detailed electron microprobe analyses of naturally altered basaltic glasses (with maximum ages of 10,000 to 20 million years) from low-temperature environments. These results are compared to laboratory data on the corrosion of a synthetic basaltic glass in MCC-1 tests (90/sup 0/C, a SA/V of 0.1 cm/sup -1/ and time periods up to 182 days), MCC-2 tests (190/sup 0/C, a SA/V of 0.1 cm/sup -1/ and time periods up to 210 days) and hydration tests in saturated water vapor (240/sup 0/C, an estimated SA/V of approx. 10/sup 6/ cm/sup -1/ and time periods up to 63 days). Additionally, laboratory-induced hydration alteration of synthetic basalt and borosilicate glasses is compared. These preliminary experiments provide evidence that the alteration processes observed for natural basalt glasses are relevant to understanding the alteration of nuclear waste glass, as both appear to react via similar processes. 12 references, 6 figures, 1 table.

  12. Predicting Agricultural Management Influence on Long-Term Soil Organic Carbon Dynamics: Implications for Biofuel Production

    SciTech Connect

    Gollany, H. T.; Rickman, R. W.; Albrecht, S. L.; Liang, Y.; Kang, Shujiang; Machado, S.

    2011-01-01

    Long-term field experiments (LTE) are ideal for predicting the influence of agricultural management on soil organic carbon (SOC) dynamics and examining biofuel crop residue removal policy questions. Our objectives were (i) to simulate SOC dynamics in LTE soils under various climates, crop rotations, fertilizer or organic amendments, and crop residue managements using the CQESTR model and (ii) to predict the potential of no-tillage (NT) management to maintain SOC stocks while removing crop residue. Classical LTEs at Champaign, IL (1876), Columbia, MO (1888), Lethbridge, AB (1911), Breton, AB (1930), and Pendleton, OR (1931) were selected for their documented history of management practice and periodic soil organic matter (SOM) measurements. Management practices ranged from monoculture to 2- or 3-yr crop rotations, manure, no fertilizer or fertilizer additions, and crop residue returned, burned, or harvested. Measured and CQESTR predicted SOC stocks under diverse agronomic practices, mean annual temperature (2.1 19 C), precipitation (402 973 mm), and SOC (5.89 33.58 g SOC kg 1) at the LTE sites were significantly related (r 2 = 0.94, n = 186, P < 0.0001) with a slope not significantly different than 1. The simulation results indicated that the quantities of crop residue that can be sustainably harvested without jeopardizing SOC stocks were influenced by initial SOC stocks, crop rotation intensity, tillage practices, crop yield, and climate. Manure or a cover crop/intensified crop rotation under NT are options to mitigate loss of crop residue C, as using fertilizer alone is insufficient to overcome residue removal impact on SOC stocks

  13. Integrated, long term, sustainable, cost effective biosolids management at a large Canadian wastewater treatment facility.

    PubMed

    Leblanc, R J; Allain, C J; Laughton, P J; Henry, J G

    2004-01-01

    The Greater Moncton Sewerage Commission's 115,000 m3/d advanced, chemically assisted primary wastewater treatment facility located in New Brunswick, Canada, has developed an integrated, long term, sustainable, cost effective programme for the management and beneficial utilization of biosolids from lime stabilized raw sludge. The paper overviews biosolids production, lime stabilization, conveyance, and odour control followed by an indepth discussion of the wastewater sludge as a resource programme, namely: composting, mine site reclamation, landfill cover, land application for agricultural use, tree farming, sod farm base as a soil enrichment, topsoil manufacturing. The paper also addresses the issues of metals, pathogens, organic compounds, the quality control program along with the regulatory requirements. Biosolids capital and operating costs are presented. Research results on removal of metals from primary sludge using a unique biological process known as BIOSOL as developed by the University of Toronto, Canada to remove metals and destroy pathogens are presented. The paper also discusses an ongoing cooperative research project with the Université de Moncton where various mixtures of plant biosolids are composted with low quality soil. Integration, approach to sustainability and "cumulative effects" as part of the overall biosolids management strategy are also discussed.

  14. Long-term modeling of glass waste in portland cement- and clay-based matrices

    SciTech Connect

    Stockman, H.W.; Nagy, K.L.; Morris, C.E.

    1995-12-01

    A set of ``templates`` was developed for modeling waste glass interactions with cement-based and clay-based matrices. The templates consist of a modified thermodynamic database, and input files for the EQ3/6 reaction path code, containing embedded rate models and compositions for waste glass, cement, and several pozzolanic materials. Significant modifications were made in the thermodynamic data for Th, Pb, Ra, Ba, cement phases, and aqueous silica species. It was found that the cement-containing matrices could increase glass corrosion rates by several orders of magnitude (over matrixless or clay matrix systems), but they also offered the lowest overall solubility for Pb, Ra, Th and U. Addition of pozzolans to cement decreased calculated glass corrosion rates by up to a factor of 30. It is shown that with current modeling capabilities, the ``affinity effect`` cannot be trusted to passivate glass if nuclei are available for precipitation of secondary phases that reduce silica activity.

  15. CORROSION RELIABILITY PREDICTION: LONG TERM NUCLEAR WASTE STORAGE IN YUCCA MOUNTAIN

    SciTech Connect

    G.S. Frankel; E. Tada; B. Maier

    2005-08-18

    The US. Department of Energy has proposed the disposal of high level nuclear waste from commercial and defense reactors in a mined geologic repository under Yucca Mountain, Nevada. The waste will be stored in metallic canisters. The barrier against corrosion will be an Alloy 22 canister and a Ti Grade 7 drip shield. Both of these materials are extremely corrosion resistant. The environment inside Yucca Mountain is relatively benign, but the long time period over which these materials must resist penetration makes corrosion a concern. This paper presents a background of the corrosion issues and shows some recent results regarding measurements of localized corrosion under thin aqueous layers and layers that simulate wet dust deposits.

  16. Long-Term Environmental Monitoring of an Operating Deep Geologic Nuclear Waste Repository

    SciTech Connect

    Conca, J.; Kirchner, Th.; Monk, J.; Sage, S.

    2008-07-01

    In the present energy dilemma in which we find ourselves, the magnitude of humanity's energy needs requires that we embrace a multitude of various energy sources and applications. Nuclear energy must be a major portion of the distribution. One often-cited strategic hurdle to the commercial production of nuclear energy is the apparent lack of an acceptable nuclear waste repository. This issue has been quietly addressed at the U. S. Department of Energy (DOE) Waste Isolation Pilot Plant (WIPP; see http://www.wipp.energy.gov), the closest population center of significant size being Carlsbad, New Mexico. WIPP has been operating for about nine years, disposing of over 250,000 drum-equivalents of nuclear waste. From the standpoint of addressing operational and environmental risk, as well as public fear, WIPP has had extensive human health and environmental monitoring. The Carlsbad Environmental Monitoring and Research Center is in the Institute for Energy and the Environment, in the College of Engineering at New Mexico State University. Located in Carlsbad, NM, CEMRC has been the independent monitoring facility for the area around WIPP from 1993 to the present, i.e., from six years before disposal operations began to nine years of waste disposal operations (www.cemcr.org). Based on the radiological analyses of monitoring samples completed to date for area residents and site workers, and for selected aerosols, soils, sediments, drinking water and surface waters, there is no evidence of increases in radiological contaminants in the region of WIPP that could be attributed to releases from WIPP. Levels of radiological and non-radiological analytes measured since operations began in 1999 have been within the range of baseline levels measured previously, and are within the ranges measured by other entities at the State and local levels since well before disposal phase operations began in 1999. (authors)

  17. Flow barrier system for long-term high-level-waste isolation: Experimental results

    SciTech Connect

    Conca, J.L.; Apted, M.J.; Zhou, W.; Arthur, R.C.; Kessler, J.H.

    1998-10-01

    A flow barrier system (FBS) that includes a Richards barrier acts in an unsaturated hydrogeologic system to prevent the advective flow of water down through the barrier. Thus, an FBS placed above any solid waste material buried in the unsaturated zone could greatly aid in isolating the waste by keeping the waste away from flowing water. The FBS, consisting of a layer of highly conductive, fine-grained material overlying a sloped gravel layer, is proposed to isolate high-level radioactive waste (HLW) at a candidate disposal facility located in the unsaturated zone at Yucca Mountain in Nevada. A series of laboratory experiments were conducted to (a) assure that the FBS of a specific design can divert the anticipated maximum advective flow (under ideal conditions as well as for the case of a disturbed interface between the two layers caused by, for example, improper initial emplacement or faulting due to seismic activity), (b) investigate water inhibition into the gravel, and (c) measure the diffusion coefficient of the tuff gravel under partially saturated conditions. The main results show that (a) the FBS used in the study can divert point-source flow rates as high as 2.6 {times} 10{sup 5} {ell}/yr; (b) this FBS will continue performing with offsets of the interface as great as 50 cm or more; (c) after 12 months of testing, moisture penetrates the gravel only several grain diameters; and (d) the gravel effective diffusion coefficient is <10{sup {minus}11} cm{sup 2}/s under such low partial saturations. These results indicate that a properly designed FBS can be successful at isolating the HLW under the anticipated range of environmental conditions that exist both now and in the future at Yucca Mountain.

  18. Cross-Site Transfer System at Hanford: long-term strategy for waste acceptance

    SciTech Connect

    Shekarriz, A; Onishi, Y.; Smith, P.A.; Sterner, M.; Rector, D.R.; Virden, J.

    1997-02-01

    This report summarizes results of a technical panel review of the current methodology for accepting waste for transport through the Hanford Replacement Cross-Site Transfer System (RCSTS), which was constructed to replace the existing pipelines that hydraulically connect the 200 West and 200 East areas. This report is a complement to an existing document (Hudson 1996); the methodology proposed in that document was refined based on panel recommendations. The refinements were focused around predicting and preventing the 3 main modes suspected of plugging the existing CSTS: precipitation, gelation, particle dropout/settling. The proposed analysis will require integration of computer modeling and laboratory experiments to build a defensible case for transportability of a proposed slurry composition for a given tank. This will be validated by recirculating actual tank waste, in-tank and in-farm, prior to transport. The panel`s recommendation was that the probability of success of waste transfer would be greatly improved by integrating the predictive analysis with real-time control during RCSTS operation. The methodology will be optimized.

  19. Geographic variations of soil phosphorus induced by long-term land and manure nutrient management practices

    NASA Astrophysics Data System (ADS)

    Dao, Thanh

    2014-05-01

    Most natural and agricultural ecosystems are deficient in phosphorus (P), and supplemental P must be provided to attain optimal levels of agronomic production. Animal manure is often used to supply needed plant nutrients to enhance production of feed and fiber crops for human and livestock consumption. Soils have been treated with large amounts of P-enriched manure, and have shown elevated P levels in watersheds where there is a high density of intensive confined animal agriculture. Long-term additions can have lasting effects on the geographic distribution of soil microbes associated with the turnover of major soil nutrients, in particular non-mobile one such as P. We determined the distribution of soil P forms in a 10-ha no-till field that received annual additions of dairy manure at 0, 15, and 30 kg P ha-1 at the field scale for 16 consecutive years. Spectroscopic analyses of the near-surface zone were performed by X-ray fluorescence in soil cores taken to a depth of 0.2 m. Geostatistical methods were used to determine the spatial structure of the soil compositional data. Soil X-ray fluorescence spectral attributes were obtained based on a set of five parallel transects established across five experimental blocks, i.e., a 5 × 5 rectangular grid pattern. Three subsets of each soil attribute were identified for the three rates of manure addition. Long-term manure addition, albeit liquid manure, resulted in significant variability in soil P distribution in the near surface zone. The heterogeneity persisted over years of continuous no-tillage management. Therefore, a high density of geo-referenced soil measurements must be made to estimate the status of a required plant nutrient, especially a non-mobile nutrient in soil. A large number of timely measurements would require a rapid geo-referenced soil sensing spectroscopic method such as X-ray fluorescence to manage in near real-time the observed spatial variability of manure-treated fields.

  20. Impact of coastal management practice on long-term foredune behaviour

    NASA Astrophysics Data System (ADS)

    Wijnberg, Kathelijne M.; Bochev-van der Burgh, Lisette M.

    2010-05-01

    Coastal dunes located in densely populated areas provide various services to man, such as protection against flooding during storm surges, recreation, and nature conservation. As a result, man will interfere with the natural dynamics of coastal dunes if these negatively affect these functions. For example, local storm erosion of the foredune will reduce the safety level of dunes as flooding defence, or the resulting steep dune front can be perceived as a public safety issue (collapse). Usually, the applied management interventions aim at restoring the pre-storm situation. As such they result in an increased recovery rate from an erosional event as compared to post-storm recovery rates occurring without human intervention. The above raises the question whether the usually localized and intermittent human interventions will actually interfere with the long term evolution of the foredune area. And if so, whether these short term management interventions can turn out to be detrimental to the persistence of these functions in the long run. Especially for the flooding defence functionality this is of importance, as we can expect natural drivers of coastal behaviour, such as storm climatology and mean sea level stand, to change over the next century. To increase insight in the above issues we performed a case study on the behaviour of managed foredunes along the Holland coast (The Netherlands). Information on the morphologic behaviour was extracted by EOF-analysis from a 40 year data set (1965-2004) of annual, high-resolution elevation surveys of the subaerial part of coastal profile along about 90 km of coastline. Information on the applied dune management during this period was retrieved from documents as well as from interviews with coastal managers with long-term involvement in the actual dune maintenance practice in the studied area. It appeared that during the studied period the coastal management policy changed from being essentially reactive in nature to being pro

  1. Incorporating long-term climate change in performance assessment for the Waste Isolation Pilot Plant

    SciTech Connect

    Swift, P.N.; Baker, B.L.; Economy, K.; Garner, J.W.; Helton, J.C.; Rudeen, D.K.

    1993-09-18

    The United States Department of Energy (DOE) is developing the Waste Isolation Pilot Plant (WIPP) in southeastern New Mexico for the disposal of transuranic wastes generated by defense programs. Applicable regulations (40 CFR 191) require the DOE to evaluate disposal-system performance for 10,000 yr. Climatic changes may affect performance by altering groundwater flow. Paleoclimatic data from southeastern New Mexico and the surrounding area indicate that the wettest and coolest Quaternary climate at the site can be represented by that at the last glacial maximum, when mean annual precipitation was approximately twice that of the present. The hottest and driest climates have been similar to that of the present. The regularity of global glacial cycles during the late Pleistocene confirms that the climate of the last glacial maximum is suitable for use as a cooler and wetter bound for variability during the next 10,000 yr. Climate variability is incorporated into groundwater-flow modeling for WIPP PA by causing hydraulic head in a portion of the model-domain boundary to rise to the ground surface with hypothetical increases in precipitation during the next 10,000 yr. Variability in modeled disposal-system performance introduced by allowing head values to vary over this range is insignificant compared to variability resulting from other causes, including incomplete understanding of transport processes. Preliminary performance assessments suggest that climate variability will not affect regulatory compliance.

  2. Incorporating long-term climate change in performance assessment for the Waste Isolation Pilot Plant

    SciTech Connect

    Swift, P.N.; Baker, B.L.; Economy, K.; Garner, J.W.; Helton, J.C.; Rudeen, D.K.

    1994-03-01

    The United States Department of Energy (DOE) is developing the Waste Isolation Pilot Plant (WIPP) in southeastern New Mexico for the disposal of transuranic wastes generated by defense programs. Applicable regulations (40 CFR 191) require the DOE to evaluate disposal-system performance for 10,000 yr. Climatic changes may affect performance by altering groundwater flow. Paleoclimatic data from southeastern New Mexico and the surrounding area indicate that the wettest and coolest Quaternary climate at the site can be represented by that at the last glacial maximum, when mean annual precipitation was approximately twice that of the present. The hottest and driest climates have been similar to that of the present. The regularity of global glacial cycles during the late Pleistocene confirms that the climate of the last glacial maximum is suitable for use as a cooler and wetter bound for variability during the next 10,000 yr. Climate variability is incorporated into groundwater-flow modeling for WIPP PA by causing hydraulic head in a portion of the model-domain boundary to rise to the ground surface with hypothetical increases in precipitation during the next 10,000 yr. Variability in modeled disposal-system performance introduced by allowing had values to vary over this range is insignificant compared to variability resulting from other causes, including incomplete understanding of transport processes. Preliminary performance assessments suggest that climate variability will not affect regulatory compliance.

  3. Ion-Exchange Interdiffusion Model with Potential Application to Long-Term Nuclear Waste Glass Performance

    SciTech Connect

    Neeway, James Joseph; Kerisit, Sebastien N.; Liu, Jia; Zhang, Jiandong; Zhu, Zihua; Riley, Brian Joseph; Ryan, Joseph Vincent

    2016-05-05

    Abstract: Ion exchange is an integral mechanism influencing the corrosion of glasses. Due to the formation of alteration layers in aqueous conditions, it is difficult to conclusively deconvolute the process of ion exchange from other processes, principally dissolution of the glass matrix. Therefore, we have developed a method to isolate alkali diffusion that involves contacting glass coupons with a solution of 6LiCl dissolved in functionally inert dimethyl sulfoxide. We employ the method at temperatures ranging from 25 to 150 °C with various glass formulations. Glass compositions include simulant nuclear waste glasses, such as SON68 and the international simple glass (ISG), glasses in which the nature of the alkali element was varied, and glasses that contained more than one alkali element. An interdiffusion model based on Fick’s second law was developed and applied to all experiments to extract diffusion coefficients. The model expands established models of interdiffusion to the case where multiple types of alkali sites are present in the glass. Activation energies for alkali ion exchange were calculated and the results are in agreement with those obtained in glass strengthening experiments but are nearly five times higher than values reported for diffusion-controlled processes in nuclear waste glass corrosion experiments. A discussion of the root causes for this apparent discrepancy is provided. The interdiffusion model derived from laboratory experiments is expected to be useful for modeling glass corrosion in a geological repository when the silicon concentration is high.

  4. Comparison of TCLP and long-term PCT performance on low-level mixed waste glasses

    SciTech Connect

    Cicero, C.A.; Andrews, M.K.; Bickford, D.F.

    1994-06-01

    The Mixed Waste Integrated Program (MWIP) of the US Department of Energy (DOE) is currently investigating technologies for conversion of low-level mixed waste (LLMW) into a form suitable for permanent disposal. Vitrification is one of the preferred technologies since it is capable of consistently producing a durable, leach resistant wasteform, while simultaneously minimizing disposal volumes. Since vitrification of LLMW is a relatively new concept, final wasteform specifications have not been developed. The Savannah River Technology Center (SRTC) of the Westinghouse Savannah River Company (WSRC) has developed the Product Consistency Test (PCI), which is a 7-day leaching procedure for glass. Comparison indicates that both tests have merit where LLMW glasses are concerned. The TCLP is an important test for determining the release of metals and for allowing the wasteform to be delisted while the PCT is more useful for determining consistent production of durable glass. It is a better indicator of the behavior of glass in disposal site conditions. Most aggressive leaching of common oxide glasses occurs under caustic rather than acidic conditions, therefore it is necessary to perform both tests. Further tests will be conducted using additional glass compositions and variations in the TCLP and the PCT.

  5. Value of Inhaled Corticosteroid Therapy In Long-Term Asthma Management

    PubMed Central

    Beam, Donald S.

    2010-01-01

    Asthma, which affects more than 22 million people in the U.S. every year, poses a significant clinical and economic burden to our health care system. Patients, health care practitioners, and payers require a variety of resources to ensure optimal disease management and positive clinical outcomes while also managing costs. In addition, decision makers in health care must determine the most appropriate and cost-efficient therapy or class of agents to achieve asthma control. As such, payers rely on evidence-based medicine, including guidelines to determine the right therapy for the right patient. Inhaled corticosteroid (ICS) therapy plays a critical role in the management of mild-to-moderate persistent asthma. Despite national treatment guidelines that cite ICS therapy as the most effective and safest long-term treatment option for persistent asthma, ICS monotherapy continues to be underused. One retrospective claims study found that 55.2% of children with mild-to-moderate asthma received prescriptions for combination therapy (ICS and long-acting beta-agonists) as initial controller treatment. This practice is contrary to national treatment guidelines, which recommend a step-therapy approach. These prescribing patterns result in higher pharmacy costs, do not always ensure control of symptoms, and sometimes expose patients to potential safety risks. This article addresses the importance of ICS therapy in the treatment of mild-to-moderate asthma, as advocated by the National Asthma Education and Prevention Program (NAEPP) Expert Panel Report 3 guidelines; the role of small airway disease in asthma pathophysiology; and the clinical and economic benefits of ICS therapy. PMID:20689625

  6. Analyzing sediment impacts for the Glen Canyon Long-term Experimental and Management Plan EIS

    NASA Astrophysics Data System (ADS)

    Russell, K.; Huang, V.; Varyu, D.; Greimann, B. P.; O'Connor, B. L.

    2013-12-01

    The Department of the Interior is currently evaluating alternatives in the Glen Canyon Dam Long-term Experimental and Management Plan (LTEMP) Environmental Impact Statement (EIS). The purpose of the EIS to evaluate dam operations and identify management actions and experimental options that will provide a framework for adaptively managing operations of Glen Canyon Dam over the next 15 to 20 years. Sediment and sandbars along the Colorado River are important downstream resources in Grand Canyon National Park. Sediment is one of the resources being analyzed for impacts in Marble and Grand Canyon. Since 1963, Glen Canyon Dam has regulated the flow in the Colorado River by decreasing the magnitude of annual flood flows and increasing the magnitude of base flows, and has nearly eliminated main-channel sand supply from the upper Colorado River Basin. These changes disrupted the natural ability of the river to build and maintain sandbars. Grand Canyon sandbars provide camping beaches for river runners and hikers, generate habitat for native fish and vegetation, and supply sediment to protect archaeological resources. In order to measure the impacts of the different alternatives on the sediment resource, several different models are being utilized. A sand budget numerical model that tracks the storage and transport of sand in the Colorado River below Glen Canyon Dam developed by the USGS is utilized. The model uses empirically based rating curves for specific particle sizes. The decision criteria for the high flow experiment environmental assessment is applied to the sand budget model as well as other flow changes incorporated in the alternatives. An empirically based sandbar volume model was also developed for the LTEMP EIS process to address the sandbar resource impacts. Based on the model results, performance criteria have been established to allow for comparisons between the alternatives. The criteria include the changes in the sand mass balance of the system, the

  7. Key Performance Criteria Affecting the Most the Safety of a Nuclear Waste Long Term Storage : A Case Study Commissioned by CEA

    SciTech Connect

    Marvy, A.; Lioure, A; Heriard-Dubreuil, G.; Gadbois, S.; Schneider, T.; Schieber, C.

    2003-02-24

    As part of the work scope set in the French law on high level long lived waste R&D passed in 1991, CEA is conducting a research program to establish the scientific basis and assess the feasibility of long term storage as an option for the safe management of nuclear waste for periods as long as centuries. This goal is a significant departure from the current industrial practice where storage facilities are usually built to last only a few decades. From a technical viewpoint such an extension in time seems feasible provided care and maintenance is exercised. Considering such long periods of time, the risk for Society of loosing oversight and control of such a facility is real, which triggers the question of whether and how long term storage safety can be actually achieved. Therefore CEA commissioned a study (1) in which MUTADIS Consultants (2) and CEPN (3) were both involved. The case study looks into several past and actual human enterprises conducted over significant periods o f time, one of them dating back to the end of the 18th century, and all identified out of the nuclear field. Then-prevailing societal behavior and organizational structures are screened out to show how they were or are still able to cope with similar oversight and control goals. As a result, the study group formulated a set of performance criteria relating to issues like responsibility, securing funds, legal and legislative implications, economic sustainable development, all being areas which are not traditionally considered as far as technical studies are concerned. These criteria can be most useful from the design stage onward, first in an attempt to define the facility construction and operating guiding principles, and thereafter to substantiate the safety case for long term storage and get geared to the public dialogue on that undertaking should it become a reality.

  8. Does the Cardiologist Have a Key Role in Long-Term Management of Hypertension?

    PubMed Central

    Wilke, Andreas; Steverding, Dietmar

    2011-01-01

    Background Hypertension is a widespread chronic condition which is usually treated with hypertensive drugs. However, 50% of hypertensive patients do not achieve control of their blood pressure below the standard target of 140/90 mmHg when treated with a single antihypertensive drug. Generally, hypertension specialists have a key role in managing hypertensive patients. Methods A retrospective case note review based on observations made in a cardiological outpatient clinic in Germany was carried out to assess whether the recommendation given by hypertension specialists were followed. The aim was to lower the blood pressure to < 130/85 mmHg over a period of six months by administering the new antihypertensive drug Zaneril® (lercanidipine/enalapril). Twenty-four hour blood pressure profiles were monitored a fortnight and six months later. Results Of the 130 patients, whose average blood pressure was 163/87 mmHg before receiving hypertensive treatment, only 44 (34%) were still on Zaneril® therapy six months later. Eighty-four patients (65%) did not turn up for follow-up examinations. The blood pressure of patients who were under Zaneril® therapy for the whole six months was better adjusted than that of patients who changed their treatment in the meantime (133/78 mmHg vs. 139/80 mmHg). Conclusions Specialists have only little influence on the long-term therapy of hypertensive patients.

  9. Management of Charcot–Marie–Tooth disease: improving long-term care with a multidisciplinary approach

    PubMed Central

    McCorquodale, Donald; Pucillo, Evan M; Johnson, Nicholas E

    2016-01-01

    Charcot–Marie–Tooth (CMT) disease is the most common inherited neuropathy and one of the most common inherited diseases in humans. The diagnosis of CMT is traditionally made by the neurologic specialist, yet the optimal management of CMT patients includes genetic counselors, physical and occupational therapists, physiatrists, orthotists, mental health providers, and community resources. Rapidly developing genetic discoveries and novel gene discovery techniques continue to add a growing number of genetic subtypes of CMT. The first large clinical natural history and therapeutic trials have added to our knowledge of each CMT subtype and revealed how CMT impacts patient quality of life. In this review, we discuss several important trends in CMT research factors that will require a collaborative multidisciplinary approach. These include the development of large multicenter patient registries, standardized clinical instruments to assess disease progression and disability, and increasing recognition and use of patient-reported outcome measures. These developments will continue to guide strategies in long-term multidisciplinary efforts to maintain quality of life and preserve functionality in CMT patients. PMID:26855581

  10. Comprehensive management of hot-press hand injuries: long-term outcomes following reconstruction and rehabilitation.

    PubMed

    Hultman, Charles Scott; Erfanian, Kamil; Fraser, James; Thornton, Sydney J; Calvert, Catherine S; Cairns, Bruce A

    2010-05-01

    Hot-press hand injuries create significant challenges, in terms of acute coverage and restoration of function, and long-term outcomes are largely unknown. This article reviews the comprehensive management of hot-press hand injuries--which includes damage control procedures, resurfacing, reconstruction, and rehabilitation--and assesses outcomes such as return to work and final impairment ratings. We treated 56 patients with hot-press hand injuries, at a verified, accredited burn center in the Southeast between 1994 and 2008. Mechanism included laundry press (42 cases), industrial press (11 cases), and home appliance (3 cases). Mean burn size was 118 cm2, with 43 full-thickness and 13 partial thickness injuries. Mean follow-up was 17.7 months. During this 15-year period, 39 patients (70%) were admitted acutely (mean length of stay: 10.4 days), 48 patients (86%) required operative intervention, and 28 patients (50%) had secondary reconstruction, which included nerve decompression (11 cases), contracture release (11 cases), tendon procedures (11 cases), and joint repair (5 cases). Mean final impairment rating was 22%, with 38 patients (68%) returning to work. Hot-press hand burns can be devastating, but return to work is possible for most patients. We recommend early wound excision, aggressive perioperative hand therapy, low threshold for reconstructive procedures, and rehabilitative support.

  11. Pentoxifylline as adjunct therapy to long-term clinical management of a right-to-left patent ductus arteriosus

    PubMed Central

    Turner, Elizabeth

    2016-01-01

    Management of a right-to-left (“reversed”) patent ductus arteriosus (PDA) focuses on control of clinical signs associated with hyperviscosity due to erythrocytosis. Pentoxifylline therapy is presented as an adjunct to routine phlebotomies for the long-term clinical management of reversed PDA in a 10-year-old Chihuahua. PMID:27247468

  12. Integrating Long-Term Avian Studies with Planning and Adaptive Management: Department of Energy Lands as a Case Study.

    SciTech Connect

    Burger, J.

    2000-10-01

    Long-term bio-monitoring of avian communities have been initiated, but they often lack a management component. Integration of the managers needs at an early stage is suggested as a means to increase the use of the data. Variation in community structure is important in understanding impacts. In addition, reference site must be carefully selected.

  13. Pentoxifylline as adjunct therapy to long-term clinical management of a right-to-left patent ductus arteriosus.

    PubMed

    Turner, Elizabeth

    2016-06-01

    Management of a right-to-left ("reversed") patent ductus arteriosus (PDA) focuses on control of clinical signs associated with hyperviscosity due to erythrocytosis. Pentoxifylline therapy is presented as an adjunct to routine phlebotomies for the long-term clinical management of reversed PDA in a 10-year-old Chihuahua.

  14. 75 FR 4801 - Notice of Availability of the Draft Long-Term Management and Storage of Elemental Mercury...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-29

    ... of Availability of the Draft Long-Term Management and Storage of Elemental Mercury Environmental... Management and Storage of Elemental Mercury Environmental Impact Statement (DOE/EIS-0423D, ``Draft Mercury... effects of storing a projected total of up to 10,000 metric tons (11,000 tons) of elemental mercury....

  15. Use of opioids in long-term management of temporomandibular joint dysfunction.

    PubMed

    Bouloux, Gary F

    2011-07-01

    The long-term treatment of patients with chronic temporomandibular joint dysfunction has been challenging. The long-term use of opioids in these patients can be neither supported nor refuted based on current evidence. However, evidence is available to support the long-term use of opioids in other chronic noncancer pain states with reduced pain, improved function, and improved quality of life. One group of patients with chronic temporomandibular joint pain, for whom both noninvasive and invasive treatment has failed, might benefit from long-term opioid medication. The choices include morphine, fentanyl, oxycodone, tramadol, hydrocodone, and methadone. Adjunct medication, including antidepressant and anticonvulsant drugs, can also be used. The safety of these medications has been well established, but the potential for adverse drug-related behavior does exist, requiring appropriate patient selection, adequate monitoring, and intervention when needed.

  16. Long-term field and laboratory leaching tests of cemented radioactive wastes.

    PubMed

    Ojovan, Michael I; Varlackova, Galina A; Golubeva, Zoya I; Burlaka, Olga N

    2011-03-15

    Experiments with real and simulated radioactive cementitious wasteforms were set up to compare the leaching behaviour of cementitious wasteforms containing nuclear power plant operational waste in field and laboratory test conditions. Experiments revealed that the average annual (137)Cs leach rate in deionised water was about thirty-five times greater compared with the measured average value for the 1st year of the field test. Cumulative leached fraction of (137)Cs for 1st year (3.74%) was close to values reported in literature for similar laboratory experiments in deionised water, however more than two orders of magnitude higher than the 1st year leached fraction of (137)Cs in the repository test (0.01%). Therefore, to compare field and laboratory test results, a scaling factor is required in order to account for surface to volume factor difference, multiplied by a temperature factor and a leach rate decrease coefficient related to the ground water composition.

  17. Vegetation cover and long-term conservation of radioactive waste packages: the case study of the CSM waste disposal facility (Manche District, France).

    PubMed

    Petit-Berghem, Yves; Lemperiere, Guy

    2012-03-01

    The CSM is the first French waste disposal facility for radioactive waste. Waste material is buried several meters deep and protected by a multi-layer cover, and equipped with a drainage system. On the surface, the plant cover is a grassland vegetation type. A scientific assessment has been carried out by the Géophen laboratory, University of Caen, in order to better characterize the plant cover (ecological groups and associated soils) and to observe its medium and long term evolution. Field assessments made on 10 plots were complemented by laboratory analyses carried out over a period of 1 year. The results indicate scenarios and alternative solutions which could arise, in order to passively ensure the long-term safety of the waste disposal system. Several proposals for a blanket solution are currently being studied and discussed, under the auspices of international research institutions in order to determine the most appropriate materials for the storage conditions. One proposal is an increased thickness of these materials associated with a geotechnical barrier since it is well adapted to the forest plants which are likely to colonize the site. The current experiments that are carried out will allow to select the best option and could provide feedback for other waste disposal facility sites already being operated in France (CSFMA waste disposal facility, Aube district) or in other countries.

  18. Long-term population dynamics of a managed burrowing owl colony

    USGS Publications Warehouse

    Barclay, John H.; Korfanta, Nicole M.; Kauffman, Matthew J.

    2011-01-01

    We analyzed the population dynamics of a burrowing owl (Athene cunicularia) colony at Mineta San Jose International Airport in San Jose, California, USA from 1990-2007. This colony was managed by using artificial burrows to reduce the occurrence of nesting owls along runways and within major airport improvement projects during the study period. We estimated annual reproduction in natural and artificial burrows and age-specific survival rates with mark-recapture techniques, and we estimated the relative contribution of these vital rates to population dynamics using a life table response experiment. The breeding colony showed 2 distinct periods of change: high population growth from 7 nesting pairs in 1991 to 40 pairs in 2002 and population decline to 17 pairs in 2007. Reproduction was highly variable: annual nesting success (pairs that raised =1 young) averaged 79% and ranged from 36% to 100%, whereas fecundity averaged 3.36 juveniles/pair and ranged from 1.43 juveniles/pair to 4.54 juveniles/pair. We estimated annual adult survival at 0.710 during the period of colony increase from 1996 to 2001 and 0.465 during decline from 2002 to 2007, but there was no change in annual survival of juveniles between the 2 time periods. Long-term population growth rate (lambda) estimated from average vital rates was lambdaa=1.072 with lambdai=1.288 during colony increase and lambdad=0.921 (DELTA lambda=0.368) during decline. A life table response experiment showed that change in adult survival rate during increasing and declining phases explained more than twice the variation in growth rate than other vital rates. Our findings suggest that management and conservation of declining burrowing owl populations should address factors that influence adult survival.

  19. Threshold responses of songbirds to long-term timber management on an active industrial forest

    USGS Publications Warehouse

    Becker, D.A.; Wood, P.B.; Keyser, P.D.; Wigley, T.B.; Dellinger, R.; Weakland, C.A.

    2011-01-01

    Forest managers often seek to balance economic benefits from timber harvesting with maintenance of habitat for wildlife, ecosystem function, and human uses. Most research on the relationship between avian abundance and active timber management has been short-term, lasting one to two years, creating the need to investigate long-term avian responses and to identify harvest thresholds when a small change in habitat results in a disproportionate response in relative abundance and nest success. Our objectives were to identify trends in relative abundance and nest success and to identify landscape-scale disturbance thresholds for avian species and habitat guilds in response to a variety of harvest treatments (clear-cuts, heavy and light partial harvests) over 14 years. We conducted point counts and monitored nests at an industrial forest in the central Appalachians of West Virginia during 1996-1998, 2001-2003, and 2007-2009. Early successional species increased in relative abundance across all three time periods, whereas interior-edge and forest-interior guilds peaked in relative abundance mid-study after which the forest-interior guild declined. Of 41 species with >10 detections, four (10%) declined significantly, 13 (32%) increased significantly (only three species among all periods), and 9 (22%) peaked in abundance mid-study (over the entire study period, four species had no significant change in abundance, four declined, and one increased). Based on piecewise linear models, forest-interior and interior-edge guilds' relative abundance harvest thresholds were 28% total harvests (all harvests combined), 10% clear-cut harvests, and 18% light partial harvests, after which abundances declined. Harvest thresholds for the early successional guild were 42% total harvests, 11% clear-cut harvest, and 10% light partial harvests, and relative abundances increased after surpassing thresholds albeit at a reduced rate of increase after the clear-cut threshold. Threshold confidence

  20. Effect of soil erosion on the long-term stability of FUSRAP near-surface waste-burial sites

    SciTech Connect

    Knight, M.J.

    1983-04-01

    Decontamination of FUSRAP sites could result in the generation of large volumes (in excess of 400,000 m/sup 3/) of low-activity radioactive wastes (primarily contaminated soil and building materials) requiring subsequent disposal. It is likely that near-surface burial will be seriously considered as an option for disposal of these materials. A number of factors - including soil erosion - could adversely affect the long-term stability of a near-surface waste-burial site. The majority of FUSRAP sites are located in the humid eastern United States, where the principal cause of erosion is the action of water. This report examines the effect of soil erosion by water on burial-site stability based on analysis of four hypothetical near-surface burial sites. The Universal Soil Loss Equation was employed to estimate average annual soil loss from burial sites and the 1000-year effects of soil loss on the soil barrier (burial trench cap) placed over low-activity wastes. Results suggest that the land use of the burial site and the slope gradient of the burial trench cap significantly affect the rate of soil erosion. The development of measures limiting the potential land use of a burial site (e.g., mixing large rocks into the burial trench cap) may be required to preserve the integrity of a burial trench for long periods of time.

  1. General approach to the long-term management at a former radium production site in Olen, Belgium

    SciTech Connect

    Dorado Lopez, Emma; Preter, Peter D

    2013-07-01

    The paper describes the methodology that ONDRAF/NIRAS, the Belgian Agency for Radioactive Waste and Enriched Fissile Materials, in consultation with the metallurgical company who aims the Olen-site, is developing and wants to apply to arrive at a safe and sustainable long-term solution in Olen. The complex problematic in Olen and how this does fit in the legal missions of ONDRAF/NIRAS is also presented. (authors)

  2. Management Of Saline Groundwater Discharge By Long-term Windmill Pumping In The Wheatbelt, Western Australia

    NASA Astrophysics Data System (ADS)

    Salama, R. B.; Otto, C. J.; Bartle, G. A.; Watson, G. D.

    1994-01-01

    Land and stream salinization in the Western Australian wheatbelt developed as a result of clearing of native vegetation. This caused a shift in the hydrological balance and a 10- to 30-fold increase in recharge. Rising water levels rejuvenated groundwater flow through paleao channels and increased baseflow to drainage lines. An increase in saline groundwater ascension (TDS 5000-30 000 mgl-1) to the near-surface, induced by rising pressure heads in the deeper semi-confined aquifer system, advanced land and stream salinization. Areas in a catchment where groundwater flow is channelled upwards by subsurface geological strctures are especially susceptible to salinization and water logging. Enhanced discharge by windmill pumping is an engineering method to reduce excess pressure heads of deep semi-confined aquifers in discharge areas and, consequently, lower water levels at shallower depths. It is an interim solution to halt and prevent salinization in the wheatbelt of Western Australia. Long-term field experiments in three catchments and modelling have shown that windmill pumping (15-30 m3d-1) in the wheatbelt can reduce water levels by 1 to 2 m at radial distance of more than 1 km after several years of pumping. The pumped groundwater can be reused for irrigation (TDS < 3000 mgl-1) or stock water (TDS < 10 000 mgl-1). In some instances, highly saline effluent can be discharged into saline streams or salt lakes. Often saline water disposal requires on-farm evaporation ponds or sacrificial basins. The enhanced discharge method should be part of an integrated catchment management program for the restoration of saline land and streams. the technology is applicable to other irrigated and non-irrigated salt-contaminated regions.

  3. Long-term lesser prairie-chicken nest ecology in response to grassland management

    USGS Publications Warehouse

    Fritts, Sarah R.; Grisham, Blake A.; Haukos, David A.; Boal, Clint W.; Patten, Michael; Wolfe, Don H.; Dixon, Charles; Cox, Robert D.; Heck, Willard R.

    2016-01-01

    Long-term population and range declines from habitat loss and fragmentation caused the lesser prairie-chicken (Tympanuchus pallidicinctus) to be a species of concern throughout its range. Current lesser prairie-chicken range in New Mexico and Texas is partially restricted to sand shinnery oak (Quercus havardii; hereafter shinnery oak) prairies, on which cattle grazing is the main socioeconomic driver for private landowners. Cattle producers within shinnery oak prairies often focus land management on shrub eradication using the herbicide tebuthiuron to promote grass production for forage; however, herbicide application alone, and in combination with grazing, may affect nest site selection and nest survival of lesser prairie-chickens through the reduction of shinnery oak and native grasses. We used a controlled, paired, completely randomized design study to assess the influence of grazing and tebuthiuron application and their combined use on nest site selection and nest survival from 2001 to 2010 in Roosevelt County, New Mexico, USA at 2 spatial scales (i.e., treatment and microhabitat) in 4 treatments: tebuthiuron with grazing, tebuthiuron without grazing, no tebuthiuron with grazing, and a control of no tebuthiuron and no grazing. Grazing treatment was a short-duration system in which plots were grazed once during the dormant season and once during the growing season. Stocking rate was calculated each season based on measured forage production and applied to remove ≤25% of available herbaceous material per season. At the treatment scale, we compared nest site selection among treatments using 1-way χ2 tests and nest survival among treatments using a priori candidate nest survival models in Program MARK. At the microhabitat scale, we identified important habitat predictors of nest site selection and nest survival using logistic regression and a priori candidate nest survival models in Program MARK, respectively. Females typically used treatments as expected and

  4. Long-term neurological conditions: management at the interface between neurology, rehabilitation and palliative care.

    PubMed

    Turner-Stokes, Lynne; Sykes, Nigel; Silber, Eli

    2008-04-01

    Long-term neurological conditions (LTNCs) comprise a diverse set of conditions resulting from injury or disease of the nervous system that will affect an individual for life. Some 10 million people in the UK are living with a neurological condition which has a significant impact on their lives, and they make up 19% of hospital admissions. These guidelines build on the Quality Requirements in the National Service Framework for Long-term (Neurological) Conditions to explore the interaction between specialist neurology, rehabilitation and palliative care services, and how they may best work together to provide long-term support for people with LTNCs and the family members who care for them. The guidelines also provide some practical advice for other clinicians when caring for someone with an LTNC, and outline indications for specialist referral. This article provides a brief summary. Full details of the methods and literature evaluation, as well as tools for implementation, are available in the full guideline.

  5. Long-term impact of acid resin waste deposits on soil quality of forest areas I. Contaminants and abiotic properties.

    PubMed

    Pérez-de-Mora, Alfredo; Madejón, Engracia; Cabrera, Francisco; Buegger, Franz; Fuss, Roland; Pritsch, Karin; Schloter, Michael

    2008-11-15

    Acid resins are residues characterised by elevated concentrations of hydrocarbons and trace elements, which were produced by mineral oil industries in Central Europe during the first half of the last century. Due to the lack of environmental legislation at that time, these wastes were dumped into excavated ponds in public areas without further protection. In this work, the long-term effects of such resin deposits on soil quality of two forest areas (Bayern, Germany) were assessed. We evaluated the distribution and accumulation of contaminants in the surroundings of the deposits, where the waste was disposed of about 60 years ago. General soil chemical properties such as pH, C, N and P content were also investigated. Chemical analysis of resin waste from the deposits revealed large amounts of potential contaminants such as hydrocarbons (93 g kg(-1)), As (63 mg kg(-1)), Cd (24 mg kg(-1)), Cu (1835 mg kg(-1)), Pb (8100 mg kg(-1)) and Zn (873 mg kg(-1)). Due to the location of the deposits on a hillside and the lack of adequate isolation, contaminants have been released downhill despite the solid nature of the waste. Five zones were investigated in each site: the deposit, three affected zones along the plume of contamination and a control zone. In affected zones, contaminants were 2 to 350 times higher than background levels depending on the site. In many cases, contaminants exceeded the German environmental guidelines for the soil-groundwater path and action levels based on extractable concentrations. Resin contamination yielded larger total C/total N ratios in affected zones, but no clear effect was observed on absolute C, N and P concentrations. In general, no major acidification effect was reported in affected zones.

  6. The Effectiveness of Self-Management Mobile Phone and Tablet Apps in Long-term Condition Management: A Systematic Review

    PubMed Central

    2016-01-01

    Background Long-term conditions and their concomitant management place considerable pressure on patients, communities, and health care systems worldwide. International clinical guidelines on the majority of long-term conditions recommend the inclusion of self-management programs in routine management. Self-management programs have been associated with improved health outcomes; however, the successful and sustainable transfer of research programs into clinical practice has been inconsistent. Recent developments in mobile technology, such as mobile phone and tablet computer apps, could help in developing a platform for the delivery of self-management interventions that are adaptable, of low cost, and easily accessible. Objective We conducted a systematic review to assess the effectiveness of mobile phone and tablet apps in self-management of key symptoms of long-term conditions. Methods We searched PubMed, Embase, EBSCO databases, the Cochrane Library, and The Joanna Briggs Institute Library for randomized controlled trials that assessed the effectiveness of mobile phone and tablet apps in self-management of diabetes mellitus, cardiovascular disease, and chronic lung diseases from 2005–2016. We searched registers of current and ongoing trials, as well as the gray literature. We then checked the reference lists of all primary studies and review papers for additional references. The last search was run in February 2016. Results Of the 9 papers we reviewed, 6 of the interventions demonstrated a statistically significant improvement in the primary measure of clinical outcome. Where the intervention comprised an app only, 3 studies demonstrated a statistically significant improvement. Interventions to address diabetes mellitus (5/9) were the most common, followed by chronic lung disease (3/9) and cardiovascular disease (1/9). A total of 3 studies included multiple intervention groups using permutations of an intervention involving an app. The duration of the

  7. An Evaluation of Long-Term Performance of Liner Systems for Low-Level Waste Disposal Facilities

    SciTech Connect

    Arthur S. Rood; Annette L. Schafer; A. Jeffrey Sondrup

    2011-03-01

    Traditional liner systems consisting of a geosynthetic membrane underlying a waste disposal facility coupled with a leachate collection system have been proposed as a means of containing releases of low-level radioactive waste within the confines of the disposal facility and thereby eliminating migration of radionuclides into the vadose zone and groundwater. However, this type of hydraulic containment liner system is only effective as long as the leachate collection system remains functional or an overlying cover limits the total infiltration to the volumetric pore space of the disposal system. If either the leachate collection system fails, or the overlying cover becomes less effective during the 1,000’s of years of facility lifetime, the liner may fill with water and release contaminated water in a preferential or focused manner. If the height of the liner extends above the waste, the waste will become submerged which could increase the release rate and concentration of the leachate. If the liner extends near land surface, there is the potential for contamination reaching land surface creating a direct exposure pathway. Alternative protective liner systems can be engineered that eliminate radionuclide releases to the vadose zone during operations and minimizing long term migration of radionuclides from the disposal facility into the vadose zone and aquifer. Non-traditional systems include waste containerization in steel or composite materials. This type of system would promote drainage of clean infiltrating water through the facility without contacting the waste. Other alternatives include geochemical barriers designed to transmit water while adsorbing radionuclides beneath the facility. Facility performance for a hypothetical disposal facility has been compared for the hydraulic and steel containerization liner alternatives. Results were compared in terms of meeting the DOE Order 435.1 low-level waste performance objective of 25 mrem/yr all-pathways dose

  8. Surgical management of acromegaly: Long term functional outcome analysis and assessment of recurrent/residual disease

    PubMed Central

    Banerji, Deepu; Das, Nitu K.; Sharma, Siddhiraj; Jindal, Yogesh; Jain, Vijendra K.; Behari, Sanjay

    2016-01-01

    Context: Functional growth hormone producing adenomas have long-term deleterious effects on the visual apparatus, the cardiovascular and musculoskeletal systems, and often predispose to malignancies. Since persistence of acromegaly affects outcome and quality of life, therapeutic interventions become mandatory. Aim: This study represents an analysis of long-term clinical and endocrinal outcome of 115 patients of acromegaly after surgical management. Setting and Design: Tertiary care retrospective study. Materials and Methods: One hundred and fifteen patients (male:female ratio: 1:1.09) with acromegalic features were studied. Apart from acromegalic features, their main clinical presentation also included headache, diminution of vision, field defects, ptosis, irregular menstruation, diabetes insipidus, diabetes mellitus and hypertension. Six of them presented with apoplexy. Their preoperative endocrinal evaluation included basal and suppressed growth hormone (GH), prolactin and thyroid levels. On the basis of axial and coronal CT scan or multiplanar MR imaging or both, the tumors were classified according to their suprasellar and parasellar extension (Hardy's grade). Transnasal trans-sphenoidal surgery (TSS) (n = 37) and sublabial, rhinoseptal TSS (n = 72) were the preferred approaches. Six patients with significant parasellar extensions underwent trans-cranial explorations. The patients were followed up at 6 and 12 weeks and then at 6 monthly intervals. Hormonal and CT/MR evaluation were also done. Attainment of random GH value less than 2.5 µg/L, and the nadir GH value after oral glucose tolerance test (OGTT) less than 1 µg/L were used as the criteria of cure. Findings: The patients were preoperatively in Hardy's tumor grade 0 (29), A (21), A+E (3), B (21), B+E (5), C (9), C+E (10), D (1) D+E (11), E (5), respectively. One hundred and one patients were available for follow-up (FU; median FU duration: 84 months; range: 6 to 132 months). Surgical cure was achieved

  9. Long-Term Effects of Outpatient Geriatric Evaluation and Management on Health Care Utilization, Cost, and Survival

    ERIC Educational Resources Information Center

    Engelhardt, Joseph B.; Toseland, Ronald W.; Gao, Jian; Banks, Steven

    2006-01-01

    Purpose: The long-term effectiveness and efficiency of an outpatient geriatric evaluation and management (GEM) program was compared to usual primary care (UPC). Design and Method: A randomized controlled group design was used. Health care utilization, cost of care, and survival were assessed during a 48-month period among a sample of 160 male…

  10. APPLICATION OF THE ANALYTIC HIERARCHY PROCESS TO COMPARE ALTERNATIVES FOR THE LONG-TERM MANAGEMENT OF SURPLUS MERCURY

    EPA Science Inventory

    This paper describes a systematic method for comparing options for the long-term management of surplus elemental mercury in the U.S., using the Analytic Hierarchy Process (AHP) as embodied in commercially available Expert Choice software. A limited scope multi-criteria decision-a...

  11. 76 FR 5145 - Notice of Availability of the Final Long-Term Management and Storage of Elemental Mercury...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-28

    ... of Availability of the Final Long-Term Management and Storage of Elemental Mercury Environmental... Mercury Environmental Impact Statement (DOE/ ] EIS-0423, ``Mercury Storage FEIS'' or ``FEIS''). This FEIS... tons (11,000 tons) of elemental mercury at each of seven alternative sites across the U.S. The...

  12. Relevance of biotic pathways to the long-term regulation of nuclear waste disposal. Phase I. Final report. Vol. 4

    SciTech Connect

    McKenzie, D.H.; Cadwell, L.L.; Eberhardt, L.E.; Kennedy, W.E. Jr.; Peloquin, R.A.; Simmons, M.A.

    1984-05-01

    Licensing and regulation of commercial low-level waste (CLLW) burial facilities require that anticipated risks associated with burial sites be evaluated for the life of the facility. This work reviewed the existing capability to evaluate dose to man resulting from the potential redistribution of buried radionuclides by plants and animals that we have termed biotic transport. Through biotic transport, radionuclides can be moved to locations where they can enter exposure pathways to man. We found that predictive models currently in use did not address the long-term risks resulting from the cumulative transport of radionuclides. Although reports in the literature confirm that biotic transport phenomena are common, assessments routinely ignore the associated risks or dismiss them as insignificant without quantitative evaluation. To determine the potential impacts of biotic transport, we made order-of-magnitude estimates of the dose to man for biotic transport processes at reference arid and humid CLLW disposal sites. Estimated doses to site residents after assumed loss of institutional control were comparable to dose estimates for the intruder-agricultural scenario defined in the DEIS for 10 CFR 61 (NRC). The reported lack of potential importance of biotic transport at low-level waste sites in earlier assessment studies is not confirmed by order of magnitude estimates presented in this study. 17 references, 10 figures, 8 tables.

  13. 1989 Management Seminars for the New York Association of Long Term Care Administrators.

    ERIC Educational Resources Information Center

    Towne, Violet A.

    The collaboration between the continuing education arm of the State University of New York Institute of Technology at Utica/Rome and the New York Association for Long Term Care Administrators in the design, development and delivery of educational programs for nursing home and adult home administrators in New York State is reported. Program content…

  14. Management and long-term outcome of partial glossectomy in 2 horses

    PubMed Central

    Lang, Hayley M.; Panizzi, Luca; Smyth, Travis T.; Plaxton, Andrea E.; Lohmann, Katharina L.; Barber, Spencer M.

    2014-01-01

    Records were reviewed for 2 horses with partial glossectomy, 1 traumatic and 1 elective. According to long-term follow-up by telephone, both horses had recovered well, experiencing only temporary difficulty while eating, and went on to be ridden successfully using mouth bits. Partial glossectomy, therefore, had a favorable prognosis in 2 performance horses. PMID:24587510

  15. Development of Approach for Long-Term Management of Disused Sealed Radioactive Sources - 13630

    SciTech Connect

    Kinker, M.; Reber, E.; Mansoux, H.; Bruno, G.

    2013-07-01

    Radioactive sources are used widely throughout the world in a variety of medical, industrial, research and military applications. When such radioactive sources are no longer used and are not intended to be used for the practice for which an authorization was granted, they are designated as 'disused sources'. Whether appropriate controls are in place during the useful life of a source or not, the end of this useful life is often a turning point after which it is more difficult to ensure the safety and security of the source over time. For various reasons, many disused sources cannot be returned to the manufacturer or the supplier for reuse or recycling. When these attempts fail, disused sources should be declared as radioactive waste and should be managed as such, in compliance with relevant international legal instruments and safety standards. However, disposal remains an unresolved issue in many counties, due to in part to limited public acceptance, insufficient funding, and a lack of practical examples of strategies for determining suitable disposal options. As a result, disused sources are often stored indefinitely at the facilities where they were once used. In order to prevent disused sources from becoming orphan sources, each country must develop and implement a comprehensive waste management strategy that includes disposal of disused sources. The International Atomic Energy Agency (IAEA) fosters international cooperation between countries and encourages the development of a harmonized 'cradle to grave' approach to managing sources consistent with international legal instruments, IAEA safety standards, and international good practices. This 'cradle to grave' approach requires the development of a national policy and implementing strategy, an adequate legal and regulatory framework, and adequate resources and infrastructure that cover the entire life cycle, from production and use of radioactive sources to disposal. (authors)

  16. Long-Term Condition Self-Management Support in Online Communities: A Meta-Synthesis of Qualitative Papers

    PubMed Central

    Vassilev, Ivaylo; Kennedy, Anne; Rogers, Anne

    2016-01-01

    Background Recent years have seen an exponential increase in people with long-term conditions using the Internet for information and support. Prior research has examined support for long-term condition self-management through the provision of illness, everyday, and emotional work in the context of traditional offline communities. However, less is known about how communities hosted in digital spaces contribute through the creation of social ties and the mobilization of an online illness “workforce.” Objective The aim was to understand the negotiation of long-term condition illness work in patient online communities and how such work may assist the self-management of long-term conditions in daily life. Methods A systematic search of qualitative papers was undertaken using various online databases for articles published since 2004. A total of 21 papers met the inclusion criteria of using qualitative methods and examined the use of peer-led online communities for those with a long-term condition. A qualitative meta-synthesis was undertaken and the review followed a line of argument synthesis. Results The main themes identified in relation to the negotiation of self-management support were (1) redressing offline experiential information and knowledge deficits, (2) the influence of modeling and learning behaviors from others on self-management, (3) engagement that validates illness and negates offline frustrations, (4) tie formation and community building, (5) narrative expression and cathartic release, and (6) dissociative anonymity and invisibility. These translated into a line of argument synthesis in which four network mechanisms for self-management support in patient online communities were identified. These were (1) collective knowledge and identification through lived experience; (2) support, information, and engagement through readily accessible gifting relationships; (3) sociability that extends beyond illness; and (4) online disinhibition as a facilitator

  17. Long-term outcome after surgical and endovascular management of true and false subclavian artery aneurysms.

    PubMed

    Zehm, Sarah; Chemelli, Andreas; Jaschke, Werner; Fraedrich, Gustav; Rantner, Barbara

    2014-06-01

    Subclavian artery aneurysm is a rare but serious disease due to the risk of thrombosis, embolization, rupture and compression of adjacent structures. Treatment consists of surgical and endovascular techniques. Up to now few long-term follow-up results have been reported. In our study the results from 15 patients treated for subclavian artery aneurysms were evaluated. Eleven patients underwent open surgical reconstruction, four patients were treated endovascularly. After a mean follow-up period of 77 months (83 months for the open surgical group, 38 months for the endovascular group), 10 of 11 open surgical reconstructions and all primarily implanted stent grafts were patent. Secondary intervention was necessary in two patients. Thirty-day mortality for both treatment groups was 0%. Subclavian artery aneurysm-related symptoms disappeared in six out of 10 patients after the treatment. Long-term outcomes with good technical results, patency rates and low periprocedural morbidity could be shown in both treatment groups.

  18. MANAGEMENT OF ENDOCRINE DISEASE: Long-term outcomes of the treatment of central precocious puberty.

    PubMed

    Guaraldi, Federica; Beccuti, Guglielmo; Gori, Davide; Ghizzoni, Lucia

    2016-03-01

    GnRH analogues (GnRHa) are the treatment of choice for central precocious puberty (CPP), with the main objective to recover the height potential compromised by the premature fusion of growth cartilages. The aim of this review was to analyze long-term effects of GnRHa on height, body weight, reproductive function, and bone mineral density (BMD) in patients with CPP, as well as the potential predictors of outcome. Because randomized controlled trials on the effectiveness and long-term outcomes of treatment are not available, only qualified conclusions about the efficacy of interventions can be drawn. GnRHa treatment appears to improve adult height in girls with CPP, especially if diagnosed before the age of 6, whereas a real benefit in terms of adult height is still controversial in patients with the onset of puberty between 6 and 8 years of age. No height benefit was shown in patients treated after 8 years. Gonadal function is promptly restored in girls after cessation of treatment, and reproductive potential appears normal in young adulthood. Data are conflicting on the long-term risk of polycystic ovarian syndrome in both treated and untreated women. Fat mass is increased at the start of treatment but normalizes thereafter, and GnRHa itself does not seem to have any long-term effect on BMI. Similarly, analogue treatment does not appear to have a negative impact on BMD. Owing to the paucity of data available, no conclusions can be drawn on the repercussions of CPP and/or its treatment on the timing of menopause and on the health of the offspring.

  19. Fiscal Year 2015 U.S. Government Financial Statements: Need to Address the Governments Remaining Financial Management Challenges and Long Term Fiscal Path

    DTIC Science & Technology

    2016-04-06

    FINANCIAL STATEMENTS Need to Address the Government’s Remaining Financial Management Challenges and Long- Term Fiscal Path Statement of Gene L. Dodaro... Management Challenges and Long-Term Fiscal Path Why GAO Did This Study Congress and the President need reliable, useful, and timely financial and...discusses the federal government’s remaining financial management challenges and long-term fiscal path, specifically in the context of GAO’s report on

  20. Recent Developments in Nuclear Waste Management in Canada

    SciTech Connect

    King, F.

    2002-02-27

    This paper describes recent developments in the field of nuclear waste management in Canada with a focus on management of nuclear fuel waste. Of particular significance is the April 2001 tabling in the Canadian House of Commons of Bill C-27, An Act respecting the long-term management of nuclear fuel waste. At the time of finalizing this paper (January 15, 2002), Bill C-27 is in Third Reading in the House of Commons and is expected to move to the Senate in February. The Nuclear Fuel Waste Act is expected to come into force later in 2002. This Act requires the three nuclear utilities in Canada owning nuclear fuel waste to form a waste management organization and deposit funds into a segregated fund for nuclear fuel waste long-term management. The waste management organization is then required to perform a study of long-term management approaches for nuclear fuel waste and submit the study to the federal government within three years. The federal government will select an approach for implementation by the waste management organization. The paper discusses the activities that the nuclear fuel waste owners currently have underway to prepare for the formation of the waste management organization. As background, the paper reviews the status of interim storage of nuclear fuel waste in Canada, and describes previous initiatives related to the development of a national strategy for nuclear fuel waste long-term management.

  1. Characteristics of spent fuel, high-level waste, and other radioactive wastes which may require long-term isolation

    SciTech Connect

    1988-06-01

    The purpose of this report, and the information contained in the associated computerized data bases, is to establish the DOE/OCRWM reference characteristics of the radioactive waste materials that may be accepted by DOE for emplacement in the mined geologic disposal system as developed under the Nuclear Waste Policy Act of 1982. This report provides relevant technical data for use by DOE and its supporting contractors and is not intended to be a policy document. This document is backed up by five PC-compatible data bases, written in a user-oriented, menu-driven format, which were developed for this purpose.

  2. Social Network Type and Long-Term Condition Management Support: A Cross-Sectional Study in Six European Countries

    PubMed Central

    2016-01-01

    Background Network types and characteristics have been linked to the capacity of inter-personal environments to mobilise and share resources. The aim of this paper is to examine personal network types in relation to long-term condition management in order to identify the properties of network types most likely to provide support for those with a long-term condition. Method A cross-sectional observational survey of people with type 2 diabetes using interviews and questionnaires was conducted between April and October 2013 in six European countries: Greece, Spain, Bulgaria, Norway, United Kingdom, and Netherlands. 1862 people with predominantly lower socio-economic status were recruited from each country. We used k-means clustering analysis to derive the network types, and one-way analysis of variance and multivariate logistic regression analysis to explore the relationship between network type socio-economic characteristics, self-management monitoring and skills, well-being, and network member work. Results Five network types of people with long-term conditions were identified: restricted, minimal family, family, weak ties, and diverse. Restricted network types represented those with the poorest self-management skills and were associated with limited support from social network members. Restricted networks were associated with poor indicators across self-management capacity, network support, and well-being. Diverse networks were associated with more enhanced self-management skills amongst those with a long-term condition and high level of emotional support. It was the three network types which had a large number of network members (diverse, weak ties, and family) where healthcare utilisation was most likely to correspond to existing health needs. Discussion Our findings suggest that type of increased social involvement is linked to greater self-management capacity and potentially lower formal health care costs indicating that diverse networks constitute the optimal

  3. Long term effect of alkali types on waste activated sludge hydrolytic acidification and microbial community at low temperature.

    PubMed

    Jin, Baodan; Wang, Shuying; Xing, Liqun; Li, Baikun; Peng, Yongzhen

    2016-01-01

    The effect of four alkali reagents (NaOH, KOH, Ca(OH)2, mixed alkali) on waste activated sludge (WAS) hydrolytic acidification and microbial community was studied in semi-continuous fermentation systems at low temperature (15°C) over long term operational time (65day). The results showed that protein and polysaccharide of NaOH (124.26, 11.92) was similar to that of KOH (109.53, 11.30), both were higher than Ca(OH)2 (70.66, 3.74) and mixed alkali (90.66, 8.71). The short chain fatty acids (SCFAs) of NaOH (231.62) was higher than KOH (220.62mg chemical oxygen demand (COD)/g VSS). Although Ca(OH)2 system had strong acidification capacity, the shortage of SCFAs occurred due to the low activity of hydrolase. Illumina MiSeq sequencing revealed that Tissierella and Erysipelothrix were enriched in the NaOH and Ca(OH)2 systems, where Peptostreptococcaceae incertae_sedis was enriched in the NaOH and KOH systems, less Anaerolinea was involved in Ca(OH)2 condition.

  4. Impact of Scots pine (Pinus sylvestris L.) plantings on long term (137)Cs and (90)Sr recycling from a waste burial site in the Chernobyl Red Forest.

    PubMed

    Thiry, Yves; Colle, Claude; Yoschenko, Vasyl; Levchuk, Svjatoslav; Van Hees, May; Hurtevent, Pierre; Kashparov, Valery

    2009-12-01

    Plantings of Scots pine (Pinus sylvestris L.) on a waste burial site in the Chernobyl Red Forest was shown to greatly influence the long term redistribution of radioactivity contained in sub-surfaces trenches. After 15 years of growth, aboveground biomass of the average tree growing on waste trench no.22 had accumulated 1.7 times more (137)Cs than that of trees growing off the trench, and 5.4 times more (90)Sr. At the scale of the trench and according to an average tree density of 3300 trees/ha for the study zone, tree contamination would correspond to 0.024% of the (137)Cs and 2.52% of the (90)Sr contained in the buried waste material. A quantitative description of the radionuclide cycling showed a potential for trees to annually extract up to 0.82% of the (90)Sr pool in the trench and 0.0038% of the (137)Cs. A preferential (90)Sr uptake from the deep soil is envisioned while pine roots would take up (137)Cs mostly from less contaminated shallow soil layers. The current upward flux of (90)Sr through vegetation appeared at least equal to downward loss in waste material leaching as reported by Dewiere et al. (2004, Journal of Environmental Radioactivity 74, 139-150). Using a prospective calculation model, we estimated that maximum (90)Sr cycling can be expected to occur at 40 years post-planting, resulting in 12% of the current (90)Sr content in the trench transferred to surface soils through biomass turnover and 7% stored in tree biomass. These results are preliminary, although based on accurate methodology. A more integrated ecosystem study leading to the coupling between biological and geochemical models of radionuclide cycling within the Red Forest seems opportune. Such a study would help in the adequate management of that new forest and the waste trenches upon which they reside.

  5. Seasonal-Spatial Distribution and Long-Term Variation of Transparency in Xin’anjiang Reservoir: Implications for Reservoir Management

    PubMed Central

    Wu, Zhixu; Zhang, Yunlin; Zhou, Yongqiang; Liu, Mingliang; Shi, Kun; Yu, Zuoming

    2015-01-01

    Water transparency is a useful indicator of water quality or productivity and is widely used to detect long-term changes in the water quality and eutrophication of lake ecosystems. Based on short-term spatial observations in the spring, summer, and winter and on long-term site-specific observation from 1988 to 2013, the spatial, seasonal, long-term variations, and the factors affecting transparency are presented for Xin’anjiang Reservoir (China). Spatially, transparency was high in the open water but low in the bays and the inflowing river mouths, reflecting the effect of river runoff. The seasonal effects were distinct, with lower values in the summer than in the winter, most likely due to river runoff and phytoplankton biomass increases. The transparency decreased significantly with a linear slope of 0.079 m/year, indicating a 2.05 m decrease and a marked decrease in water quality. A marked increase occurred in chlorophyll a (Chla) concentration, and a significant correlation was found between the transparency and Chla concentration, indicating that phytoplankton biomass can partially explain the long-term trend of transparency in Xin’anjiang Reservoir. The river input and phytoplankton biomass increase were associated with soil erosion and nutrient loss in the catchment. Our study will support future management of water quality in Xin’anjiang Reservoir. PMID:26274970

  6. Long-term simulations of water and isoproturon dynamics in a heterogeneous soil receiving different urban waste composts

    NASA Astrophysics Data System (ADS)

    Filipović, Vilim; Coquet, Yves; Pot, Valérie; Romić, Davor; Benoit, Pierre; Houot, Sabine

    2016-04-01

    Implementing various compost amendments and tillage practices has a large influence on soil structure and can create heterogeneities at the plot/field scale. While tillage affects soil physical properties, compost application influences also chemical properties like pesticide sorption and degradation. A long-term field experiment called "QualiAgro" (https://www6.inra.fr/qualiagro_eng/), conducted since 1998 aims at characterizing the agronomic value of urban waste composts and their environmental impacts. A modeling study was carried out using HYDRUS-2D for the 2004-2010 period to confront the effects of two different compost types combined with the presence of heterogeneities due to tillage in terms of water and isoproturon dynamics in soil. A municipal solid waste compost (MSW) and a co-compost of sewage sludge and green wastes (SGW) have been applied to experimental plots and compared to a control plot without any compost addition (CONT). Two wick lysimeters, 5 TDR probes, and 7 tensiometers were installed per plot to monitor water and isoproturon dynamics. In the ploughed layer, four zones with differing soil structure were identified: compacted clods (Δ), non-compacted soil (Γ), interfurrows (IF), and the plough pan (PP). These different soil structural zones were implemented into HYDRUS-2D according to field observation and using measured soil hydraulic properties. Lysimeter data showed (2004 -2010 period) that the CONT plot had the largest cumulative water outflow (1388 mm) compared to the MSW plot (962 mm) and SGW plot (979 mm). HYDRUS-2D was able to describe cumulative water outflow after calibration of soil hydraulic properties, for the whole 2004-2010 period with a model efficiency value of 0.99 for all three plots. Isoproturon leaching showed had the largest cumulative value in the CONT plot (21.31 μg) while similar cumulated isoproturon leachings were measured in the SGW (0.663 μg) and MSW (0.245 μg) plots. The model was able to simulate

  7. Monitoring the Long-Term Effectiveness of Integrated Safety Management System (ISMS) Implementation Through Use of a Performance Dashboard Process

    SciTech Connect

    Michael D. Kinney and William D. Barrick

    2008-09-01

    This session will examine a method developed by Federal and Contractor personnel at the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office (NNSA/NSO) to examine long-term maintenance of DOE Integrated Safety Management System (ISMS) criteria, including safety culture attributes, as well as identification of process improvement opportunities. This process was initially developed in the summer of 2000 and has since been expanded to recognize the importance of safety culture attributes, and associated safety culture elements, as defined in DOE M 450.4-1, “Integrated Safety Management System Manual.” This process has proven to significantly enhance collective awareness of the importance of long-term ISMS implementation as well as support commitments by NNSA/NSO personnel to examine the continued effectiveness of ISMS processes.

  8. [Dysphagia management of acute and long-term critically ill intensive care patients].

    PubMed

    Zielske, J; Bohne, S; Axer, H; Brunkhorst, F M; Guntinas-Lichius, O

    2014-10-01

    Dysphagia is a severe complication in critically ill patients and affects more than half the patients in an intensive care unit. Dysphagia also has a strong impact on morbidity and mortality. Risk factors for the development of dysphagia are neurological diseases, age >55-70 years, intubation >7 days and sepsis. With increasing numbers of long-term survivors chronic dysphagia is becoming an increasing problem. There is not much knowledge on the influence of specific diseases, including the direct impact of sepsis on the development of dysphagia. Fiberoptic evaluation of swallowing is a standardized tool for bedside evaluation, helping to plan swallowing training during the acute phase and to decrease the rate of chronic dysphagia. For evaluation of chronic dysphagia even more extensive diagnostic tools as well as several options of stepwise rehabilitation using restitution, compensation and adaption strategies for swallowing exist. Currently it seems that these options are not being sufficiently utilized. In general, there is a need for controlled clinical trials analyzing specific swallowing rehabilitation concepts for former critically ill patients and long-term survivors.

  9. Long-term management strategies to achieve optimal function in patients with bipolar disorder.

    PubMed

    Keck, Paul E

    2006-01-01

    Functional impairment is a problem for people with bipolar disorder. Predictors of poor functional outcome are psychiatric and medical comorbidity, interepisode subsyndromal symptoms, psychosis during a manic or mixed episode, and low premorbid functioning. Cognitive dysfunction may also be a contributory factor in functional impairment. Several psychosocial interventions designed for people with bipolar disorder have demonstrated success in improving syndromal outcomes, but the effects of psychosocial interventions on functioning and cognition have not been examined. Among pharmacologic interventions available for long-term treatment of bipolar disorder, there is a strong clinical trend away from monotherapy and toward combination therapy. Lithium, lamotrigine, olanzapine, and aripiprazole have all shown substantial improvements in relapse rates compared with placebo. Although some of these medications show superior results compared with the others in preventing the recurrence of either depressive or manic episodes, only anecdotal evidence exists regarding their effect on cognition. Combination therapy with antipsychotics or antidepressants has also been shown to produce better syndromal outcomes in people with bipolar disorder, but inadequate evidence is available on cognitive outcomes. Substantial information is needed regarding the prevalence and causes of cognitive dysfunction in bipolar disorder, the effects of existing treatments on cognition, and long-term treatments to improve cognition and functioning.

  10. Characteristics of spent fuel, high-level waste, and other radioactive wastes which may require long-term isolation

    SciTech Connect

    1987-12-01

    The purpose of this report, and the information contained in the associated computerized data bases, is to establish the DOE/OCRWM reference characteristics of the radioactive waste materials that may be accepted by DOE for emplacement in the mined geologic disposal system. This report provides relevant technical data for use by DOE and its supporting contractors and is not intended to be a policy document. This document is backed up by five PC-compatible data bases, written in a user-oriented, menu-driven format, which were developed for this purpose. The data bases are the LWR Assemblies Data Base; the LWR Radiological Data Base; the LWR Quantities Data Base; the LWR NFA Hardware Data Base; and the High-Level Waste Data Base. The above data bases may be ordered using the included form. An introductory information diskette can be found inside the back cover of this report. It provides a brief introduction to each of these five PC data bases. 116 refs., 18 figs., 67 tabs.

  11. Characteristics of spent fuel, high-level waste, and other radioactive wastes which may require long-term isolation

    SciTech Connect

    1988-06-01

    The purpose of this report, and the information contained in the associated computerized data bases, is to establish the DOE/OCRWM reference characteristics of the radioactive waste materials that may be accepted by DOE for emplacement in the mined geologic disposal system. This report provides relevant technical data for use by DOE and its supporting contractors and is not intended to be a policy document. This document is backed up by five PC-compatible data bases, written in a user-oriented, menu-driven format, which were developed for this purpose. The data bases are the LWR Assemblies Data Base; the LWR Radiological Data Base; the LWR Quantities Data Base; the LWR NEA Hardware Data Base; and the High-Level Waste Data Base. The above data bases may be ordered using the included form. An introductory information diskette can be found inside the back cover of this report. It provides a brief introduction to each of these five PC data bases. Volume 8 contains 4 appendices. 14 refs., 20 figs., 20 tabs.

  12. Legacy phosphorus accumulation and management in the global context: insights from long-term analysis of major river basins

    NASA Astrophysics Data System (ADS)

    Powers, S. M.; Burt, T. P.; Chan, N. I.; Elser, J. J.; Haygarth, P. M.; Howden, N. J. K.; Jarvie, H. P.; Peterson, H. M.; Shen, J.; Worrall, F.; Sharpley, A. N.

    2014-12-01

    Phosphorus (P) is closely linked to major societal concerns including food security and water quality, and human activities strongly control the modern global P cycle. Current knowledge of the P cycle includes many insights about relatively short-term processes, but a long-term and landscape-level view may be needed to understand P status and optimize P management towards P sustainability. We reconstructed long-term (>40 years) P mass balances and rates of P accumulation in three major river basins where excess P pollution is demanding improvements in P management at local, national, and international levels. We focus on: Maumee River Basin, a major source of agricultural P to Lake Erie, the southernmost and shallowest of the Laurentian Great Lakes; Thames River Basin, where fluxes of effluent P from the London, England metropolitan area have declined following improvements in wastewater treatment; Yangtze (Changjiang) River Basin, the largest in China, which is undergoing rapid economic development. The Maumee and Thames are intensively monitored, and show long-term declines in basin P inputs that represent a step towards P sustainability. However, river P outputs have been slower to decline, consistent with the hypothesis that legacy P is mobilizing from soils or from within the river network. Published data on the Yangtze indicate the P flux from land to water has clearly increased with industrialization and population growth. Historical trajectories of P accumulation and depletion in major river basins are providing new understanding about the long-term impacts of P management, including watershed P legacies and response times, that may inform future policy towards local, national, and global P sustainability.

  13. Managing Heart Failure in Long-Term Care: Recommendations from an Interprofessional Stakeholder Consultation.

    PubMed

    Heckman, George A; Boscart, Veronique M; D'Elia, Teresa; Kelley, Mary Lou; Kaasalainen, Sharon; McAiney, Carrie A; van der Horst, Mary-Lou; McKelvie, Robert S

    2016-12-01

    Heart failure (HF) affects up to 20 per cent of residents in long-term care (LTC) and is associated with substantial morbidity, mortality, and health service utilization. Our study objective was to formulate recommendations on implementing HF care processes in LTC. A three-phase and iterative stakeholder consultation process, guided by expert panel input, was employed to develop recommendations on implementing care processes for HF in LTC. This article presents the results of the third phase, which consisted of a series of interdisciplinary workshops. We developed 17 recommendations. Key elements of these recommendations focus on improving interprofessional communication and improving HF-related knowledge among all LTC stakeholders. Engaging frontline staff, including personal support workers, was stated as an essential component of all recommendations. System-level recommendations include improving communication between LTC homes and acute care and other external health service providers, and developing facility-wide interventions to reduce dietary sodium intake and increase physical activity.

  14. Long-term intensive management increased carbon occluded in phytolith (PhytOC) in bamboo forest soils

    PubMed Central

    Huang, Zhang-ting; Li, Yong-fu; Jiang, Pei-kun; Chang, Scott X.; Song, Zhao-liang; Liu, Juan; Zhou, Guo-mo

    2014-01-01

    Carbon (C) occluded in phytolith (PhytOC) is highly stable at millennium scale and its accumulation in soils can help increase long-term C sequestration. Here, we report that soil PhytOC storage significantly increased with increasing duration under intensive management (mulching and fertilization) in Lei bamboo (Phyllostachys praecox) plantations. The PhytOC storage in 0–40 cm soil layer in bamboo plantations increased by 217 Mg C ha−1, 20 years after being converted from paddy fields. The PhytOC accumulated at 79 kg C ha−1 yr−1, a rate far exceeding the global mean long-term soil C accumulation rate of 24 kg C ha−1 yr−1 reported in the literature. Approximately 86% of the increased PhytOC came from the large amount of mulch applied. Our data clearly demonstrate the decadal scale management effect on PhytOC accumulation, suggesting that heavy mulching is a potential method for increasing long-term organic C storage in soils for mitigating global climate change. PMID:24398703

  15. Long-term aeration management for improved N-removal via SND in a sequencing batch reactor.

    PubMed

    Third, K A; Gibbs, B; Newland, M; Cord-Ruwisch, R

    2005-09-01

    Management of the aeration length in a sequencing batch reactor (SBR) can improve N-removal by minimising the amount of organic substrate that is oxidised aerobically. This study investigates the long-term effect of aeration control on N-removal via simultaneous nitrification and denitrification (SND) by a mixed culture in a 2L acetate-fed SBR, using PHB as the electron donor for denitrification. The reactor was operated continuously with automated termination of the aerobic phase after ammonium depletion, using the specific oxygen uptake rate (SOUR) as the control parameter. This resulted in an increase of the organic loading rate (OLR) from 0.33 to 0.59 g BOD g(-1)d(-1). Over the first 12 cycles of operation, the PHB content of the biomass increased three-fold and resulted in a progressively increasing SOUR, which allowed an increased amount of nitrogen removal via SND from 34% to 52%. After one month of continuous operation with controlled aeration, the settling efficiency of the biomass had significantly improved (SVI 70 mL g(-1) X). Long-term oxygen management resulted in biomass with a higher capacity for N-removal via SND and improved settling characteristics. Our results may help to explain long-term historical effects of N-removal capabilities in WWTPs and assist design engineers in choosing an appropriate aeration length and OLR.

  16. Long-term medical management of gastro-esophageal reflux disease: how long and when to consider surgery?

    PubMed

    Venkataraman, Jayanthi; Krishnan, Arunkumar

    2012-01-01

    Gastro-esophageal reflux disease is a chronic, long standing disease. Spontaneous remission of GERD is rare and conservative management including life style modification measures is unlikely to relieve symptoms. Majority of patients with reflux disease require long-term acid suppressants. Proton pump inhibitors are the choice of drugs in management of these patients. The end point of treatment is not clear. Duration of treatment is individual based. The symptoms may be intermittent or on most days of the week. The treatment is therefore either a short course which may be for 8 to 12 weeks or 6 months, or continuous, intermittent or 'on-demand' basis. The maintenance therapy is with the lowest proton pump inhibitor (PPI) dose necessary for adequate symptom relief. Whether long-term PPI actually alters the natural history of reflux disease other than to reduce the incidence of peptic stricture is not known. Reported adverse effects due to PPI include Clostridium difficile colitis and bacterial gastroenteritis, osteoporosis, and vitamin B12 deficiency. Anti-reflux surgery is indicated for youngsters, those not willing for long-term PPI i.e. for years, large volume refluxers, especially the supine refluxers and bile refluxers.

  17. Workshop proceedings: Developing the scientific basis for long-term land management of the Idaho National Engineering and Environmental Laboratory

    SciTech Connect

    Sperber, T.D.; Reynolds, T.D.; Breckenridge, R.P.

    1998-03-01

    Responses to a survey on the INEEL Comprehensive Facility and Land Use Plan (US DOE 1996a) indicated the need for additional discussion on environmental resources, disturbance, and land use issues on the Idaho National Engineering and Environmental Laboratory (INEEL). As a result, in September 1997, a workshop evaluated the existing scientific basis and determined future data needs for long-term land management on the INEEL. This INEEL Long-Term Land Management Workshop examined existing data on biotic, abiotic, and heritage resources and how these resources have been impacted by disturbance activities of the INEEL. Information gained from this workshop will help guide land and facility use decisions, identify data gaps, and focus future research efforts. This report summarizes background information on the INEEL and its long-term land use planning efforts, presentations and discussions at the workshop, and the existing data available at the INEEL. In this document, recommendations for future INEEL land use planning, research efforts, and future workshops are presented. The authors emphasize these are not policy statements, but comments and suggestions made by scientists and others participating in the workshop. Several appendices covering land use disturbance, legal drivers, land use assumptions and workshop participant comments, workshop participants and contributors, and the workshop agenda are also included.

  18. Long-term sampling of CO(2) from waste-to-energy plants: (14)C determination methodology, data variation and uncertainty.

    PubMed

    Fuglsang, Karsten; Pedersen, Niels Hald; Larsen, Anna Warberg; Astrup, Thomas Fruergaard

    2014-02-01

    A dedicated sampling and measurement method was developed for long-term measurements of biogenic and fossil-derived CO(2) from thermal waste-to-energy processes. Based on long-term sampling of CO(2) and (14)C determination, plant-specific emission factors can be determined more accurately, and the annual emission of fossil CO(2) from waste-to-energy plants can be monitored according to carbon trading schemes and renewable energy certificates. Weekly and monthly measurements were performed at five Danish waste incinerators. Significant variations between fractions of biogenic CO(2) emitted were observed, not only over time, but also between plants. From the results of monthly samples at one plant, the annual mean fraction of biogenic CO(2) was found to be 69% of the total annual CO(2) emissions. From weekly samples, taken every 3 months at the five plants, significant seasonal variations in biogenic CO(2) emissions were observed (between 56% and 71% biogenic CO(2)). These variations confirmed that biomass fractions in the waste can vary considerably, not only from day to day but also from month to month. An uncertainty budget for the measurement method itself showed that the expanded uncertainty of the method was ± 4.0 pmC (95 % confidence interval) at 62 pmC. The long-term sampling method was found to be useful for waste incinerators for determination of annual fossil and biogenic CO(2) emissions with relatively low uncertainty.

  19. Long-term climate change mitigation potential with organic matter management on grasslands.

    PubMed

    Ryals, Rebecca; Hartman, Melannie D; Parton, William J; DeLonge, Marcia S; Silver, Whendee L

    2015-03-01

    Compost amendments to grasslands have been proposed as a strategy to mitigate climate change through carbon (C) sequestration, yet little research exists exploring the net mitigation potential or the long-term impacts of this strategy. We used field data and the DAYCENT biogeochemical model to investigate the climate change mitigation potential of compost amendments to grasslands in California, USA. The model was used to test ecosystem C and greenhouse gas responses to a range of compost qualities (carbon to nitrogen [C:N] ratios of 11.1, 20, or 30) and application rates (single addition of 14 Mg C/ha or 10 annual additions of 1.4 Mg C · ha(-1) · yr(-1)). The model was parameterized using site-specific weather, vegetation, and edaphic characteristics and was validated by comparing simulated soil C, nitrous oxide (N2O), methane (CH4), and carbon dioxide (CO2) fluxes, and net primary production (NPP) with three years of field data. All compost amendment scenarios led to net greenhouse gas sinks that persisted for several decades. Rates of climate change mitigation potential ranged from 130 ± 3 g to 158 ± 8 g CO2-eq · m(-2) ·yr(-1) (where "eq" stands for "equivalents") when assessed over a 10-year time period and 63 ± 2 g to 84 ± 10 g CO2- eq · m(-2) · yr(-1) over a 30-year time period. Both C storage and greenhouse gas emissions increased rapidly following amendments. Compost amendments with lower C:N led to higher C sequestration rates over time. However, these soils also experienced greater N20 fluxes. Multiple smaller compost additions resulted in similar cumulative C sequestration rates, albeit with a time lag, and lower cumulative N2O emissions. These results identify a trade-off between maximizing C sequestration and minimizing N2O emissions following amendments, and suggest that compost additions to grassland soils can have a long-term impact on C and greenhouse gas dynamics that contributes to climate change mitigation.

  20. A New Framework for Adaptive Sampling and Analysis During Long- Term Monitoring and Remedial Action Management

    SciTech Connect

    Minsker, Barbara

    2003-06-01

    The Argonne team has gathered available data on monitoring wells and measured hydraulic heads from the Argonne 317/319 site and sent it to UIUC. Xiaodong Li, a research assistant supported by the project, has reviewed the data and is beginning to fit spatiotemporal statistical models to it. Another research assistant, Yonas Demissie, has gotten the site's Modflow model working and is developing a transport model that will be used to generate artificial data. Abhishek Singh, a third research assistant supported by the project, has performed a literature review on inverse modeling and is receiving training on the software that will be used in this project (D2K). He has also created two models of user preferences and successfully implemented them with an interactive genetic algorithm on test functions. Meghna Babbar, the fourth research assistant supported by the project, has created an interactive genetic algorithm code and initial user interface in D2K. Gayathri Gopalakrishnan, the last research assistant who is partially supported by the project, has collected and analyzed data from the phytoremediation systems at the 317/319 site. She has found good correlations between concentrations in the ground water and in branches of the trees, which indicates excellent promise for using the trees as cost-effective long-term monitoring of the contaminants.

  1. Long-term management of the fearful adult patient using behavior modification and other modalities.

    PubMed

    Berggren, U

    2001-12-01

    This paper reviews reports on the treatment of fearful adult dental patients with special emphasis on behavioral and cognitive methods and long-term followup. A number of such treatment methods are available that can be used by dentists for the alleviation of fear and anxiety in their patients. At an "intuitive" level, many dentists probably use these methods frequently as a comprehensive part of everyday praxis. Considering the high number of fearful individuals visiting dentists regularly, a better knowledge of such methods would improve dental care for the majority of these patients. It would also help prevent aggravation of fears among individuals at risk. However, despite the success of treatment methods performed by specially trained dentists, it seems reasonable that there should be limits to what can be expected of a dentist in terms of psychological, diagnostic, and therapeutic competence. Dental phobia may constitute a complex psychological and odontological problem with far-reaching consequences for a relatively large proportion of fearful individuals. It therefore seems likely that optimal care of such patients can best be achieved by cross-disciplinary efforts involving both dentists and psychologists.

  2. Paroxetine in panic disorder: clinical management and long-term follow-up.

    PubMed

    Dannon, Pinhas N; Lowengrub, Katherine; Iancu, I; Kotler, Moshe

    2004-03-01

    Panic disorder is one of the most common anxiety disorders and has a lifetime prevalence of 3-5%. Panic attacks can begin at any age, but commonly have their onset in early adulthood between the ages of 20 and 40 years. Naturalistic data has shown that panic disorder has a chronic and relapsing course. Panic disorder is reported to be associated with an increased risk of suicidal behavior and comorbid psychiatric diagnoses such as depression and substance abuse. Currently, recommended treatment modalities for panic disorder include the use of antidepressant pharmacotherapy and/or cognitive behavioral therapy. Paroxetine is unique among the selective serotonin reuptake inhibitors since, in addition to its effect on the CNS serotonergic neurotransmission, it also has mild noradrenergic properties demonstrated to be effective in the treatment of anxiety disorders and depression. Paroxetine treatment has the potential to cause weight gain and sexual dysfunction, primarily anorgasmia and ejaculatory dysfunction for the long term. In the short-term, treatment causes nausea, gastrointestinal disturbances, irritability, headaches and eating and sleeping difficulties. Paroxetine is an example of an selective serotonin reuptake inhibitor agent, which has been well studied in the treatment of panic disorder and is efficacious and well-tolerated. Paroxetine pharmacotherapy has been recommended to be continued for 1 year as specified in the treatment guidelines set by the American Psychiatric Association in the treatment of panic disorder.

  3. HT and SERMs in the long-term management of osteoporosis.

    PubMed

    Tuppurainen, M

    2012-06-01

    Hormone therapy (HT) remains the treatment of choice for climacteric symptoms and for prevention and treatment of bone loss at least within ten years postmenopause. The usually prescribed HT doses have decreased during the past few years, and use of low-dose HT is becoming more popular, possibly decreasing the occurrence of unwanted side effects seen with conventional doses. HT has a fracture-reducing potential even at doses lower than usually recommended, but the positive effect of HT on bone disappears relatively soon after stopping HT. The fear of long-term side effects of HT, such as breast cancer, coronary heart disease (CHD) and thromboembolic events, has increased the demand to evaluate the role of alternative osteoporosis and fracture prevention medication in ageing women. The rapid worldwide decrease of HT use may increase the incidence of fractures if there are no compensative measures. Women who discontinue HT should be advised about rapid bone loss after HT, and given other potential treatment options. Intensive research into alternative approaches to deliver estrogenic activity to bone with no adverse effects on other tissues by using low doses of estrogen, selective estrogen receptor modulators (SERMs), or combinations of the two are ongoing. However, development of an ideal SERM has proved to be difficult, and individualization of bone-protective therapy is a remarkable challenge for professionals treating postmenopausal women.

  4. Incorporating Oracle on-line space management with long-term archival technology

    NASA Technical Reports Server (NTRS)

    Moran, Steven M.; Zak, Victor J.

    1996-01-01

    The storage requirements of today's organizations are exploding. As computers continue to escalate in processing power, applications grow in complexity and data files grow in size and in number. As a result, organizations are forced to procure more and more megabytes of storage space. This paper focuses on how to expand the storage capacity of a Very Large Database (VLDB) cost-effectively within a Oracle7 data warehouse system by integrating long term archival storage sub-systems with traditional magnetic media. The Oracle architecture described in this paper was based on an actual proof of concept for a customer looking to store archived data on optical disks yet still have access to this data without user intervention. The customer had a requirement to maintain 10 years worth of data on-line. Data less than a year old still had the potential to be updated thus will reside on conventional magnetic disks. Data older than a year will be considered archived and will be placed on optical disks. The ability to archive data to optical disk and still have access to that data provides the system a means to retain large amounts of data that is readily accessible yet significantly reduces the cost of total system storage. Therefore, the cost benefits of archival storage devices can be incorporated into the Oracle storage medium and I/O subsystem without loosing any of the functionality of transaction processing, yet at the same time providing an organization access to all their data.

  5. Management Communication Training: The Need for Long-Term Effectiveness Studies.

    ERIC Educational Resources Information Center

    Mattox, Robert J.; Smith, Robert L.

    Currently, training programs for management are an integral part of most organizations. One of the concerns about training programs has been the lack of research supporting change in management training. Recently, counselors have become involved in Human Resources Management (HRM). Organizations have been criticized for making few attempts to…

  6. Long-term strategies of climate change adaptation to manage flooding events in urban areas

    NASA Astrophysics Data System (ADS)

    Pouget, Laurent; Russo, Beniamino; Redaño, Angel; Ribalaygua, Jaime

    2010-05-01

    Heavy and sudden rainfalls regularly affect the Mediterranean area, so a great number of people and buildings are exposed to the risk of rain-generated floods. Climate change is expected to modify this risk and, in the case that extreme rainfalls increase in frequencies and intensity, this could result in important damages, particularly in urban areas. This paper presents a project that aims to determine adaptation strategies to future flood risks in urban areas. It has been developed by a panel of water companies (R+i Alliance funding), and includes the evaluation of the climate change impact on the extreme rainfall, the use of innovative modelling tools to accurately forecast the flood risk and, finally, the definition of a pro-active and long-term planning against floods. This methodology has been applied in the city of Barcelona. Current climate models give some projections that are not directly applicable for flood risk studies, either because they do not have an adequate spatial and temporal resolution, or because they do not consider some important local factors, such as orography. These points have been considered within the project, when developing the design storms corresponding to future climatic conditions (e.g. years 2030 or 2050). The methodology uses statistical downscaling techniques based on global climate models predictions, including corrections for extreme events and convective storms, as well as temporal downscaling based on historical observations. The design storms created are used in combination with the predictions of sea level rise and land use evolutions to determine the future risk of flooding in the area of study. Once the boundary conditions are known, an accurate flood hazard assessment is done. It requires a local knowledge of the flow parameters in the whole analyzed domain. In urban catchments, in order to fulfill this requirement, powerful hydrological and hydraulic tools and detailed topographic data represent the unique way for

  7. Waste Management Program. Technical progress report, October-December 1982

    SciTech Connect

    1983-07-01

    This quarterly report provides current information on operations and development programs for the management of radioactive wastes from operation of the Savannah River Plant and offplant participants. The studies on environmental and safety assessments, in situ storage or disposal, waste from development and characterization, process and equipment development, and low-level waste management are a part of the Long-Term Waste Management Technology Program. The following studies are reported for the SR Interim Waste Operations Program: surveillance and maintenance, waste concentration, low-level effluent waste, tank replacement/waste transfer, and solid waste storage and related activities.

  8. Electrolyte management for effective long-term electro-osmotic transport in low-permeability soils.

    PubMed

    Cherepy, Nerine J; Wildenschild, Dorthe

    2003-07-01

    Electro-osmosis, a coupled-flow phenomenon in which an applied electrical potential gradient drives water flow, may be used to induce water flow through fine-grained sediments. Test cell measurements of electro-osmotic transport in clayey cores extracted from the 27-31 m depth range of the Lawrence Livermore National Laboratory site indicate the importance of pH control within the anode and cathode reservoirs. In our first experiment, pH was not controlled. As a result, carbonate precipitation and metals precipitation occurred near the cathode end of the core, with acidification near the anode. The combination of these acid and base reactions led to the decline of electro-osmotic flow by a factor of 2 in less than one pore volume. In a second experiment, long-term water transport (>21 pore volumes) at stable electro-osmotic conductivity (k(eo) approximately 1 x 10(-9) m2/s-V) was effected with anode reservoir pH > 8, and cathode reservoir pH < 6. Hydraulic conductivity (k(h)) of the same core was 4 x 10(-10) m/s under a 0.07 MPa hydraulic gradient without electro-osmosis. Stable electro-osmotic flow was measured at a velocity of 4 x 10(-7) m/s under a 4 V/cm voltage gradient, and no hydraulic gradient-3 orders of magnitude greater than the hydraulic flow. We also observed chloroform production in the anode reservoir, resulting from electrochemical production of chlorine gas reacting with trace organics. The chloroform was transported electro-osmotically to the cathode, without measurable loss to adsorption, volatilization, or degradation.

  9. The prevalence of uncontrolled pain in long-term care: a pilot study examining outcomes of pain management processes.

    PubMed

    Good, Heidi; Riley-Doucet, Cheryl K; Dunn, Karen S

    2015-02-01

    Pain in long-term care (LTC) is common among older residents despite the vast options available for optimal pain management. Inadequate pain management affects individual health care outcomes. Researcher evidence has shown that nurse practitioners (NPs) improve the quality of care in LTC but are challenged by multiple barriers that inhibit optimal pain control. The purpose of the current pilot study was to explore both the pain management processes used by nurses in LTC and the documented patient outcomes that come from these processes. In addition, factors were identified that may impact the NP role in providing adequate pain control in LTC. This descriptive study used a retrospective, case-controlled research design that incorporated reviewing 55 LTC resident medical records. Results show how the process of pain management in LTC can be improved by expanding the professional role of the NP.

  10. Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults

    PubMed Central

    2009-01-01

    Background: Obstructive sleep apnea (OSA) is a common chronic disorder that often requires lifelong care. Available practice parameters provide evidence-based recommendations for addressing aspects of care. Objective: This guideline is designed to assist primary care providers as well as sleep medicine specialists, surgeons, and dentists who care for patients with OSA by providing a comprehensive strategy for the evaluation, management and long-term care of adult patients with OSA. Methods: The Adult OSA Task Force of the American Academy of Sleep Medicine (AASM) was assembled to produce a clinical guideline from a review of existing practice parameters and available literature. All existing evidence-based AASM practice parameters relevant to the evaluation and management of OSA in adults were incorporated into this guideline. For areas not covered by the practice parameters, the task force performed a literature review and made consensus recommendations using a modified nominal group technique. Recommendations: Questions regarding OSA should be incorporated into routine health evaluations. Suspicion of OSA should trigger a comprehensive sleep evaluation. The diagnostic strategy includes a sleep-oriented history and physical examination, objective testing, and education of the patient. The presence or absence and severity of OSA must be determined before initiating treatment in order to identify those patients at risk of developing the complications of sleep apnea, guide selection of appropriate treatment, and to provide a baseline to establish the effectiveness of subsequent treatment. Once the diagnosis is established, the patient should be included in deciding an appropriate treatment strategy that may include positive airway pressure devices, oral appliances, behavioral treatments, surgery, and/or adjunctive treatments. OSA should be approached as a chronic disease requiring long-term, multidisciplinary management. For each treatment option, appropriate outcome

  11. Possible use of EPDM in radioactive waste disposal: Long term low dose rate and short term high dose rate irradiation in aquatic and atmospheric environment

    NASA Astrophysics Data System (ADS)

    Hacıoğlu, Fırat; Özdemir, Tonguç; Çavdar, Seda; Usanmaz, Ali

    2013-02-01

    In this study, changes in the properties of ethylene propylene diene terpolymer (EPDM) irradiated with different dose rates in ambient atmosphere and aqueous environment were investigated. Irradiations were carried out both with low dose and high dose rate irradiation sources. EPDM samples which were differentiated from each other by peroxide type and 5-ethylidene 2-norbornene (ENB) contents were used. Long term low dose rate irradiations were carried out for the duration of up to 2.5 years (total dose of 1178 kGy) in two different irradiation environments. Dose rates (both high and low), irradiation environments (in aquatic and open to atmosphere), and peroxide types (aliphatic or aromatic) were the parameters studied. Characterization of irradiated EPDM samples were performed by hardness, compression, tensile, dynamic mechanical analysis (DMA), TGA-FTIR, ATR-FTIR, XRD and SEM tests. It was observed that the irradiation in water environment led to a lower degree of degradation when compared to that of irradiation open to atmosphere for the same irradiation dose. In addition, irradiation environment, peroxide type and dose rate had effects on the extent of change in the properties of EPDM. It was observed that EPDM is relatively radiation resistant and a candidate polymer for usage in radioactive waste management.

  12. Long-term Strategic Planning for a Resilient Metro Colombo: An Economic Case for Wetland Conservation and Management

    NASA Astrophysics Data System (ADS)

    Rozenberg, J.

    2015-12-01

    Colombo faces recurrent floods that threaten its long-term economic development. Its urban wetlands have been identified by local agencies as a critical component of its flood reduction system, but they have declined rapidly in recent years due to continuous infilling, unmanaged land development and dredging to create lakes. In collaboration with government agencies, NGOs and local universities, the World Bank has carried out a Robust Decision Making analysis to examine the value of Colombo urban wetlands, both in the short-term and long-term, and identify what are the most viable strategies available to increase the city's flood resilience in an unclear future (in terms of climate change and patterns of urban development). This has involved the use of numerous hydrological and socio-economic scenarios as well as the evaluation of some wetlands benefits, like ecosystem services, wastewater treatment, or recreational services. The analysis has determined that if all urban wetlands across the Colombo catchment were lost, in some scenarios the metropolitan area would have to cope with an annual average flood loss of approximately 1% of Colombo GDP in the near future. For long-term strategies, trade-offs between urban development, lake creation and wetland conservation were analyzed and it was concluded that an active management of urban wetlands was the lowest regret option. Finally, the analysis also revealed that in the future, with climate change and fast urban development, wetlands will not be sufficient to protect Colombo against severe floods. Pro-active urban planning and land-use management are therefore necessary, both to protect existing wetlands and to reduce future exposure. The use of many different scenarios, the consideration of several policy options, and the open participatory process ensured policy-makers' buy-in and lead to the decision to actively protect urban wetlands in Colombo.

  13. Long-term sediment yield from small catchment in southern Brazil affected by land use and soil management changes.

    NASA Astrophysics Data System (ADS)

    Gomes Minella, Jean Paolo; Henrique Merten, Gustavo; Alessandra Peixoto de Barros, Claudia; Dalbianco, Leandro; Ramon, Rafael; Schlesner, Alexandre

    2015-04-01

    Soil erosion and sediment yield are the main cause of soil degradation in Brazil. Despite this, there is a lack of information about the effects of the soil management on the hydrology and sediment yield at catchment scale. This study aimed to investigate the long-term relationship between the land use and sediment yield in a small catchment with significant changes in soil management, and its impacts on soil erosion and sediment yield. To account the anthropogenic and climatic effects on sediment yield were monitored precipitation, stream flow and suspended sediment concentration during thirteen years (2002 and 2014) at 10 minutes interval and the changes that occurred each year in the land use and soil management. Despite the influence of climate on the sediment yield, the results clearly show three distinct periods affected by the land use and soil management changes during this this period. In the first four years (2002-2004) the predominant land use was the tobacco with traditional soil management, where the soils are plough every year and without winter cover crop. In this period the sediment yield reached the order of 160 t.ha-1.y-1. In the period of 2005-2009, a soil conservation program introduced the adoption of minimum tillage in the catchment and the sediment yield decrease to 70 t.ha-1.y-1. In the last period (2010-2014) there was a partial return to the traditional soil management practices with an increase trend in sediment yield. However, there was also an increase in reforestation areas with positive effect in reducing erosion and sediment yield. The magnitude order of sediment yield in this period was 100 t.ha-1.y-1. The long term sediment yield data was able to demonstrate the impact of the improved management practices in reducing soil erosion and sediment yield. The results allowed a good understanding of the changing sediment dynamics and soil erosion at catchment scale.

  14. [Case management in long-term care--the task of individual related and family-oriented support for people in need of care and its realization through the reform of long-term care insurance].

    PubMed

    Klie, Thomas; Monzer, Michael

    2008-04-01

    The introduction of standardized Case Management structures to improve coordination and cooperation of all involved in care, such as cost units, service providers, voluntary organizations, families and the different occupational categories involved in nursing, is the main concern of the current reform of German long-term care insurance. In this article, demands on Case Management in care are enunciated and the basics found in expert talks, needed for efficient support of care, assembled. In doing so, the role and function of Case Management is differentiated, the different levels (case, organizational and system levels) distinguished and options and conditions needed to settle such an organization are introduced.

  15. Soil phosphorus depletion and shifts in plant communities change bacterial community structure in a long-term grassland management trial.

    PubMed

    Adair, Karen L; Wratten, Steve; Lear, Gavin

    2013-06-01

    Agricultural systems rely on healthy soils and their sustainability requires understanding the long-term impacts of agricultural practices on soils, including microbial communities. We examined the impact of 17 years of land management on soil bacterial communities in a New Zealand randomized-block pasture trial. Significant variation in bacterial community structure related to mowing and plant biomass removal, while nitrogen fertilizer had no effect. Changes in soil chemistry and legume abundance described 52% of the observed variation in the bacterial community structure. Legumes (Trifolium species) were absent in unmanaged plots but increased in abundance with management intensity; 11% of the variation in soil bacterial community structure was attributed to this shift in the plant community. Olsen P explained 10% of the observed heterogeneity, which is likely due to persistent biomass removal resulting in P limitation; Olsen P was significantly lower in plots with biomass removed (14 mg kg(-1) ± 1.3SE) compared with plots that were not mown, or where biomass was left after mowing (32 mg kg(-1) ± 1.6SE). Our results suggest that removal of plant biomass and associated phosphorus, as well as shifts in the plant community, have greater long-term impacts on soil bacterial community structure than application of nitrogen fertilizers.

  16. Effects of Long-Term Forest Management on a Regional Avifauna

    SciTech Connect

    Kilgo, J.C.; Franzreb, K.E.; Gauthreaux, S.A.; Miller, K.V.; Chapman, B.R.

    2000-01-01

    Bird populations on and off the SRS were compared to determine the effects that management practices have had on regional populations. Relative abundances were assessed from BBS routes off SRS and three surrogate routes generated on SRS from point count data. The number of species per route did not differ. The total number of birds was greater off SRS than on SRS. 23 species were more abundant on SRS and 33 species were more abundant off SRS primarily those that preferred agricultural and urban habitats. Those more abundant on SRS preferred mature forest habitat. Management at SRS support species not common in the regional landscape.

  17. Climate change and long-term fire management impacts on Australian savannas.

    PubMed

    Scheiter, Simon; Higgins, Steven I; Beringer, Jason; Hutley, Lindsay B

    2015-02-01

    Tropical savannas cover a large proportion of the Earth's land surface and many people are dependent on the ecosystem services that savannas supply. Their sustainable management is crucial. Owing to the complexity of savanna vegetation dynamics, climate change and land use impacts on savannas are highly uncertain. We used a dynamic vegetation model, the adaptive dynamic global vegetation model (aDGVM), to project how climate change and fire management might influence future vegetation in northern Australian savannas. Under future climate conditions, vegetation can store more carbon than under ambient conditions. Changes in rainfall seasonality influence future carbon storage but do not turn vegetation into a carbon source, suggesting that CO₂ fertilization is the main driver of vegetation change. The application of prescribed fires with varying return intervals and burning season influences vegetation and fire impacts. Carbon sequestration is maximized with early dry season fires and long fire return intervals, while grass productivity is maximized with late dry season fires and intermediate fire return intervals. The study has implications for management policy across Australian savannas because it identifies how fire management strategies may influence grazing yield, carbon sequestration and greenhouse gas emissions. This knowledge is crucial to maintaining important ecosystem services of Australian savannas.

  18. Conservation management in cotton production: long-term soil biological, chemical, and physical changes

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Conservation practices are an increasingly important component of sustainable management systems, and information about their influence on soil characteristics is needed. Various soil parameters were studied in a no-tillage (NT) or minimum tillage (MT) cotton (Gossypium hirsutum L.) production stud...

  19. Management filters and species traits: Weed community assembly in long-term organic and conventional systems

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Community assembly theory provides a useful framework to assess the response of weed communities to agricultural management systems and to improve the predictive power of weed science. Under this framework, weed community assembly is constrained by abiotic and biotic "filters" that act on species tr...

  20. Case Management Agency Systems of Administering Long-Term Care: Evidence from the Channeling Demonstration.

    ERIC Educational Resources Information Center

    Kemper, Peter

    1990-01-01

    Examines what was learned from channeling demonstration about potential of case management agency systems for administering home care benefits. Considers both advantages (substitution of lower cost for higher cost services, negotiation of lower prices for services, quality assurance) and disadvantages (difficulty controlling participation rates,…

  1. Waste Management Program. Technical progress report, Aporil-June 1983

    SciTech Connect

    1984-02-01

    This quarterly report provides current information on operations and development programs for the management of radioactive wastes from operation of the Savannah River Plant. The studies on environmental and safety assessments, process and equipment development, TRU waste, and low-level waste are a part of the Long-Term Waste Management Technology Program. The following studies are reported for the SR Interim Waste Operations Program: surveillance and maintenance, waste concentration, low-level effluent waste, tank replacement/waste transfer, and solid waste storage and related activities.

  2. Heparin in the long-term management of ligneous conjunctivitis: a case report and review of literature.

    PubMed

    Hiremath, Mandira; Elder, James; Newall, Fiona; Mitchell, Susan; Dyas, Roxanne; Monagle, Paul

    2011-10-01

    Ligneous conjunctivitis, secondary to inherited homozygous plasminogen deficiency, is a poorly understood condition that has the potential to hinder normal childhood development if not managed adequately. We report the clinical progression of a child with ligneous conjunctivitis, controlled with daily heparin eye drops, postsurgical excision, for a duration of approximately 5 years at a cost of approximately 30 USD per month. During this time, the patient's progress has been complicated by one occurrence of periorbital cellulitis and also otitis media. The patient has also experienced ocular complications due to the remaining membranous lesion. This case indicates that individual patient factors including plasminogen levels and exposure to triggers of ocular inflammation may influence the clinical progression of ligneous conjunctivitis. Furthermore, this study is one of the first to present over 5-year follow-up of a patient with ligneous conjunctivitis effectively managed with long-term heparin eye drops.

  3. Antiobesity Pharmacotherapy for Patients with Type 2 Diabetes: Focus on Long-Term Management

    PubMed Central

    Jeon, Won Seon

    2014-01-01

    Type 2 diabetes and obesity have a complex relationship; obesity is linked to insulin resistance, the precursor to type 2 diabetes. The management of obesity is an important method to delay onset of diabetes and improve the glycemic durability of antidiabetic agents. However, insulin and some of the oral hypoglycemic agents used to treat diabetes cause significant weight gain, and it is difficult for patients with diabetes to reduce and maintain their weight by life-style changes alone. Thus, antiobesity medications or bariatric surgery may be a necessary adjunct for certain obese patients with diabetes. In 2012, the U.S. Food and Drug Administration (FDA) approved lorcaserin and phentermine/topiramate extended-release for the management of chronic weight, and approval for naltrexone/bupropion sustained-release as an adjunct to exercise and reduced caloric intake followed in 2014. Liraglutide is pending FDA approval for antiobesity drug. Here we review the efficacy of approved and new promising drugs for the management of obesity. PMID:25559569

  4. Evaluation of the leucine incorporation technique for detection of pollution-induced community tolerance to copper in a long-term agricultural field trial with urban waste fertilizers.

    PubMed

    Lekfeldt, Jonas Duus Stevens; Magid, Jakob; Holm, Peter E; Nybroe, Ole; Brandt, Kristian Koefoed

    2014-11-01

    Copper (Cu) is known to accumulate in agricultural soils receiving urban waste products as fertilizers. We here report the use of the leucine incorporation technique to determine pollution-induced community tolerance (Leu-PICT) to Cu in a long-term agricultural field trial. A significantly increased bacterial community tolerance to Cu was observed for soils amended with organic waste fertilizers and was positively correlated with total soil Cu. However, metal speciation and whole-cell bacterial biosensor analysis demonstrated that the observed PICT responses could be explained entirely by Cu speciation and bioavailability artifacts during Leu-PICT detection. Hence, the agricultural application of urban wastes (sewage sludge or composted municipal waste) simulating more than 100 years of use did not result in sufficient accumulation of Cu to select for Cu resistance. Our findings also have implications for previously published PICT field studies and demonstrate that stringent PICT detection criteria are needed for field identification of specific toxicants.

  5. Long-term impact of farm management and crops on soil microorganisms assessed by combined DGGE and PLFA analyses

    PubMed Central

    Stagnari, Fabio; Perpetuini, Giorgia; Tofalo, Rosanna; Campanelli, Gabriele; Leteo, Fabrizio; Della Vella, Umberto; Schirone, Maria; Suzzi, Giovanna; Pisante, Michele

    2014-01-01

    In the present study, long-term organic and conventional managements were compared at the experimental field of Monsampolo del Tronto (Marche region, Italy) with the aim of investigating soil chemical fertility and microbial community structure. A polyphasic approach, combining soil fertility indicators with microbiological analyses (plate counts, PCR-denaturing gradient gel electrophoresis [DGGE] and phospholipid fatty acid analysis [PLFA]) was applied. Organic matter, N as well as some important macro and micronutrients (K, P, Mg, Mn, Cu, and Zn) for crop growth, were more available under organic management. Bacterial counts were higher in organic management. A significant influence of management system and management x crop interaction was observed for total mesophilic bacteria, nitrogen fixing bacteria and actinobacteria. Interestingly, cultivable fungi were not detected in all analyzed samples. PLFA biomass was higher in the organic and Gram positive bacteria dominated the microbial community in both systems. Even if fungal biomass was higher in organic management, fungal PCR-DGGE fingerprinting revealed that the two systems were very similar in terms of fungal species suggesting that 10 years were not enough to establish a new dynamic equilibrium among ecosystem components. A better knowledge of soil biota and in particular of fungal community structure will be useful for the development of sustainable management strategies. PMID:25540640

  6. The Management of Chemical Waste in a University Setting.

    ERIC Educational Resources Information Center

    Coons, David Michael

    This thesis describes a study of the management of chemical waste at the State University of New York at Binghamton. The study revealed that the majority of chemical waste at the university is in the form of hazardous waste. It was hypothesized that the volume, related costs, and potential long-term liability associated with the disposal of…

  7. Waste management program

    NASA Astrophysics Data System (ADS)

    1980-09-01

    Current information on operations and development programs for the management of radioactive wastes from operation of the Savannah River Plant are reported. Process and equipment development studies are considered as well as surveillance and maintenance, waste concentration, low level effluent waste, waste tank evaluation, and tank replacement/waste transfer (formerly waste tank retirement). Criteria for the selection of sites for storage of waste forms produced in the Defense Waste Processing Facility are described.

  8. Conservative surgical management of in situ subungual melanoma: long-term follow-up*

    PubMed Central

    Anda-Juárez, Mariana Catalina De; Martínez-Velasco, María Abril; Fonte-Ávalos, Verónica; Toussaint-Caire, Sonia; Domínguez-Cherit, Judith

    2016-01-01

    Subungual melanoma represents 20% of all melanomas in Hispanic population. Here, we report the outcome of 15 patients with in situ subungual melanoma treated with resection of the nail unit with a 5-mm margin without amputation, followed up for 55.93 ± 43.08 months. The most common complications included inclusion cysts and nail spicules. We found no evidence of local or distant recurrences at the last visit of our follow up. Functional outcome was good, with only one patient reporting persistent mild pain. These results support functional, non-amputative surgical management of in situ subungual melanomas. PMID:28099619

  9. Local government involvement in long term resource planning for community energy systems. Demand side management

    SciTech Connect

    Not Available

    1992-03-01

    A program was developed to coordinate governmental, research, utility, and business energy savings efforts, and to evaluate future potential actions, based on actual field data obtained during the implementation of Phase I of the State Resource Plan. This has lead to the establishment of a state conservation and energy efficiency fund for the purpose of establishing a DSM Program. By taking a state wide perspective on resource planning, additional savings, including environmental benefits, can be achieved through further conservation and demand management. This effort has already blossomed into a state directive for DSM programs for the natural gas industry.

  10. Managing the cryogenic systems of SCUBA-2 for long term operation

    NASA Astrophysics Data System (ADS)

    Cookson, Jamie L.; Bintley, Dan

    2016-07-01

    SCUBA-2 has been operational on JCMT producing excellent science for almost 5 years. We describe the strategy and methods that we have evolved to keep one of the world's first "dry dilution refrigerators" and the other cryogenic systems working effectively at the summit of Mauna Kea, keeping the instrument functioning at peak efficiency for extended periods (over 12 months at a time), with minimum downtime. We discuss new plans to reduce day-to-day operational costs and to add remote management of the gas handling systems, as we look to the future and envisage another ten years of SCUBA-2 science.

  11. Impact of agricultural management practices on DOC leaching - results of a long-term lysimeter study

    NASA Astrophysics Data System (ADS)

    Wagner, A.; Ollesch, G.; Seeger, J.; Meißner, R.; Rode, M.

    2009-04-01

    Dissolved organic carbon (DOC) fluxes are recently increasing in surface waters of humid climate regions. Due to its substantial importance for leaching processes, aquatic foodwebs, and drinking water purification a better understanding of sources and pathways of DOC is needed. Therefore this study aims to analyse and simulate DOC fluxes in agricultural ecosystems with selected crop rotations. A data set of 24 lysimeters of the UFZ Lysimeter station at Falkenberg (Saxony-Anhalt) covering nine years of DOC investigation has been selected and examined. The data set covers a wide range of climatic conditions with deviating management practices for grasslands and agricultural crop rotations. The monthly DOC concentrations assessed in the leached water range from 2.4 to 34.1 mg /l. DOC concentrations depend on temperature, precipitation and discharge. The type of crop grown on the lysimeter is an important trigger for DOC leaching - especially lysimeters used as pasture, or planted with rape and carrots exhibit high DOC concentrations. Management practices and fertilizer application modify the leaching of DOC and offer potentials to reduce DOC losses. The results form the basis of further process simulation studies and upscaling of the results to the small catchment scale.

  12. Long-Term Care

    MedlinePlus

    ... this page please turn Javascript on. Long-Term Care What Is Long-Term Care? Long-term care involves a variety of services ... the Escape (Esc) button on your keyboard.) Most Care Provided at Home Long-term care is provided ...

  13. Long-term efficacy, safety and tolerability of Remoxy for the management of chronic pain.

    PubMed

    Pergolizzi, Joseph V; Zampogna, Gianpietro; Taylor, Robert; Raffa, Robert B

    2015-03-01

    Historically, chronic pain generally went under-treated for a variety of objective and subjective reasons, including difficulty to objectively diagnose and manage over a long period of time, potential serious adverse effects of commonly available medications, and patient, healthcare and societal concerns over opioid medications. More recently, in an effort to redress the under-treatment of pain, the number of prescriptions of opioid analgesics has risen dramatically. However, paralleling the increased legitimate use has been a concomitant increase in opioid abuse, misuse and diversion. Pharmaceutical companies have responded by developing a variety of opioid formulations designed to deter abuse by making the products more difficult to tamper with. One such product is Remoxy(®), an extended-release formulation of the strong opioid oxycodone. We review the efficacy, safety and tolerability of this formulation based on the available published literature.

  14. Abdominal wall defects: prenatal diagnosis, newborn management, and long-term outcomes.

    PubMed

    Gamba, Piergiorgio; Midrio, Paola

    2014-10-01

    Omphalocele and gastroschisis represent the most frequent congenital abdominal wall defects a pediatric surgeon is called to treat. There has been an increased reported incidence in the past 10 years mainly due to the diffuse use of prenatal ultrasound. The early detection of these malformations, and related associated anomalies, allows a multidisciplinary counseling and planning of delivery in a center equipped with high-risk pregnancy assistance, pediatric surgery, and neonatology. At present times, closure of defects, even in multiple stages, is always possible as well as management of most of cardiac-, urinary-, and gastrointestinal-associated malformations. The progress, herein discussed, in the care of newborns with abdominal wall defects assures most of them survive and reach adulthood. Some aspects of transition of medical care will also be considered, including fertility and cosmesis.

  15. Pemphigus vulgaris: the manifestations and long-term management of 55 patients with oral lesions.

    PubMed

    Scully, C; Paes De Almeida, O; Porter, S R; Gilkes, J J

    1999-01-01

    Perhaps surprisingly, the manifestations and management of patients with pemphigus vulgaris and oral lesions have been detailed only infrequently. The present study has examined the clinical features, diagnosis and management of a cohort of 55 patients, including three adolescents, with pemphigus vulgaris predominantly affecting the oral mucosa. There was about a 6-month delay from the onset of symptoms until presentation for diagnosis, longer in men than in women. Patients typically had multiple lesions affecting mainly the buccal and/or palatal mucosae, and over half the patients had lesions affecting non-oral mucosal sites. Nearly one-quarter (24%) had cutaneous involvement. Most patients were otherwise healthy with no other autoimmune disorders. Classical histopathological features of pemphigus vulgaris were present in all patients, as well as IgG intraepithelial deposits in all patients tested and circulating epithelial antibodies in most. Thirty-two patients were treated in the clinic, four responding to topical immunosuppressive therapy, the remainder needing and responding, at least in part, to systemic immunosuppression. Systemic corticosteroids often with adjunctive immunosuppressives, particularly azathioprine, were required in 87% of patients. In 18% of the patients, the disease resolved in 3 months, but 76% had recalcitrant disease. Adverse effects were seen in 78%, and two patients died, at least one as a consequence of immunosuppressive therapy. It is concluded that pemphigus vulgaris affecting the oral mucosa is still diagnosed only after considerable delay because patients, especially men, present late; it has a chronic course; it is often associated with lesions in other mucosae and/or skin; it can be resistant to currently available therapies; and immunosuppressive therapy frequently produces adverse effects, occasionally lethal.

  16. Long-term environmental drivers of DOC fluxes: Linkages between management, hydrology and climate in a subtropical coastal estuary

    NASA Astrophysics Data System (ADS)

    Regier, Peter; Briceño, Henry; Jaffé, Rudolf

    2016-12-01

    Urban and agricultural development of the South Florida peninsula has disrupted historic freshwater flow in the Everglades, a hydrologically connected ecosystem stretching from central Florida to the Gulf of Mexico, USA. Current system-scale restoration efforts aim to restore natural hydrologic regimes to reestablish pre-drainage ecosystem functioning through increased water availability, quality and timing. Aquatic transport of carbon in this ecosystem, primarily as dissolved organic carbon (DOC), plays a critical role in biogeochemical cycling and food-web dynamics, and will be affected both by water management policies and climate change. To better understand DOC dynamics in South Florida estuaries and how hydrology, climate and water management may affect them, 14 years of monthly data collected in the Shark River estuary were used to examine DOC flux dynamics in a broader environmental context. Multivariate statistical methods were applied to long-term datasets for hydrology, water quality and climate to untangle the interconnected environmental drivers that control DOC export at monthly and annual scales. DOC fluxes were determined to be primarily controlled by hydrology but also by seasonality and long-term climate patterns and episodic weather events. A four-component model (salinity, rainfall, inflow, Atlantic Multidecadal Oscillation) capable of predicting DOC fluxes (R2 = 0.84, p < 0.0001, n = 155) was established and applied to potential climate change scenarios for the Everglades to assess DOC flux response to climate and restoration variables. The majority of scenario runs indicated that DOC export from the Everglades is expected to decrease due to future changes in rainfall, water management and salinity.

  17. Integration of long-term fish kill data with ambient water quality monitoring data and application to water quality management

    NASA Astrophysics Data System (ADS)

    Trim, Alan H.; Marcus, James M.

    1990-05-01

    Almost half (354) of all fish kills (805) in South Carolina, USA, between 1978 and 1988 occurred in the coastal zone. These kills were analyzed for causative, spatial, and temporal associations as a distinct data set and as one integrated with ambient water quality monitoring data. Estuarine kills as a result of natural causes accounted for 42.8% followed by man-induced (35.1%) and undetermined causes (22.1%). Although general pesticide usage was responsible for 53.9% of man-induced kills, weed control activities around resorts and municipal areas accounted for slightly more kills (20.9%) than did agricultural (19.8%) or vector control (13.2%) uses. A dramatic decline in agricultural-related kills has been observed since 1986 as the integrated pest management approach was adopted by many farmers. When taken with the few kills (12.0%) resulting from wastewaters, this suggests that these two land-use activities have been successfully managed via existing programs (IPM and NPDES, respectively) to minimize their contributions to estuarine fish kills. Ambient trend monitoring data demonstrated no coastal-wide dispersion of pesticide pollution. These data confirmed the nature of fish kills to be site-specific, near-field events most closely associated with the contiguous land-use practices and intensities. Typically, fish kill data are considered as event-specific data limited to the bounds of that event only. Our analysis has shown, however, that a long-term data set, when integrated with ambient water quality data, can assist in regulatory and resource management decisions for both short- and long-term planning and protection applications.

  18. Long-term changes in nutrient availability after prescribed fire management in a Mediterranean soil

    NASA Astrophysics Data System (ADS)

    Alcañiz, Meritxell; Outeiro, Luis; Francos, Marcos; Farguell, Joaquim; Úbeda, Xavier

    2016-04-01

    The study area is located in the Tivissa Ranges (NE Iberian Peninsula) and the slope is ~35%, at 615 m.a.s.l. The natural vegetation before prescribed fire was composed of the three stratums in which trees (1% of the plot) were Pinus halepensis, shrubs were Ulex parviflorus, Cistus albidus, Rosmarinus officinallis, Erica multiflora and Quercus coccifera (75% of the plot), and herbs (24%) manly composed of Brachypodium retusum. The firemen had two main forest management objectives with the prescribed fire that was carried out on April 2002: (1) to change the dominance from Ulex to Cistus which is less flammable specie, and which would (2) permit the livestock into this area. Nine years after the prescribed fire our study plot was burned again with a low severity fire to manage the accumulation of vegetation. The aim of this study is a) to see the evolution of nutrient availability in the soil during 13 years since the first prescribed fire, and b) to evaluate the use of prescribed fire as a forest management tool. We have five sampling moments: (1) before the first prescribed fire; (2) after; (3) one year after; (4) three years after and (5) thirteen years after. Within the study area was placed a sampling plot with a rectangular 4×18 m structure. The study was carried out with 30 unstructured soil samples which were air-dried and passed through a 2 mm sieve. After that, fine material was prepared to measure different chemicals parameters of soil studied: soil pH [1:2.5], electrical conductivity [1:2.5], potassium, calcium and magnesium. The results show that, while pH is stable during the period studied, electrical conductivity increased after the prescribed fire as it was expected. However, thirteen years after the first prescribed fire the value (167 μS/cm) was markedly lower than before the prescribed fire (326 μS/cm). Changes in nutrient availability depend on the cation valence. Divalent cations (calcium and magnesium) decreased just after the prescribed

  19. Simulating the long-term response of peatlands to extraction and post-extraction management strategies

    NASA Astrophysics Data System (ADS)

    Quillet, Anne; Roulet, Nigel; Wu, Jianghua

    2016-04-01

    Peatlands have been and remain exploited either for agricultural purposes, forestry, peat extraction or infrastructure development in the northern latitudes as well as in the tropics. Modelling current and future carbon exchanges in peatlands thus requires further understanding of carbon dynamics in drained, exploited and restored peatlands. This study aimed at quantifying the centennial to millennial carbon balance in extracted and restored peatlands. On-site data measurements only started recently and only cover up to 15 years. The chosen approach was thus based on modelling. We modified the Holocene Peat Model (Frolking et al. 2010) to simulate peat extraction and restoration and calculate the carbon balance at different stages of exploitation and restoration. The model simulates drainage occurring prior to and during peat extraction, changes in peat bulk density and the specific vegetation succession occurring during the restoration process. As in the previous version of HPM, vegetation dynamics and interactions between vegetation and ecohydrology were included in the simulations. Simulation results offered an estimate of the amount of carbon accumulated in the peatland prior to exploitation as well as the carbon loss during exploitation. Estimates of current and future net carbon accumulation/loss, associated with different management scenarios, such as state-of-the-art restoration, drainage blocking or abandonment, gave an insight into the benefits of restoration and moreover into the millennial scale impact of peat extraction.

  20. Long-term changes to flood conditions due to varying management strategies, Rock River, WI

    NASA Astrophysics Data System (ADS)

    Fredrick, K. C.

    2015-12-01

    The Rock River is a 300-mile tributary of the Mississippi River in southern Wisconsin. Its source is a protected migratory bird habitat called the Horicon National Wildlife Refuge. Below the refuge, the Rock River flows through mostly rural, agricultural areas, with wide floodplain of mixed land use. Between the dam at Horicon and a hydroelectric dam in Watertown, WI, lie the townships of Lebanon, Ashippun, and Ixonia. These rural townships boast productive agricultural lands of mostly corn, soybeans, and alfalfa. Large portions of their land are within the floodplain, underlain by vast expanses of outwash sands and gravels, glaciolacustrine deposits, and tills. Throughout the region, spring floods are common from snowmelt and spring rain. These annual floods may be exacerbated by frozen ground and slow infiltration, making it an accepted part of life for residents. Over the last 8 years, and possibly as many as 20, this segment of the Rock River has seen an increase in flooding both in periodicity and retention of flood waters. Due to the delicate habitat of the wildlife refuge and the commissioned hydroelectric installation at the upper dam in Watertown, the residents and local governments of the Lebanon/Ashippun/Ixonia segment of the river have mostly been left to their own devices to monitor and manage flood events. Lebanon Township has been recording water levels for several years. Recent events at the hydroelectric plant seem to indicate that it may be playing a more important role in the flooding. High water events and flood retention do not correlate well with precipitation for the region. It appears that releases at the dam, or periods of water retention, are driving the long flooding periods upstream. Negative impacts to the region from the flooding include property damage, loss of arable land, and environmental effects.

  1. Non-invasive methods applied to the case of Municipal Solid Waste landfills (MSW): analysis of long-term data

    NASA Astrophysics Data System (ADS)

    Scozzari, A.

    2008-11-01

    This work presents and discusses a methodology for modeling the behavior of a landfill system in terms of biogas release to the atmosphere, relating this quantity to local meteorological parameters. One of the most important goals in the study of MSW sites lies in the optimization of biogas collection, thus minimizing its release to the atmosphere. After an introductory part, that presents the context of non-invasive measurements for the assessment of biogas release, the concepts of survey mapping and automatic flux monitoring are introduced. Objective of this work is to make use of time series coming from long-term flux monitoring campaigns in order to assess the trend of gas release from the MSW site. A key aspect in processing such data is the modeling of the effect of meteorological parameters over such measurements; this is accomplished by modeling the system behavior with a set of Input/Output data to characterize it without prior knowledge (system identification). The system identification approach presented here is based on an adaptive simulation concept, where a set of Input/Output data help training a "black box" model, without necessarily a prior analytical knowledge. The adaptive concept is based on an Artificial Neural Network scheme, which is trained by real-world data coming from a long-term monitoring campaign; such data are also used to test the real forecasting capability of the model. In this particular framework, the technique presented in this paper appears to be very attractive for the evaluation of biogas releases on a long term basis, by simulating the effects of meteorological parameters over the flux measurement, thus enhancing the extraction of the useful information in terms of a gas "flux" quantity.

  2. Clinicopathologic features and long-term outcome of patients with medullary breast carcinoma managed with breast-conserving therapy (BCT)

    SciTech Connect

    Ha Vu-Nishino; Tavassoli, Fattaneh A.; Ahrens, Willam A.; Haffty, Bruce G. . E-mail: hafftybg@umdnj.edu

    2005-07-15

    Purpose: The purpose of this study is to compare the clinical characteristics and outcome of medullary carcinoma to infiltrating ductal carcinoma of the breast in a large cohort of conservatively managed patients with long-term follow-up. Methods and Materials: Chart records of patients with invasive breast cancer managed with breast-conserving therapy (BCT) at the therapeutic radiology facilities of Yale University School of Medicine before 2001 were reviewed. Forty-six cases (1971-2001) were identified with medullary histology; 1,444 patients with infiltrating ductal carcinoma served as a control group. Results: The medullary cohort presented at a younger age with a higher percentage of patients in the 35 years or younger age group (26.1% vs. 6.6%, p < 0.00001). Twelve patients with medullary histology underwent genetic screening, and 6 patients were identified with deleterious mutations. This group showed greater association with BRCA1/2 mutations compared with screened patients in the control group (50.0% vs. 15.8%, p 0.0035). The medullary cohort was also significantly associated with greater T stage and tumor size (37.0% vs. 17.2% T2, mean size 3.2 vs. 2.5 cm, p 0.00097) as well as negative ER (84.9% vs. 37.6%, p < 0.00001) and PR (87.5% vs. 48.1%, p = 0.00001) status. As of February 2003, median follow-up times for the medullary and control groups were 13.9 and 14.0 years, respectively. Although breast relapse-free rates were not significantly different (76.7% vs. 85.2%), 10-year distant relapse-free survival in the medullary cohort was significantly better than in the control group (94.9% vs. 77.5%, p = 0.028). Conclusions: Despite poor clinicopathologic features, patients with medullary histology demonstrate favorable long-term distant relapse-free survival. Local control rates of patients with medullary and infiltrating ductal carcinoma are comparable. These findings suggest that patients diagnosed with medullary carcinoma are appropriate candidates for

  3. Reforming Management of Behavior Symptoms and Psychiatric Conditions in Long-Term Care Facilities: A Different Perspective.

    PubMed

    Levenson, Steven A; Desai, Abhilash K

    2017-02-24

    Despite much attention including national initiatives, concerns remain about the approaches to managing behavior symptoms and psychiatric conditions across all settings, including in long-term care settings such as nursing homes and assisted living facilities. One key reason why problems persist is because most efforts to "reform" and "correct" the situation have failed to explore or address root causes and instead have promoted inadequate piecemeal "solutions." Further improvement requires jumping off the bandwagon and rethinking the entire issue, including recognizing and applying key concepts of clinical reasoning and the care delivery process to every situation. The huge negative impact of cognitive biases and rote approaches on related clinical problem solving and decision making and patient outcomes also must be addressed.

  4. Life Cycle Management Considerations of Remotely Sensed Geospatial Data and Documentation for Long Term Preservation

    NASA Technical Reports Server (NTRS)

    Khayat, Mohammad G.; Kempler, Steven J.

    2015-01-01

    As geospatial missions age, one of the challenges for the usability of data is the availability of relevant and updated metadata with sufficient documentation that can be used by future generations of users to gain knowledge from the original data. Given that remote sensing data undergo many intermediate processing steps, for example, an understanding of the exact algorithms employed and the quality of that data produced, could be key considerations for these users. As interest in global climate data is increasing, documentation about older data, their origins, and provenance are valuable to first time users attempting to perform historical climate research or comparative analysis of global change. Incomplete or missing documentation could be what stands in the way of a new researcher attempting to use the data. Therefore, preservation of documentation and related metadata is sometimes just as critical as the preservation of the original observational data. The Goddard Earth Sciences - Data and Information Service Center (GES DISC), a NASA Earth science Distributed Active Archive Center (DAAC), that falls under the management structure of the Earth Science Data and Information System (ESDIS), is actively pursuing the preservation of all necessary artifacts needed by future users. In this paper we will detail the data custodial planning and the data lifecycle process developed for content preservation, our implementation of a Preservation System to safeguard documents and associated artifacts from legacy (older) missions, as well as detail lessons learned regarding access rights and confidentiality of information issues. We also elaborate on key points that made our preservation effort successful; the primary points being: the drafting of a governing baseline for historical data preservation from satellite missions, and using the historical baseline as a guide to content filtering of what documents to preserve. The Preservation System currently archives

  5. Effect of different agronomic management practices on greenhouse gas emissions and nutrient cycling in a long-term field trial

    NASA Astrophysics Data System (ADS)

    Koal, Philipp; Schilling, Rolf; Gerl, Georg; Pritsch, Karin; Munch, Jean Charles

    2015-04-01

    In order to achieve a reduction of greenhouse gas emissions, modern agronomic management practices need to be established. Therefore, to assess the effect of different farming practices on greenhouse gas emissions, reliable data are required. The experiment covers and compares two main aspects of agricultural management for a better implementation of sustainable land use. The focus lies on the determination and interpretation of greenhouse gas emissions, however, regarding in each case a different agricultural management system, namely an organic farming system and an integrated farming system where the effect of diverse tillage systems and fertilisation practices are observed. In addition, with analysis of the alterable biological, physical and chemical soil properties a link between the impact of different management systems on greenhouse gas emissions and the observed cycle of matter in the soil, especially the nitrogen and carbon cycle, will be enabled. Measurements have been carried out on long-term field trials at the Research Farm Scheyern located in a Tertiary hilly landscape approximately 40 km north of Munich (South Germany). The long-term field trials of the organic and integrated farming system were started in 1992. Since then parcels of land (each around 0.2-0.4 ha) with a particular interior plot set-up have been conducted with the same crop rotation, tillage and fertilisation practice referring to organic and integrated farming management. Thus, the management impacts on the soil of more than 20 years are being examined. Fluxes of CH4, N2O and CO2 have been monitored since 2007 for the integrated farming system trial and since 2012 for the organic farming system trial using an automated system which consists of chambers (0.4 m2 area) with a motor-driven lid, an automated gas sampling unit, an on-line gas chromatographic analysis system, and a control and data logging unit. Precipitation and temperature data have been observed for each experimental

  6. Pain Management Programmes for Non-English-Speaking Black and Minority Ethnic Groups With Long-Term or Chronic Pain.

    PubMed

    Burton, A E; Shaw, R L

    2015-12-01

    Increasing ethnic diversity in the UK means that there is a growing need for National Health Service care to be delivered to non-English-speaking patients. The aims of the present systematic review were to: (1) better understand the outcomes of chronic pain management programmes (PMPs) for ethnic minority and non-English-speaking patients and (2) explore the perspectives on and experiences of chronic pain for these groups. A systematic review identified 26 papers meeting the inclusion criteria; no papers reported on the outcomes of PMPs delivered in the UK. Of the papers obtained, four reported on PMPs conducted outside the UK; eight reported on ethnic differences in patients seeking support from pain management services in America; and the remaining papers included literature reviews, an experimental pain study, a collaborative enquiry, and a survey of patient and clinician ratings of pain. The findings indicate a lack of research into UK-based pain management for ethnic minorities and non-English-speaking patients. The literature suggests that effective PMPs must be tailored to meet cultural experiences of pain and beliefs about pain management. There is a need for further research to explore these cultural beliefs in non-English-speaking groups in the UK. Culturally sensitive evaluations of interpreted PMPs with long-term follow-up are needed to assess the effectiveness of current provision. Copyright © 2015 John Wiley & Sons, Ltd.

  7. Waste management system

    NASA Technical Reports Server (NTRS)

    Sauer, R. L.; Jorgensen, G. K.

    1975-01-01

    The function of the waste management system was to control the disposition of solid and liquid wastes and waste stowage gases. The waste management system consisting of a urine subsystem and a fecal subsystem is described in detail and its overall performance is evaluated. Recommendations for improvement are given.

  8. The effects of long-term management on patterns of carbon storage in a northern highbush blueberry production system.

    PubMed

    Nemeth, Denise; Lambrinos, John G; Strik, Bernadine C

    2017-02-01

    Perennial crops potentially provide a sink for atmospheric carbon. However, there is a poor understanding of how perennial crops differ in their carbon allocation patterns, and few studies have tested how agronomic practices such as fertilization influence long-term patterns of carbon allocation in actual production systems. In this study, we report results of a long-term field experiment that tested the individual and combined effects of organic matter incorporation and nitrogen fertilization on carbon allocation. The mature (nine-year-old) blueberry plants in this study had an average standing carbon stock of 1147gCm(-2) and average annual Net Primary Production (NPP) of 523gCm(-2)yr(-1), values that are similar to those reported for other woody crops. Forty-four percent of blueberry annual NPP was sequestered in persistent biomass, 19% was exported as harvested fruit, and 37% entered the detrital pathway. Nitrogen applied at rates typical for blueberry production throughout the span of the study had no significant effect on total plant or soil C. However, pre-planting organic matter incorporation and periodic mulching with sawdust significantly increased both soil organic matter and soil C. Pre-planting organic matter incorporation also increased total standing plant C nine years later at maturity. At the field scale, we estimate that fields receiving pre-planting organic matter incorporation would have 4.8% (4.5Mgha(-1)) more standing C relative to non-amended fields, although the difference is within the range of uncertainty of the estimated values. These results suggest that blueberry production can provide a valuable medium-term carbon store that is comparable in magnitude to that of temperate tree crops, but overall carbon budgets are influenced by management practices over the first decade after planting.

  9. [Medical and medico-social case management of drug-resistant partial epilepsy. Specific implementation of long-term antiepileptic treatment in the adult].

    PubMed

    Chassagnon, S

    2004-06-01

    Medical treatment of refractory localisation-related epilepsies in adults should always be considered with regard to surgical possibilities. When long-term therapy with antiepileptic drugs is necessary, the treatment tries to achieve maximal efficacy with the lowest unavoidable toxicity. Until an evidence-based choice can be made, the management is currently based on empirical knowledge. In this article, the available literature on effectiveness and monitoring of long term antiepileptic therapy is reviewed.

  10. How do soil quality indicators (SOC and nutrients) change with long-term different crop residue management?

    NASA Astrophysics Data System (ADS)

    Spiegel, Heide; Lehtinen, Taru; Dersch, Georg; Baumgarten, Andreas

    2016-04-01

    Leaving the crop residues (cereal grain straw, maize stover, sugar beet leaves) on the field may enhance SOC and soil nutrient contents (e.g. P, K, Mg). In contrast, harvesting crop residues for livestock bedding or energy production are often connected with a loss of soil fertility (Lehtinen et al., 2014). We have evaluated the effects of different management of crop residues on selected soil parameters of the upper soil (0-25 cm) in two long-term field experiments in Austria focused on P-dynamics (Marchfeld, since 1982 and Alpenvorland, since 1986). In four P-fertilisation stages (0, 75, 150, 300 kg P2O5 ha-1y-1) all crop residues were incorporated in one treatment and all removed in the other one, respectively. The results show that the effects are different at the two investigated sites. At the site Marchfeld, a medium textured soil, on average SOC was significantly higher with the incorporation of crop residues (21.6 g kg-1) compared to the removal (19.9 g kg-1) after 32 years. In the long run, SOC levels could be maintained, if crop residues remained at the field, whereas the constant removal of crop residues resulted in a SOC decline. At the site Alpenvorland, SOC was only slightly higher with the incorporation of the crop residues after 28 years. In this case, in the long run, even with this management practice and, moreover, with the residue removal, SOC tended to decrease generally. At the Marchfeld, crop residue incorporation resulted in a significant increase of "plant available" phosphorus (P-CAL) only with very high P fertilization. However, "plant available" Mg (according to Schachtschabel) and potassium (K-CAL) were significantly higher in all P fertilisation stages compared to the residue removal treatments. At the site Alpenvorland, the soils are rich in silt and clay and with long-term incorporation of crop residues a significant increase only of „plant available" K of about 50% occurred. This indicates the necessity of taking into account the

  11. Analytical approximations for the long-term decay behavior of spent fuel and high-level waste

    SciTech Connect

    Malbrain, C.M.; Deutch, J.M.; Lester, R.K.

    1982-05-01

    Simple analytical approximations are presented that describe the radioactivity and radiogenic decay heat behavior of high-level wastes (HLWs) from various nuclear fuel cycles during the first 100,000 years of waste life. The correlations are based on detailed computations of HLW properties carried out with the isotope generation and depletion code ORIGEN 2. The ambiguities encountered in using simple comparisons of the hazards posed by HLWs and naturally occurring mineral deposits to establish the longevity requirements for geologic waste disposal schemes are discussed.

  12. Current strategies for the long-term assessment, monitoring, and management of cystic fibrosis patients treated with CFTR modulator therapy.

    PubMed

    Elborn, J Stuart; Davies, Jane; Mall, Marcus A; Flume, Patrick A; Plant, Barry

    2017-01-01

    The content for this activity is based on the satellite symposium, "Current Strategies for the Long-term Assessment, Monitoring, and Management for Cystic Fibrosis Patients Treated with CFTR Modulator Therapy" that was presented at the 39th European Cystic Fibrosis Society Conference on June 10, 2016 (Online access: http://courses.elseviercme.com/ecfs2016e/619e). The emergence of novel targeted agents, that directly correct CFTR loss function alleles, has created new treatment opportunities for patients with cystic fibrosis with advanced disease. Knowledge of the role of these agents in the clinical setting is quickly evolving and will require physicians to stay acquainted with the latest data as well as evidence-based treatment guidelines in order to achieve optimized cystic fibrosis patient care. Ideally, after diagnosis, a personalized approach would be adapted and tailored to the patient through genome-informed medicine. However, due to the relative recentness of genomic-based therapeutics, physicians may have a limited knowledge base regarding these new treatment options and how to best incorporate these agents into patient management plans. Although cystic fibrosis is still largely regarded as a pediatric disease, the median survival for patients is 35years of age. Consequently, pediatric-to-adult cystic fibrosis care programs would allow suitable preparation time for this transition and develop a standardized group of self-care and management skills.

  13. Evaluation of Long-term Agroecosystem Management on Changes in Subsurface vs. Surface Soil Carbon Fractions and Dynamics

    NASA Astrophysics Data System (ADS)

    Wolfe, D.; Beem-Miller, J.; Kong, A.; Comstock, J.; Sherpa, S.; Wine, E.; Mallorino, A.

    2013-12-01

    Most studies of terrestrial soil organic carbon (SOC) have focused on the upper soil profile (e.g., 0-30 cm), so our knowledge of C dynamics in deeper layers is incomplete. Here, we examine the depth-dependent mechanisms and constraints by which management of the upper soil profile for optimum crop yield in agroecosystems can influence SOC fractions and change in both the surface and subsurface. Our study includes continuous corn systems under long-term conventional tillage (CT) vs no-tillage (NT) at Willsboro, New York (NY) (Kingsbury silty loam soil; 19 y) and Chazy, NY (Raynham silt loam; 38 y), and long-term crop rotation experiments under CT at Algona, Iowa (IA) (Clarion loam; 11 y) and Kanawha, IA (Canisteo clay loam; 57 y). Rotations in IA compared continuous corn to corn rotations with soybean, alfalfa, and/or oats. Cores were collected in 2011 and 2012 at 0-10, 10-20, 20-30, 30-50 and 50-75 cm, and analyzed for bulk density, soil texture, percent organic matter, total C and nitrogen (N), soil inorganic C, and active C (permanganate oxidizable C, POXC). Recent studies have documented that POXC is closely correlated with heavy, small-sized particulate organic C, reflecting a relatively processed and stable pool of labile C that is well-suited to assess land management effects on C dynamics. Overall, cumulative SOC stocks (0-75 cm) in the IA and NY soils ranged from 109.9-168.8 MgC ha-1, and 37.8-104.1 MgC ha-1, respectively. The proportion of total SOC stocks that occurred in the subsurface (30-75 cm) ranged from 39-44% in the IA soils, compared to 16-26% in NY. Across all sites and management we found no examples of statistically significant SOC change below 30 cm, although this may be in part an artifact of greater variability and smaller absolute values of C concentration at depth. SOC data were correlated with POXC measurements, although depth- and site-specific discrepancies in these two measures were observed. For example, POXC was relatively

  14. Management of problematic behaviours among individuals on long-term opioid therapy: protocol for a Delphi study

    PubMed Central

    Merlin, Jessica S; Young, Sarah R; Azari, Soraya; Becker, William C; Liebschutz, Jane M; Pomeranz, Jamie; Roy, Payel; Saini, Shalini; Starrels, Joanna L; Edelman, E Jennifer

    2016-01-01

    Introduction Given the sharp rise in opioid prescribing and heightened recognition of opioid addiction and overdose, opioid safety has become a priority. Clinical guidelines on long-term opioid therapy (LTOT) for chronic pain consistently recommend routine monitoring and screening for problematic behaviours. Yet, there is no consensus definition regarding what constitutes a problematic behaviour, and recommendations for appropriate management to inform front-line providers, researchers and policymakers are lacking. This creates a barrier to effective guideline implementation. Thus, our objective is to present the protocol for a Delphi study designed to: (1) elicit expert opinion to identify the most important problematic behaviours seen in clinical practice and (2) develop consensus on how these behaviours should be managed in the context of routine clinical care. Methods/analysis We will include clinical experts, defined as individuals who provide direct patient care to adults with chronic pain who are on LTOT in an ambulatory setting, and for whom opioid prescribing for chronic non-malignant pain is an area of expertise. The Delphi study will be conducted online in 4 consecutive rounds. Participants will be asked to list problematic behaviours and identify which behaviours are most common and challenging. They will then describe how they would manage the most frequently occurring common and challenging behaviours, rating the importance of each management strategy. Qualitative analysis will be used to categorise behaviours and management strategies, and consensus will be based on a definition established a priori. Ethics/dissemination This study has been approved by the Institutional Review Board (IRB) of the University of Alabama at Birmingham (UAB). This study will generate Delphi-based expert consensus on the management of problematic behaviours that arise in individuals on LTOT, which we will publish and disseminate to appropriate professional societies

  15. Long-term thermophilic mono-digestion of rendering wastes and co-digestion with potato pulp

    SciTech Connect

    Bayr, S. Ojanperä, M.; Kaparaju, P.; Rintala, J.

    2014-10-15

    Highlights: • Rendering wastes’ mono-digestion and co-digestion with potato pulp were studied. • CSTR process with OLR of 1.5 kg VS/m{sup 3} d, HRT of 50 d was unstable in mono-digestion. • Free NH{sub 3} inhibited mono-digestion of rendering wastes. • CSTR process with OLR of 1.5 kg VS/m{sup 3} d, HRT of 50 d was stable in co-digestion. • Co-digestion increased methane yield somewhat compared to mono-digestion. - Abstract: In this study, mono-digestion of rendering wastes and co-digestion of rendering wastes with potato pulp were studied for the first time in continuous stirred tank reactor (CSTR) experiments at 55 °C. Rendering wastes have high protein and lipid contents and are considered good substrates for methane production. However, accumulation of digestion intermediate products viz., volatile fatty acids (VFAs), long chain fatty acids (LCFAs) and ammonia nitrogen (NH{sub 4}-N and/or free NH{sub 3}) can cause process imbalance during the digestion. Mono-digestion of rendering wastes at an organic loading rate (OLR) of 1.5 kg volatile solids (VS)/m{sup 3} d and hydraulic retention time (HRT) of 50 d was unstable and resulted in methane yields of 450 dm{sup 3}/kg VS{sub fed}. On the other hand, co-digestion of rendering wastes with potato pulp (60% wet weight, WW) at the same OLR and HRT improved the process stability and increased methane yields (500–680 dm{sup 3}/kg VS{sub fed}). Thus, it can be concluded that co-digestion of rendering wastes with potato pulp could improve the process stability and methane yields from these difficult to treat industrial waste materials.

  16. Relevance of biotic pathways to the long-term regulation of nuclear waste disposal. A report on Tasks 1 and 2 of Phase I. [Shallow land burial

    SciTech Connect

    McKenzie, D.H.; Cadwell, L.L.; Cushing, C.E. Jr.; Harty, R.; Kennedy, W.E. Jr.; Simmons, M.A.; Soldat, J.K.; Swartzman, B.

    1982-07-01

    The purpose of the work reported here was to evaluate the relevance of biotic transport to the assessment of impacts and licensing of low-level waste disposal sites. Available computer models and their recent applications at low-level waste disposal sites are considered. Biotic transport mechanisms and processes for both terrestrial and aquatic systems are presented with examples from existing waste disposal sites. Following a proposed system for ranking radionuclides by their potential for biotic transport, recommendations for completing Phase I research are presented. To evaluate the long-term importance of biotic transport at low-level waste sites, scenarios for biotic pathways and mechanisms need to be developed. Scenarios should begin with a description of the waste form and should include a description of biotic processes and mechanisms, approximations of the magnitude of materials transported, and a linkage to processes or mechanisms in existing models. Once these scenarios are in place, existing models could be used to evaluate impacts resulting from biotic transport and to assess the relevance to site selection and licensing of low-level waste disposal sites.

  17. The role of natural glasses as analogues in projecting the long-term alteration of high-level nuclear waste glasses: Part 1

    SciTech Connect

    Mazer, J.J.

    1993-12-31

    The common observation of glasses persisting in natural environments for long periods of time (up to tens of millions of years) provides compelling evidence that these materials can be kinetically stable in a variety of subsurface environments. This paper reviews how natural and historical synthesized glasses can be employed as natural analogues for understanding and projecting the long-term alteration of high-level nuclear waste glasses. The corrosion of basaltic glass results in many of the same alteration features found in laboratory testing of the corrosion of high-level radioactive waste glasses. Evidence has also been found indicating similarities in the rate controlling processes, such as the effects of silica concentration on corrosion in groundwater and in laboratory leachates. Naturally altered rhyolitic glasses and tektites provide additional evidence that can be used to constrain estimates of long-term waste glass alteration. When reacted under conditions where water is plentiful, the corrosion for these glasses is dominated by network hydrolysis, while the corrosion is dominated by molecular water diffusion and secondary mineral formation under conditions where water contact is intermittent or where water is relatively scarce. Synthesized glasses that have been naturally altered result in alkali-depleted alteration features that are similar to those found for natural glasses and for nuclear waste glasses. The characteristics of these alteration features appear to be dependent on the alteration conditions which affect the dominant reaction processes during weathering. In all cases, care must be taken to ensure that the information being provided by natural analogues is related to nuclear waste glass corrosion in a clear and meaningful way.

  18. Research Opportunities in Corrosion Science for Long-Term Prediction of Materials Performance: A Report of the DOE Workshop on “Corrosion Issues of Relevance to the Yucca Mountain Waste Repository”.

    SciTech Connect

    Payer, Joe H.; Scully, John R.

    2003-07-29

    The report summarizes the findings of a U.S. Department of Energy workshop on “Corrosion Issues of Relevance to the Yucca Mountain Waste Repository”. The workshop was held on July 29-30, 2003 in Bethesda, MD, and was co-sponsored by the Office of Basic Energy Sciences and Office of Civilian Radioactive Waste Management. The workshop focus was corrosion science relevant to long-term prediction of materials performance in hostile environments, with special focus on relevance to the permanent disposal of nuclear waste at the Yucca Mountain Repository. The culmination of the workshop is this report that identifies both generic and Yucca Mountain Project-specific research opportunities in basic and applied topic areas. The research opportunities would be realized well after the U.S. Nuclear Regulatory Commission’s initial construction-authorization licensing process. At the workshop, twenty-three invited scientists deliberated on basic and applied science opportunities in corrosion science relevant to long-term prediction of damage accumulation by corrosive processes that affect materials performance.

  19. Long-term effects of a lock and dam and greentree reservoir management on a bottomland hardwood forest

    USGS Publications Warehouse

    King, S.L.; Allen, J.A.; McCoy, J.W.

    1998-01-01

    We investigated the long-term effects of a lock and dam and greentree reservoir management on a riparian bottomland hardwood forest in southern Arkansas, USA, by monitoring stress, mortality, and regeneration of bottomland hardwood trees in 53 permanent sampling plots from 1987-1995. The lock and dam and greentree reservoir management have altered the timing, depth, and duration of flooding within the wetland forest. Evaluation of daily river stage data indicates that November overbank flooding (i.e. 0.3 m above normal pool) of 1 week duration occurred only 10 times from 1950 to 1995 and four of these occurrences were the result of artificial flooding of the greentree reservoir. Results of the vegetation study indicate that the five most common dominant and co-dominant species were overcup oak, water hickory, Nuttall oak, willow oak, and sweetgum. Mortality of willow oak exceeded that of all other species except Nuttall oak. Nuttall oak, willow oak, and water hickory had much higher percentages of dead trees concentrated within the dominant and co-dominant crown classes. Probit analysis indicated that differences in stress and mortality were due to a combination of flooding and stand competition. Overcup oak appears to exhibit very little stress regardless of crown class and elevation and, with few exceptions, had a significantly greater probability of occurring within lower stress classes than any other species. Only 22 new stems were recruited into the 5 cm diameter-at-breast height size class between 1990-1995 and of these, three were Nuttall oak, three were water hickory, and one was sweetgum. No recruitment into the 5 cm diameter-at-breast height size class occurred for overcup oak or willow oak. The results of the study suggest that the forest is progressing to a more water-tolerant community dominated by overcup oak. A conservative flooding strategy would minimize tree stress and maintain quality wildlife habitat within the forested wetland.The long-term

  20. An intervention to promote patient participation and self-management in long term conditions: development and feasibility testing

    PubMed Central

    2010-01-01

    Background There is worldwide interest in managing the global burden of long-term conditions. Current health policy places emphasis on self-management and supporting patient participation as ways of improving patient outcomes and reducing costs. However, achieving genuine participation is difficult. This paper describes the development of an intervention designed to promote participation in the consultation and facilitate self-management in long-term conditions. In line with current guidance on the development of complex interventions, our aim was to develop and refine the initial intervention using qualitative methods, prior to more formal evaluation. Methods We based the intervention on published evidence on effective ways of improving participation. The intervention was developed, piloted and evaluated using a range of qualitative methods. Firstly, focus groups with stakeholders (5 patients and 3 clinicians) were held to introduce the prototype and elucidate how it could be improved. Then individual 'think aloud' and qualitative interviews (n = 10) were used to explore how patients responded to and understood the form and provide further refinement. Results The literature highlighted that effective methods of increasing participation include the use of patient reported outcome measures and values clarification exercises. The intervention (called PRISMS) integrated these processes, using a structured form which required patients to identify problems, rate their magnitude and identify their priority. PRISMS was well received by patients and professionals. In the individual qualitative interviews the main themes that emerged from the data related to (a) the content of the PRISMS (b) the process of completing PRISMS and how it could be operationalised in practice and (c) the outcomes of completing PRISMS for the patient. A number of different functions of PRISMS were identified by patients including its use as an aide-memoire, to provide a focus to consultations, to

  1. Environmental management: Integrating ecological evaluation, remediation, restoration, natural resource damage assessment and long-term stewardship on contaminated lands

    PubMed Central

    Burger, Joanna

    2014-01-01

    Ecological evaluation is essential for remediation, restoration, and Natural Resource Damage Assessment (NRDA), and forms the basis for many management practices. These include determining status and trends of biological, physical, or chemical/radiological conditions, conducting environmental impact assessments, performing remedial actions should remediation fail, managing ecosystems and wildlife, and assessing the efficacy of remediation, restoration, and long-term stewardship. The objective of this paper is to explore the meanings of these assessments, examine the relationships among them, and suggest methods of integration that will move environmental management forward. While remediation, restoration, and NRDA, among others, are often conducted separately, it is important to integrate them for contaminated land where the risks to ecoreceptors (including humans) can be high, and the potential damage to functioning ecosystems great. Ecological evaluations can range from inventories of local plants and animals, determinations of reproductive success of particular species, levels of contaminants in organisms, kinds and levels of effects, and environmental impact assessments, to very formal ecological risk assessments for a chemical or other stressor. Such evaluations can range from the individual species to populations, communities, ecosystems or the landscape scale. Ecological evaluations serve as the basis for making decisions about the levels and kinds of remediation, the levels and kinds of restoration possible, and the degree and kinds of natural resource injuries that have occurred because of contamination. Many different disciplines are involved in ecological evaluation, including biologists, conservationists, foresters, restoration ecologists, ecological engineers, economists, hydrologist, and geologists. Since ecological evaluation forms the basis for so many different types of environmental management, it seems reasonable to integrate management options

  2. Environmental management: integrating ecological evaluation, remediation, restoration, natural resource damage assessment and long-term stewardship on contaminated lands.

    PubMed

    Burger, Joanna

    2008-08-01

    Ecological evaluation is essential for remediation, restoration, and Natural Resource Damage Assessment (NRDA), and forms the basis for many management practices. These include determining status and trends of biological, physical, or chemical/radiological conditions, conducting environmental impact assessments, performing remedial actions should remediation fail, managing ecosystems and wildlife, and assessing the efficacy of remediation, restoration, and long-term stewardship. The objective of this paper is to explore the meanings of these assessments, examine the relationships among them, and suggest methods of integration that will move environmental management forward. While remediation, restoration, and NRDA, among others, are often conducted separately, it is important to integrate them for contaminated land where the risks to ecoreceptors (including humans) can be high, and the potential damage to functioning ecosystems great. Ecological evaluations can range from inventories of local plants and animals, determinations of reproductive success of particular species, levels of contaminants in organisms, kinds and levels of effects, and environmental impact assessments, to very formal ecological risk assessments for a chemical or other stressor. Such evaluations can range from the individual species to populations, communities, ecosystems or the landscape scale. Ecological evaluations serve as the basis for making decisions about the levels and kinds of remediation, the levels and kinds of restoration possible, and the degree and kinds of natural resource injuries that have occurred because of contamination. Many different disciplines are involved in ecological evaluation, including biologists, conservationists, foresters, restoration ecologists, ecological engineers, economists, hydrologist, and geologists. Since ecological evaluation forms the basis for so many different types of environmental management, it seems reasonable to integrate management options

  3. Increasing the Frequency and Timeliness of Pain Assessment and Management in Long-Term Care: Knowledge Transfer and Sustained Implementation.

    PubMed

    Hadjistavropoulos, Thomas; Williams, Jaime; Kaasalainen, Sharon; Hunter, Paulette V; Savoie, Maryse L; Wickson-Griffiths, Abigail

    2016-01-01

    Background. Although feasible protocols for pain assessment and management in long-term care (LTC) have been developed, these have not been implemented on a large-scale basis. Objective. To implement a program of regular pain assessment in two LTC facilities, using implementation science principles, and to evaluate the process and success of doing so. Methods. The implementation protocol included a pain assessment workshop and the establishment of a nurse Pain Champion. Quality indicators were tracked before and after implementation. Focus groups and interviews with staff were also conducted. Results. The implementation effort was successful in increasing and regularizing pain assessments. This was sustained during the follow-up period. Staff members reported enthusiasm about the protocol at baseline and positive results following its implementation. Despite the success in increasing assessments, we did not identify changes in the percentages of patients reported as having moderate-to-severe pain. Discussion. It is our hope that our feasibility demonstration will encourage more facilities to improve their pain assessment/management practices. Conclusions. It is feasible to implement regular and systematic pain assessment in LTC. Future research should focus on ensuring effective clinical practices in response to assessment results, and determination of longer-term sustainability.

  4. Insulin therapy for management of type 2 diabetes mellitus: strategies for initiation and long-term patient adherence.

    PubMed

    Barag, Steven H

    2011-07-01

    Effective glycemic control is essential to minimize the long-term complications of type 2 diabetes mellitus (T2DM). However, it is well documented that many patients spend prolonged periods outside of the optimal glycemic range. The use of insulin is important to effectively control the disease process in patients with T2DM. Even so, resistance to insulin use among patients and healthcare providers often limits initiation and intensification of insulin therapy. With the increasing prevalence of T2DM across all socioeconomic strata, an expanded viewpoint of early and sustained insulin use is crucial to enhance glycemic control in patients. To manage the effects of T2DM on cardiovascular disease in the aging population, physicians can promote insulin therapy as an affordable and effective treatment option. The author reviews beliefs and myths about the use of insulin in the management of T2DM and discusses strategies to overcome barriers to initiation of insulin therapy in the primary care setting.

  5. Application of Hydrometeorological Information for Short-term and Long-term Water Resources Management over Ungauged Basin in Korea

    NASA Astrophysics Data System (ADS)

    Kim, Ji-in; Ryu, Kyongsik; Suh, Ae-sook

    2016-04-01

    In 2014, three major governmental organizations that are Korea Meteorological Administration (KMA), K-water, and Korea Rural Community Corporation have been established the Hydrometeorological Cooperation Center (HCC) to accomplish more effective water management for scarcely gauged river basins, where data are uncertain or non-consistent. To manage the optimal drought and flood control over the ungauged river, HCC aims to interconnect between weather observations and forecasting information, and hydrological model over sparse regions with limited observations sites in Korean peninsula. In this study, long-term forecasting ensemble models so called Global Seasonal forecast system version 5 (GloSea5): a high-resolution seasonal forecast system, provided by KMA was used in order to produce drought outlook. Glosea5 ensemble model prediction provides predicted drought information for 1 and 3 months ahead with drought index including Standardized Precipitation Index (SPI3) and Palmer Drought Severity Index (PDSI). Also, Global Precipitation Measurement and Global Climate Observation Measurement - Water1 satellites data products are used to estimate rainfall and soil moisture contents over the ungauged region.

  6. A long-term static immersion experiment on the leaching behavior of heavy metals from waste printed circuit boards.

    PubMed

    Zhao, Guo-Hua; Luo, Xing-Zhang; Chen, Gui; Zhao, Yong-Jun

    2014-08-01

    Printed circuit boards (PCBs) are the main components of electrical and electronic equipment (EEE). Waste PCBs contain several kinds of heavy metals, including Cu, Pb and Zn. We characterize the leaching of heavy metals (Cu, Pb, Zn and Ni) from waste PCBs in a pH range of 3.0 to 5.6 using a novel approach based on batch pH-static leaching experiments in this work. The results indicate that the leaching behavior of Cu, Pb, Zn and Ni is strongly dependent on pH. Leaching behavior also varies with different pH values and leaching times. The maximum concentrations of Cu, Pb, Zn and Ni in leachate from waste PCBs were 335.00, 17.57, 2.40 and 2.33 mg L(-1), respectively. The highest Pb, Ni, and Cu concentrations leached significantly exceeded the European Union waste-acceptance limit values with respect to inert waste landfills. The leaching of metals follows the shrinking core model with surface reaction control.

  7. Relevance of biotic pathways to the long-term regulation of nuclear waste disposal: Phase 2, Final report

    SciTech Connect

    McKenzie, D.H.; Cadwell, L.L.; Kennedy, W.E. Jr.; Prohammer, L.A.; Simmons, M.A.

    1986-11-01

    The results reported here establish the relevance and propose a method for including biotic transport in the assessment and licensing process for commercial low-level waste disposal sites. Earlier work identified the biotic transport mechanisms and process scenarios linking biotic transport with dose to man, and developed models for assessment of impacts. Model modification and improvement efforts in enhancing the ability to represent soil erosion and soil transport within the trench cover. Two alternative hypotheses on plant root uptake were incorporated into the model to represent transport of radionuclides by roots that penetrate the buried waste. Enhancements were also made to the scenario for future site intruder activities. Representation of waste package decomposition in the model was confirmed as the best available alternative. Results from sensitivity analyses indicate that additional information is needed to evaluate the alternative hypotheses for plant root uptake of buried wastes. Site-specific evaluations of the contribution from biotic transport to the potential dose to man establish the relevance in the assessment process. The BIOPORT/MAXI1 computer software package is proposed for dose assessments of commercial low-level waste disposal sites.

  8. Conceptualisation of the 'good' self-manager: A qualitative investigation of stakeholder views on the self-management of long-term health conditions.

    PubMed

    Ellis, J; Boger, E; Latter, S; Kennedy, A; Jones, F; Foster, C; Demain, S

    2017-03-01

    Healthcare policy in developed countries has, in recent years, promoted self-management among people with long-term conditions. Such policies are underpinned by neoliberal philosophy, as seen in the promotion of greater individual responsibility for health through increased support for self-management. Yet still little is known about how self-management is understood by commissioners of healthcare services, healthcare professionals, people with long-term conditions and family care-givers. The evidence presented here is drawn from a two-year study, which investigated how self-management is conceptualised by these stakeholder groups. Conducted in the UK between 2013 and 2015, this study focused on three exemplar long-term conditions, stroke, diabetes and colorectal cancer, to explore the issue. Semi-structured interviews and focus groups were carried out with 174 participants (97 patients, 35 family care-givers, 20 healthcare professionals and 22 commissioners). The data is used to demonstrate how self-management is framed in terms of what it means to be a 'good' self-manager. The 'good' self-manager is an individual who is remoralised; thus taking responsibility for their health; is knowledgeable and uses this to manage risks; and, is 'active' in using information to make informed decisions regarding health and social wellbeing. This paper examines the conceptualisation of the 'good' self-manager. It demonstrates how the remoralised, knowledgeable and active elements are inextricably linked, that is, how action is knowledge applied and how morality underlies all action of the 'good' self-manager. Through unpicking the 'good' self-manager the problems of neoliberalism are also revealed and addressed here.

  9. Assessment of the long-term risk of a meteorite impact on a hypothetical Canadian nuclear fuel waste disposal vault deep in plutonic rock

    SciTech Connect

    Wuschke, D.M.; Whitaker, S.H.; Goodwin, B.W.; Rasmussen, L.R.

    1995-12-31

    Canada has conducted an extensive research program on the safe disposal of nuclear fuel waste. The program has focused on disposal of used fuel in durable containers in an engineered facility or ``vault``, 500 to 1,000 m deep in plutonic rock of the Canadian Shield. This paper describes an assessment of the long-term radiological risk to a critical group, resulting from a meteorite impact on a hypothetical reference disposal vault. The authors assume the critical group is a small rural community which, sometime after the impact, moves to the area contaminated by nuclear fuel waste exposed by the impact. The estimated risk is compared to a risk criterion established by Canada`s nuclear regulatory agency.

  10. Management of Diabetes in Long-term Care and Skilled Nursing Facilities: A Position Statement of the American Diabetes Association

    PubMed Central

    Florez, Hermes; Huang, Elbert S.; Kalyani, Rita R.; Mupanomunda, Maria; Pandya, Naushira; Swift, Carrie S.; Taveira, Tracey H.; Haas, Linda B.

    2016-01-01

    Diabetes is more common in older adults, has a high prevalence in long-term care (LTC) facilities, and is associated with significant disease burden and higher cost. The heterogeneity of this population with regard to comorbidities and overall health status is critical to establishing personalized goals and treatments for diabetes. The risk of hypoglycemia is the most important factor in determining glycemic goals due to the catastrophic consequences in this population. Simplified treatment regimens are preferred, and the sole use of sliding scale insulin (SSI) should be avoided. This position statement provides a classification system for older adults in LTC settings, describes how diabetes goals and management should be tailored based on comorbidities, delineates key issues to consider when using glucose-lowering agents in this population, and provides recommendations on how to replace SSI in LTC facilities. As these patients transition from one setting to another, or from one provider to another, their risk for adverse events increases. Strategies are presented to reduce these risks and ensure safe transitions. This article addresses diabetes management at end of life and in those receiving palliative and hospice care. The integration of diabetes management into LTC facilities is important and requires an interprofessional team approach. To facilitate this approach, acceptance by administrative personnel is needed, as are protocols and possibly system changes. It is important for clinicians to understand the characteristics, challenges, and barriers related to the older population living in LTC facilities as well as the proper functioning of the facilities themselves. Once these challenges are identified, individualized approaches can be designed to improve diabetes management while lowering the risk of hypoglycemia and ultimately improving quality of life. PMID:26798150

  11. Carbon sequestration in croplands is mainly driven by management leading to increased net primary production - evidence from long-term field experiments in Northern Europe

    NASA Astrophysics Data System (ADS)

    Kätterer, Thomas; Bolinder, Martin Anders; Börjesson, Gunnar; Kirchmann, Holger; Poeplau, Christopher

    2014-05-01

    Sustainable intensification of agriculture in regions with high production potential is a prerequisite for providing services for an increasing human population, not only food, animal feed, fiber and biofuel but also to promote biodiversity and the beauty of landscapes. We investigated the effect of different management practices on soil fertility and carbon sequestration in long-term experiments, mainly from Northern Europe. In addition, a meta-analysis on the effect of catch crops was conducted. Improved management of croplands was found to be a win-win strategy resulting in both increased soil fertility and carbon sequestration. We quantified the effect of different management practices such as N fertilization, organic amendments, catch crops and ley-arable rotations versus continuous annual cropping systems on soil carbon stocks. Increasing net primary productivity (NPP) was found to be the main driver for higher soil carbon storage. Mineral N fertilization increased soil carbon stocks by 1-2 kg C ha-1 for each kg of N applied to cropland. Ley-arable rotations, being a combination of annual and perennial crops, are expected to have C stocks intermediate between those of continuous grass- and croplands. A summary of data from 15 long-term sites showed that on average 0.5 Mg ha-1 yr-1 (range 0.3 to 1.1; median 0.4 Mg ha-1 yr-1) more carbon was retained in soils in ley-arable compared to exclusively annual systems, depending on species composition, management, soil depth and the duration of the studies. The annual C accumulation rate for catch crops determined in the meta-analysis was well within that range (0.32±0.08 Mg C ha-1 yr-1). Retention factors calculated for straw, manure, sawdust, peat, sewage sludge and composted household waste varied widely in a decadal time scale. Retention of root and rhizodeposit carbon was higher than for above-ground crop residues. We conclude that NPP is the major driver for C sequestration and emphasize that increased soil

  12. Radioactive Waste Management Basis

    SciTech Connect

    Perkins, B K

    2009-06-03

    The purpose of this Radioactive Waste Management Basis is to describe the systematic approach for planning, executing, and evaluating the management of radioactive waste at LLNL. The implementation of this document will ensure that waste management activities at LLNL are conducted in compliance with the requirements of DOE Order 435.1, Radioactive Waste Management, and the Implementation Guide for DOE Manual 435.1-1, Radioactive Waste Management Manual. Technical justification is provided where methods for meeting the requirements of DOE Order 435.1 deviate from the DOE Manual 435.1-1 and Implementation Guide.

  13. Long-term temporal variability of the radon-222 exhalation flux from a landform covered by low uranium grade waste rock.

    PubMed

    Bollhöfer, Andreas; Doering, Che

    2016-01-01

    Radon-222 exhalation flux densities from two different substrates of several metres thickness, waste rock and waste rock mixed with approximately 30% lateritic material, were measured over a period of five years in the wet-dry tropics of Northern Australia. Fourteen measurement campaigns using activated charcoal canisters (n > 1000) covered both dry and wet seasons and showed differences in seasonal and long term trends of the (222)Rn exhalation flux densities normalised to the (226)Ra activity concentrations of the substrate. Dry season (222)Rn exhalation was generally higher for the mixed substrate, due to the larger fraction of fines. Seasonality established within the first year of landform construction on the mixed substrate, due to the higher water holding capacity of the lateritic material. In contrast, waste rock only shows no seasonality until years four and five after construction, when average normalised dry season (222)Rn exhalation flux densities from waste rock increase to values (0.47 ± 0.06 mBq m(-2) s(-1) per Bq kg(-1)) similar to the mixed substrate (0.64 ± 0.08 mBq m(-2) s(-1) per Bq kg(-1)), likely due to an increase in fines from rapid weathering of the schistose waste rock. Volumetric water content has been used to parametrize relative (222)Rn exhalation and we determined that wet season (222)Rn exhalation is about 40% of the dry season exhalation.

  14. The Cannona Data Base: long-term field data for studies on soil management impact on runoff and erosion processes.

    NASA Astrophysics Data System (ADS)

    Biddoccu, Marcella; Ferraris, Stefano; Opsi, Francesca; Cavallo, Eugenio

    2014-05-01

    Long-term data have been collected by IMAMOTER-CNR from field-scale vineyard plots within the Tenuta Cannona Vine and Wine Experimental Centre of Regione Piemonte, which is located in a valuable vine production area in north-western Italy. Since 2000, runoff and soil erosion monitoring has been carried out under natural rainfall conditions on three parallel field plots (75 m long and 16,5 m wide, slope gradient about 15%) that are conducted with different inter-rows soil management techniques (conventional tillage, reduced tillage, controlled grass cover). Experimental plots are part of a 16-hectars experimental vineyard, managed in according to conventional farming for wine production. Recurrent surveys have been carried out in the runoff plots to investigate spatial and temporal variability of the soil bulk density, soil moisture and penetration resistance. The primary intent of the program was to evaluate the effects of agricultural management practices and tractor traffic on the hydrologic, soil erosion and soil compaction processes in vineyard. The Cannona Data Base (CDB) represents a data collection which is unique in Italy, showing the response of soil to rainfall in terms of runoff and soil erosion over more than a decade. It includes data for more than 200 runoff events and over 70 soil loss events; moreover, periodic measurements for soil physical characteristics are included for the three plots. The CDB can now be accessed via a website supported by the CNR, that is addressed to water and land management researchers and professionals. The CDB is currently used to calibrate a model for runoff and soil erosion prediction in vineyard environment. The CDB website includes a descriptive and informative section, which contains results of over than 10 years of experimental activity, reports and presentations, addressed to enhance the awareness of citizens and stakeholders about land degradation processes and about impacts of different soil management practices

  15. Grazing management contributions to net global warming potential: a long-term evaluation in the Northern Great Plains.

    PubMed

    Liebig, M A; Gross, J R; Kronberg, S L; Phillips, R L; Hanson, J D

    2010-01-01

    The role of grassland ecosystems as net sinks or sources of greenhouse gases (GHGs) is limited by a paucity of information regarding management impacts on the flux of nitrous oxide (N(2)O) and methane (CH(4)). Furthermore, no long-term evaluation of net global warming potential (GWP) for grassland ecosystems in the northern Great Plains (NGP) of North America has been reported. Given this need, we sought to determine net GWP for three grazing management systems located within the NGP. Grazing management systems included two native vegetation pastures (moderately grazed pasture [MGP], heavily grazed pasture [HGP]) and a heavily grazed crested wheatgrass [Agropyron desertorum (Fisch. ex. Link) Schult.] pasture (CWP) near Mandan, ND. Factors evaluated for their contribution to GWP included (i) CO(2) emissions associated with N fertilizer production and application, (ii) literature-derived estimates of CH(4) production for enteric fermentation, (iii) change in soil organic carbon (SOC) over 44 yr using archived soil samples, and (iv) soil-atmosphere N(2)O and CH(4) fluxes over 3 yr using static chamber methodology. Analysis of SOC indicated all pastures to be significant sinks for SOC, with sequestration rates ranging from 0.39 to 0.46 Mg C ha(-1) yr(-1). All pastures were minor sinks for CH(4) (<2.0 kg CH(4)-C ha(-1) yr(-1)). Greater N inputs within CWP contributed to annual N(2)O emission nearly threefold greater than HGP and MGP. Due to differences in stocking rate, CH(4) production from enteric fermentation was nearly threefold less in MGP than CWP and HGP. When factors contributing to net GWP were summed, HGP and MGP were found to serve as net CO(2equiv.) sinks, while CWP was a net CO(2equiv.) source. Values for GWP and GHG intensity, however, indicated net reductions in GHG emissions can be most effectively achieved through moderate stocking rates on native vegetation in the NGP.

  16. [Multiple Salvage Radiotherapies for Metachronous Lymph Node Metastasis from Gastric Cancer Contributed to Long-Term Management of Disease].

    PubMed

    Hori, Naoto; Kagawa, Shunsuke; Kikuchi, Satoru; Kuroda, Shinji; Watanabe, Megumi; Sakamoto, Shuichi; Kagawa, Tetsuya; Kuwada, Kazuya; Kubota, Tetsushi; Kishimoto, Hiroyuki; Nishizaki, Masahiko; Katayama, Norihisa; Fujiwara, Toshiyoshi

    2017-02-01

    A 70-year-old man who underwent gastrectomy for Stage III C gastric cancer developed lymph node(LN)metastasis posterior to the pancreatic head 3 years after the radical surgery.He was first treated with radiotherapy(RT)followed by chemotherapy.The irradiated tumor regressed completely.However, the cancer relapsed in a single para-aortic LN and he was treated with RT to the lesion followed by chemotherapy.Although it completely regressed, later, lung metastasis was observed.The lung lesions were well suppressed by switching to docetaxel; however, the cancer relapsed again in a mediastinal LN, and it was not responsive to docetaxel.The growing mediastinal lesion was irradiated again, which resulted in stable disease.The patient has been treated for 4 years and 7 months with all lesions being well-managed, and chemotherapy is being continued.Recurrent gastric cancer after surgery tends to present as multiple lesions; therefore, the principle therapy is systemic chemotherapy and RT is unlikely to be suitable.However, especially in cases of a solitary lesion that is chemo-resistant, RT could be an optimal option and contribute to long-term survival even in patients with recurrent gastric cancer.

  17. Managing the risk of lithium-induced nephropathy in the long-term treatment of patients with recurrent affective disorders.

    PubMed

    Severus, Emanuel; Bauer, Michael

    2013-02-11

    Lithium has been the most effective psychopharmacological drug in the long-term treatment of patients with recurrent unipolar and bipolar affective illness. As a result of its widespread and longtime use in patients with recurrent affective disorders, psychiatrists have become increasingly aware of the whole spectrum of lithium's potential side effects. One of the side effects associated with its chronic use is lithium-induced nephropathy. In a recent cross-sectional study published in BMC Medicine, Alberto Bocchetta et al. add further information to this topic, demonstrating that duration of lithium treatment is associated with impaired glomerular function in patients with recurrent or chronic affective disorders. The present paper will discuss the implications of this and other related recent research on our management of patients with recurrent affective disorders. In this context the importance of shared decision making and close monitoring of kidney function is highlighted, including the regular assessment of the glomerular filtration rate, to provide best possible care to our patients maintained on lithium treatment.See related research article here http://www.biomedcentral.com/1741-7015/11/33.

  18. A risk analysis framework for the long-term management of antibiotic resistance in food-producing animals.

    PubMed

    Salisbury, Janet G; Nicholls, Terence J; Lammerding, Anna M; Turnidge, John; Nunn, Michael J

    2002-09-01

    In recent years, there has been increasing concern that the use of antibiotics in food-producing animals, particularly their long-term use for growth promotion, contributes to the emergence of antibiotic-resistant bacteria in animals. These resistant bacteria may spread from animals to humans via the food chain. They may also transfer their antibiotic-resistance genes into human pathogenic bacteria, leading to failure of antibiotic treatment for some, possibly life-threatening, human conditions. To assist regulatory decision making, the actual risk to human health from antibiotic use in animals needs to be determined (risk assessment) and the requirements for risk minimisation (risk management and risk communication) determined. We propose a novel method of risk analysis involving risk assessment for three interrelated hazards: the antibiotic (chemical agent), the antibiotic-resistant bacterium (microbiological agent) and the antibiotic-resistance gene (genetic agent). Risk minimisation may then include control of antibiotic use and/or the reduction of the spread of bacterial infection and/or prevention of transfer of resistance determinants between bacterial populations.

  19. Micron-Scale MIC of Alloy 22 After Long Term Incubation in Saturated Nuclear Waste Repository Microcosms

    SciTech Connect

    Martin, S; Horn, J; Carrillo, C

    2003-10-29

    The effects of potential microbiologically influenced corrosion (MIC) on candidate packaging materials for nuclear waste containment are being assessed. Coupons of Alloy 22, the outer barrier candidate for waste packaging, were exposed to a simulated, saturated repository environment consisting of crushed rock from the repository site and a continual flow of simulated groundwater for periods up to five years. Coupons were incubated with YM tuff under both sterile and non-sterile conditions. Surfacial analysis of the biotically-incubated coupons show development of both submicron-sized pinholes and pores; these features were not present on either sterile or untreated control coupons. Quantification of these effects will help define the overall contribution of MIC to the integrity of the containment system over a period of 10,000 years.

  20. Long-term integrated river basin planning and management of water quantity and water quality in mining impacted catchments

    NASA Astrophysics Data System (ADS)

    Pohle, Ina; Zimmermann, Kai; Claus, Thomas; Koch, Hagen; Gädeke, Anne; Uhlmann, Wilfried; Kaltofen, Michael; Müller, Fabian; Redetzky, Michael; Schramm, Martina; Schoenheinz, Dagmar; Grünewald, Uwe

    2015-04-01

    During the last decades, socioeconomic change in the catchment of the Spree River, a tributary of the Elbe, has been to a large extent associated with lignite mining activities and the rapid decrease of these activities in the 1990s. There are multiple interconnections between lignite mining and water management both in terms of water quantity and quality. During the active mining period a large-scale groundwater depression cone has been formed while river discharges have been artificially increased. Now, the decommissioned opencast mines are being transformed into Europe's largest man-made lake district. However, acid mine drainage causes low pH in post mining lakes and high concentrations of iron and sulphate in post mining lakes and the river system. Next to potential changes in mining activities, also the potential impacts of climate change (increasing temperature and decreasing precipitation) on water resources of the region are of major interest. The fundamental question is to what extent problems in terms of water quantity and water quality are exacerbated and whether they can be mitigated by adaptation measures. In consequence, long term water resource planning in the region has to formulate adaptation measures to climate change and socioeconomic change in terms of mining activities which consider both, water quantity and water quality aspects. To assess potential impacts of climate and socioeconomic change on water quantity and water quality of the Spree River catchment up to the Spremberg reservoir in the scenario period up to 2052, we used a model chain which consists of (i) the regional climate model STAR (scenarios with a further increase in temperature of 0 and 2 K), (ii) mining scenarios (mining discharges, cooling water consumption of thermal power plants), (iii) the ecohydrological model SWIM (natural water balance), (iv) the long term water management model WBalMo (managed discharges, withdrawal of water users, reservoir operation) and (v) the

  1. Management of solid waste

    SciTech Connect

    Thompson, W.T.; Stinton, L.H.

    1980-04-16

    Compliance with the latest regulatory requirements addressing disposal of radioactive, hazardous, and sanitary solid waste requires the application of numerous qualitative and quantitative criteria in the selection, design, and operation of solid waste management facilities. Due to the state of flux of these regulatory requirements from EPA and NRC, several waste management options were identified as being applicable to the management of the various types of solid waste. This paper highlights the current regulatory constraints and the design and operational requirements for construction of both storage and disposal facilities for use in management of DOE-ORO solid waste. Capital and operational costs are included for both disposal and storage options.

  2. Commissioning of self-management support for people with long-term conditions: an exploration of commissioning aspirations and processes

    PubMed Central

    Reidy, Claire; Kennedy, Anne; Pope, Catherine; Vassilev, Ivo; Rogers, Anne

    2016-01-01

    Objectives To explore how self-management support (SMS) is considered and conceptualised by Clinical Commissioning Groups (CCGs) and whether this is reflected in strategic planning and commissioning. SMS is an essential element of long-term condition (LTC) management and CCGs are responsible for commissioning services that are coordinated, integrated and link into patient's everyday lives. This focus provides a good test and exemplar for how commissioners communicate with their local population to find out what they need. Design A multisite, quasi-ethnographic exploration of 9 CCGs. Setting National Health Service (NHS) CCGs in southern England, representing varied socioeconomic status, practice sizes and rural and urban areas. Data collection/analysis Content analysis of CCG forward plans for mention of SMS. Semistructured interviews with commissioners (n=10) explored understanding of SMS and analysed thematically. The practice of commissioning explored through the observations of Service User Researchers (n=5) attending Governing Body meetings (n=10, 30 hours). Results Observations illuminate the relative absence of SMS and gateways to active engagement with patient and public voices. Content analysis of plans point to tensions between local aspirations and those identified by NHS England for empowering patients by enhancing SMS services (‘person-centred’, whole systems). Interview data highlight disparities in the process of translating the forward plans into practice. Commissioners reference SMS as a priority yet details of local initiatives are notably absent with austerity (cost-containment) and nationally measured biomedical outcomes taking precedence. Conclusions Commissioners conceptualise locally sensitive SMS as a means to improve health and reduce service use, but structural and financial constraints result in prioritisation of nationally driven outcome measures and payments relating to biomedical targets. Ultimately, there is little evidence of

  3. Stakeholder-led science: engaging resource managers to identify science needs for long-term management of floodplain conservation lands

    USGS Publications Warehouse

    Bouska, Kristin L.; Lindner, Garth; Paukert, Craig; Jacobson, Robert B.

    2016-01-01

    Floodplains pose challenges to managers of conservation lands because of constantly changing interactions with their rivers. Although scientific knowledge and understanding of the dynamics and drivers of river-floodplain systems can provide guidance to floodplain managers, the scientific process often occurs in isolation from management. Further, communication barriers between scientists and managers can be obstacles to appropriate application of scientific knowledge. With the coproduction of science in mind, our objectives were the following: (1) to document management priorities of floodplain conservation lands, and (2) identify science needs required to better manage the identified management priorities under nonstationary conditions, i.e., climate change, through stakeholder queries and interactions. We conducted an online survey with 80 resource managers of floodplain conservation lands along the Upper and Middle Mississippi River and Lower Missouri River, USA, to evaluate management priority, management intensity, and available scientific information for management objectives and conservation targets. Management objectives with the least information available relative to priority included controlling invasive species, maintaining respectful relationships with neighbors, and managing native, nongame species. Conservation targets with the least information available to manage relative to management priority included pollinators, marsh birds, reptiles, and shore birds. A follow-up workshop and survey focused on clarifying science needs to achieve management objectives under nonstationary conditions. Managers agreed that metrics of inundation, including depth and extent of inundation, and frequency, duration, and timing of inundation would be the most useful metrics for management of floodplain conservation lands with multiple objectives. This assessment provides guidance for developing relevant and accessible science products to inform management of highly

  4. Intensive Eucalyptus plantation management in Brazil: Long-term effects on soil carbon dynamics across 300 sites

    NASA Astrophysics Data System (ADS)

    Cook, R. L.; Stape, J.; Binkley, D.

    2011-12-01

    Intensively managed forest plantations now cover more than 6 million hectares in Brazil, and another 20 million hectares in other tropical regions. Although aboveground biomass, and therefore carbon, is well monitored due to commercial interest, the belowground carbon dynamics and site sustainability remain poorly understood. So, how does intensive silviculture change the storage of carbon in soils? Trends in soil organic carbon from land-use change indicate that conversion from pastures to Eucalyptus plantations should maintain soil carbon stocks. However, comprehensive, long-term studies are needed to understand the variability in these trends to better manage these systems for sustainable productivity across a highly variable landscape, as well as to understand the role that soils may play in sequestering carbon for climate change mitigation. In this unique, long-term soil study, soil samples were collected in the 1980s/90s, 2001, and 2010 across 300 intensively managed Eucalyptus plantation sites located in the states of Bahia, Espirito Santo, and Sao Paulo, Brazil. Natural ecosystems for these states include Savannah-Dry Forest, Atlantic Forest, and Savanna, respectively. The sampling covered at least three complete rotations of Eucalyptus at each site; climate, past land use, productivity, and soil characteristics vary across this geographic gradient. Across the two periods, both Espirito Santo (P<0.001) and Bahia (P=0.05) showed a decrease in soil carbon concentrations, while Sao Paulo saw no change over time. For the 0-30 cm layer, plantations in Espirito Santo state had the largest decrease in soil carbon concentration up to 2001, decreasing soil carbon stocks at an average rate of 1.3 Mg C ha-1 year-1. This, however, was followed by no significant change from 2001 to 2010 which may indicate stabilization of soil carbon stocks under the new land use. The Eucalyptus in Bahia created no change in the first sampling period, but saw a decline of 0.35 Mg C ha-1

  5. Effects of long-term exposure of tuffs to high-level nuclear waste repository conditions. Final report

    SciTech Connect

    Blacic, J.D.; Vaniman, D.T.; Bish, D.L.; Duffy, C.J.; Gooley, R.C.

    1986-08-01

    We have performed exploratory tests to investigate the effects of extended exposure of tuffs from Yucca Mountain, Nevada, to temperatures and pressures similar to those that will be encountered in a high-level nuclear waste repository. In a preliminary report we described statistically significant changes in strength properties and generally minor changes in porosity and grain density. In the present report we describe additional measurements that indicate possible changes in permeability (in one tuff type) after exposure for 2 to 6 months at temperatures from 80 to 180 C, confining pressures of 9.7 and 19.7 MPa, and water pore pressures of 0.5 and 19.7 MPa. Mineralogic examinations have established reactions involving dissolution of silica and feldspar minerals and possible conversion of clinoptilolite to mordenite. We conclude that rock properties important to the operation of a nuclear waste repository in tuff are likely to change over time when exposed to simulated repository conditions, and the details of these time-dependent processes should be investigated further.

  6. Long-term performance of container materials for high-level waste: (Technical report, April 1982-August 1987)

    SciTech Connect

    Beavers, J.A.; Thompson, N.G.; Markworth, A.J.; Cialone, H.J.; Majumdar, B.S.; McCoy, J.K.

    1987-11-01

    This report describes the results of experimental and analytical studies of high-level waste container degradation. Corrosion and hydrogen embrittlement tests were conducted on selected materials to identify environmental and metallurgical factors that promote material degradation, especially stress-corrosion cracking. A major emphasis on overpack materials focused on cast and wrought low-carbon steels. Results of the corrosion work show that, to more completely identify potential failure modes, exposure environments must be further defined. Predictions of pitting rates based on models utilizing nonreactive walls may lead to rejection of carbon steel as a viable overpack material when, on the basis of performance, it may perform satisfactorily. Hydrogen embrittlement was shown to be promoted in regions of microstructural change such as the weld heat-affected zone. These findings show that hydrogen embrittlement is important to container integrity. A small portion of this task was devoted to studying the possible internal corrosion of the canister. It was found that Type 304L stainless steel will likely contain high-level waste glass for the retrieval period and probably the thermal period. Modeling studies focused on general corrosion and pitting corrosion, with the models being extended to account for more realistic conditions. Results show that pit wall reactivity is an important consideration in predicting corrosion rates. 102 refs., 132 figs., 57 tabs.

  7. Long term fluctuations of groundwater mine pollution in a sulfide mining district with dry Mediterranean climate: Implications for water resources management and remediation.

    PubMed

    Caraballo, Manuel A; Macías, Francisco; Nieto, José Miguel; Ayora, Carlos

    2016-01-01

    Water resources management and restoration strategies, and subsequently ecological and human life quality, are highly influenced by the presence of short and long term cycles affecting the intensity of a targeted pollution. On this respect, a typical acid mine drainage (AMD) groundwater from a sulfide mining district with dry Mediterranean climate (Iberian Pyrite Belt, SW Spain) was studied to unravel the effect of long term weather changes in water flow rate and metal pollutants concentration. Three well differentiated polluting stages were observed and the specific geochemical, mineralogical and hydrological processes involved (pyrite and enclosing rocks dissolution, evaporitic salts precipitation-redisolution and pluviometric long term fluctuations) were discussed. Evidencing the importance of including longer background monitoring stage in AMD management and restoration strategies, the present study strongly advise a minimum 5-years period of AMD continuous monitoring previous to the design of any AMD remediation system in regions with dry Mediterranean climate.

  8. Managing Nuclear Waste: Options Considered

    SciTech Connect

    DOE

    2002-05-02

    Starting in the 1950s, U.S. scientists began to research ways to manage highly radioactive materials accumulating at power plants and other sites nationwide. Long-term surface storage of these materials poses significant potential health, safety, and environmental risks. Scientists studied a broad range of options for managing spent nuclear fuel and high-level radioactive waste. The options included leaving it where it is, disposing of it in various ways, and making it safer through advanced technologies. International scientific consensus holds that these materials should eventually be disposed of deep underground in what is called a geologic repository. In a recent special report, the National Academy of Sciences summarized the various studies and emphasized that geologic disposal is ultimately necessary.

  9. Long-term cement corrosion in chloride-rich solutions relevant to radioactive waste disposal in rock salt - Leaching experiments and thermodynamic simulations

    NASA Astrophysics Data System (ADS)

    Bube, C.; Metz, V.; Bohnert, E.; Garbev, K.; Schild, D.; Kienzler, B.

    Low- and intermediate-level radioactive wastes are frequently solidified in a cement matrix. In a potential repository for nuclear wastes, the cementitious matrix is altered upon contact with solution and the resulting secondary phases may provide for significant retention of the radionuclides incorporated in the wastes. In order to assess the secondary phases formed upon corrosion in chloride-rich solutions, which are relevant for nuclear waste disposal in rock salt, leaching experiments were performed. Conventional laboratory batch experiments using powdered hardened cement paste in MgCl2-rich solutions were left to equilibrate for up to three years and full-scale cemented waste products were exposed to NaCl-rich and MgCl2-rich solutions for more than twenty years, respectively. Solid phase analyses revealed that corrosion of hardened cement in MgCl2-rich solutions advanced faster than in NaCl-rich solutions due to the extensive exchange of Mg from solution against Ca from the cementitious solid. Thermodynamic equilibrium simulations compared well to results at the final stages of the respective experiments indicating that close to equilibrium conditions were reached. At high cement product to brine ratios (>0.65 g mL-1), the solution composition in the laboratory-scale experiments was close to that of the full-scale experiments (cement to brine ratio of 2.5 g mL-1) in the MgCl2 systems. The present study demonstrates the applicability of thermodynamic methods used in this approach to adequately describe full-scale long-term experiments with cemented waste simulates.

  10. Depleted Uranium Hexafluoride Management Program. The technology assessment report for the long-term management of depleted uranium hexafluoride. Volume 2

    SciTech Connect

    Zoller, J.N.; Rosen, R.S.; Holliday, M.A.

    1995-06-30

    With the publication of a Request for Recommendations and Advance Notice of Intent in the November 10, 1994 Federal Register, the Department of Energy initiated a program to assess alternative strategies for the long-term management or use of depleted uranium hexafluoride. This Request was made to help ensure that, by seeking as many recommendations as possible, Department management considers reasonable options in the long-range management strategy. The Depleted Uranium Hexafluoride Management Program consists of three major program elements: Engineering Analysis, Cost Analysis, and an Environmental Impact Statement. This Technology Assessment Report is the first part of the Engineering Analysis Project, and assesses recommendations from interested persons, industry, and Government agencies for potential uses for the depleted uranium hexafluoride stored at the gaseous diffusion plants in Paducah, Kentucky, and Portsmouth, Ohio, and at the Oak Ridge Reservation in Tennessee. Technologies that could facilitate the long-term management of this material are also assessed. The purpose of the Technology Assessment Report is to present the results of the evaluation of these recommendations. Department management will decide which recommendations will receive further study and evaluation.

  11. Depleted Uranium Hexafluoride Management Program. The technology assessment report for the long-term management of depleted uranium hexafluoride. Volume 1

    SciTech Connect

    Zoller, J.N.; Rosen, R.S.; Holliday, M.A.

    1995-06-30

    With the publication of a Request for Recommendations and Advance Notice of Intent in the November 10, 1994 Federal Register, the Department of Energy initiated a program to assess alternative strategies for the long-term management or use of depleted uranium hexafluoride. This Request was made to help ensure that, by seeking as many recommendations as possible, Department management considers reasonable options in the long-range management strategy. The Depleted Uranium Hexafluoride Management Program consists of three major program elements: Engineering Analysis, Cost Analysis, and an Environmental Impact Statement. This Technology Assessment Report is the first part of the Engineering Analysis Project, and assesses recommendations from interested persons, industry, and Government agencies for potential uses for the depleted uranium hexafluoride stored at the gaseous diffusion plants in Paducah, Kentucky, and Portsmouth, Ohio, and at the Oak Ridge Reservation in Tennessee. Technologies that could facilitate the long-term management of this material are also assessed. The purpose of the Technology Assessment Report is to present the results of the evaluation of these recommendations. Department management will decide which recommendations will receive further study and evaluation. These Appendices contain the Federal Register Notice, comments on evaluation factors, independent technical reviewers resumes, independent technical reviewers manual, and technology information packages.

  12. Waste Management Program. Technical progress report, July-December, 1984

    SciTech Connect

    1986-10-01

    This report provides information on operations and development programs for the management of radioactive wastes from operation of the Savannah River Plant and offplant participants. The studies on environmental and safety assessments, other support, in situ storage or disposal, waste form development and characterization, process and equipment development, and the Defense Waste Processing Facility are a part of the Long-Term Waste Management Technology Program. The following studies are reported for the SR Interim Waste Operations: tank farm operation, inspection program, burial ground operations, and waste transfer/tank replacement.

  13. Multiple-code simulation study of the long-term EDZ evolution of geological nuclear waste repositories

    SciTech Connect

    Rutqvist, J.; Backstrom, A.; Chijimatsu, M.; Feng, X.-T.; Pan, P.-Z.; Hudson, J.; Jing, L.; Kobayashi, A.; Koyama, T.; Lee, H.-S.; Huang, X.-H.; Rinne, M.; Shen, B.

    2008-10-23

    This simulation study shows how widely different model approaches can be adapted to model the evolution of the excavation disturbed zone (EDZ) around a heated nuclear waste emplacement drift in fractured rock. The study includes modeling of coupled thermal-hydrological-mechanical (THM) processes, with simplified consideration of chemical coupling in terms of time-dependent strength degradation or subcritical crack growth. The different model approaches applied in this study include boundary element, finite element, finite difference, particle mechanics, and elastoplastic cellular automata methods. The simulation results indicate that thermally induced differential stresses near the top of the emplacement drift may cause progressive failure and permeability changes during the first 100 years (i.e., after emplacement and drift closure). Moreover, the results indicate that time-dependent mechanical changes may play only a small role during the first 100 years of increasing temperature and thermal stress, whereas such time-dependency is insignificant after peak temperature, because decreasing thermal stress.

  14. A mechanistic model for long-term nuclear waste glass dissolution integrating chemical affinity and interfacial diffusion barrier

    NASA Astrophysics Data System (ADS)

    Ma, Teqi; Jivkov, Andrey P.; Li, Weiping; Liang, Wei; Wang, Yu; Xu, Hui; Han, Xiaoyuan

    2017-04-01

    Understanding the alteration of nuclear waste glass in geological repository conditions is critical element of the analysis of repository retention function. Experimental observations of glass alterations provide a general agreement on the following regimes: inter-diffusion, hydrolysis process, rate drop, residual rate and, under very particular conditions, resumption of alteration. Of these, the mechanisms controlling the rate drop and the residual rate remain a subject of dispute. This paper offers a critical review of the two most competitive models related to these regimes: affinity-limited dissolution and diffusion barrier. The limitations of these models are highlighted by comparison of their predictions with available experimental evidence. Based on the comprehensive discussion of the existing models, a new mechanistic model is proposed as a combination of the chemical affinity and diffusion barrier concepts. It is demonstrated how the model can explain experimental phenomena and data, for which the existing models are shown to be not fully adequate.

  15. Leaching of polycyclic aromatic hydrocarbons from oil shale processing waste deposit: a long-term field study.

    PubMed

    Jefimova, Jekaterina; Irha, Natalya; Reinik, Janek; Kirso, Uuve; Steinnes, Eiliv

    2014-05-15

    The leaching behavior of selected polycyclic aromatic hydrocarbons (PAHs) from an oil shale processing waste deposit was monitored during 2005-2009. Samples were collected from the deposit using a special device for leachate sampling at field conditions without disturbance of the upper layers. Contents of 16 priority PAHs in leachate samples collected from aged and fresh parts of the deposit were determined by GC-MS. The sum of the detected PAHs in leachates varied significantly throughout the study period: 19-315 μg/l from aged spent shale, and 36-151 μg/l from fresh spent shale. Among the studied PAHs the low-molecular weight compounds phenanthrene, naphthalene, acenaphthylene, and anthracene predominated. Among the high-molecular weight PAHs benzo[a]anthracene and pyrene leached in the highest concentrations. A spent shale deposit is a source of PAHs that could infiltrate into the surrounding environment for a long period of time.

  16. Management of solid waste

    NASA Astrophysics Data System (ADS)

    Thompson, W. T.; Stinton, L. H.

    1980-04-01

    Compliance with the latest regulatory requirements addressing disposal of radioactive, hazardous, and sanitary solid waste criteria in the selection, design, and operation of solid waste management facilities. Due to the state of flux of these regulatory requirements from EPA and NRC, several waste management options were of solid waste. The current regulatory constraints and the design and operational requirements for construction of both storage and disposal facilities for use in management of DOE-ORO solid waste are highlighted. Capital operational costs are included for both disposal and storage options.

  17. Impacts of weather on long-term patterns of plant richness and diversity vary with location and management.

    PubMed

    Jonas, Jayne L; Buhl, Deborah A; Symstad, Amy J

    2015-09-01

    Better understanding the influence of precipitation and temperature on plant assemblages is needed to predict the effects of climate change. Many studies have examined the relationship between plant productivity and weather (primarily precipitation), but few have directly assessed the relationship between plant richness or diversity and weather despite their increased use as metrics of ecosystem condition. We focus on the grasslands of central North America, which are characterized by high temporal climatic variability. Over the next 100 years, these grasslands are predicted to experience further increased variability in growing season precipitation, as well as increased temperatures, due to global climate change. We assess the portion of interannual variability of richness and diversity explained by weather, how relationships between these metrics and weather vary among plant assemblages, and which aspects of weather best explain temporal variability. We used an information-theoretic approach to assess relationships between long-term plant richness and diversity patterns and a priori weather covariates using six data sets from four grasslands. Weather explained up to 49% and 63% of interannual variability in total plant species richness and diversity, respectively. However, richness and diversity responses to specific weather variables varied both among sites and among experimental treatments within sites. In general, we found many instances in which temperature was of equal or greater importance as precipitation, as well as evidence of the importance of lagged effects and precipitation or temperature variability. Although precipitation has been shown to be a key driver of productivity in grasslands, our results indicate that increasing temperatures alone, without substantial changes in precipitation patterns, could have measurable effects on Great Plains grassland plant assemblages and biodiversity metrics. Our results also suggest that richness and diversity

  18. Long-term water quality and biological responses to multiple best management practices in Rock Creek, Idaho

    USGS Publications Warehouse

    Maret, T.R.; MacCoy, D.E.; Carlisle, D.M.

    2008-01-01

    Water quality and macroinvertebrate assemblage data from 1981 to 2005 were assessed to evaluate the water quality and biological responses of a western trout stream to the implementation of multiple best management practices (BMPs) on irrigated cropland. Data from Rock Creek near Twin Falls, Idaho, a long-term monitoring site, were assembled from state and federal sources to provide the evaluation. Seasonal loads of the nonpoint source pollutants suspended sediment (SS), total phosphorus (TP), and nitrate-nitrite (NN) were estimated using a regression model with time-series streamflow data and constituent concentrations. Trends in the macroinvertebrate assemblages were evaluated using a number of biological metrics and nonmetric multidimensional scaling ordination. Regression analysis found significant annual decreases in TP and SS flow-adjusted concentrations during the BMP implementation period from 1983 to 1990 of about 7 and 10%, respectively. These results are coincident with the implementation of multiple BMPs on about 75% of the irrigated cropland in the watershed. Macroinvertebrate assemblages during this time also responded with a change in taxa composition resulting in improved biotic index scores. Taxon specific TP and SS optima, empirically derived from a large national dataset, predicted a decrease in SS concentrations of about 37% (52 to 33 mg/l) and a decrease in TP concentrations of about 50% (0.20 to 0.10 mg/l) from 1981 to 1987. Decreasing trends in TP, SS, and NN pollutant loads were primarily the result of naturally low streamflow conditions during the BMP post-implementation period from 1993 to 2005. Trends in macroinvertebrate responses during 1993 to 2005 were confounded by the introduction of the New Zealand mudsnail (Potamopyrgus antipodarum), which approached densities of 100,000 per m 2 in riffle habitat. The occurrence of this invasive species appears to have caused a major shift in composition and function of the macroinvertebrate

  19. Modelling crop yield, soil organic C and P under variable long-term fertilizer management in China

    NASA Astrophysics Data System (ADS)

    Zhang, Jie; Xu, Guang; Xu, Minggang; Balkovič, Juraj; Azevedo, Ligia B.; Skalský, Rastislav; Wang, Jinzhou; Yu, Chaoqing

    2016-04-01

    Phosphorus (P) is a major limiting nutrient for plant growth. P, as a nonrenewable resource and the controlling factor of aquatic entrophication, is critical for food security and human future, and concerns sustainable resource use and environmental impacts. It is thus essential to find an integrated and effective approach to optimize phosphorus fertilizer application in the agro-ecosystem while maintaining crop yield and minimizing environmental risk. Crop P models have been used to simulate plant-soil interactions but are rarely validated with scattered long-term fertilizer control field experiments. We employed a process-based model named Environmental Policy Integrated Climate model (EPIC) to simulate grain yield, soil organic carbon (SOC) and soil available P based upon 8 field experiments in China with 11 years dataset, representing the typical Chinese soil types and agro-ecosystems of different regions. 4 treatments, including N, P, and K fertilizer (NPK), no fertilizer (CK), N and K fertilizer (NK) and N, P, K and manure (NPKM) were measured and modelled. A series of sensitivity tests were conducted to analyze the sensitivity of grain yields and soil available P to sequential fertilizer rates in typical humid, normal and drought years. Our results indicated that the EPIC model showed a significant agreement for simulating grain yields with R2=0.72, index of agreement (d)=0.87, modeling efficiency (EF)=0.68, p<0.01 and SOC with R2=0.70, d=0.86, EF=0.59, and p<0.01. EPIC can well simulate soil available P moderately and capture the temporal changes in soil P reservoirs. Both of Crop yields and soil available were found more sensitive to the fertilizer P rates in humid than drought year and soil available P is closely linked to concentrated rainfall. This study concludes that EPIC model has great potential to simulate the P cycle in croplands in China and can explore the optimum management practices.

  20. Impacts of weather on long-term patterns of plant richness and diversity vary with location and management

    USGS Publications Warehouse

    Jonas, Jayne L.; Buhl, Deborah A.; Symstad, Amy J.

    2015-01-01

    Better understanding the influence of precipitation and temperature on plant assemblages is needed to predict the effects of climate change. Many studies have examined the relationship between plant productivity and weather (primarily precipitation), but few have directly assessed the relationship between plant richness or diversity and weather despite their increased use as metrics of ecosystem condition. We focus on the grasslands of central North America, which are characterized by high temporal climatic variability. Over the next 100 years, these grasslands are predicted to experience further increased variability in growing season precipitation, as well as increased temperatures, due to global climate change. We assess 1) the portion of interannual variability of richness and diversity explained by weather, 2) how relationships between these metrics and weather vary among plant assemblages, and 3) which aspects of weather best explain temporal variability. We used an information-theoretic approach to assess relationships between long-term plant richness and diversity patterns and a priori weather covariates using six datasets from four grasslands. Weather explained up to 49% and 63% of interannual variability in total plant species richness and diversity, respectively. However, richness and diversity responses to specific weather variables varied both among sites and among experimental treatments within sites. In general, we found many instances in which temperature was of equal or greater importance as precipitation, as well as evidence of the importance of lagged effects and precipitation or temperature variability. Although precipitation has been shown to be a key driver of productivity in grasslands, our results indicate that increasing temperatures alone, without substantial changes in precipitation patterns, could have measurable effects on Great Plains grassland plant assemblages and biodiversity metrics. Our results also suggest that richness and

  1. Long-Term Modeling of Coupled Processes in a Generic Salt Repository for Heat-Generating Nuclear Waste: Analysis of the Impacts of Halite Solubility Constraints

    NASA Astrophysics Data System (ADS)

    Blanco Martin, L.; Rutqvist, J.; Battistelli, A.; Birkholzer, J. T.

    2015-12-01

    Rock salt is a potential medium for the underground disposal of nuclear waste because it has several assets, such as its ability to creep and heal fractures and its water and gas tightness in the undisturbed state. In this research, we focus on disposal of heat-generating nuclear waste and we consider a generic salt repository with in-drift emplacement of waste packages and crushed salt backfill. As the natural salt creeps, the crushed salt backfill gets progressively compacted and an engineered barrier system is subsequently created [1]. The safety requirements for such a repository impose that long time scales be considered, during which the integrity of the natural and engineered barriers have to be demonstrated. In order to evaluate this long-term integrity, we perform numerical modeling based on state-of-the-art knowledge. Here, we analyze the impacts of halite dissolution and precipitation within the backfill and the host rock. For this purpose, we use an enhanced equation-of-state module of TOUGH2 that properly includes temperature-dependent solubility constraints [2]. We perform coupled thermal-hydraulic-mechanical modeling and we investigate the influence of the mentioned impacts. The TOUGH-FLAC simulator, adapted for large strains and creep, is used [3]. In order to quantify the importance of salt dissolution and precipitation on the effective porosity, permeability, pore pressure, temperature and stress field, we compare numerical results that include or disregard fluids of variable salinity. The sensitivity of the results to some parameters, such as the initial saturation within the backfill, is also addressed. References: [1] Bechthold, W. et al. Backfilling and Sealing of Underground Repositories for Radioactive Waste in Salt (BAMBUS II Project). Report EUR20621 EN: European Atomic Energy Community, 2004. [2] Battistelli A. Improving the treatment of saline brines in EWASG for the simulation of hydrothermal systems. Proceedings, TOUGH Symposium 2012

  2. Using Uncertainty to Guide Characterization, Closure and Long-term Management of an Underground Nuclear Test Site

    SciTech Connect

    Chapman, J.; Pohll, G.; Hassan, A.; Pohlmann, K.

    2007-01-09

    groundwater model as a result of the new data. The revised model was deemed acceptable by both DOE and the State of Nevada, and has been used to determine the contaminant boundary for the site, the calculation of which required choices regarding risk or concentration metrics and whether to focus on the uncertainty of where the contaminants might be or where the groundwater is free of contaminants. The model was also used to develop an optimum monitoring system, the installation of which provided another opportunity to reduce uncertainty as data were collected for model validation. The short-term validation process, and long-term monitoring, provide data that can feed back into the stochastic flow and transport model to cull poorly performing model realizations and reduce uncertainty in the model predictions.

  3. Some results of long-term investigation population exposed as a result of release of radioactive wastes into the Techa River in Southern Urals

    SciTech Connect

    Degteva, M.O.; Kozheurov, V.P.; Vorobiova, M.I.

    1992-06-01

    This paper describes results of a long-term investigation of a population exposed to radioactive waste release in 1949-1956 into the Techa River in the Southern Urals. Systematic measurements of radionuclide concentration in the river waters, sediments, and floodplain soils and measurements of exposure gamma dose rates as well as studies of the radionuclide composition in the contaminated areas began in the summer of 1951. As a result of the contamination, 124,000 residents were exposed to radiation and 28,100 received significant doses in terms of health effect potential. Covered results include the following: estimation of external radiation doses; content of strontium-90 in humans and estimation of radionuclide ingestion rates; age-dependent model of strontium metabolism in the human body; evaluation of doses of internal irradiation; distribution of exposed population according to accumulated doses. 11 refs; 15 figs.

  4. Long-term impact of acid resin waste deposits on soil quality of forest areas II. Biological indicators.

    PubMed

    Pérez-de-Mora, Alfredo; Madejón, Engracia; Cabrera, Francisco; Buegger, Franz; Fuss, Roland; Pritsch, Karin; Schloter, Michael

    2008-11-15

    In this study, we evaluated the effects of two acid resin deposits on the soil microbiota of forest areas by means of biomass, microbial activity-related estimations and simple biological ratios. The determinations carried out included: total DNA yield, basal respiration, intracellular enzyme activities (dehydrogenase and catalase) and extracellular enzyme activities involved in the cycles of C (beta-glucosidase and chitinase), N (protease) and P (acid-phosphatase). The calculated ratios were: total DNA/total N; basal respiration/total DNA; dehydrogenase/total DNA and catalase/total DNA. Total DNA yield was used to estimate soil microbial biomass. Results showed that microbial biomass and activity were severely inhibited in the deposits, whilst resin effects on contaminated zones were variable and site-dependant. Correlation analysis showed no clear effect of contaminants on biomass and activities outside the deposits, but a strong interdependence with natural organic matter related parameters such as total N. In contrast, by using simple ratios we could detect more stressful conditions in terms of organic matter turnover and basal metabolism in contaminated areas compared to their uncontaminated counterparts. These results stress that developed ecosystems such as forests can buffer the effects of pollutants and preserve high functionality via natural attenuation mechanisms, but also that acid resins can be toxic to biological targets negatively affecting soil dynamics. Acid resin deposits can therefore act as contaminant sources adversely altering soil processes and reducing the environmental quality of affected areas despite the solid nature of these wastes.

  5. Long-term monitoring of dioxins and furans near a municipal solid waste incinerator: human health risks.

    PubMed

    Vilavert, Lolita; Nadal, Martí; Schuhmacher, Marta; Domingo, José L

    2012-09-01

    Since 1996, a wide surveillance programme has been developed to get overall information on the impact of a municipal solid waste incinerator (MSWI) in Tarragona (Catalonia, Spain). The concentrations of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs) have been periodically measured in soil and vegetation samples collected at locations in the incinerator surroundings. Furthermore, air PCDD/F levels have been also monitored by using active and passive sampling devices, generating a huge amount of information regarding the environmental status of the zone. In the last survey (2009-2010), mean PCDD/F levels in vegetation, soil and air were 0.06 ng I-TEQ kg(-1), 0.58 ng I-TEQ kg(-1) and 10.5 fg WHO-TEQ m(-3), respectively. Both soil and herbage showed a notable reduction in the PCDD/F concentrations in comparison with the baseline study, with this decrease only being significant for soils. In contrast, PCDD/F values in air remained similar during the whole assessment period. Human exposure to PCDD/Fs was evaluated under different scenarios, and the associated non-carcinogenic and carcinogenic risks were assessed. The hazard quotient was below unity in all cases, while cancer risks were under 10(-6), which is lower than the maximum recommended guidelines. The current results clearly show that the MSWI of Tarragona does not produce additional health risks for the population living nearby.

  6. The evolving role of physical therapists in the long-term management of chronic low back pain: longitudinal care using assisted self-management strategies

    PubMed Central

    Beattie, Paul F.; Silfies, Sheri P.; Jordon, Max

    2016-01-01

    ABSTRACT Background Longitudinal studies have shown that the symptoms of chronic low back pain (CLBP) will follow an episodic trajectory characterized by periods of high and low pain intensity that can persist for many years. There is a growing belief that the contemporary approach of limiting physical therapy to short, but intense courses of treatment for (CLBP) may be sub-optimal because these limited “windows” of clinical care are not congruent with the natural history of this condition. Recent research has suggested that people with CLBP undergo substantial, and individualized long-term variations in the neural processing of nociception over time. This has led to the concept of a “unique biosignature of pain” that may explain much of the variation in a person’s clinical picture. These and other findings have led to the reconceptualization of CLBP as an individualized, and continually evolving condition that may be more suitably managed by empowering the patient toward self-management strategies that can be modified as needed over time by the PT. Objectives The purpose of this Master Class Paper is to describe an emerging approach for the treatment of CLBP that emphasizes the formation of a long-term therapeutic alliance between the patient and the PT with an emphasis on individualized, patient-preferred approaches for activity-based self-management as an alternative to the contemporary approach of short, intense episodes of care directed toward pain reduction. Conclusion Longitudinal care using assisted self-management strategies is more congruent with the natural history of CLBP than are traditional approaches for PT intervention. This approach may empower patients to undergo lifestyle changes that will favorably influence long-term outcomes; however additional research is needed. PMID:28001268

  7. Long-Term Ecological Monitoring Field Sampling Plan for 2007

    SciTech Connect

    T. Haney R. VanHorn

    2007-07-31

    This field sampling plan describes the field investigations planned for the Long-Term Ecological Monitoring Project at the Idaho National Laboratory Site in 2007. This plan and the Quality Assurance Project Plan for Waste Area Groups 1, 2, 3, 4, 5, 6, 7, 10, and Removal Actions constitute the sampling and analysis plan supporting long-term ecological monitoring sampling in 2007. The data collected under this plan will become part of the long-term ecological monitoring data set that is being collected annually. The data will be used t determine the requirements for the subsequent long-term ecological monitoring. This plan guides the 2007 investigations, including sampling, quality assurance, quality control, analytical procedures, and data management. As such, this plan will help to ensure that the resulting monitoring data will be scientifically valid, defensible, and of known and acceptable quality.

  8. Kamp K’aana, a 2-week residential weight management summer camp, shows long-term improvement in body mass index z scores

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Long-term effects of Kamp K'aana, a 2-week residential weight management camp, on body mass index (BMI) measures were evaluated on 71 of 108 (66%) obese youth 10 to 14 years of age. Measures were obtained at 11-month study follow-up (n=38) or extracted from medical record (n=33). Compared with basel...

  9. Short- and Long-Term Theory-Based Predictors of Physical Activity in Women Who Participated in a Weight-Management Program

    ERIC Educational Resources Information Center

    Wasserkampf, A.; Silva, M. N.; Santos, I. C.; Carraça, E. V.; Meis, J. J. M.; Kremers, S. P. J.; Teixeira, P. J.

    2014-01-01

    This study analyzed psychosocial predictors of the Theory of Planned Behavior (TPB) and Self-Determination Theory (SDT) and evaluated their associations with short- and long-term moderate plus vigorous physical activity (MVPA) and lifestyle physical activity (PA) outcomes in women who underwent a weight-management program. 221 participants (age…

  10. Short- and long-term theory-based predictors of physical activity in women who participated in a weight-management program.

    PubMed

    Wasserkampf, A; Silva, M N; Santos, I C; Carraça, E V; Meis, J J M; Kremers, S P J; Teixeira, P J

    2014-12-01

    This study analyzed psychosocial predictors of the Theory of Planned Behavior (TPB) and Self-Determination Theory (SDT) and evaluated their associations with short- and long-term moderate plus vigorous physical activity (MVPA) and lifestyle physical activity (PA) outcomes in women who underwent a weight-management program. 221 participants (age 37.6 ± 7.02 years) completed a 12-month SDT-based lifestyle intervention and were followed-up for 24 months. Multiple linear regression analyses tested associations between psychosocial variables and self-reported short- and long-term PA outcomes. Regression analyses showed that control constructs of both theories were significant determinants of short- and long-term MVPA, whereas affective and self-determination variables were strong predictors of short- and long-term lifestyle PA. Regarding short-term prediction models, TPB constructs were stronger in predicting MVPA, whereas SDT was more effective in predicting lifestyle PA. For long-term models, both forms of PA were better predicted by SDT in comparison to TPB. These results highlight the importance of comparing health behavior theories to identify the mechanisms involved in the behavior change process. Control and competence constructs are crucial during early adoption of structured PA behaviors, whereas affective and intrinsic sources of motivation are more involved in incidental types of PA, particularly in relation to behavioral maintenance.

  11. AN OVERVIEW: DECISION-MAKING FRAMEWORK FOR THE ANALYSIS OF ALTERNATIVES FOR THE LONG TERM MANAGEMENT OF MERCURY

    EPA Science Inventory

    Over the past decade, the Environmental Protection Agency (EPA) has promoted the use of alternatives to mercury because it is a persistent, bio-accumulative, and toxic (PBT) chemical. The Agency's long-term goal for mercury is the elimination of mercury released to the air, wate...

  12. Significant alteration of soil bacterial communities and organic carbon decomposition by different long-term fertilization management conditions of extremely low-productivity arable soil in South China.

    PubMed

    Xun, Weibing; Zhao, Jun; Xue, Chao; Zhang, Guishan; Ran, Wei; Wang, Boren; Shen, Qirong; Zhang, Ruifu

    2016-06-01

    Different fertilization managements of red soil, a kind of Ferralic Cambisol, strongly affected the soil properties and associated microbial communities. The association of the soil microbial community and functionality with long-term fertilization management in the unique low-productivity red soil ecosystem is important for both soil microbial ecology and agricultural production. Here, 454 pyrosequencing analysis of 16S recombinant ribonucleic acid genes and GeoChip4-NimbleGen-based functional gene analysis were used to study the soil bacterial community composition and functional genes involved in soil organic carbon degradation. Long-term nitrogen-containing chemical fertilization-induced soil acidification and fertility decline and significantly altered the soil bacterial community, whereas long-term organic fertilization and fallow management improved the soil quality and maintained the bacterial diversity. Short-term quicklime remediation of the acidified soils did not change the bacterial communities. Organic fertilization and fallow management supported eutrophic ecosystems, in which copiotrophic taxa increased in relative abundance and have a higher intensity of labile-C-degrading genes. However, long-term nitrogen-containing chemical fertilization treatments supported oligotrophic ecosystems, in which oligotrophic taxa increased in relative abundance and have a higher intensity of recalcitrant-C-degrading genes but a lower intensity of labile-C-degrading genes. Quicklime application increased the relative abundance of copiotrophic taxa and crop production, although these effects were utterly inadequate. This study provides insights into the interaction of soil bacterial communities, soil functionality and long-term fertilization management in the red soil ecosystem; these insights are important for improving the fertility of unique low-productivity red soil.

  13. Biohazardous waste management plan.

    SciTech Connect

    Lane, Todd W.

    2004-01-01

    This plan describes the process for managing non-medical biohazardous waste at Sandia National Laboratories California. It applies to operations at the Chemical and Radiation Detection Laboratory (CRDL), Building 968, and other biosafety level 1 or 2 activities at the site. It addresses the accumulation, storage, treatment and disposal of biohazardous waste and sharps waste. It also describes the procedures to comply with regulatory requirements and SNL policies applicable to non-medical biohazardous waste.

  14. Medical waste management plan.

    SciTech Connect

    Lane, Todd W.; VanderNoot, Victoria A.

    2004-12-01

    This plan describes the process for managing research generated medical waste at Sandia National Laboratories/California. It applies to operations at the Chemical and Radiation Detection Laboratory (CRDL), Building 968, and other biosafety level 1 or 2 activities at the site. It addresses the accumulation, storage, treatment and disposal of medical waste and sharps waste. It also describes the procedures to comply with regulatory requirements and SNL policies applicable to medical waste.

  15. Issues that Drive Waste Management Technology Development for Space Missions

    NASA Technical Reports Server (NTRS)

    Fisher, John W.; Levri, Julie A.; Hogan, John A.; Wignarajah, Kanapathipillai

    2005-01-01

    Waste management technologies for space life support systems are currently at low development levels. Manual compaction of waste in plastic bags and overboard disposal to earth return vehicles are the primary current waste management methods. Particularly on future missions, continuance of current waste management methods would tend to expose the crew to waste hazards, forfeit recoverable resources such as water, consume valuable crew time, contaminate planetary surfaces, and risk return to Earth of extraterrestrial life. Improvement of waste management capabilities is needed for adequate management of wastes. Improvements include recovery of water and other resources, conversion of waste to states harmless to humans, long-term containment of wastes, and disposal of waste. Current NASA requirements documents on waste management are generally not highly detailed. More detailed requirements are needed to guide the development of waste management technologies that will adequately manage waste. In addition to satisfying requirements, waste management technologies must also recover resources. Recovery of resources such as water and habitat volume can reduce mission cost. This paper explores the drivers for waste management technology development including requirements and resource recovery.

  16. The home as a site for long-term care: meanings and management of bodies and spaces.

    PubMed

    Dyck, Isabel; Kontos, Pia; Angus, Jan; McKeever, Patricia

    2005-06-01

    This paper is concerned with the constitution of the home as a landscape of care in a climate of extensive cost-cutting measures to community provided health care. It draws on data from a multi-disciplinary investigation of various dimensions of the home as a site of long-term care; this paper is concerned specifically with long-term health and associated home-care services provided by paid workers. Through analysis of interviews with adult care recipients and field observations, it examines the micro-scale processes through which the home is reconstructed as caregiving space, highlighting the negotiation of meanings of bodies and homes as fields of knowledge. It argues that the possibilities for the effective negotiation of body knowledge and homespace boundaries that are integral to the production of 'caring' space are embedded in and constrained by policies and practices constructed at a scale beyond home.

  17. Legacy Risk Measure for Environmental Management Waste

    SciTech Connect

    Eide, Steven Arvid; Nitschke, Robert Leon

    2002-02-01

    The Idaho National Engineering and Environmental Laboratory (INEEL) is investigating the development of a comprehensive and quantitative risk model framework for environmental management activities at the site. Included are waste management programs (high-level waste, transuranic waste, low-level waste, mixed low-level waste, spent nuclear fuel, and special nuclear materials), major environmental restoration efforts, major decontamination and decommissioning projects, and planned long-term stewardship activities. Two basic types of risk estimates are included: risks from environmental management activities, and long-term legacy risks from wastes/materials. Both types of risks are estimated using the Environment, Safety, and Health Risk Assessment Program (ESHRAP) developed at the INEEL. Given these two types of risk calculations, the following evaluations can be performed: • Risk evaluation of an entire program (covering waste/material as it now exists through disposal or other end states) • Risk comparisons of alternative programs or activities • Comparisons of risk benefit versus risk cost for activities or entire programs • Ranking of programs or activities by risk • Ranking of wastes/materials by risk • Evaluation of site risk changes with time as activities progress • Integrated performance measurement using indicators such as injury/death and exposure rates. This paper discusses the definition and calculation of legacy risk measures and associated issues. The legacy risk measure is needed to support three of the seven types of evaluations listed above: comparisons of risk benefit versus risk cost, ranking of wastes/materials by risk, and evaluation of site risk changes with time.

  18. Long term analysis of the biomass content in the feed of a waste-to-energy plant with oxygen-enriched combustion air.

    PubMed

    Fellner, Johann; Cencic, Oliver; Zellinger, Günter; Rechberger, Helmut

    2011-10-01

    Thermal utilization of municipal solid waste and commercial wastes has become of increasing importance in European waste management. As waste materials are generally composed of fossil and biogenic materials, a part of the energy generated can be considered as renewable and is thus subsidized in some European countries. Analogously, CO(2) emissions of waste incinerators are only partly accounted for in greenhouse gas inventories. A novel approach for determining these fractions is the so-called balance method. In the present study, the implementation of the balance method on a waste-to-energy plant using oxygen-enriched combustion air was investigated. The findings of the 4-year application indicate on the one hand the general applicability and robustness of the method, and on the other hand the importance of reliable monitoring data. In particular, measured volume flows of the flue gas and the oxygen-enriched combustion air as well as corresponding O(2) and CO(2) contents should regularly be validated. The fraction of renewable (biogenic) energy generated throughout the investigated period amounted to between 27 and 66% for weekly averages, thereby denoting the variation in waste composition over time. The average emission factor of the plant was approximately 45 g CO(2) MJ(-1) energy input or 450 g CO(2) kg(-1) waste incinerated. The maximum error of the final result was about 16% (relative error), which was well above the error (<8%) of the balance method for plants with conventional oxygen supply.

  19. A Strategy to Conduct an Analysis of the Long-Term Performance of Low-Activity Waste Glass in a Shallow Subsurface Disposal System at Hanford

    SciTech Connect

    BP McGrail, WL Ebert, DH Bacon, DM Strachan

    1998-02-18

    Privatized services are being procured to vitrify low-activity tank wastes for eventual disposal in a shallow subsurface facility at the Hanford Site. Over 500,000 metric tons of low-activity waste glass will be generated, which is among the largest volumes of waste within the U.S. Department of Energy (DOE) complex and is one of the largest inventories of long-lived radionuclides planned for disposal in a low-level waste facility. Before immobilized waste can be disposed, DOE must approve a "performance assessment," which is a document that describes the impacts of the disposal facility on public health and environmental resources. Because the release rate of radionuclides from the glass waste form is a key factor determining these impacts, a sound scientific basis for determining their long-term release rates must be developed if this disposal action is to be accepted by regulatory agencies, stakeholders, and the public. In part, the scientific basis is determined from a sound testing strategy. The foundation of the proposed testing strategy is a well accepted mechanistic model that is being used to calculate the glass corrosion behavior over the geologic time scales required for performance assessment. This model requires that six parameters be determined, and the testing program is defined by an appropriate set of laboratory experiments to determine these parameters, and is combined with a set of field experiments to validate the model as a whole. Three general classes of laboratory tests are proposed in this strategy: 1) characterization, 2) accelerated, and 3) service condition. Characterization tests isolate and provide specific information about processes or parameters in theoretical models. Accelerated tests investigate corrosion behavior that will be important over the regulated service life of a disposal system within a laboratory time frame of a few years or less. Service condition tests verify that the techniques used in accelerated tests do not change

  20. Mixed waste management options

    SciTech Connect

    Owens, C.B.; Kirner, N.P.

    1991-12-31

    Disposal fees for mixed waste at proposed commercial disposal sites have been estimated to be $15,000 to $40,000 per cubit foot. If such high disposal fees are imposed, generators may be willing to apply extraordinary treatment or regulatory approaches to properly dispose of their mixed waste. This paper explores the feasibility of several waste management scenarios and attempts to answer the question: Can mixed waste be managed out of existence? Existing data on commercially generated mixed waste streams are used to identify the realm of mixed waste known to be generated. Each waste stream is evaluated from both a regulatory and technical perspective in order to convert the waste into a strictly low-level radioactive or a hazardous waste. Alternative regulatory approaches evaluated in this paper include a delisting petition, no migration petition, and a treatability variance. For each waste stream, potentially available treatment options are identified that could lead to these variances. Waste minimization methodology and storage for decay are also considered. Economic feasibility of each option is discussed broadly.

  1. Treatments for post-menopausal osteoporotic women, what's new? How can we manage long-term treatment?

    PubMed

    Herrero, Soledad; Pico, Yolanda

    2016-05-15

    Since the mid-1980s, postmenopausal osteoporosis (PMO) has been considered a serious public health concern because of the associated fractures. Pharmacological therapies that effectively reduce the number of fractures by improving bone mass have been and are being developed continuously. Most current agents inhibit bone loss by reducing bone resorption, but emerging therapies may increase bone mass by stimulating bone formation. Furthermore, nowadays, the most representative pharmaceuticals have been prescribed long enough to include the reporting of some adverse effects. This review discusses osteoporotic drugs that are approved or are under investigation for the treatment of post-menopausal women (PMW), paying particular attention to long-term treatments.

  2. Extension of sensitivity and uncertainty analysis for long term dose assessment of high level nuclear waste disposal sites to uncertainties in the human behaviour.

    PubMed

    Albrecht, Achim; Miquel, Stéphan

    2010-01-01

    Biosphere dose conversion factors are computed for the French high-level geological waste disposal concept and to illustrate the combined probabilistic and deterministic approach. Both (135)Cs and (79)Se are used as examples. Probabilistic analyses of the system considering all parameters, as well as physical and societal parameters independently, allow quantification of their mutual impact on overall uncertainty. As physical parameter uncertainties decreased, for example with the availability of further experimental and field data, the societal uncertainties, which are less easily constrained, particularly for the long term, become more and more significant. One also has to distinguish uncertainties impacting the low dose portion of a distribution from those impacting the high dose range, the latter having logically a greater impact in an assessment situation. The use of cumulative probability curves allows us to quantify probability variations as a function of the dose estimate, with the ratio of the probability variation (slope of the curve) indicative of uncertainties of different radionuclides. In the case of (135)Cs with better constrained physical parameters, the uncertainty in human behaviour is more significant, even in the high dose range, where they increase the probability of higher doses. For both radionuclides, uncertainties impact more strongly in the intermediate than in the high dose range. In an assessment context, the focus will be on probabilities of higher dose values. The probabilistic approach can furthermore be used to construct critical groups based on a predefined probability level and to ensure that critical groups cover the expected range of uncertainty.

  3. [Combined arterial bypass operation and coumarin therapy--a concept for long-term management and its conditions].

    PubMed

    Kühnel, L; Heinrichs, C; Wache, I; Neugebauer, J

    1991-01-01

    Antithrombotics of cumarin type or with antiplatelet effect are preferred to obtain results from vascular surgical interventions in arterial occlusion disease. In our experience the combination with cumarin long term therapy seems to be the better method, especially if the following conditions can be achieved: very good compliance of patients respectively strict consideration of absolute and relative contraindications, a sufficient number of patients who are treated and a long enough experience of therapeutists followed by using the recommendations of the WHO expert committee for the worldwide application of standardization in measuring the anticoagulation effect, using reagents and calibration materials, and the expression of results in INR. Further in our anticoagulation behaviour we are used influencing risk factors, having a good cooperation between patients and doctors during secondary diseases and new drug intake. For dental surgery we prefer a Quick test between 30 and 35% activity or 1, 9 and 2, 1 INR. With Phenprocoumon (Falithrom, Markumar) we use the long term anticoagulation effect without several daily applications. Since September 1987 there has been the possibility of a computer assisted programme for dose prediction.

  4. Long-term management of sevelamer hydrochloride-induced metabolic acidosis aggravation and hyperkalemia in hemodialysis patients.

    PubMed

    Sonikian, Macroui; Metaxaki, Polyxeni; Iliopoulos, Anastasios; Marioli, Stamatia; Vlassopoulos, Dimosthenis

    2006-01-01

    Sevelamer hydrochloride use in hemodialysis patients is complicated by metabolic acidosis aggravation and hyperkalemia. Rare reports about a short-term correction of this complication have been published. The current authors investigated the long-term correction of metabolic acidosis and hyperkalemia in sevelamer hydrochloride-treated patients at doses adequate to achieve serum phosphate levels within K/DOQI recommendations. The authors followed 20 hemodialysis patients for 24 months in an open-label prospective study. The dialysate bicarbonate concentration was increased stepwise to a maximum 40 mEq/L and adjusted to reach patient serum bicarbonate levels of 22 mEq/L, according to K/DOQI recommendations. Laboratory results for serum bicarbonate, potassium, calcium, phosphate, albumin, alkaline phosphatase, iPTH, cholesterol (HDL-LDL), triglycerides, Kt/V, systolic-diastolic arterial pressure were recorded. Sevelamer hydrochloride-induced metabolic acidosis aggravation and hyperkalemia in hemodialysis patients were corrected, on the long-term, by an increase in dialysate bicarbonate concentration. Further improvement in bone biochemistry was noted with this adequate acidosis correction and parallel sevelamer hydrochloride administration, in sufficiently large doses to achieve K/DOQI phosphate recommendations.

  5. Solid-Waste Management

    ERIC Educational Resources Information Center

    Science Teacher, 1973

    1973-01-01

    Consists of excerpts from a forthcoming publication of the United States Environmental Protection Agency, Student's Guide to Solid-Waste Management.'' Discusses the sources of wastes from farms, mines, factories, and communities, the job of governments, ways to collect trash, methods of disposal, processing, and suggests possible student action.…

  6. Problems of monitoring and long-term risk assessment for groundwater from high-volume solid waste sites in industrialized and developing countries

    NASA Astrophysics Data System (ADS)

    Twardowska, Irena; Singh, Gulab; Tripathi, Prem S. M.

    1999-12-01

    Despite considerable research effort put into characterizing environmental aspects of disposal and construction with high- volume 'non-hazardous' waste materials, there is still lack of satisfactory knowledge of their life cycle leaching behavior in the actual field conditions. This often results in false- negative errors in the long-term environment impact assessment (EIA) and severe damage to the renewable ground water resources in the area of the disposal sites either in the operational or post-closure period. This statement has been exemplified in two case studies: (1) Powerplant ash pond under operation sited in the Erai River basin (Maharastra, India), with open water circuit; (2) Reclaimed fly ash (FA) pond in a post-closure period at the dewatering stage sited in a sand quarry (Silesia, Poland). In the first case, EIA on the basis of the monitoring of entirely excess water discharged into the river, caused serious failure in preventing deterioration of usable ground water resources in several communities within and down-gradient of the FA pond. The second case study based on screening pore solution along the vertical profiles of the FA pond displayed deep transformation of FA properties in the post-closure period. At this stage, FA acidification and massive heavy metal release from its matrix due to the change of the saturation zone conditions into the vadose zone occurred. These examples clearly show a need of properly designed and operated life cycle screening/monitoring of the large-volume waste sites to provide an early alert to prevent degradation of recoverable ground water resources. Some concepts of cost-effective monitoring/screening for an early alert have been proposed.

  7. 2003 Long-Term Surveillance and Maintenance Program Report

    SciTech Connect

    2004-07-01

    Radioactive waste was created by the Federal Government and private industry at locations around the country in support of national defense, research, and civilian power-generation programs. If not controlled, much of this legacy waste would remain hazardous to human health and the environment indefinitely. Current technology does not allow us to render this waste harmless, so the available methods to control risk rely on consolidation, isolation, and long-term management of the waste. The U.S. Department of Energy (DOE) has an obligation to safely control the radioactive waste and to inform and train future generations to maintain and, perhaps, improve established protections. DOE is custodian for much of the radioactive and other hazardous waste under control of the Federal Government. DOE established the Formerly Utilized Sites Remedial Action Program (FUSRAP) in 1974 and the Defense Decontamination and Decommissioning (D&D) Program and the Surplus Facilities Management Program in the 1980s. Congress passed the Uranium Mill Tailings Radiation Control Act (UMTRCA) in 1978. These federal programs and legislation were established to identify, remediate, and manage legacy waste. Remedial action is considered complete at a radioactive waste site when the identified hazardous material is isolated and the selected remedial action remedy is in place and functioning. Radioactive or other hazardous materials remain in place as part of the remedy at many DOE sites. Long-term management of radioactive waste sites incorporates a set of actions necessary to maintain protection of human health and the environment. These actions include maintaining physical impoundment structures in good repair to ensure that they perform as designed, preventing exposure to the wastes by maintaining access restrictions and warnings, and recording site conditions and activities for future custodians. Any actions, therefore, that will prevent exposure to the radioactive waste now or in the future

  8. OCRWM International Cooperation in Nuclear Waste Management

    SciTech Connect

    Jackson, R.; Levich, R.; Strahl, J.

    2002-02-27

    With the implementation of nuclear power as a major energy source, the United States is increasingly faced with the challenges of safely managing its inventory of spent nuclear materials. In 2002, with 438 nuclear power facilities generating electrical energy in 31 nations around the world, the management of radioactive material including spent nuclear fuel and high-level radioactive waste, is an international concern. Most of the world's nuclear nations maintain radioactive waste management programs and have generally accepted deep geologic repositories as the long-term solution for disposal of spent nuclear fuel and high-level radioactive waste. Similarly, the United States is evaluating the feasibility of deep geologic disposal at Yucca Mountain, Nevada. This project is directed by the U.S. Department of Energy's Office of Civilian Radioactive Waste Management (OCRWM), which has responsibility for managing the disposition of spent nuclear fuel produced by commercial nuclear power facilities along with U.S. government-owned spent nuclear fuel and high-level radioactive waste. Much of the world class science conducted through the OCRWM program was enhanced through collaboration with other nations and international organizations focused on resolving issues associated with the disposition of spent nuclear fuel and high-level radioactive waste.

  9. Nuclear waste management. Quarterly progress report, October through December 1980

    SciTech Connect

    Chikalla, T.D.; Powell, J.A.

    1981-03-01

    Progress reports and summaries are presented under the following headings: high-level waste process development; alternative waste forms; nuclear waste materials characterization center; TRU waste immobilization; TRU waste decontamination; krypton solidification; thermal outgassing; iodine-129 fixation; monitoring and physical characterization of unsaturated zone transport; well-logging instrumentation development; mobility of organic complexes of radionuclides in soils; waste management system studies; waste management safety studies; assessment of effectiveness of geologic isolation systems; waste/rock interactions technology; high level waste form preparation; development of backfill material; development of structural engineered barriers; ONWI disposal charge analysis; spent fuel and fuel component integrity program; analysis of spent fuel policy implementation; analysis of postulated criticality events in a storage array of spent LWR fuel; asphalt emulsion sealing of uranium tailings; liner evaluation for uranium mill tailings; multilayer barriers for sealing of uranium tailings; application of long-term chemical biobarriers for uranium tailings; revegetation of inactive uranium tailing sites; verification instrument development.

  10. Nuclear waste management. Quarterly progress report, April-June 1980

    SciTech Connect

    Platt, A.M.; Powell, J.A.

    1980-09-01

    The status of the following programs is reported: high-level waste immobilization; alternative waste forms; Nuclear Waste Materials Characterization Center; TRU waste immobilization; TRU waste decontamination; krypton solidification; thermal outgassing; iodine-129 fixation; monitoring and physical characterization of unsaturated zone transport; well-logging instrumentation development; mobility of organic complexes of fission products in soils; waste management system studies; waste management safety studies; assessment of effectiveness of geologic isolation systems; waste/rock interactions technology; systems study on engineered barriers; criteria for defining waste isolation; spent fuel and fuel pool component integrity program; analysis of spent fuel policy implementation; asphalt emulsion sealing of uranium tailings; application of long-term chemical biobarriers for uranium tailings; and development of backfill material.

  11. Testing a Model of Self-Management of Fluid Intake in Community-Residing Long-Term Indwelling Urinary Catheter Users

    PubMed Central

    Wilde, Mary H.; Crean, Hugh F.; McMahon, James M.; McDonald, Margaret V.; Tang, Wan; Brasch, Judith; Fairbanks, Eileen; Shah, Shivani; Zhang, Feng

    2015-01-01

    Background Urinary tract infection and blockage are serious and recurrent challenges for people with long-term indwelling catheters, and these catheter problems cause worry and anxiety when they disrupt normal daily activities. Objectives The goal was to determine whether urinary catheter-related self-management behaviors focusing on fluid intake would mediate fluid intake related self-efficacy toward decreasing catheter-associated urinary tract infection (CAUTI) and/or catheter blockage. Method The sample involved data collected from 180 adult community-living, long-term indwelling urinary catheter users. The authors tested a model of fluid intake self-management (F-SMG) related to fluid intake self-efficacy (F-SE) for key outcomes of CAUTI and blockage. To account for the large number of zeros in both outcomes, a zero inflated negative binomial (ZINB) structural equation model was tested. Results Structurally, F-SE was positively associated with F-SMG, suggesting that higher F-SE predicts more (higher) F-SMG; however, F-SMG was not associated with either the frequency of CAUTI’s or the presence or absence of CAUTI. F-SE was positively related to F-SMG and F-SMG predicted less frequency of catheter blockage, but neither F-SE nor F-SMG predicted the presence or absence of blockage. Discussion Further research is needed to better understand determinants of CAUTI in long-term catheter users and factors which might influence or prevent its occurrence. Increased confidence (self-efficacy) and self-management behaviors to promote fluid intake could be of value in long-term urinary catheter users to decrease catheter blockage. PMID:26938358

  12. A framework for decision points to trigger adaptive management actions in long-term incidental take permits

    USGS Publications Warehouse

    Dalthorp, Daniel; Huso, Manuela

    2015-12-02

    A program of incremental AMAs may be developed to respond to the firing of the short-term trigger. Such a strategy may involve (1) AMAs to reduce the actual fatality rate (λ) incrementally each time the short-term trigger is fired to keep the fatality rate in line with the expected rate (τ) in future years; (2) an intensification of monitoring to increase precision of estimates; or (3) adjustment of τ to align permitted with actual take rates. AMAs that reduce the fatality rate or increase precision are likely to reduce the chances that the short-term trigger will fire in future years if the short-term trigger remains the same. In addition, after the short-term trigger has fired some predetermined number of times, with or without implementation of incremental AMAs, it may be desirable to implement a full-avoidance AMA to avoid further take (as with the long-term trigger).

  13. A New Framework for Adptive Sampling and Analysis During Long-Term Monitoring and Remedial Action Management

    SciTech Connect

    Minsker, Barbara

    2005-06-01

    Yonas Demissie, a research assistant supported by the project, has successfully created artificial data and assimilated it into coupled Modflow and artificial neural network models. His initial findings show that the neural networks help correct errors in the Modflow models. Abhishek Singh has used test cases from the literature to show that performing model calibration with an interactive genetic algorithm results in significantly improved parameter values. Meghna Babbar, the third research assistant supported by the project, has found similar results when applying an interactive genetic algorithms to long-term monitoring design. She has also developed new types of interactive genetic algorithms that significantly improve performance. Gayathri Gopalakrishnan, the last research assistant who is partially supported by the project, has shown that sampling branches of phytoremediation trees is an accurate approach to estimating soil and groundwater contaminations in areas surrounding the trees at the Argonne 317/319 site.

  14. Mobile Phone and Tablet Apps to Support Young People’s Management of Their Physical Long-Term Conditions: A Systematic Review Protocol

    PubMed Central

    2015-01-01

    Background The prevalence of long-term or chronic conditions that limit activity and reduce quality of life in young people aged 10-24 years is rising. This group has distinct health care needs and requires tailored support strategies to facilitate increasing personal responsibility for the management of their condition wherever possible, as they mature. Mobile phone and tablet mobile technologies featuring software program apps are already well used by young people for social networking or gaming. They have also been utilized in health care to support personal condition management, using condition-specific and patient-tailored software. Such apps have much potential, and there is an emerging body of literature on their use in a health context making this review timely. Objective The objective of this paper is to develop a systematic review protocol focused on identifying and assessing the effectiveness of mobile phone and tablet apps that support young people’s management of their chronic conditions. Methods The search strategy will include a combination of standardized indexed search terms and free-text terms related to the key concepts of young people; long-term conditions and mobile technology. Peer-reviewed journal articles published from 2003 that meet the inclusion and exclusion criteria will be identified through searching the generated hits from 5 bibliographical databases. Two independent reviewers will screen the titles and abstracts to determine which articles focus on testing interventions identified as a mobile phone or tablet apps, and that have been designed and delivered to support the management of long-term conditions in young people aged 10-24 years. Data extraction and quality assessment tools will be used to facilitate consistent analysis and synthesis. It is anticipated that several studies will meet the selection criteria but that these are likely to be heterogeneous in terms of study design, reported outcomes, follow-up times

  15. The long-term effect of community-based health management on the elderly with type 2 diabetes by the Markov modeling.

    PubMed

    Chao, Jianqian; Zong, Mengmeng; Xu, Hui; Yu, Qing; Jiang, Lili; Li, Yunyun; Song, Long; Liu, Pei

    2014-01-01

    The aim of this study was to assess the long-term effects of community-based health management on elderly diabetic patients using a Markov model. A Markov decision model was used to simulate the natural history of diabetes. Data were obtained from our randomized trials of elderly with type 2 diabetes and from the published literature. One hundred elderly patients with type 2 diabetes were randomly allocated to either the management or the control group in a one-to-one ratio. The management group participated in a health management program for 18 months in addition to receiving usual care. The control group only received usual care. Measurements were performed on both groups at baseline and after 18 months. The Markov model predicted that for every 1000 diabetic patients receiving health management, approximately 123 diabetic patients would avoid complications, and approximately 37 would avoid death over the next 13 years. The results suggest that the health management program had a positive long-term effect on the health of elderly diabetic patients. The Markov model appears to be useful in health care planning and decision-making aimed at reducing the financial and social burden of diabetes.

  16. AVLIS production plant waste management plan

    SciTech Connect

    Not Available

    1984-11-15

    Following the executive summary, this document contains the following: (1) waste management facilities design objectives; (2) AVLIS production plant wastes; (3) waste management design criteria; (4) waste management plan description; and (5) waste management plan implementation. 17 figures, 18 tables.

  17. Responses of bacterial and archaeal ammonia oxidizers to soil organic and fertilizer amendments under long-term management

    SciTech Connect

    Wessen, E.; Nyberg, K.; Jansson, J.K.; Hallin, S.

    2010-05-01

    Ammonia-oxidizing bacteria (AOB) and ammonia-oxidizing archaea (AOA) co-exist in soil, but their relative distribution may vary depending on the environmental conditions. Effects of changes in soil organic matter and nutrient content on the AOB and AOA are poorly understood. Our aim was to compare effects of long-term soil organic matter depletion and amendments with labile (straw) and more recalcitrant (peat) organic matter, with and without easily plant-available nitrogen, on the activities, abundances and community structures of AOB and AOA. Soil was sampled from a long-term field site in Sweden that was established in 1956. The potential ammonia oxidation rates, the AOB and AOA amoA gene abundances and the community structures of both groups based on T-RFLP of amoA genes were determined. Straw amendment during 50 years had not altered any of the measured soil parameters, while the addition of peat resulted in a significant increase of soil organic carbon as well as a decrease in pH. Nitrogen fertilization alone resulted in a small decrease in soil pH, organic carbon and total nitrogen, but an increase in primary production. Type and amount of organic matter had an impact on the AOB and AOA community structures and the AOA abundance. Our findings confirmed that AOA are abundant in soil, but showed that under certain conditions the AOB dominate, suggesting niche differentiation between the two groups at the field site. The large differences in potential rates between treatments correlated to the AOA community size, indicating that they were functionally more important in the nitrification process than the AOB. The AOA abundance was positively related to addition of labile organic carbon, which supports the idea that AOA could have alternative growth strategies using organic carbon. The AOB community size varied little in contrast to that of the AOA. This indicates that the bacterial ammonia oxidizers as a group have a greater ecophysiological diversity and

  18. Regular long-term red blood cell transfusions for managing chronic chest complications in sickle cell disease

    PubMed Central

    Estcourt, Lise J; Fortin, Patricia M; Hopewell, Sally; Trivella, Marialena; Hambleton, Ian R; Cho, Gavin

    2016-01-01

    Background Sickle cell disease is a genetic haemoglobin disorder, which can cause severe pain, significant end-organ damage, pulmonary complications, and premature death. Sickle cell disease is one of the most common severe monogenic disorders in the world, due to the inheritance of two abnormal haemoglobin (beta globin) genes. The two most common chronic chest complications due to sickle cell disease are pulmonary hypertension and chronic sickle lung disease. These complications can lead to morbidity (such as reduced exercise tolerance) and increased mortality. This is an update of a Cochrane review first published in 2011 and updated in 2014. Objectives We wanted to determine whether trials involving people with sickle cell disease that compare regular long-term blood transfusion regimens with standard care, hydroxycarbamide (hydroxyurea) any other drug treatment show differences in the following: mortality associated with chronic chest complications; severity of established chronic chest complications; development and progression of chronic chest complications; serious adverse events. Search methods We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group’s Haemoglobinopathies Trials Register. Date of the last search: 25 April 2016. We also searched for randomised controlled trials in the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, Issue 1, 26 January 2016), MEDLINE (from 1946), Embase (from 1974), CINAHL (from 1937), the Transfusion Evidence Library (from 1950), and ongoing trial databases to 26 January 2016. Selection criteria We included randomised controlled trials of people of any age with one of four common sickle cell disease genotypes, i.e. Hb SS, Sß0, SC, or Sß+ that compared regular red blood cell transfusion regimens (either simple or exchange transfusions) to hydroxycarbamide, any other drug treatment, or to standard care that were aimed at reducing the development or progression of chronic chest

  19. First myocardial infarction in patients of Indian subcontinent and European origin: comparison of risk factors, management, and long term outcome.

    PubMed Central

    Shaukat, N.; Lear, J.; Lowy, A.; Fletcher, S.; de Bono, D. P.; Woods, K. L.

    1997-01-01

    OBJECTIVE: To compare long term outcome after first myocardial infarction among British patients originating from the Indian subcontinent and from Europe. DESIGN: Matched pairs study. SETTING: Coronary care unit in central Leicester. SUBJECTS: 238 pairs of patients admitted during 1987-93 matched for age (within 2 years), sex, date of admission (within 3 months), type of infarction (Q/non-Q), and site of infarction. MAIN OUTCOME MEASURES: Incidence of angina, reinfarction, or death during follow up of 1-7 years. RESULTS: Patients of Indian subcontinent origin had a higher prevalence of diabetes (35% v 9% in patients of European origin, P < 0.001), lower prevalence of smoking (39% v 63%, P < 0.001), longer median delay from symptom onset to admission (5 hours v 3 hours, P < 0.01), and lower use of thrombolysis (50% v 66%, P < 0.001). During long term follow up (median 39 months), mortality was higher in patients of Indian subcontinent origin (unadjusted hazard ratio = 2.1, 95% confidence interval 1.3 to 3.4, P = 0.002). After adjustment for smoking, history of diabetes, and thrombolysis the estimated hazard ratio fell slightly to 2.0 (1.1 to 3.6, P = 0.02). Patients of Indian subcontinent origin had almost twice the incidence of angina (54% v 29%; P < 0.001) and almost three times the risk of reinfarction during follow up (34% v 12.5% at 3 years, P < 0.001). The unadjusted hazard ratio for reinfarction in patients of Indian subcontinent origin was 2.8 (1.8 to 4.4, P < 0.001). Adjustment for smoking, history of diabetes, and thrombolysis made little difference to the hazard ratio. Coronary angiography was performed with similar frequency in the two groups; triple vessel disease was the commonest finding in patients of Indian subcontinent origin and single vessel disease the commonest in Europeans (P < 0.001). CONCLUSIONS: Patients of Indian subcontinent origin are at substantially higher risk of mortality and of further coronary events than Europeans after first

  20. On the importance of coupled THM processes to predict the long-term response of a generic salt repository for high-level nuclear waste

    NASA Astrophysics Data System (ADS)

    Blanco Martin, L.; Rutqvist, J.; Birkholzer, J. T.

    2013-12-01

    Salt is a potential medium for the underground disposal of nuclear waste because it has several assets, in particular its ability to creep and heal fractures generated by excavation and its water and gas tightness in the undisturbed state. In this research, we focus on disposal of heat-generating nuclear waste (such as spent fuel) and we consider a generic salt repository with in-drift emplacement of waste packages and subsequent backfill of the drifts with run-of-mine crushed salt. As the natural salt creeps, the crushed salt backfill gets progressively compacted and an engineered barrier system is subsequently created. In order to evaluate the integrity of the natural and engineered barriers over the long-term, it is important to consider the coupled effects of the thermal, hydraulic and mechanical processes that take place. In particular, the results obtained so far show how the porosity reduction of the crushed salt affects the saturation and pore pressure evolution throughout the repository, both in time and space. Such compaction is induced by the stress and temperature regime within the natural salt. Also, transport properties of the host rock are modified not only by thermo-mechanically and hydraulically-induced damaged processes, but also by healing/sealing of existing fractures. In addition, the THM properties of the backfill evolve towards those of the natural salt during the compaction process. All these changes are based on dedicated laboratory experiments and on theoretical considerations [1-3]. Different scenarios are modeled and compared to evaluate the relevance of different processes from the perspective of effective nuclear waste repositories. The sensitivity of the results to some parameters, such as capillarity, is also addressed. The simulations are conducted using an updated version of the TOUGH2-FLAC3D simulator, which is based on a sequential explicit method to couple flow and geomechanics [4]. A new capability for large strains and creep

  1. Controlled Containment, Radioactive Waste Management in the Netherlands

    SciTech Connect

    Codee, H.

    2002-02-26

    All radioactive waste produced in The Netherlands is managed by COVRA, the central organization for radioactive waste. The Netherlands forms a good example of a country with a small nuclear power program which will end in the near future. However, radioisotope production, nuclear research and other industrial activities will continue to produce radioactive waste. For the small volume, but broad spectrum of radioactive waste, including TENORM, The Netherlands has developed a management system based on the principles to isolate, to control and to monitor the waste. Long term storage is an essential element of the management system and forms a necessary step in the strategy of controlled containment that will ultimately result in final removal of the waste. Since the waste will remain retrievable for long time new technologies and new disposal options can be applied when available and feasible.

  2. Similar long-term survival of consecutive in-hospital and out-of-hospital cardiac arrest patients treated with targeted temperature management

    PubMed Central

    Engsig, Magaly; Søholm, Helle; Folke, Fredrik; Gadegaard, Peter J; Wiis, Julie Therese; Molin, Rune; Mohr, Thomas; Engsig, Frederik N

    2016-01-01

    Objective The long-term survival of in-hospital cardiac arrest (IHCA) patients treated with targeted temperature management (TTM) is poorly described. The aim of this study was to compare the outcomes of consecutive IHCA with out-of-hospital cardiac arrest (OHCA) patients treated with TTM. Design, setting, and patients Retrospectively collected data on all consecutive adult patients treated with TTM at a university tertiary heart center between 2005 and 2011 were analyzed. Measurements Primary endpoints were survival to hospital discharge and long-term survival. Secondary endpoint was neurological outcome assessed using the Pittsburgh cerebral performance category (CPC). Results A total of 282 patients were included in this study; 233 (83%) OHCA and 49 (17%) IHCA. The IHCA group presented more often with asystole, received bystander cardiopulmonary resuscitation (CPR) in all cases, and had shorter time to return of spontaneous circulation (ROSC). Survival to hospital discharge was 54% for OHCA and 53% for IHCA (adjusted odds ratio 0.98 [95% confidence interval {CI}; 0.43–2.24]). Age ≤60 years, bystander CPR, time to ROSC ≤10 min, and shockable rhythm at presentation were associated with survival to hospital discharge. Good neurologic outcome among survivors was achieved by 86% of OHCA and 92% of IHCA (P=0.83). After a median follow-up time of >5 years, 83% of OHCA and 77% of IHCA were alive (adjusted hazard ratio [HR] 1.51 [95% CI; 0.59–3.91]). Age ≤60 years was the only factor associated with long-term survival (adjusted HR 2.73 [95% CI; 1.36–5.52]). Conclusion There was no difference in short- and long-term survival and no difference in neurologic outcome to hospital discharge between IHCA and OHCA patients treated with TTM despite higher frequency of asystole in IHCA. PMID:27877067

  3. The long-term survival in adrenocortical carcinoma with active surgical management and use of monitored mitotane.

    PubMed

    Wängberg, B; Khorram-Manesh, A; Jansson, S; Nilsson, B; Nilsson, O; Jakobsson, C E; Lindstedt, S; Odén, A; Ahlman, H

    2010-03-01

    Adrenocortical carcinoma (ACC) is a rare tumour disease with sinister prognosis also after attempts to radical surgery; better prognosis is seen for low-stage tumours. Adjuvant treatment with the adrenolytic drug mitotane has been attempted, but not proven to prevent from recurrence. The drug may offer survival advantage in case of recurrence. The aim of this single-centre study (1979-2007) of 43 consecutive patients was to evaluate the long-term survival after active surgical treatment combined with monitored mitotane (to reduce side effects of the drug). The series is unique, since all patients were offered a period of mitotane as adjuvant or palliative treatment; six patients refused mitotane. Despite a high proportion of high-stage tumours (67%), the complete resection rate was high (77%). The disease-specific 5-year survival was high (64.1%); very high for patients with low-stage tumours without evident relation to mitotane levels. Patients with high-stage tumours had a clear survival advantage with mitotane levels above a threshold of 14 mg/l in serum. The hazard ratio for patients with high mitotane levels versus all patients indicates a significant effect of the drug. The results indicate that adjuvant mitotane may be the standard of care for patients with high-stage ACC after complete resection.

  4. Evaluation of nurses’ changing perceptions when trained to implement a self-management programme for dual sensory impaired older adults in long-term care: a qualitative study

    PubMed Central

    Roets-Merken, Lieve M; Vernooij-Dassen, Myrra J F J; Zuidema, Sytse U; Dees, Marianne K; Hermsen, Pieter G J M; Kempen, Gertrudis I J M; Graff, Maud J L

    2016-01-01

    Objectives To gain insights into the process of nurses’ changing perceptions when trained to implement a self-management programme for dual sensory impaired older adults in long-term care, and into the factors that contributed to these changes in their perceptions. Design Qualitative study alongside a cluster randomised controlled trial. Setting 17 long-term care homes spread across the Netherlands. Participants 34 licensed practical nurses supporting 54 dual sensory impaired older adults. Intervention A 5-month training programme designed to enable nurses to support the self-management of dual sensory impaired older adults in long-term care. Primary outcomes Nurses’ perceptions on relevance and feasibility of the self-management programme collected from nurses’ semistructured coaching diaries over the 5-month training and intervention period, as well as from trainers’ reports. Results Nurses’ initial negative perceptions on relevance and feasibility of the intervention changed to positive as nurses better understood the concept of autonomy. Through interactions with older adults and by self-evaluations of the effect of their behaviour, nurses discovered that their usual care conflicted with client autonomy. From that moment, nurses felt encouraged to adapt their behaviour to the older adults’ autonomy needs. However, nurses’ initial unfamiliarity with conversation techniques required a longer exploration period than planned. Once client autonomy was understood, nurses recommended expanding the intervention as a generic approach to all their clients, whether dual sensory impaired or not. Conclusions Longitudinal data collection enabled exploration of nurses’ changes in perceptions when moving towards self-management support. The training programme stimulated nurses to go beyond ‘protocol thinking’, discovering client autonomy and exploring the need for their own behavioural adaptations. Educational programmes for practical nurses should offer

  5. Long-term data archiving

    SciTech Connect

    Moore, David Steven

    2009-01-01

    Long term data archiving has much value for chemists, not only to retain access to research and product development records, but also to enable new developments and new discoveries. There are some recent regulatory requirements (e.g., FDA 21 CFR Part 11), but good science and good business both benefit regardless. A particular example of the benefits of and need for long term data archiving is the management of data from spectroscopic laboratory instruments. The sheer amount of spectroscopic data is increasing at a scary rate, and the pressures to archive come from the expense to create the data (or recreate it if it is lost) as well as its high information content. The goal of long-term data archiving is to save and organize instrument data files as well as any needed meta data (such as sample ID, LIMS information, operator, date, time, instrument conditions, sample type, excitation details, environmental parameters, etc.). This editorial explores the issues involved in long-term data archiving using the example of Raman spectral databases. There are at present several such databases, including common data format libraries and proprietary libraries. However, such databases and libraries should ultimately satisfy stringent criteria for long term data archiving, including readability for long times into the future, robustness to changes in computer hardware and operating systems, and use of public domain data formats. The latter criterion implies the data format should be platform independent and the tools to create the data format should be easily and publicly obtainable or developable. Several examples of attempts at spectral libraries exist, such as the ASTM ANDI format, and the JCAMP-DX format. On the other hand, proprietary library spectra can be exchanged and manipulated using proprietary tools. As the above examples have deficiencies according to the three long term data archiving criteria, Extensible Markup Language (XML; a product of the World Wide Web

  6. Long-Term Chinese Herbs Decoction Administration for Management of Hot Flashes Associated with Endocrine Therapy in Breast Cancer Patients

    PubMed Central

    Xue, Dong; Sun, Hong; Li, Ping-ping

    2011-01-01

    Objective To evaluate the effect of Chinese herbs decoction Shu-Gan-Liang-Xue on endocrine therapy- associated hot flashes symptom in breast cancer patients. Methods Sixty-six patients with breast cancer receiving adjuvant endocrine therapy were categorized to two groups, the control group received endocrine therapy alone, the other group is administered with Chinese herbs decoction Shu-Gan-Liang-Xue besides the endocrine therapy: Shu-Gan-Liang-Xue decoction was administered above 6 months per year for more than 2 years. Frequency of hot flashes per day was recorded, and the effect of Shu-Gan-Liang-Xue decoction on hot flashes symptom being assessed with Kupperman Scoring Index. Results Sixty cases were analyzed, 32 cases in endocrine therapy combining Chinese herbs decoction group, 28 cases in mere endocrine therapy group. For hot flashes symptom, in Chinese herbs decoction administration group, 7 cases (21.9%) reported symptom disappeared, 22 cases (68.7%) reported symptom alleviated, 3 cases (9.4%) reported symptom not changed; in endocrine therapy alone group, 5 cases (17.9%) reported symptom disappeared, 13 cases (46.4%) reported symptom alleviated, 10 cases (10/28, 35.7%) reported symptom not changed. The difference between two groups was statistically significant (P=0.013). For sleeping disorder, in Chinese herbs decoction administration group, 27 cases (84.4%) reported symptom improved, 5 cases (15.6%) reported no change; in endocrine therapy alone group, 16 cases (57.1%) symptom improved, 12 cases (42.9%) reported no change in sleeping disorder (P=0.019), the difference was also of significance statistically. Conclusion Long-term Chinese herbs decoction administration remarkably improved hot flashes symptom and sleeping disorder associated with endocrine therapy, meanwhile without definite toxicity and influence on the risk of recurrence of tumor. PMID:23467638

  7. Patient outcome after surgical management of the spinal accessory nerve injury: A long-term follow-up study

    PubMed Central

    Göransson, Harry; Leppänen, Olli V; Vastamäki, Martti

    2016-01-01

    Objectives: A lesion in the spinal accessory nerve is typically iatrogenic: related to lymph node biopsy or excision. This injury may cause paralysis of the trapezius muscle and thus result in a characteristic group of symptoms and signs, including depression and winging of the scapula, drooped shoulder, reduced shoulder abduction, and pain. The elements evaluated in this long-term follow-up study include range of shoulder motion, pain, patients’ satisfaction, delay of surgery, surgical procedure, occupational status, functional outcome, and other clinical findings. Methods: We reviewed the medical records of a consecutive 37 patients (11 men and 26 women) having surgery to correct spinal accessory nerve injury. Neurolysis was the procedure in 24 cases, direct nerve repair for 9 patients, and nerve grafting for 4. Time elapsed between the injury and the surgical operation ranged from 2 to 120 months. The patients were interviewed and clinically examined after an average of 10.2 years postoperatively. Results: The mean active range of movement of the shoulder improved at abduction 44° (43%) in neurolysis, 59° (71%) in direct nerve repair, and 30° (22%) in nerve-grafting patients. No or only slight atrophy of the trapezius muscle was observable in 75%, 44%, and 50%, and no or controllable pain was observable in 63%, 56%, and 50%. Restriction of shoulder abduction preceded deterioration of shoulder flexion. Patients’ overall dissatisfaction with the state of their upper extremity was associated with pain, lower strength in shoulder movements, and occupational problems. Conclusion: We recommend avoiding unnecessary delay in the exploration of the spinal accessory nerve, if a neural lesion is suspected. PMID:27152195

  8. A New Framework for Adaptive Sampling and Analysis During Long-Term Monitoring and Remedial Action Management

    SciTech Connect

    Minsker, Barbara

    2004-12-01

    The Argonne team has gathered available data on monitoring wells and measured hydraulic heads from the Argonne 317/319 site and sent it to UIUC. Xiaodong Li, a research assistant supported by the project, has reviewed the data and has fit initial spatiotemporal statistical models to it. Another research assistant, Yonas Demissie, has completed generation of the artificial data that will be used for model development and testing. In order to generate the artificial data a detailed groundwater flow and contaminant transport model was developed based upon characteristics of the 317/319 site. The model covers a multi-year time horizon that includes both before and after planting of the trees. As described in the proposal, the artificial data is created by adding ''measurement'' error to the ''true'' value from the numerical model. To date, only simple white noise error models have been considered. He is now reviewing the literature and beginning to develop a hierarchical modeling approach for the artificial data. Abhishek Singh, a third research assistant supported by the project, is implementing learning models for learning users preferences in an interactive genetic algorithm for solving the inverse problem. Meghna Babbar, the fourth research assistant supported by the project, has been improving the user interface for the interactive genetic algorithm and preparing a long-term monitoring design problem for testing the approach. Gayathri Gopalakrishnan, the last research assistant who is partially supported by the project, has collected substantial data from the 317/319 phytoremediation site at Argonne and has begun learning approaches for modeling these data.

  9. The long-term outcomes of interventions for the management of attention-deficit hyperactivity disorder in children and adolescents: a systematic review of randomized controlled trials

    PubMed Central

    Parker, Jack; Wales, Gill; Chalhoub, Nevyne; Harpin, Val

    2013-01-01

    Purpose To systematically identify and review the currently available evidence on the long-term outcomes of recommended attention-deficit hyperactivity disorder (ADHD) interventions following randomized controlled trials with children and young people. Method A systematic search was conducted to identify trials >1 year in length using the following databases: CINAHL (January 1982– July 2012), MEDLINE (Ovid and Cambridge Scientific Abstracts [CSA]), Psych info, Science Direct (Elsevier), and Cochrane Library. Hand searches of key journals in the subject, book chapters, and conference proceedings were also carried out. Relevant papers were critically appraised using the Cochrane risk of bias tool. Results Eight controlled trials were identified as being relevant, of duration ranging from 1 year to 8 years (at follow up). The total number of participants in the studies was 1,057, of whom 579 (54.7%) were from one cohort and included 26 different outcome measures. Results suggest there is moderate-to-high-level evidence that combined pharmacological and behavioral interventions, and pharmacological interventions alone can be effective in managing the core ADHD symptoms and academic performance at 14 months. However, the effect size may decrease beyond this period. Conclusion This review has highlighted the paucity and limitations of the evidence investigating the long-term outcomes of recommended interventions for managing ADHD symptoms. There is little evidence to suggest that the effects observed over the relatively short term are maintained throughout longer periods of impairment. Furthermore, much of the existing evidence examining effectiveness beyond 12 months does not include newer medications currently available or consider significant contextual and cultural differences, such as UK/European and Asian populations. Longitudinal studies are required to examine the long-term outcomes for children and young people with ADHD managed with currently recommended

  10. Aqueous alteration in CR chondrites: Meteorite parent body processes as analogue for long-term corrosion processes relevant for nuclear waste disposal

    NASA Astrophysics Data System (ADS)

    Morlok, Andreas; Libourel, Guy

    2013-02-01

    Aqueous alteration of carbonaceous chondrites is one of the fundamental processes on accreting planetesimals that changes pristine materials from the formation of the Solar System. The study of mineralogical, petrological and chemical changes resulting from this alteration provides insight into the physical and chemical setting of forming planetesimals. CR chondrites provide samples for all stages of aqueous alteration, from type 3 to 1 (entirely hydrated), and are thus suited to study the alteration of pristine materials in a coherent sequence. Vitrification is a common way to store and stabilize fission products and minor actinides resulting from the reprocessing of nuclear spent fuel in a nuclear boro-silica glass in steel containers. The waste material has to be stored safely for a period of at least 105-106 years in a clay-rich geological repository. Laboratory experiments being too short to follow the long-term evolution of these materials, we analyzed the mineralogical, petrological and chemical changes in a series of CR chondrites (Renazzo CR2, Al Rais CR2, and GRO 95577 CR1) to serve as analogues. Rims of secondary materials around metal grains in contact to the fine-grained matrix serve as analogue to the interface between steel containment and the surrounding clay-rich geological layer, while chondrule glassy mesostasis is used as a proxy of the nuclear glass. With increasing degree of aqueous alteration in the sequence, Renazzo → Al Rais → GRO 95577, the size of the rims increase. Fe-rich alteration rims are ˜10 μm in thickness around metal grains in the fine-grained matrix in Renazzo. In Al Rais, multi-layered structures of interchanging Fe, S and P/Ca-rich layers appear, with a thickness of up to ˜30 μm. In the highly altered GRO 95577, extensive inner and external rims of secondary phases reach up to ˜200 μm into the surrounding matrix. In chondrules, metal in contact with the altered mesostasis shows similar trends, but with thinner

  11. Dancing the Two-Step in Ontario’s Long-term Care Sector: More Deterrence-oriented Regulation = Ownership and Management Consolidation

    PubMed Central

    Daly, Tamara

    2016-01-01

    This paper explores shifts in public and private delivery over time through an analysis of Ontario’s approach to LTC funding and regulation in relation to other jurisdictions in Canada and abroad. The case of Ontario’s long-term care (LTC) policy evolution – from the 1940s until early 2013 -- shows how moving from compliance to deterrence oriented regulation can support consolidation of commercial providers’ ownership and increase the likelihood of non-profit and public providers outsourcing their management. PMID:27777495

  12. A Strategy and Case Study Example for Designing and Implementing Environmental Long-Term Monitoring at Legacy Management Sites

    SciTech Connect

    Earl D. Mattson; Roelof J. Versteeg; Mark Ankeny; Gail Heath; Alex Richardson

    2004-04-01

    Environmental monitoring objectives of site owners, regulators, consultants, and scientists typically share the common elements of (1) cost management, (2) risk management, and (3) information management (Figure 1). Many site owners focus on minimizing monitoring costs while regulators typically focus on risk and regulatory compliance. Scientists and consultants typically provide information management in the form of spreadsheets with extracted information provided in reports to other users. This common piecemeal approach upon individual focus on elements of the monitoring objectives, rather than the common objective of minimizing cost and risk using site information, results in missed opportunities for cost savings, environmental protection, and improved understanding of site performance.

  13. An approach to design long-term monitoring and evaluation frameworks in multi-actor systems--a case in water management.

    PubMed

    Hermans, Leon M; Naber, Arienne C; Enserink, Bert

    2012-11-01

    Learning-by-doing and adaptive management require careful monitoring and evaluation of the outcomes of environmental policies and programs under implementation. Selecting relevant indicators is difficult, especially when monitoring over a longer period of time. Further challenges arise when policies are developed as a collaborative effort among multiple actors. This paper discusses an approach to design frameworks for long-term monitoring and evaluation in multi-actor systems. It uses Dynamic Actor Network Analysis (DANA) as an actor-sensitive method to reconstruct program theories. This is combined with elements of assumption-based planning to identify critical assumptions and associated indicators to incorporate the dynamic aspects related to long-term monitoring. An application of this approach is described for a case of water management in the Netherlands. Here, mapping multiple perspectives and identifying critical assumptions helped to broaden the scope of monitoring in important ways. Identifying associated indicators and expectations on their development in response to policy implementation proved more difficult. From this case, it can be concluded that the approach is feasible, useful, but also demanding. However, with continuing trends of networked governance and adaptive management, additional efforts to reflect these trends in monitoring and evaluation, through this and similar approaches, are needed.

  14. Carbon dioxide emissions as affected by alternative long-term irrigation and tillage management practices in the lower Mississippi River Valley.

    PubMed

    Smith, S F; Brye, K R

    2014-01-01

    Ensuring the sustainability of cultivated soils is an ever-increasing priority for producers in the Lower Mississippi River Valley (LMRV). As groundwater sources become depleted and environmental regulations become more strict, producers will look to alternative management practices that will ensure the sustainability and cost-effectiveness of their production systems. This study was conducted to assess the long-term (>7 years) effects of irrigation (i.e., irrigated and dryland production) and tillage (conventional and no-tillage) on estimated carbon dioxide (CO2) emissions from soil respiration during two soybean (Glycine max L.) growing seasons from a wheat- (Triticum aestivum L.-) soybean, double-cropped production system in the LMRV region of eastern Arkansas. Soil surface CO2 fluxes were measured approximately every two weeks during two soybean growing seasons. Estimated season-long CO2 emissions were unaffected by irrigation in 2011 (P > 0.05); however, during the unusually dry 2012 growing season, season-long CO2 emissions were 87.6% greater (P = 0.044) under irrigated (21.9 Mg CO2 ha(-1)) than under dryland management (11.7 Mg CO2 ha(-1)). Contrary to what was expected, there was no interactive effect of irrigation and tillage on estimated season-long CO2 emissions. Understanding how long-term agricultural management practices affect soil respiration can help improve policies for soil and environmental sustainability.

  15. Solid Waste Management Plan. Revision 4

    SciTech Connect

    1995-04-26

    The waste types discussed in this Solid Waste Management Plan are Municipal Solid Waste, Hazardous Waste, Low-Level Mixed Waste, Low-Level Radioactive Waste, and Transuranic Waste. The plan describes for each type of solid waste, the existing waste management facilities, the issues, and the assumptions used to develop the current management plan.

  16. A Strategy to Conduct an Analysis of the Long-Term Performance of Low-Activity Waste Glass in a Shallow Subsurface Disposal System at Hanford

    SciTech Connect

    Neeway, James J.; Pierce, Eric M.; Freedman, Vicky L.; Ryan, Joseph V.; Qafoku, Nikolla

    2014-08-04

    The federal facilities located on the Hanford Site in southeastern Washington State have been used extensively by the U.S. government to produce nuclear materials for the U.S. strategic defense arsenal. Currently, the Hanford Site is under the stewardship of the U.S. Department of Energy (DOE) Office of Environmental Management (EM). A large inventory of radioactive and mixed waste resulting from the production of nuclear materials has accumulated, mainly in 177 underground single- and double-shell tanks located in the central plateau of the Hanford Site (Mann et al., 2001). The DOE-EM Office of River Protection (ORP) is proceeding with plans to immobilize and permanently dispose of the low-activity waste (LAW) fraction onsite in a shallow subsurface disposal facility (the Integrated Disposal Facility [IDF]). Pacific Northwest National Laboratory (PNNL) was contracted to provide the technical basis for estimating radionuclide release from the engineered portion of the IDF (the source term) as part of an immobilized low-activity waste (ILAW) glass testing program to support future IDF performance assessments (PAs).

  17. Waste Management Process Improvement Project

    SciTech Connect

    Atwood, J.; Borden, G.; Rangel, G. R.

    2002-02-25

    The Bechtel Hanford-led Environmental Restoration Contractor team's Waste Management Process Improvement Project is working diligently with the U.S. Department of Energy's (DOE) Richland Operations Office to improve the waste management process to meet DOE's need for an efficient, cost-effective program for the management of dangerous, low-level and mixed-low-level waste. Additionally the program must meet all applicable regulatory requirements. The need for improvement was highlighted when a change in the Groundwater/Vadose Zone Integration Project's waste management practices resulted in a larger amount of waste being generated than the waste management organization had been set up to handle.

  18. Biotoxin Safety and Waste Management

    EPA Pesticide Factsheets

    The General Safety and Waste Management page offers section-specific safety and waste management details for the biotoxins included in EPA's Selected Analytical Methods for Environmental Remediation and Recovery (SAM).

  19. Nuclear Waste Management Program summary document, FY 1981

    SciTech Connect

    Meyers, Sheldon

    1980-03-01

    The Nuclear Waste Management Program Summary Document outlines the operational and research and development (R and D) activities of the Office of Nuclear Waste Management (NEW) under the Assistant Secretary for Nuclear Energy, US Department of Energy (DOE). This document focuses on the current and planned activities in waste management for FY 1981. This Program Summary Document (PSD) was prepared in order to explain the Federal nuclear waste management and spent fuel storage programs to Congress and its committees and to interested members of the public, the private sector, and the research community. The national energy policy as it applies to waste management and spent fuel storage is presented first. The program strategy, structure, budget, management approach, and public participation programs are then identified. The next section describes program activities and outlines their status. Finally, the applicability of departmental policies to NEW programs is summarized, including field and regional activities, commercialization plans, and environmental and socioeconomic implications of waste management activities, and international programs. This Nuclear Waste Management Program Summary Document is meant to serve as a guide to the progress of R and D and other energy technology programs in radioactive waste management. The R and D objective is to provide the Nation with acceptable solutions to short- and long-term management problems for all forms of radioactive waste and spent fuel.

  20. Numerical long-term assessment of managed aquifer recharge from a reservoir into a karst aquifer in Jordan

    NASA Astrophysics Data System (ADS)

    Xanke, Julian; Jourde, Hervé; Liesch, Tanja; Goldscheider, Nico

    2016-09-01

    In semi-arid regions with high seasonal variability of water availability, adaptive management strategies and technical measures are required to ensure the sustainable use of water resources. In this study, managed recharge of storm water into a karst aquifer and the water level fluctuations related to pumping in a nearby wellfield were simulated at Wadi Wala, Jordan. We used a numerical equivalent porous medium (EPM) approach with specific adaptations to account for the heterogeneity and anisotropy of the karst aquifer. The model domain was vertically projected along the wadi course, resulting in a 2-dimensional model, and subdivided into hydraulic zones representing the karst-specific flow pattern of fast flow and slow depletion. Results show satisfying agreement of measured and simulated groundwater tables from 2002 to 2012 and predict a lowering of the average groundwater table until 2022 of around 2.7 m in the immediate surroundings of the reservoir and an increased depletion towards the wellfield, mainly caused by sedimentation in the reservoir and an associated decrease in infiltration. Abstraction at the wellfield changed considerably over the regarded time period and strongly influences the groundwater fluctuations, which shows the need of improved pumping management and monitoring. The results can serve as a basis for decision makers regarding an optimization of water management at the reservoir and wellfield. Furthermore, the presented numerical approach can be transferred to karst regions with similar physio-geographical conditions to assess managed aquifer recharge.

  1. Field evaluation of two shallow land burial trench cap designs for long-term stabilization and closure of waste repositories at Los Alamos, New Mexico

    SciTech Connect

    Nyhan, J.; Drennon, B.; Hakonson, T.

    1989-02-01

    The results from several field experiments on methods to control soil erosion, biointrusion, and water infiltration were used to design and test a burial site cover which improves the ability of the disposal site to isolate the wastes. The performance of the improved cover design in managing water and biota at the disposal site was compared with a more conventional design widely used in the industry. The conventional trench cover design consists of 15 cm of sandy loam topsoil over 75 cm of sandy silt backfill, whereas the improved trench cover design consists of 75 cm of topsoil over a minimum of 25 cm of gravel and 90 cm of river cobble. Each plot was lined with an impermeable liner to allow for mass balance calculation of water dynamics and contains hydrologic tracer ions (iodide and bromide) to demonstrate movement of water through the various zones of the trench cap. Cesium was emplaced beneath the trench cap to indicate root penetration through the trench cap, observed by sampling plant samples collected on the plots and assaying them for cesium. The field data are summarized and discussed in terms of its usefulness for waste management decisions. 67 refs., 44 figs., 4 tabs.

  2. Self-Management Training With Families of Insulin-Dependent Diabetic Children: A Controlled Long-Term Investigation.

    ERIC Educational Resources Information Center

    Gross, Alan M.; And Others

    1985-01-01

    Insulin-dependent diabetic children and their parents were trained in behavioral self management and conducted behavior change projects designed to enhance compliance with the medical regimen and reduce diabetes-related conflicts. Participating families experienced fewer arguments concerning diabetes, and the children displayed an increase in…

  3. Short-term hypertension management in community is associated with long-term risk of stroke and total death in China

    PubMed Central

    Wang, Zengwu; Hao, Guang; Wang, Xin; Wang, Wen; Chen, Weiwei; Zhu, Manlu

    2016-01-01

    Abstract Background: It is not fully clear whether the effect of short-term management in community can reduce the long-term risk of stroke Objectives: To evaluate whether short-term hypertension management is associated with long-term incidence of stroke and total death in community health centers in China. Design: Community controlled trail. Participants: Six community health centers (4 active, 2 control) in China, patients with hypertension. Control arm: Patients were treated with normally therapy method. Active arm: Patients were treated oriented by the Guideline for hypertension management. Randomization: Two centers (Hebei and Zhejiang) from the Hypertension Control in Community (HCC) Project, which was conducted from 2005 to 2008, were randomly selected for this study. Four thousand hypertensive patients from these centers, who were under management for one year in the baseline, were followed up in 2013. The electronic health record system (2005–2008) was used to identify 2000 hypertensive patients, who were not included in HCC but lived in comparable community health center in the same province, as the control group. All baseline and follow-up data were collected using standardized questionnaires for stroke outcomes. Main outcome measures: Stroke. Results: Of the 6000 participants, 3787 (63.1%) were eligible for analysis. At the time of follow-up, the average BP was kept in the lower level than that in baseline, and the control rate was 59.3%. After propensity-score matching, 110 strokes (2.0% vs 4.6%) and 141 deaths (1.4% vs 3.8%) were noted in the matched intervention and control groups (1078 pairs), respectively. Patients in the intervention group were less likely to experience a stroke or die than those in the control group (hazard ratio [HR] = 0.40, 95% confidence interval [CI]: 0.26–0.62, P < 0.01; HR = 0.50, 95% CI: 0.35–0.72, P < 0.01). The sensitivity analysis showed similar results. Conclusions: Short-term management of

  4. Laboratory Waste Management. A Guidebook.

    ERIC Educational Resources Information Center

    American Chemical Society, Washington, DC.

    A primary goal of the American Chemical Society Task Force on Laboratory Waste Management is to provide laboratories with the information necessary to develop effective strategies and training programs for managing laboratory wastes. This book is intended to present a fresh look at waste management from the laboratory perspective, considering both…

  5. Late presentation of an anomalous left coronary artery from the pulmonary artery treated with conservative surgical management with long-term cardiac magnetic resonance imaging follow-up.

    PubMed

    Gouda, Pishoy; Gouda, John; Butler, Craig; Welsh, Robert C

    2017-01-01

    Anomalous origin of the left coronary artery from the pulmonary artery is rare congenital abnormality that most commonly presents in childhood and is associated with a high mortality. In the elderly, patients may present acutely with arrhythmias or signs of ischemia or with vague chronic presentations of shortness of breath and fatigue. In the high-risk elderly population, it is unclear as to whether conservative surgical management by means of suture ligation of the left coronary artery is associated with positive long-term outcomes. We present a case of a 69-year-old patient diagnosed with anomalous origin of the left coronary artery from the pulmonary artery, which was treated with conservative surgical management and followed up for 15 years with cardiovascular magnetic resonance imaging, with positive outcomes.

  6. Late presentation of an anomalous left coronary artery from the pulmonary artery treated with conservative surgical management with long-term cardiac magnetic resonance imaging follow-up

    PubMed Central

    Gouda, Pishoy; Gouda, John; Butler, Craig; Welsh, Robert C

    2017-01-01

    Anomalous origin of the left coronary artery from the pulmonary artery is rare congenital abnormality that most commonly presents in childhood and is associated with a high mortality. In the elderly, patients may present acutely with arrhythmias or signs of ischemia or with vague chronic presentations of shortness of breath and fatigue. In the high-risk elderly population, it is unclear as to whether conservative surgical management by means of suture ligation of the left coronary artery is associated with positive long-term outcomes. We present a case of a 69-year-old patient diagnosed with anomalous origin of the left coronary artery from the pulmonary artery, which was treated with conservative surgical management and followed up for 15 years with cardiovascular magnetic resonance imaging, with positive outcomes. PMID:28321308

  7. Deep Space Ka-band Link Management and the MRO Demonstration: Long-term Weather Statistics Versus Forecasting

    NASA Technical Reports Server (NTRS)

    Davarian, Faramaz; Shambayati, Shervin; Slobin, Stephen

    2004-01-01

    During the last 40 years, deep space radio communication systems have experienced a move toward shorter wavelengths. In the 1960s a transition from L- to S-band occurred which was followed by a transition from S- to X-band in the 1970s. Both these transitions provided deep space links with wider bandwidths and improved radio metrics capability. Now, in the 2000s, a new change is taking place, namely a move to the Ka-band region of the radio frequency spectrum. Ka-band will soon replace X-band as the frequency of choice for deep space communications providing ample spectrum for the high data rate requirements of future missions. The low-noise receivers of deep space networks have a great need for link management techniques that can mitigate weather effects. In this paper, three approaches for managing Ka-band Earth-space links are investigated. The first approach uses aggregate annual statistics, the second one uses monthly statistics, and the third is based on the short-term forecasting of the local weather. An example of weather forecasting for Ka-band link performance prediction is presented. Furthermore, spacecraft commanding schemes suitable for Ka-band link management are investigated. Theses schemes will be demonstrated using NASA's Mars Reconnaissance Orbiter (MRO) spacecraft in the 2007 to 2008 time period, and the demonstration findings will be reported in a future publication.

  8. Waste management and chemical inventories

    SciTech Connect

    Gleckler, B.P.

    1995-06-01

    This section of the 1994 Hanford Site Environmental Report summarizes the classification and handling of waste at the Hanford Site. Waste produced at the Hanford Site is classified as either radioactive, nonradioactive, or mixed waste. Radioactive wastes are further categorized as transuranic, high-level, and low-level. Mixed waste may contain both radioactive and hazardous nonradioactive substances. This section describes waste management practices and chemical inventories at the site.

  9. Production of an impermeable composite of irradiated graphite and glass by hot isostatic pressing as a long term leach resistant waste form

    SciTech Connect

    Fachinger, Johannes; Muller, Walter; Marsat, Eric; Grosse, Karl-Heinz; Seemann, Richard; Scales, Charlie; Easton, Michael Mark; Anthony Banford

    2013-07-01

    Around 250,000 tons of irradiated graphite (i-graphite) exists worldwide and can be considered as a current waste or future waste stream. The largest national i-graphite inventory is located in UK (∼ 100,000 tons) with significant quantities also in Russia and France [5]. Most of the i-graphite remains in the cores of shutdown nuclear reactors including the MAGNOX type in UK and the UNGG in France. Whilst there are still operational power reactors with graphite cores, such as the Russian RBMKs and the AGRs in UK, all of them will reach their end of life during the next two decades. The most common reference waste management option of i-graphite is a wet or dry retrieval of the graphite blocks from the reactor core and the grouting of these blocks in a container without further conditioning. This produces large waste package volumes because the encapsulation capacity of the grout is limited and large cavities in the graphite blocks could reduce the packing densities. Packing densities from 0.5 to 1 tons per cubic meter have been assumed for grouting solutions. Furthermore the grout is permeable. This could over time allow the penetration of aqueous phases into the waste block and a potential dissolution and release of radionuclides. As a result particularly highly soluble radionuclides may not be retained by the grout. Vitrification could present an alternative, however a similar waste package volume increase may be expected since the encapsulation capacity of glass is potentially similar to or worse than that of grout. FNAG has developed a process for the production of a graphite-glass composite material called Impermeable Graphite Matrix (IGM) [3]. This process is also applicable to irradiated graphite which allows the manufacturing of an impermeable material without volume increase. Crushed i-graphite is mixed with 20 vol.% of glass and then pressed under vacuum at an elevated temperature in an axial hot vacuum press (HVP). The obtained product has zero or

  10. Is Yucca Mountain a long-term solution for disposing of US spent nuclear fuel and high-level radioactive waste?

    PubMed

    Thorne, M C

    2012-06-01

    On 26 January 2012, the Blue Ribbon Commission on America's Nuclear Future released a report addressing, amongst other matters, options for the managing and disposal of high-level waste and spent fuel. The Blue Ribbon Commission was not chartered as a siting commission. Accordingly, it did not evaluate Yucca Mountain or any other location as a potential site for the storage or disposal of spent nuclear fuel and high-level waste. Nevertheless, if the Commission's recommendations are followed, it is clear that any future proposals to develop a repository at Yucca Mountain would require an extended period of consultation with local communities, tribes and the State of Nevada. Furthermore, there would be a need to develop generally applicable regulations for disposal of spent fuel and high-level radioactive waste, so that the Yucca Mountain site could be properly compared with alternative sites that would be expected to be identified in the initial phase of the site-selection process. Based on what is now known of the conditions existing at Yucca Mountain and the large number of safety, environmental and legal issues that have been raised in relation to the DOE Licence Application, it is suggested that it would be imprudent to include Yucca Mountain in a list of candidate sites for future evaluation in a consent-based process for site selection. Even if there were a desire at the local, tribal and state levels to act as hosts for such a repository, there would be enormous difficulties in attempting to develop an adequate post-closure safety case for such a facility, and in showing why this unsaturated environment should be preferred over other geological contexts that exist in the USA and that are more akin to those being studied and developed in other countries.

  11. Management and outcome of recurrent adult craniopharyngiomas: an analysis of 42 cases with long-term follow-up.

    PubMed

    Turel, Mazda K; Tsermoulas, Georgios; Gonen, Lior; Klironomos, George; Almeida, Joao Paulo; Zadeh, Gelareh; Gentili, Fred

    2016-12-01

    OBJECTIVE The treatment of recurrent and residual craniopharyngiomas is challenging. In this study the authors describe their experience with these tumors and make recommendations on their management. METHODS The authors performed an observational study of adult patients (≥ 18 years) with recurrent or residual craniopharyngiomas that were managed at their tertiary center. Retrospective data were collected on demographics and clinical, imaging, and treatment characteristics from patients who had a minimum 2-year follow-up. Descriptive statistics were used and the data were analyzed. RESULTS There were 42 patients (27 male, 15 female) with a mean age of 46.3 ± 14.3 years. The average tumor size was 3.1 ± 1.1 cm. The average time to first recurrence was 3.6 ± 5.5 years (range 0.2-27 years). One in 5 patients (8/42) with residual/recurrent tumors did not require any active treatment. Of the 34 patients who underwent repeat treatment, 12 (35.3%) had surgery only (transcranial, endoscopic, or both), 9 (26.5%) underwent surgery followed by adjuvant radiation therapy (RT), and 13 (38.2%) received RT alone. Eighty-six percent (18/21) had a gross-total (n = 4) or near-total (n = 14) resection of the recurrent/residual tumors and had good local control at last follow-up. One of 5 patients (7/34) who underwent repeat treatment had further treatment for a second recurrence. The total duration of follow-up was 8.6 ± 7.1 years. The average Karnofsky Performance Scale score at last follow-up was 80 (range 40-90). There was 1 death. CONCLUSIONS Based on this experience and in the absence of guidelines, the authors recommend an individualized approach for the treatment of symptomatic or growing tumors. This study has shown that 1 in 5 patients does not require repeat treatment of their recurrent/residual disease and can be managed with a "scan and watch" approach. On the other hand, 1 in 5 patients who had repeat treatment for their recurrence in the form of surgery and

  12. Techniques and long-term outcomes of cotton-clipping and cotton-augmentation strategies for management of cerebral aneurysms.

    PubMed

    Safavi-Abbasi, Sam; Moron, Felix; Sun, Hai; Oppenlander, Mark E; Kalani, M Yashar S; Mulholland, Celene B; Zabramski, Joseph M; Nakaji, Peter; Spetzler, Robert F

    2016-09-01

    OBJECTIVE To address the challenges of microsurgically treating broad-based, frail, and otherwise complex aneurysms that are not amenable to direct clipping, alternative techniques have been developed. One such technique is to use cotton to augment clipping ("cotton-clipping" technique), which is also used to manage intraoperative aneurysm neck rupture, and another is to reinforce unclippable segments or remnants of aneurysm necks with cotton ("cotton-augmentation" technique). This study reviews the natural history of patients with aneurysms treated with cotton-clipping and cotton-augmentation techniques. METHODS The authors queried a database consisting of all patients with aneurysms treated at Barrow Neurological Institute in Phoenix, Arizona, between January 1, 2004, and December 31, 2014, to identify cases in which cotton-clipping or cotton-augmentation strategies had been used. Management was categorized as the cotton-clipping technique if cotton was used within the blades of the aneurysm clip and as the cotton-clipping technique if cotton was used to reinforce aneurysms or portions of the aneurysm that were unclippable due to the presence of perforators, atherosclerosis, or residual aneurysms. Data were reviewed to assess patient outcomes and annual rates of aneurysm recurrence or hemorrhage after the initial procedures were performed. RESULTS The authors identified 60 aneurysms treated with these techniques in 57 patients (18 patients with ruptured aneurysms and 39 patients with unruptured aneurysms) whose mean age was 53.1 years (median 55 years; range 24-72 years). Twenty-three aneurysms (11 cases of subarachnoid hemorrhage) were treated using cotton-clipping and 37 with cotton-augmentation techniques (7 cases of subarachnoid hemorrhage). In total, 18 patients presented with subarachnoid hemorrhage. The mean Glasgow Outcome Scale (GOS) score at the time of discharge was 4.4. At a mean follow-up of 60.9 ± 35.6 months (median 70 months; range 10-126 months

  13. The effectiveness of self-management support interventions for men with long-term conditions: a systematic review and meta-analysis

    PubMed Central

    Galdas, Paul; Fell, Jennifer; Bower, Peter; Kidd, Lisa; Blickem, Christian; McPherson, Kerri; Hunt, Kate; Gilbody, Simon; Richardson, Gerry

    2015-01-01

    Objectives To assess the effectiveness of self-management support interventions in men with long-term conditions. Methods A quantitative systematic review with meta-analysis. Data sources The Cochrane Database of Systematic Reviews was searched to identify published reviews of self-management support interventions. Relevant reviews were screened to identify randomised controlled trials (RCTs) of self-management support interventions conducted in men alone, or which analysed the effects of interventions by sex. Review methods Data on relevant outcomes, patient populations, intervention type and study quality were extracted. Quality appraisal was conducted using the Cochrane Risk of Bias Tool. Meta-analysis was conducted to compare the effects of interventions in men, women, and mixed-sex sub-groups. Results 40 RCTs of self-management support interventions in men, and 20 eligible RCTs where an analysis by sex was reported, were included in the review. Meta-analysis suggested that physical activity, education, and peer support-based interventions have a positive impact on quality of life in men. However, there is currently insufficient evidence to make strong statements about whether self-management support interventions show larger, similar or smaller effects in men compared with women and mixed-sex groups. Conclusions Clinicians may wish to consider whether certain types of self-management support (eg, physical activity, education, peer support) are particularly effective in men, although more research is needed to fully determine and explore this. PMID:25795688

  14. Industrial Program of Waste Management - Cigeo Project - 13033

    SciTech Connect

    Butez, Marc; Bartagnon, Olivier; Gagner, Laurent; Advocat, Thierry; Sacristan, Pablo; Beguin, Stephane

    2013-07-01

    The French Planning Act of 28 June 2006 prescribed that a reversible repository in a deep geological formation be chosen as the reference solution for the long-term management of high-level and intermediate-level long-lived radioactive waste. It also entrusted the responsibility of further studies and design of the repository (named Cigeo) upon the French Radioactive Waste Management Agency (Andra), in order for the review of the creation-license application to start in 2015 and, subject to its approval, the commissioning of the repository to take place in 2025. Andra is responsible for siting, designing, implementing, operating the future geological repository, including operational and long term safety and waste acceptance. Nuclear operators (Electricite de France (EDF), AREVA NC, and the French Commission in charge of Atomic Energy and Alternative Energies (CEA) are technically and financially responsible for the waste they generate, with no limit in time. They provide Andra, on one hand, with waste packages related input data, and on the other hand with their long term industrial experiences of high and intermediate-level long-lived radwaste management and nuclear operation. Andra, EDF, AREVA and CEA established a cooperation agreement for strengthening their collaborations in these fields. Within this agreement Andra and the nuclear operators have defined an industrial program for waste management. This program includes the waste inventory to be taken into account for the design of the Cigeo project and the structural hypothesis underlying its phased development. It schedules the delivery of the different categories of waste and defines associated flows. (authors)

  15. Profiling Patients’ Healthcare Needs to Support Integrated, Person-Centered Models for Long-Term Disease Management (Profile): Research Design

    PubMed Central

    Elissen, Arianne MJ; Schaper, Nicolaas C; Vrijhoef, Hubertus JM; Ruwaard, Dirk

    2016-01-01

    Background: This article presents the design of PROFILe, a study investigating which (bio)medical and non-(bio)medical patient characteristics should guide more tailored chronic care. Based on this insight, the project aims to develop and validate ‘patient profiles’ that can be used in practice to determine optimal treatment strategies for subgroups of chronically ill with similar healthcare needs and preferences. Methods/Design: PROFILe is a practice-based research comprising four phases. The project focuses on patients with type 2 diabetes. During the first study phase, patient profiles are drafted based on a systematic literature research, latent class growth modeling, and expert collaboration. In phase 2, the profiles are validated from a clinical, patient-related and statistical perspective. Phase 3 involves a discrete choice experiment to gain insight into the patient preferences that exist per profile. In phase 4, the results from all analyses are integrated and recommendations formulated on which patient characteristics should guide tailored chronic care. Discussion: PROFILe is an innovative study which uses a uniquely holistic approach to assess the healthcare needs and preferences of chronically ill. The patient profiles resulting from this project must be tested in practice to investigate the effects of tailored management on patient experience, population health and costs. PMID:27616957

  16. Long-term and bizarre self-injurious behavior: an approach to underlying psychological mechanisms and management.

    PubMed

    Navinés, Ricard; Gutierrez, Fernando; Arranz, Belen; Moreno-España, Jose; Luisa Ímaz, María; Soler, Victoria; Vázquez, Mireia; Carlos Pascual, Juan; Martín-Santos, Rocío; Kahn, David A

    2013-01-01

    Repeated self-harm usually presents with associated psychopathology, mostly in the form of obsessive-compulsive disorder, malingering, or personality disorders, and may persist for many years. This case presentation focuses on self-harm involving the deliberate ingestion of foreign bodies. This behavior remains poorly understood, and the relevant literature focuses almost entirely on gastroenterological and surgical management, with little or no discussion of underlying psychological mechanisms, psychopathology, or psychotherapeutic intervention. The goal of this article is to begin to fill that gap by presenting the case of a young woman who was diagnosed with borderline personality disorder and followed for 20 years, who repeatedly swallowed objects as a form of self-harming behavior. The nosological status and possible functions of this behavior are discussed, as are the difficulties of caring for patients with such long-standing, repeated selfinjury. This case illustrates how the boundaries between different self-injurious behaviors are blurred and also how different self-injurious behaviors are likely to share common patterns, functional integrity, and meanings. It should also serve to remind us how far we have to go in terms of understanding, classifying, and successfully treating certain patients who present with longterm and bizarre self-injurious behavior.

  17. Living With, Managing and Minimising Treatment Burden in Long Term Conditions: A Systematic Review of Qualitative Research

    PubMed Central

    Demain, Sara; Gonçalves, Ana-Carolina; Areia, Carlos; Oliveira, Rúben; Marcos, Ana Jorge; Marques, Alda; Parmar, Ranj; Hunt, Katherine

    2015-01-01

    -adherence. This affects physical outcomes and care relationships. There is a need for clinicians to engage with patients in honest conversations about treatment disruptions and the ‘adhere-ability’ of recommended regimens. Patient-centred practice requires management plans which optimise outcomes and minimise disruptions. PMID:26024379

  18. Effect of short-term versus long-term grassland management and seasonal variation in organic and conventional dairy farming on the composition of bulk tank milk.

    PubMed

    Adler, S A; Jensen, S K; Govasmark, E; Steinshamn, H

    2013-09-01

    Bulk tank milk from 28 dairy farms was sampled every second month for 2 yr to assess the effects of grassland management, production system and season on milk fatty acid (FA) composition, concentrations of fat-soluble vitamins, Se, and milk sensory quality. Grassland management varied in terms of time since establishment. Short-term grassland management (SG) was defined as establishment or reseeding every fourth year or more often, and long-term grassland management (LG) was defined as less frequent establishment or reseeding. Fourteen organic (ORG) dairy farms with either short-term or long-term grassland management were paired with 14 conventional (CON) farms with respect to grassland management. Within ORG farms, SG farms differed from LG farms in herbage botanical composition, but not in concentrate FA concentrations, dry matter intake, or milk yield. Within CON farms, herbage composition, concentrate FA concentrations, dry matter intake, and milk yield showed no or insignificant variations. The ORG farms differed from CON farms in herbage botanical composition, concentrate FA concentrations, concentrate intake, and milk yield. Compared with ORG-LG farms, ORG-SG farms produced milk fat with higher proportions of C10:0 and C12:0 associated with higher herbage proportions of legumes (Fabaceae) and lower proportions of other dicotyledon families. Compared with milk from CON farms, milk fat from ORG farms had higher proportions of most saturated FA and all n-3 FA, but lower proportions of C18:0 and C18:1 cis-9 associated with higher forage proportion and differences in concentrations of FA in concentrates. Compared with the outdoor-feeding periods, the indoor feeding periods yielded milk fat with higher proportions of most short-chain and medium-chain FA and lower proportions of most C18-FA associated with grazing and higher forage proportions. Milk concentrations of α-tocopherol and β-carotene were lower during the grazing periods. Inclusion of fishmeal in

  19. Temporal variability of CO2 and N2O emissions in an agricultural long-term field trial regarding effects of different management practices and extreme weather effects

    NASA Astrophysics Data System (ADS)

    Koal, Philipp; Schilling, Rolf; Gerl, Georg; Pritsch, Karin; Munch, Jean Charles

    2016-04-01

    In order to achieve a reduction of greenhouse gas emissions, modern agronomic management practices need to be established. Therefore, to assess the effect of different farming practices on greenhouse gas emissions, reliable data are required. The experiment covers and compares main aspects of agricultural management for a better implementation of sustainable land use. The focus lies on the determination and interpretation of greenhouse gas emissions, where the effects of diverse tillage systems and fertilisation practices of an integrated farming system as well as the impacts of extreme weather conditions are observed. In addition, with analysis of the alterable biological, physical and chemical soil properties a link between the impact of different management systems on greenhouse gas emissions and the observed cycle of matter in the soil, especially the nitrogen and carbon cycle, is enabled. Measurements have been carried out on long-term field trials at the Research Farm Scheyern located in a Tertiary hilly landscape approximately 40 km north of Munich (South Germany). The long-term integrated farming system trial was started in 1992. Since then parcels of land (each around 0.2-0.4 ha) with a particular interior plot set-up have been conducted with the same crop rotation, tillage and fertilisation practice referring to integrated farming management. Thus, the management impacts on the soil of more than 20 years have been examined. Fluxes of CH4, N2O and CO2 have been monitored since 2007 for the integrated farming system trial using an automated system which consists of chambers (0.4 m2 area) with a motor-driven lid, an automated gas sampling unit, an on-line gas chromatographic analysis system, and a control and data logging unit. Precipitation and temperature data have been observed for the experimental field to include weather effects. The main outcomes are the analysis of temporal and spatial dynamics of greenhouse gas emissions influenced by management

  20. Implementation of Medicaid Managed Long-Term Services and Supports for Adults With Intellectual and/or Developmental Disabilities in Kansas.

    PubMed

    Williamson, Heather J; Perkins, Elizabeth A; Levin, Bruce L; Baldwin, Julie A; Lulinski, Amie; Armstrong, Mary I; Massey, Oliver T

    2017-04-01

    Many adults with intellectual and/or developmental disabilities (IDD) can access health and long-term services and supports (LTSS) through Medicaid. States are reforming their Medicaid LTSS programs from a fee-for-service model to a Medicaid managed LTSS (MLTSS) approach, anticipating improved quality of care and reduced costs, although there is limited evidence of MLTSS effectiveness. This study's objective was to contribute to the growing MLTSS research literature by describing MLTSS implementation in Kansas for adults with IDD. Thirty-one stakeholders completed in-depth semi-structured interviews, representing state or regional groups, service coordination providers, and family caregivers. Findings identify key aspects of the Centers for Medicare and Medicaid Services' new MLTSS regulations in the design and implementation of MLTSS programs.

  1. Kootenai River Wildlife Habitat Enhancement Project : Long-term Bighorn Sheep/Mule Deer Winter and Spring Habitat Improvement Project : Wildlife Mitigation Project, Libby Dam, Montana : Management Plan.

    SciTech Connect

    Yde, Chis

    1990-06-01

    The Libby hydroelectric project, located on the Kootenai River in northwestern Montana, resulted in several impacts to the wildlife communities which occupied the habitats inundated by Lake Koocanusa. Montana Department of Fish, Wildlife and Parks, in cooperation with the other management agencies, developed an impact assessment and a wildlife and wildlife habitat mitigation plan for the Libby hydroelectric facility. In response to the mitigation plan, Bonneville Power Administration funded a cooperative project between the Kootenai National Forest and Montana Department of Fish, Wildlife and Parks to develop a long-term habitat enhancement plan for the bighorn sheep and mule deer winter and spring ranges adjacent to Lake Koocanusa. The project goal is to rehabilitate 3372 acres of bighorn sheep and 16,321 acres of mule deer winter and spring ranges on Kootenai National Forest lands adjacent to Lake Koocanusa and to monitor and evaluate the effects of implementing this habitat enhancement work. 2 refs.

  2. Kamp K'aana, a 2-Week Residential Weight Management Summer Camp, Shows Long-Term Improvement in Body Mass Index z Scores.

    PubMed

    Farhat, Alicia Elena; Sharma, Shreela; Abrams, Stephanie H; Wong, William W; Barlow, Sarah E

    2016-03-01

    Long-term effects of Kamp K'aana, a 2-week residential weight management camp, on body mass index (BMI) measures were evaluated on 71 of 108 (66%) obese youth 10 to 14 years of age. Measures were obtained at 11-month study follow-up (n = 38) or extracted from medical record (n = 33). Compared with baseline, BMI increased (P < 0.001), but both BMI percentile and BMI z score decreased (98.7 ± 1.0 to 97.3 ± 6.7 and 2.34 ± 0.30 to 2.23 ± 0.34, P < 0.001). A decrease in BMI z score of ≥0.2 units was seen in 27% of the participants (P < 0.001). The short program has sustained effect.

  3. Long-term evolution of fish communities in European mountainous rivers: past log driving effects, river management and species introduction (Salzach River, Danube).

    PubMed

    Haidvogl, Gertrud; Pont, Didier; Dolak, Horst; Hohensinner, Severin

    Using historical sources from the turn of the 19th to the 20th century, we investigated the long-term evolution of the fish community in a mountainous river network and the influence of different human uses and management measures. Within the alpine Salzach catchment, historical presence was reconstructed for 26 fish species, abundance classes for 19 species. Due to channelization, flood protection and dam erections, the spatial distribution of fish species was reduced during the 20th century. Many rheophilic and eurytopic fish species historically inhabited river reaches along a wide longitudinal profile and were present in more upstream river reaches than nowadays. The decrease of species diversity in the headwater sections is a consequence of lost lateral connectivity. Strongest effects are reported for sensitive species requiring different habitat types during their life cycles (especially pike, nase, Danube salmon). One of the most important shifts from the historical fish community to the present one reflects the deliberate introduction of fish species for fisheries. Rainbow trout and brook trout, absent from the historical fish assemblage, today represent up to 29 % of the total number of fish occurrences. In contrast, log driving, one of the most common historical pressures in European mountainous rivers, did not show significant negative effects on the past fish ecological situation. This result strongly differs from the impacts of log driving and deforestation demonstrated for recent times, and could be related to the change in log driving practices during the 20th century and to the high societal value of fish before the industrialization period along with other historical pressures affecting fish in rivers without log driving. In general, our results can be valid for a large number of European mountainous rivers. They highlight the usefulness of such detailed historical studies for our understanding of the long-term evolution of fish communities and

  4. Challenges in pediatric transplantation: the impact of chronic kidney disease and cardiovascular risk factors on long-term outcomes and recommended management strategies.

    PubMed

    Filler, Guido

    2011-02-01

    Barriers to successful outcomes following pediatric transplantation have shifted from ischemic reperfusion injury and rejection to more long-term complications. Of particular concern is the high prevalence of CKD owing to preexisting damage and nephrotoxicity, as well as other CV complications such as hypertension and cardiomyopathy. All of these contribute to graft loss and shortened life expectancy, thereby limiting the success story of solid-organ transplantation. Managing CKD and related CV morbidity should be integral to the care of pediatric transplant patients, and timely detection of any irregularities would increase the chances of restoring lost kidney function. GFR is still the widely accepted indicator of renal function, and nuclear medicine techniques are the gold standard measurement methods. These methods are limited by costs, radiation exposure and substrate injection, and current practice still uses the Schwartz estimate, despite its well-documented limitations. Newer endogenous markers of GFR, such as cystatin C clearance, give a more accurate measure of true GFR but have not been embraced in the management of pediatric transplant recipients. Furthermore, indirect markers (e.g., microalbuminuria and hypertension) could also aid early detection of renal damage. The effects of mainstay immunosuppressants on kidney and heart function are varied, with available data indicating favorable outcomes with tacrolimus compared with ciclosporin. There is a need for appropriately designed and powered randomized controlled trials to validate innovative concepts for tailored immunosuppression in the pediatric population. To date, very few studies have generated long-term data in pediatric renal transplant patients - results of 1-4-yr study favored tacrolimus over ciclosporin, but other immunosuppressive agents also need to be evaluated.

  5. Long-term agroecosystem research in the central Mississippi river basin: hydrogeologic controls and crop management influence on nitrates in loess and fractured glacial till.

    PubMed

    Kitchen, Newell R; Blanchard, Paul E; Lerch, Robert N

    2015-01-01

    Nitrogen from agriculture is known to be a primary source of groundwater NO-N. Research was conducted in a northeastern Missouri watershed to assess the impact of cropping systems on NO-N for a loess and fractured glacial till aquifer underlying claypan soils. Three cropped fields with 10 yr of similar management were each instrumented with 20 to 25 monitoring wells, 3 to 15 m in depth, in 1991 to 1992. Wells were sampled and analyzed for NO-N at least annually from 1991 to 2004. Initial NO-N concentrations were variable, ranging from undetectable to >24 mg L but averaged 7.0 mg L. Groundwater NO-N was significantly higher in Field 3, probably the result of concurrent applications of manure and N fertilizer before 1980. Overall changes in NO-N levels in Fields 1 and 2 were generally small; however, NO-N levels for Field 3 have decreased an average of 0.28 mg L yr. Excessive loading of N into the matrix of the glacial till may have had a long-term impact on NO-N for this field. Despite the presence of dissolved O in the aquifer, evidence of denitrification in some upper-landscape groundwater wells was found. The greatest decreases in NO-N concentration occurred as groundwater moved through an in-field tree line or through a riparian zone. While overall conclusions were complicated by the long-term impact of past management, the capacity of the till to buffer changes, hydrogeologic variability found among wells, and the activity of biological processes, we conclude that cropping practices during this study did not increase glacial till NO-N.

  6. Radioactive Waste Management in Non-Nuclear Countries - 13070

    SciTech Connect

    Kubelka, Dragan; Trifunovic, Dejan

    2013-07-01

    This paper challenges internationally accepted concepts of dissemination of responsibilities between all stakeholders involved in national radioactive waste management infrastructure in the countries without nuclear power program. Mainly it concerns countries classified as class A and potentially B countries according to International Atomic Energy Agency. It will be shown that in such countries long term sustainability of national radioactive waste management infrastructure is very sensitive issue that can be addressed by involving regulatory body in more active way in the infrastructure. In that way countries can mitigate possible consequences on the very sensitive open market of radioactive waste management services, comprised mainly of radioactive waste generators, operators of end-life management facilities and regulatory body. (authors)

  7. Temporal Variation in Honey Production by the Stingless Bee Melipona subnitida (Hymenoptera: Apidae): Long-Term Management Reveals its Potential as a Commercial Species in Northeastern Brazil.

    PubMed

    Koffler, Sheina; Menezes, Cristiano; Menezes, Paulo Roberto; Kleinert, Astrid de Matos Peixoto; Imperatriz-Fonseca, Vera Lucia; Pope, Nathaniel; Jaffé, Rodolfo

    2015-06-01

    Even though stingless beekeeping has a great potential as a sustainable development tool, the activity remains essentially informal, technical knowledge is scarce, and management practices lack the sophistication and standardization found in apiculture. Here, we contributed to the further development of stingless beekeeping by investigating the long-term impact of management and climate on honey production and colony survival in the stingless bee Melipona subnitida Ducke (1910). We analyzed a 10-yr record of 155 M. subnitida colonies kept by a commercial honey producer of northeastern Brazil. This constitutes the longest and most accurate record available for a stingless bee. We modeled honey production in relation to time (years), age, management practices (colony division and food supplementation), and climatic factors (temperature and precipitation), and used a model selection approach to identify which factors best explained honey production. We also modeled colony mortality in relation to climatic factors. Although the amount of honey produced by each colony decreased over time, we found that the probability of producing honey increased over the years. Colony divisions decreased honey production, but did not affect honey presence, while supplementary feeding positively affected honey production. In warmer years, the probability of producing honey decreased and the amount of honey produced was lower. In years with lower precipitation, fewer colonies produced honey. In contrast, colony mortality was not affected by climatic factors, and some colonies lived up to nine years, enduring extreme climatic conditions. Our findings provide useful guidelines to improve management and honey production in stingless bees.

  8. The National Wind Erosion Research Network: Building a standardized long-term data resource for aeolian research, modeling and land management

    NASA Astrophysics Data System (ADS)

    Webb, Nicholas P.; Herrick, Jeffrey E.; Van Zee, Justin W.; Courtright, Ericha M.; Hugenholtz, Christopher H.; Zobeck, Ted M.; Okin, Gregory S.; Barchyn, Thomas E.; Billings, Benjamin J.; Boyd, Robert; Clingan, Scott D.; Cooper, Brad F.; Duniway, Michael C.; Derner, Justin D.; Fox, Fred A.; Havstad, Kris M.; Heilman, Philip; LaPlante, Valerie; Ludwig, Noel A.; Metz, Loretta J.; Nearing, Mark A.; Norfleet, M. Lee; Pierson, Frederick B.; Sanderson, Matt A.; Sharratt, Brenton S.; Steiner, Jean L.; Tatarko, John; Tedela, Negussie H.; Toledo, David; Unnasch, Robert S.; Van Pelt, R. Scott; Wagner, Larry

    2016-09-01

    The National Wind Erosion Research Network was established in 2014 as a collaborative effort led by the United States Department of Agriculture's Agricultural Research Service and Natural Resources Conservation Service, and the United States Department of the Interior's Bureau of Land Management, to address the need for a long-term research program to meet critical challenges in wind erosion research and management in the United States. The Network has three aims: (1) provide data to support understanding of basic aeolian processes across land use types, land cover types, and management practices, (2) support development and application of models to assess wind erosion and dust emission and their impacts on human and environmental systems, and (3) encourage collaboration among the aeolian research community and resource managers for the transfer of wind erosion technologies. The Network currently consists of thirteen intensively instrumented sites providing measurements of aeolian sediment transport rates, meteorological conditions, and soil and vegetation properties that influence wind erosion. Network sites are located across rangelands, croplands, and deserts of the western US.

  9. Agricultural waste utilization and management

    SciTech Connect

    Not Available

    1985-01-01

    These papers were presented at a symposium on the management and use of agricultural waste products, including food industry wastes. Topics covered include fat and protein recovery from fish wastes, treatments for straw to improve its digestibility, using food industry wastes as animal feeds, various manure treatments and studies of its combustion properties, fermentation, methane and ethanol production, hemp waste water treatment, and heat recovery from manure combustion.

  10. The Effect of Long-term Corticosteroid Use on Bone Mineral Density in Children: A Prospective Longitudinal Assessment in the Childhood Asthma Management Program (CAMP) Study

    PubMed Central

    Kelly, H. William; Van Natta, Mark L.; Covar, Ronina A.; Tonascia, James; Green, Rebecca P.; Strunk, Robert C.

    2010-01-01

    Objective Systemic corticosteroids are known to induce osteoporosis and increase the risk of fractures in adults and children. Inhaled corticosteroids have been shown to increase the risk of osteoporosis and fractures in adults at risk. However, long-term prospective studies in children to assess risks of multiple short courses of oral corticosteroids and chronic inhaled corticosteroids have not been done. Thus, we assessed the effects of multiple short courses of oral corticosteroids and long-term inhaled corticosteroids on bone mineral accretion over a period of years. Patients and Methods This was a cohort followup study for a median of 7 years of children with mild to moderate asthma initially randomized into the Childhood Asthma Management Program (CAMP) trial. Serial dual-energy x-ray absorptiometry (DEXA) scans of the lumbar spine for bone mineral density (BMD) were performed in all patients. Annual bone mineral accretion was calculated in 531 boys and 346 girls with asthma aged 5–12 years at baseline (84% of the initial cohort). Results Oral corticosteroid bursts produced a dose-dependent reduction in bone mineral accretion (0.052, 0.049, and 0.046 gm/cm2/year, p=0.0002) and an increase in risk of osteopenia (10%, 14% and 21%, p=0.02) for 0, 1–4, and 5+ courses, respectively, in males but not females. Cumulative inhaled corticosteroid use was associated with a small decrease in bone mineral accretion in males (p=0.05) but not females, but no increased risk of osteopenia. Conclusion Multiple oral corticosteroid bursts over a period of years can produce a dose-dependent reduction in bone mineral accretion and increased risk of osteopenia in children with asthma. Inhaled corticosteroid use has the potential for reducing bone mineral accretion in male children progressing through puberty but this risk is likely to be outweighed by the ability to reduce the amount of oral corticosteroids used in these children. PMID:18595975

  11. Hair as a long-term retrospective cortisol calendar in orang-utans (Pongo spp.): new perspectives for stress monitoring in captive management and conservation.

    PubMed

    Carlitz, Esther H D; Kirschbaum, Clemens; Stalder, Tobias; van Schaik, Carolus P

    2014-01-01

    This study examined whether the method of hair cortisol analysis is applicable to orang-utans (Pongo spp.) and can help to advance the objective monitoring of stress in non-human primates. Specifically, we examined whether fundamental prerequisites for hair cortisol analysis are given in orang-utans and, subsequently, whether segmental hair analysis may provide a retrospective calendar of long-term cortisol levels. For this, hair samples were examined from 71 zoo-living orang-utans (38 males, mean age=22.5years; 33 females, mean age=24years) for which detailed records of past living conditions were available. Hair samples were cut from defined body regions and were analyzed either in full length or in segments. Results showed that hair cortisol concentrations (HCC) were unrelated to age or sex of the individual animal. HCC were found to be higher in orang-utans, with perceived long-term stressful periods (mean HCC=43.6±26.5pg/mg, n=13) compared to animals without perceived stressful periods (19.3±5.5pg/mg, n=55, P<0.001). In non-stressed animals, segmental hair analyses revealed that HCC was stable along the hair shaft even when hair reached >40cm. The possibility of obtaining a retrospective calendar of stress-related cortisol changes through hair analysis was further supported by data of three case studies showing close correspondence between the segmental HCC results and keeper reports of stress exposure during the respective time periods. Finally, low within-animal variation in HCC from different body regions (CV%: 14.3) suggested that this method may also be applicable to naturally shed hair, e.g., as found in nests of wild orang-utans and other great apes. Therefore, using HCC may provide an ideal non-invasive tool for both captive management as well as conservation in orang-utans and potentially other great apes.

  12. Long-term effects of irrigation with waste water on soil AM fungi diversity and microbial activities: the implications for agro-ecosystem resilience.

    PubMed

    Alguacil, Maria del Mar; Torrecillas, Emma; Torres, Pilar; García-Orenes, Fuensanta; Roldán, Antonio

    2012-01-01

    The effects of irrigation with treated urban wastewater (WW) on the arbuscular mycorrhizal fungi (AMF) diversity and soil microbial activities were assayed on a long-term basis in a semiarid orange-tree orchard. After 43 years, the soil irrigated with fresh water (FW) had higher AMF diversity than soils irrigated with WW. Microbial activities were significantly higher in the soils irrigated with WW than in those irrigated with FW. Therefore, as no negative effects were observed on crop vitality and productivity, it seems that the ecosystem resilience gave rise to the selection of AMF species better able to thrive in soils with higher microbial activity and, thus, to higher soil fertility.

  13. The National Wind Erosion Research Network: Building a standardized long-term data resource for aeolian research, modeling and land management

    USGS Publications Warehouse

    Webb, Nicholas P.; Herrick, Jeffrey E.; Van Zee, Justin W; Courtright, Ericha M; Hugenholtz, Ted M; Zobeck, Ted M; Okin, Gregory S.; Barchyn, Thomas E; Billings, Benjamin J; Boyd, Robert A.; Clingan, Scott D; Cooper, Brad F; Duniway, Michael C.; Derner, Justin D; Fox, Fred A; Havstad, Kris M.; Heilman, Philip; LaPlante, Valerie; Ludwig, Noel A; Metz, Loretta J; Nearing, Mark A; Norfleet, M Lee; Pierson, Frederick B; Sanderson, Matt A; Sharrat, Brenton S; Steiner, Jean L; Tatarko, John; Tedela, Negussie H; Todelo, David; Unnasch, Robert S; Van Pelt, R Scott; Wagner, Larry

    2016-01-01

    The National Wind Erosion Research Network was established in 2014 as a collaborative effort led by the United States Department of Agriculture’s Agricultural Research Service and Natural Resources Conservation Service, and the United States Department of the Interior’s Bureau of Land Management, to address the need for a long-term research program to meet critical challenges in wind erosion research and management in the United States. The Network has three aims: (1) provide data to support understanding of basic aeolian processes across land use types, land cover types, and management practices, (2) support development and application of models to assess wind erosion and dust emission and their impacts on human and environmental systems, and (3) encourage collaboration among the aeolian research community and resource managers for the transfer of wind erosion technologies. The Network currently consists of thirteen intensively instrumented sites providing measurements of aeolian sediment transport rates, meteorological conditions, and soil and vegetation properties that influence wind erosion. Network sites are located across rangelands, croplands, and deserts of the western US. In support of Network activities, http://winderosionnetwork.org was developed as a portal for information about the Network, providing site descriptions, measurement protocols, and data visualization tools to facilitate collaboration with scientists and managers interested in the Network and accessing Network products. The Network provides a mechanism for engaging national and international partners in a wind erosion research program that addresses the need for improved understanding and prediction of aeolian processes across complex and diverse land use types and management practices.

  14. Perspectives on sustainable waste management.

    PubMed

    Castaldi, Marco J

    2014-01-01

    Sustainable waste management is a goal that all societies must strive to maintain. Currently nearly 80% of global wastes are sent to landfill, with a significant amount lacking proper design or containment. The increased attention to environmental impacts of human activities and the increasing demand for energy and materials have resulted in a new perspective on waste streams. Use of waste streams for energy and materials recovery is becoming more prevalent, especially in developed regions of the world, such as Europe, the United States, and Japan. Although currently these efforts have a small impact on waste disposal, use of waste streams to extract value very likely will increase as society becomes more aware of the options available. This review presents an overview of waste management with a focus on following an expanded waste hierarchy to extract value specifically from municipal solid waste streams.

  15. Preparation of Radium and Other Spent Sealed Sources Containing Long-Lived Radonuclides to Long-Term Storage

    SciTech Connect

    Arustamov, A. E.; Ojovan, M. I.; Semenov, K. N.; Sobolev, I. A.

    2003-02-26

    At present time management of radioactive waste containing long-lived a radionuclides, is one of the most serious problems. The complexity of the management this kind of waste is due to extended half-life of these radionuclides. Hence it is difficult to predict not only long-term behavior of packages with waste, but also conditions of containing geological medium. The spent sources containing long-lived radionuclides are not suitable for disposal in shallow ground repositories. They must be temporary stored in special engineered structures. Long terms storage of these sources require application of additional measures for diminishing of risk of incidents with them.

  16. Emerging communities of child-healthcare practice in the management of long-term conditions such as chronic kidney disease: qualitative study of parents’ accounts

    PubMed Central

    2014-01-01

    Background Parents of children and young people with long-term conditions who need to deliver clinical care to their child at home with remote support from hospital-based professionals, often search the internet for care-giving information. However, there is little evidence that the information available online was developed and evaluated with parents or that it acknowledges the communities of practice that exist as parents and healthcare professionals share responsibility for condition management. Methods The data reported here are part of a wider study that developed and tested a condition-specific, online parent information and support application with children and young people with chronic-kidney disease, parents and professionals. Semi-structured interviews were conducted with 19 fathers and 24 mothers who had recently tested the novel application. Data were analysed using Framework Analysis and the Communities of Practice concept. Results Evolving communities of child-healthcare practice were identified comprising three components and several sub components: (1) Experiencing (parents making sense of clinical tasks) through Normalising care, Normalising illness, Acceptance & action, Gaining strength from the affected child and Building relationships to formalise a routine; (2) Doing (Parents executing tasks according to their individual skills) illustrated by Developing coping strategies, Importance of parents’ efficacy of care and Fear of the child’s health failing; and (3) Belonging/Becoming (Parents defining task and group members’ worth and creating a personal identity within the community) consisting of Information sharing, Negotiation with health professionals and Achieving expertise in care. Parents also recalled factors affecting the development of their respective communities of healthcare practice; these included Service transition, Poor parent social life, Psycho-social affects, Family chronic illness, Difficulty in learning new procedures

  17. Long-Term Lessons

    ERIC Educational Resources Information Center

    Gettelman, Alan

    2006-01-01

    Public or private, K-12, college or university, no one knows their facilities better than school maintenance and operations staff--from the front-line custodians to facility managers. When it comes to planning restrooms for new construction and renovation, operational experience is especially critical. Applying best practices in advance can save…

  18. Management of iatrogenic ureteric injury with retrograde ureteric stenting: an analysis of factors affecting technical success and long-term outcome.

    PubMed

    Chung, Daniel; Briggs, James; Turney, Benjamin W; Tapping, Charles Ross

    2017-02-01

    Background Iatrogenic ureteral injuries arise as serious complication following obstetrics, gynecological, general, and urological surgery with incidence in the range of 0.5-10%. Retrograde placement of double-J ureteric stent is a possible treatment option if the injury is not recognized at the time of surgery. Purpose To assess technical success and long-term outcome associated with retrograde ureteric stent insertion for iatrogenic ureteric injury. Material and Methods Between 1999 and 2011, 26 patients with initially unrecognized iatrogenic ureteric injury underwent initial management with retrograde ureteric stenting. Full case-notes were available for review in 25 patients. Results The mean interval from injury to attempted stenting was 19.4 days. Successful retrograde ureteric stenting was achieved in 21/25 patients (81%). Retrograde stenting failed in four patients, and nephrostomy followed by alternative procedures were performed instead. At a median follow-up interval of 9.7 months, normal anatomy was demonstrated on 12/21 patients (57%) and a stricture was observed in 6/21 patients (28%) with three requiring surgical intervention. Conclusion Retrograde stenting is a safe and efficient initial management in patients with iatrogenic ureteric injuries.

  19. Apps and Adolescents: A Systematic Review of Adolescents’ Use of Mobile Phone and Tablet Apps That Support Personal Management of Their Chronic or Long-Term Physical Conditions

    PubMed Central

    Fallon, Debbie; Hall, Andrew; McDonagh, Janet E; Stones, Simon R; Thomson, Wendy

    2015-01-01

    Background The prevalence of physical chronic or long-term conditions in adolescents aged 10-24 years is rising. Mobile phone and tablet mobile technologies featuring software program apps are widely used by these adolescents and their healthy peers for social networking or gaming. Apps are also used in health care to support personal condition management and they have considerable potential in this context. There is a growing body of literature on app use in health contexts, thereby making a systematic review of their effectiveness very timely. Objective To systematically review the literature on the effectiveness of mobile apps designed to support adolescents’ management of their physical chronic or long-term conditions. Methods We conducted a review of the English-language literature published since 2003 in five relevant bibliographical databases using key search terms. Two independent reviewers screened titles and abstracts using data extraction and quality assessment tools. Results The search returned 1120 hits. Of the 19 eligible full-text papers, four met our review criteria, reporting one pilot randomized controlled trial and three pretest/post-test studies. Samples ranged from 4 to 18 participants, with a combined sample of 46 participants. The apps reported were targeted at type 1 diabetes, asthma, and cancer. Two papers provided data for calculating effect size. Heterogeneity in terms of study design, reported outcomes, follow-up times, participants’ ages, and health conditions prevented meta-analyses. There was variation in whether adolescents received guidance in using the app or were solely responsible for navigating the app. Three studies reported some level of patient involvement in app design, development, and/or evaluation. Health professional involvement in the modelling stages of apps was reported in all studies, although it was not always clear whether specific clinical (as opposed to academic) expertise in working with adolescents was

  20. Management of radioactive waste in Belgium: ONDRAF/NIRAS and Belgoprocess as major actors of the waste acceptance system

    SciTech Connect

    Zaelen, Gunter van

    2007-07-01

    The management of radioactive waste in Belgium is undertaken by the national agency for radioactive waste and enriched fissile materials, ONDRAF/NIRAS, and its industrial partner Belgoprocess. ONDRAF/NIRAS has set up a management system designed to guarantee that the general public and the environment are protected against the potential hazards arising from radioactive waste. Belgoprocess is a private company, founded in 1984 and located in Dessel, Belgium. It is a subsidiary of ONDRAF/NIRAS and its activities focus on the safe processing and storage of radioactive waste. The management system of ONDRAF/NIRAS includes two aspects: a) an integrated system and b) an acceptance system. The integrated system covers all aspects of management ranging from the origin of waste to its transport, processing, interim storage and long-term management. The safety of radioactive waste management not only depends on the quality of the design and construction of the processing, temporary storage or disposal infrastructure, but also on the quality of the waste accepted by ONDRAF/NIRAS. In order to be manage d safely, both in the short and the long term, the waste transferred to ONDRAF/NIRAS must meet certain specific requirements. To that end, ONDRAF/NIRAS has developed an acceptance system. (authors)

  1. Evaluating Long-Term Care Through the Humanbecoming Lens.

    PubMed

    Hart, Judith D

    2015-10-01

    The author describes evaluating long-term care from the humanbecoming perspective. Three core ideas are presented related to dignity and living quality, and how the humanbecoming perspective can be incorporated into long-term care evaluations that make a difference to the residents, caregivers, management, and to the outcomes of long-term care. This approach from the humanbecoming perspective can enrich evaluative information, influence long-term care outcomes, and ensure human dignity for all concerned.

  2. Modeled effects of soil acidification on long-term ecological and economic outcomes for managed forests in the Adirondack region (USA).

    PubMed

    Caputo, Jesse; Beier, Colin M; Sullivan, Timothy J; Lawrence, Gregory B

    2016-09-15

    Sugar maple (Acer saccharum) is among the most ecologically and economically important tree species in North America, and its growth and regeneration is often the focus of silvicultural practices in northern hardwood forests. A key stressor for sugar maple (SM) is acid rain, which depletes base cations from poorly-buffered forest soils and has been associated with much lower SM vigor, growth, and recruitment. However, the potential interactions between forest management and soil acidification - and their implications for the sustainability of SM and its economic and cultural benefits - have not been investigated. In this study, we simulated the development of 50 extant SM stands in the western Adirondack region of NY (USA) for 100years under different soil chemical conditions and silvicultural prescriptions. We found that interactions between management prescription and soil base saturation will strongly shape the ability to maintain SM in managed forests. Below 12% base saturation, SM did not regenerate sufficiently after harvest and was replaced mainly by red maple (Acer rubrum) and American beech (Fagus grandifolia). Loss of SM on acid-impaired sites was predicted regardless of whether the shelterwood or diameter-limit prescriptions were used. On soils with sufficient base saturation, models predicted that SM will regenerate after harvest and be sustained for future rotations. We then estimated how these different post-harvest outcomes, mediated by acid impairment of forest soils, would affect the potential monetary value of ecosystem services provided by SM forests. Model simulations indicated that a management strategy focused on syrup production - although not feasible across the vast areas where acid impairment has occurred - may generate the greatest economic return. Although pollution from acid rain is declining, its long-term legacy in forest soils will shape future options for sustainable forestry and ecosystem stewardship in the northern hardwood

  3. Modeled effects of soil acidification on long-term ecological and economic outcomes for managed forests in the Adirondack region (USA)

    USGS Publications Warehouse

    Caputo, Jesse PhD.; Beier, Colin M.; Sullivan, Timothy J.; Lawrence, Gregory B.

    2016-01-01

    Sugar maple (Acer saccharum) is among the most ecologically and economically important tree species in North America, and its growth and regeneration is often the focus of silvicultural practices in northern hardwood forests. A key stressor for sugar maple (SM) is acid rain, which depletes base cations from poorly-buffered forest soils and has been associated with much lower SM vigor, growth, and recruitment. However, the potential interactions between forest management and soil acidification – and their implications for the sustainability of SM and its economic and cultural benefits – have not been investigated. In this study, we simulated the development of 50 extant SM stands in the western Adirondack region of NY (USA) for 100 years under different soil chemical conditions and silvicultural prescriptions. We found that interactions between management prescription and soil base saturation will strongly shape the ability to maintain SM in managed forests. Below 12% base saturation, SM did not regenerate sufficiently after harvest and was replaced mainly by red maple (Acer rubrum) and American beech (Fagus grandifolia). Loss of SM on acid-impaired sites was predicted regardless of whether the shelterwood or diameter-limit prescriptions were used. On soils with sufficient base saturation, models predicted that SM will regenerate after harvest and be sustained for future rotations. We then estimated how these different post-harvest outcomes, mediated by acid impairment of forest soils, would affect the potential monetary value of ecosystem services provided by SM forests. Model simulations indicated that a management strategy focused on syrup production – although not feasible across the vast areas where acid impairment has occurred – may generate the greatest economic return. Although pollution from acid rain is declining, its long-term legacy in forest soils will shape future options for sustainable forestry and ecosystem stewardship in the northern

  4. Utilization of agro-wastes to inhibit aflatoxins synthesis by Aspergillus parasiticus: A biotreatment of three cereals for safe long-term storage.

    PubMed

    Sultana, B; Naseer, R; Nigam, Poonam

    2015-12-01

    The growth of Aspergillus parasiticus and aflatoxins production were inhibited during storage of three important cereals (wheat, maize and rice) using leaves of neem (Azadirachta indica) and kikar (Acacia nilotica). Cereals were inoculated with mould spores and stabilized by neem and kikar leaves-powder. Test samples with moisture levels of 21% were stored at 30°C for a period of 9months. Aflatoxins were quantified at different time intervals in stored cereals. Neem leaves fully inhibited all types of aflatoxins synthesis for 4months in wheat and for 2months in maize while in rice inhibited synthesis of only B2, G1 and G2 aflatoxin for 3months. Kikar leaves fully inhibited aflatoxin B2, G1 and G2 for 3months in wheat, and for 2months in maize. Among two investigated plants, neem leaves were found more effective for preventing the production of all types of aflatoxins in cereals' long-term storage.

  5. Long-Term Effects of Irrigation with Waste Water on Soil AM Fungi Diversity and Microbial Activities: The Implications for Agro-Ecosystem Resilience

    PubMed Central

    del Mar Alguacil, Maria; Torrecillas, Emma; Torres, Pilar; García-Orenes, Fuensanta; Roldán, Antonio

    2012-01-01

    The effects of irrigation with treated urban wastewater (WW) on the arbuscular mycorrhizal fungi (AMF) diversity and soil microbial activities were assayed on a long-term basis in a semiarid orange-tree orchard. After 43 years, the soil irrigated with fresh water (FW) had higher AMF diversity than soils irrigated with WW. Microbial activities were significantly higher in the soils irrigated with WW than in those irrigated with FW. Therefore, as no negative effects were observed on crop vitality and productivity, it seems that the ecosystem resilience gave rise to the selection of AMF species better able to thrive in soils with higher microbial activity and, thus, to higher soil fertility. PMID:23094075

  6. Medical waste management - A review.

    PubMed

    Windfeld, Elliott Steen; Brooks, Marianne Su-Ling

    2015-11-01

    This paper examines medical waste management, including the common sources, governing legislation and handling and disposal methods. Many developed nations have medical waste legislation, however there is generally little guidance as to which objects can be defined as infectious. This lack of clarity has made sorting medical waste inefficient, thereby increasing the volume of waste treated for pathogens, which is commonly done by incineration. This review highlights that the unnecessary classification of waste as infectious results in higher disposal costs and an increase in undesirable environmental impacts. The review concludes that better education of healthcare workers and standardized sorting of medical waste streams are key avenues for efficient waste management at healthcare facilities, and that further research is required given the trend in increased medical waste production with increasing global GDP.

  7. Macro material flow modeling for analyzing solid waste management options

    SciTech Connect

    Holter, G.M.; Pennock, K.A.; Shaver, S.R.

    1993-06-01

    A Macro Material Flow Modeling (MMFM) concept and approach are being adopted to develop a predictive modeling capability. This capability is intended to provide part of the basis for evaluating potential impacts from various solid waste management system configurations and operating scenarios, as well as evaluating the impacts of various policies on solid waste quantities and compositions. The MMFM capability, as part of a broader Solid Waste Initiative at Pacific Northwest Laboratory, is intended to provide an increased understanding of solid waste as a disposal, energy, and resource problem on a national and global scale, particularly over the long term. This model is a macro-level simulation of the flows of the various materials through the solid waste management system, and also through the associated materials production and use system. Inclusion of materials production and use within the modeling context allows a systems approach to be used, providing a much more complete understanding of the origins of the solid waste materials and also of possible options for materials recovery and reuse than if a more traditional ``end-of-pipe`` view of solid waste is adopted. The MMFM is expected to be useful in evaluating longer-term, broader-ranging solid waste impacts than are traditionally evaluated by decision-makers involved in implementing solutions to local or regional solid waste management problems. This paper discusses the types of questions of interest in evaluating long-term, broad-range impacts from solid waste. It then identifies the basic needs for predictive modeling capabilities like the MMFM, and provides a basic description of the conceptual framework for the model and the associated data. Status of the MMFM implementation is also discussed.

  8. Macro material flow modeling for analyzing solid waste management options

    SciTech Connect

    Holter, G.M.; Pennock, K.A.; Shaver, S.R.

    1993-06-01

    A Macro Material Flow Modeling (MMFM) concept and approach are being adopted to develop a predictive modeling capability. This capability is intended to provide part of the basis for evaluating potential impacts from various solid waste management system configurations and operating scenarios, as well as evaluating the impacts of various policies on solid waste quantities and compositions. The MMFM capability, as part of a broader Solid Waste Initiative at Pacific Northwest Laboratory, is intended to provide an increased understanding of solid waste as a disposal, energy, and resource problem on a national and global scale, particularly over the long term. This model is a macro-level simulation of the flows of the various materials through the solid waste management system, and also through the associated materials production and use system. Inclusion of materials production and use within the modeling context allows a systems approach to be used, providing a much more complete understanding of the origins of the solid waste materials and also of possible options for materials recovery and reuse than if a more traditional end-of-pipe'' view of solid waste is adopted. The MMFM is expected to be useful in evaluating longer-term, broader-ranging solid waste impacts than are traditionally evaluated by decision-makers involved in implementing solutions to local or regional solid waste management problems. This paper discusses the types of questions of interest in evaluating long-term, broad-range impacts from solid waste. It then identifies the basic needs for predictive modeling capabilities like the MMFM, and provides a basic description of the conceptual framework for the model and the associated data. Status of the MMFM implementation is also discussed.

  9. Long-term environmental stewardship.

    SciTech Connect

    Nagy, Michael David

    2010-08-01

    The purpose of this Supplemental Information Source Document is to effectively describe Long-Term Environmental Stewardship (LTES) at Sandia National Laboratories/New Mexico (SNL/NM). More specifically, this document describes the LTES and Long-Term Stewardship (LTS) Programs, distinguishes between the LTES and LTS Programs, and summarizes the current status of the Environmental Restoration (ER) Project.

  10. Long-term urethral catheterisation.

    PubMed

    Turner, Bruce; Dickens, Nicola

    This article discusses long-term urethral catheterisation, focusing on the relevant anatomy and physiology, indications for the procedure, catheter selection and catheter care. It is important that nurses have a good working knowledge of long-term catheterisation as the need for this intervention will increase with the rise in chronic health conditions and the ageing population.

  11. Illinois solid waste management legislation

    SciTech Connect

    1999-07-01

    Contents include: Degradable Plastic Act; Energy Assistance Act of 1989; Hazardous and Solid Waste Recycling and Treatment Act; Household Hazardous Waste Collection Program Act; Illinois Emergency Planning and Community Right to Know Act; Illinois Environmental Facilities Financing Act; Illinois Procurement Code; Illinois Solid Waste Management Act; Intergovernmental Cooperation Act; Junkyard Act; Litter Control Act; Local Solid Waste Disposal Act; Metro East Solid Waste Disposal and Energy Producing Service Act; Recycled Newsprint Use Act; Responsible Property Transfer Act of 1988; Solid Waste Disposal District Act; Solid Waste Planning and Recycling Act; Solid Waste Site Operator Certification Law; Township Refuse Collection and Disposal Act; Toxic Pollution Prevention Act; Used Motor Oil Recycling Act; Waste Oil Recovery Act; and Water Supply, Drainage and Flood Control Act.

  12. Presynaptic long-term plasticity

    PubMed Central

    Yang, Ying; Calakos, Nicole

    2013-01-01

    Long-term synaptic plasticity is a major cellular substrate for learning, memory, and behavioral adaptation. Although early examples of long-term synaptic plasticity described a mechanism by which postsynaptic signal transduction was potentiated, it is now apparent that there is a vast array of mechanisms for long-term synaptic plasticity that involve modifications to either or both the presynaptic terminal and postsynaptic site. In this article, we discuss current and evolving approaches to identify presynaptic mechanisms as well as discuss their limitations. We next provide examples of the diverse circuits in which presynaptic forms of long-term synaptic plasticity have been described and discuss the potential contribution this form of plasticity might add to circuit function. Finally, we examine the present evidence for the molecular pathways and cellular events underlying presynaptic long-term synaptic plasticity. PMID:24146648

  13. Distributed simulation of long-term hydrological processes in a medium-sized periurban catchment under changing land use and rainwater management.

    NASA Astrophysics Data System (ADS)

    Labbas, Mériem; Braud, Isabelle; Branger, Flora; Kralisch, Sven

    2013-04-01

    Growing urbanization and related anthropogenic processes have a high potential to influence hydrological process dynamics. Typical consequences are an increase of surface imperviousness and modifications of water flow paths due to artificial channels and barriers (combined and separated system, sewer overflow device, roads, ditches, etc.). Periurban catchments, at the edge of large cities, are especially affected by fast anthropogenic modifications. They usually consist of a combination of natural areas, rural areas with dispersed settlements and urban areas mostly covered by built zones and spots of natural surfaces. In the context of the European Water Framework Directive (2000) and the Floods Directive (2007), integrated and sustainable solutions are needed to reduce flooding risks and river pollution at the scale of urban conglomerations or whole catchments. Their thorough management requires models able to assess the vulnerability of the territory and to compare the impact of different rainwater management options and planning issues. To address this question, we propose a methodology based on a multi-scale distributed hydrological modelling approach. It aims at quantifying the impact of ongoing urbanization and stormwater management on the long-term hydrological cycle in medium-sized periurban watershed. This method focuses on the understanding and formalization of dominant periurban hydrological processes from small scales (few ha to few km2) to larger scales (few hundred km2). The main objectives are to 1) simulate both urban and rural hydrological processes and 2) test the effects of different long-term land use and water management scenarios. The method relies on several tools and data: a distributed hydrological model adapted to the characteristics of periurban areas, land use and land cover maps from different dates (past, present, future) and information about rainwater management collected from local authorities. For the application of the method, the

  14. Guide for Industrial Waste Management

    EPA Pesticide Factsheets

    The purpose of the Guide is to provide facility managers, state and tribal regulators, and the interested public with recommendations and tools to better address the management of land-disposed, non-hazardousindustrial wastes.

  15. Changes in Soil Physical and Chemical Properties in Long Term Improved Natural and Traditional Agroforestry Management Systems of Cacao Genotypes in Peruvian Amazon

    PubMed Central

    Arévalo-Gardini, Enrique; Canto, Manuel; Alegre, Julio; Loli, Oscar; Julca, Alberto; Baligar, Virupax

    2015-01-01

    Growing cacao (Theobroma cacao L.) in an agroforestry system generates a productive use of the land, preserves the best conditions for physical, chemical and biological properties of tropical soils, and plays an important role in improving cacao production and fertility of degraded tropical soils. The aim of this study was to evaluate the impact of two long term agroforestry systems of cacao management on soil physical and chemical properties in an area originally inhabited by 30 years old native secondary forest (SF). The two agroforestry systems adapted were: improved natural agroforestry system (INAS) where trees without economic value were selectively removed to provide 50% shade and improved traditional agroforestry system (ITAS) where all native trees were cut and burnt in the location. For evaluation of the changes of soil physical and chemical properties with time due to the imposed cacao management systems, plots of 10 cacao genotypes (ICS95, UF613, CCN51, ICT1112, ICT1026, ICT2162, ICT2171, ICT2142, H35, U30) and one plot with a spontaneous hybrid were selected. Soil samples were taken at 0-20, 20-40 and 40-60 cm depths before the installation of the management systems (2004), and then followed at two years intervals. Bulk density, porosity, field capacity and wilting point varied significantly during the years of assessment in the different soil depths and under the systems assessed. Soil pH, CEC, exchangeable Mg and sum of the bases were higher in the INAS than the ITAS. In both systems, SOM, Ext. P, K and Fe, exch. K, Mg and Al+H decreased with years of cultivation; these changes were more evident in the 0-20 cm soil depth. Overall improvement of SOM and soil nutrient status was much higher in the ITAS than INAS. The levels of physical and chemical properties of soil under cacao genotypes showed a marked difference in both systems. PMID:26181053

  16. Changes in soil physical and chemical properties in long term improved natural and traditional agroforestry management systems of cacao genotypes in Peruvian Amazon.

    PubMed

    Arévalo-Gardini, Enrique; Canto, Manuel; Alegre, Julio; Loli, Oscar; Julca, Alberto; Baligar, Virupax

    2015-01-01

    Growing cacao (Theobroma cacao L.) in an agroforestry system generates a productive use of the land, preserves the best conditions for physical, chemical and biological properties of tropical soils, and plays an important role in improving cacao production and fertility of degraded tropical soils. The aim of this study was to evaluate the impact of two long term agroforestry systems of cacao management on soil physical and chemical properties in an area originally inhabited by 30 years old native secondary forest (SF). The two agroforestry systems adapted were: improved natural agroforestry system (INAS) where trees without economic value were selectively removed to provide 50% shade and improved traditional agroforestry system (ITAS) where all native trees were cut and burnt in the location. For evaluation of the changes of soil physical and chemical properties with time due to the imposed cacao management systems, plots of 10 cacao genotypes (ICS95, UF613, CCN51, ICT1112, ICT1026, ICT2162, ICT2171, ICT2142, H35, U30) and one plot with a spontaneous hybrid were selected. Soil samples were taken at 0-20, 20-40 and 40-60 cm depths before the installation of the management systems (2004), and then followed at two years intervals. Bulk density, porosity, field capacity and wilting point varied significantly during the years of assessment in the different soil depths and under the systems assessed. Soil pH, CEC, exchangeable Mg and sum of the bases were higher in the INAS than the ITAS. In both systems, SOM, Ext. P, K and Fe, exch. K, Mg and Al+H decreased with years of cultivation; these changes were more evident in the 0-20 cm soil depth. Overall improvement of SOM and soil nutrient status was much higher in the ITAS than INAS. The levels of physical and chemical properties of soil under cacao genotypes showed a marked difference in both systems.

  17. Can videoconferencing affect older people's engagement and perception of their social support in long-term conditions management: a social network analysis from the Telehealth Literacy Project.

    PubMed

    Banbury, Annie; Chamberlain, Daniel; Nancarrow, Susan; Dart, Jared; Gray, Len; Parkinson, Lynne

    2017-05-01

    Social support is a key component in managing long-term conditions. As people age in their homes, there is a greater risk of social isolation, which can be ameliorated by informal support networks. This study examined the relationship between changes in social support networks for older people living in a regional area following weekly videoconference groups delivered to the home. Between February and June 2014, we delivered 44 weekly group meetings via videoconference to participants in a regional town in Australia. The meetings provided participants with education and an opportunity to discuss health issues and connect with others in similar circumstances. An uncontrolled, pre-post-test methodology was employed. A social network tool was completed by 45 (87%) participants either pre- or post-intervention, of which 24 (46%) participants completed the tool pre- and post-intervention. In addition, 14 semi-structured interviews and 4 focus groups were conducted. Following the intervention, participants identified increased membership of their social networks, although they did not identify individuals from the weekly videoconference groups. The most important social support networks remained the same pre- and post-intervention namely, health professionals, close family and partners. However, post-intervention participants identified friends and wider family as more important to managing their chronic condition compared to pre-intervention. Participants derived social support, in particular, companionship, emotional and informational support as well as feeling more engaged with life, from the weekly videoconference meetings. Videoconference education groups delivered into the home can provide social support and enhance self-management for older people with chronic conditions. They provide the opportunity to develop a virtual social support network containing new and diverse social connections.

  18. Long-term effects of wildfire on greater sage-grouse - integrating population and ecosystem concepts for management in the Great Basin

    USGS Publications Warehouse

    Coates, Peter S.; Ricca, Mark A.; Prochazka, Brian G.; Doherty, Kevin E.; Brooks, Matthew L.; Casazza, Michael L.

    2015-09-10

    periods of high precipitation. Based on 30-year projections of burn and recovery rates, our population model predicted steady and substantial long-term declines in population size across the Great Basin. Further, example management scenarios that may help offset adverse wildfire effects are provided by models of varying levels of fire suppression and post-wildfire restoration that focus on areas especially important to sage-grouse populations. These models illustrate how sage-grouse population persistence likely will be compromised as sagebrush ecosystems and sage-grouse habitat are degraded by wildfire, especially in a warmer and drier climate, and by invasion of annual grasses that can increase wildfire frequency and size in the Great Basin.

  19. Long-term monitoring for conservation management: Lessons from a case study integrating remote sensing and field approaches in floodplain forests.

    PubMed

    Rodríguez-González, Patricia María; Albuquerque, António; Martínez-Almarza, Miguel; Díaz-Delgado, Ricardo

    2017-02-09

    Implementing long-term monitoring programs that effectively inform conservation plans is a top priority in environmental management. In floodplain forests, historical pressures interplay with the complex multiscale dynamics of fluvial systems and require integrative approaches to pinpoint drivers for their deterioration and ecosystem services loss. Combining a conceptual framework such as the Driver-Pressure-State-Impact-Response (DPSIR) with the development of valid biological indicators can contribute to the analysis of the driving forces and their effects on the ecosystem in order to formulate coordinated conservation measures. In the present study, we evaluate the initial results of a decade (2004-2014) of floodplain forest monitoring. We adopted the DPSIR framework to summarize the main drivers in land use and environmental change, analyzed the effects on biological indicators of foundation trees and compared the consistency of the main drivers and their effects at two spatial scales. The monitoring program was conducted in one of the largest and best preserved floodplain forests in SW Europe located within Doñana National Park (Spain) which is dominated by Salix atrocinerea and Fraxinus angustifolia. The program combined field (in situ) surveys on a network of permanent plots with several remote sensing sources. The accuracy obtained in spectral classifications allowed shifts in species cover across the whole forest to be detected and assessed. However, remote sensing did not reflect the ecological status of forest populations. The field survey revealed a general decline in Salix populations, especially in the first five years of sampling -a factor probably associated with a lag effect from past human impact on the hydrology of the catchment and recent extreme climatic episodes (drought). In spite of much reduced seed regeneration, a resprouting strategy allows long-lived Salix individuals to persist in complex spatial dynamics. This suggests the beginning

  20. Relevance of biotic pathways to the long-term regulation of nuclear-waste disposal. Topical report on reference western arid low-level sites

    SciTech Connect

    McKenzie, D.H.; Cadwell, L.L.; Eberhardt, L.E.; Kennedy, W.E. Jr.; Peloquin, R.A.; Simmons, M.A.

    1982-10-01

    The purpose of the work reported here was to develop an order of magnitude estimate for the potential dose to man resulting from biotic transport mechanisms at a reference western arid low-level waste site. A description of the reference site is presented that includes the waste inventories, site characteristics and biological communities. Parameter values for biotic transport processes are based on data reported in current literature. Transport and exposure scenarios are developed for assessing biotic transport during 100 years following site closure. Calculations of radionuclide decay and waste container decomposition are made to estimate the quantities available for biotic transport. Dose to a man occupying the reference site following the 100 years of biotic transport are calculated. These dose estimates are compared to dose estimates for the intruder-agricultural scenario reported in the DEIS for 10 CFR 61 (NRC). Dose to man estimates as a result of biotic transport are estimated to be of the same order of magnitude as the dose resulting from the more commonly evaluated human intrusion scenario. The reported lack of potential importance of biotic transport at low-level waste sites in earlier assessment studies is not confirmed by the findings presented in this report. These results indicate that biotic transport has the potential to influence low-level waste site performance. Through biotic transport, radionuclides may be moved to locations where they can enter exposure pathways to man.

  1. Chemical and biochemical properties of Stagnic Albeluvisols organic matter as result of long-term agricultural management and native forest ecosystem

    NASA Astrophysics Data System (ADS)

    Astover, Alar; Kõlli, Raimo; Wojciech Szajdak, Lech

    2010-05-01

    Soil organic matter (SOM) is considered to be as the most important factor in soil forming, development and continuous functioning. Sequestrated into SOM organic carbon concentrations, pools and residence time in soil, as well acting intensity of interconnected with SOM edaphon are soil type specific or characteristic to certain soil types. In depending on soil moisture regime, calcareousness and clay content for each soil type certain soil organic carbon (SOC) retaining capacity and its vertical distribution pattern are characteristic. However, land use change (crop rotation, continuous cropping, no-tillage, melioration, rewetting) has greatest influence mainly on fabric of epipedon and biological functions of soil cover. Stagnic Albeluvisols are largely distributed at Tartu County. They form here more than half from arable soils. The establishment of long-term field trial and forest research area in these regions for biochemical analysis of Stagnic Albeluvisols' organic matter is in all respects justified. In 1989, an international long-term experiment on the organic nitrogen or IOSDV (Internationale Organische Stickstoffdauerdiingungsversuche) with three-field crop rotation (potato - spring wheat - spring barley) was started at Eerika near Tartu (58° 22.5' N; 26° 39.8' E) on Stagnic Albeluvisol. The main aims of this study were to determine the long-term effects of cropping systems on physico-chemical properties of soils and their productivity. The design of this field experiment is similar to other European network of IOSDV experiments. Before the establishment of this experiment in 1989 it was in set-aside state (5-6 years) as field-grass fallow. It was used as arable land in condition of state farm during 1957-83. Average agrochemical characteristics of the plough horizon of soil in the year of establishment were the following: humus content 17.1 g kg-1, total nitrogen content 0.9 g kg-1, C:N ratio 11 and pHKCl 6.3. DL soluble phosphorus content was 44 mg

  2. Relevance of biotic pathways to the long-term regulation of nuclear-waste disposal. Topical Report on reference western arid low-level sites

    NASA Astrophysics Data System (ADS)

    McKenzie, D. H.; Cadwell, L. L.; Eberhardt, L. E.; Kennedy, W. E., Jr.; Peloquin, R. A.; Simmons, M. A.

    1982-10-01

    An order of magnitude estimate for the potential dose to man resulting from biotic transport mechanisms at a reference western arid lowlevel waste site was developed. A description of the reference site is presented that includes the waste inventories, site characteristics and biological communities. Parameter values for biotic transport processes are based on data reported in current literature. Transport and exposure scenarios are developed for assessing biotic transport during 100 years following site closure. Calculations of radionuclide decay and waste container decomposition are made to estimate the quantities available for biotic transport. Dose to a man occupying the reference site following the 100 years of biotic transport are calculated. Dose to man estimates as a result of biotic transport are estimated to be of the same order of magnitude as the dose resulting from the more commonly evaluated human intrusion scenario.

  3. Cost tradeoffs in consequence management at nuclear power plants: A risk based approach to setting optimal long-term interdiction limits for regulatory analyses

    SciTech Connect

    Mubayi, V.

    1995-05-01

    The consequences of severe accidents at nuclear power plants can be limited by various protective actions, including emergency responses and long-term measures, to reduce exposures of affected populations. Each of these protective actions involve costs to society. The costs of the long-term protective actions depend on the criterion adopted for the allowable level of long-term exposure. This criterion, called the ``long term interdiction limit,`` is expressed in terms of the projected dose to an individual over a certain time period from the long-term exposure pathways. The two measures of offsite consequences, latent cancers and costs, are inversely related and the choice of an interdiction limit is, in effect, a trade-off between these two measures. By monetizing the health effects (through ascribing a monetary value to life lost), the costs of the two consequence measures vary with the interdiction limit, the health effect costs increasing as the limit is relaxed and the protective action costs decreasing. The minimum of the total cost curve can be used to calculate an optimal long term interdiction limit. The calculation of such an optimal limit is presented for each of five US nuclear power plants which were analyzed for severe accident risk in the NUREG-1150 program by the Nuclear Regulatory Commission.

  4. Managing aging effects on dry cask storage systems for extended long-term storage and transportation of used fuel - rev. 0

    SciTech Connect

    Chopra, O.K.; Diercks, D.; Fabian, R.; Ma, D.; Shah, V.; Tam, S.W.; Liu, Y.

    2012-07-06

    The cancellation of the Yucca Mountain repository program in the United States raises the prospect of extended long-term storage (i.e., >120 years) and deferred transportation of used fuel at operating and decommissioned nuclear power plant sites. Under U.S. federal regulations contained in Title 10 of the Code of Federal Regulations (CFR) 72.42, the initial license term for an Independent Spent Fuel Storage Installation (ISFSI) must not exceed 40 years from the date of issuance. Licenses may be renewed by the U.S. Nuclear Regulatory Commission (NRC) at the expiration of the license term upon application by the licensee for a period not to exceed 40 years. Application for ISFSI license renewals must include the following: (1) Time-limited aging analyses (TLAAs) that demonstrate that structures, systems, and components (SSCs) important to safety will continue to perform their intended function for the requested period of extended operation; and (2) a description of the aging management program (AMP) for management of issues associated with aging that could adversely affect SSCs important to safety. In addition, the application must also include design bases information as documented in the most recent updated final safety analysis report as required by 10 CFR 72.70. Information contained in previous applications, statements, or reports filed with the Commission under the license may be incorporated by reference provided that those references are clear and specific. The NRC has recently issued the Standard Review Plan (SRP) for renewal of used-fuel dry cask storage system (DCSS) licenses and Certificates of Compliance (CoCs), NUREG-1927, under which NRC may renew a specific license or a CoC for a term not to exceed 40 years. Both the license and the CoC renewal applications must contain revised technical requirements and operating conditions (fuel storage, surveillance and maintenance, and other requirements) for the ISFSI and DCSS that address aging effects that

  5. Long-Term Stewardship of Mixed Wastes: Passive Reactive Barriers for Simultaneous In Situ Remediation of Chlorinated Solvent, Heavy Metal, and Radionuclide Contaminants

    SciTech Connect

    Gerlach, Robin; Cunningham, Al; Peyton, Brent

    2005-06-01

    The collaborative project was designed to evaluate the possibility developing a subsurface remediation technology for mixed wastes at Department of Energy sites using a group of common soil bacteria of the genus Cellulomonas. We have been gaining a better understanding of microbial transformation of chromium, uranium, iron minerals, and trinitrotoluene (TNT) by Cellulomonas spp. in simulated subsurface environments.

  6. The Spanish General Radioactive Waste Management Plan

    SciTech Connect

    Espejo, J.M.; Abreu, A.

    2008-07-01

    This paper mainly describes the strategies, the necessary actions and the technical solutions to be developed by ENRESA in the short, medium and long term, aimed at ensuring the adequate management of radioactive waste, the dismantling and decommissioning of nuclear and radioactive facilities and other activities, including economic and financial measures required to carry them out. Starting with the Spanish administrative organization in this field, which identifies the different agents involved and their roles, and after referring to the waste generation, the activities to be performed in the areas of LILW, SF and HLW management, decommissioning of installations and others are summarized. Finally, the future management costs are estimated and the financing system currently in force is explained. The so-called Sixth General Radioactive Was