Science.gov

Sample records for management site access

  1. Access site management after peripheral percutaneous transluminal procedures: Neptune pad compared with conventional manual compression.

    PubMed

    Mlekusch, Wolfgang; Minar, Erich; Dick, Petra; Sabeti, Schila; Bartok, Andrea; Haumer, Markus; Bonelli, Michael; Vormittag, Laurenz; Koppensteiner, Renate; Schillinger, Martin

    2008-12-01

    To investigate the safety and efficacy of the procoagulant wound dressing Neptune Pad (Biotronik, Berlin, Germany) compared with those of conventional manual compression for access site management after peripheral percutaneous interventions. The study was approved by the institutional ethics committee, and all patients gave written informed consent. Two hundred one consecutive patients were enrolled and were randomly assigned to be treated with the Neptune Pad (n = 100) or conventional manual compression (n = 101). Patients were followed up clinically until hospital discharge and with duplex ultrasonography at 24 hours after the procedure to evaluate occurrence of access site complications. Time to hemostasis and time to ambulation were recorded, and patient and physician discomfort were measured by using a visual analogue scale. The risk for access site complications was not significantly different between the Neptune Pad group and the conventional compression group (adjusted odds ratio, 1.15; 95% confidence interval: 0.47, 2.84; P = .76). Time to hemostasis was marginally reduced in the Neptune Pad group. Patient and physician discomfort were lessened with use of the device. The hemostatic device Neptune Pad does not improve the safety of access site management after peripheral percutaneous procedures. Markedly improved comfort was noted among patients in the Neptune Pad group and by the physicians obtaining hemostasis. RSNA, 2008

  2. Environmental assessment for the Area 5 radioactive waste management site access improvement at the Nevada Test Site

    SciTech Connect

    1997-11-01

    The United States Department of Energy has prepared an Environmental Assessment which analyzes the potential environmental effects of improving access to its AREA 5 RWMS at the NTS. The EA evaluates the potential impacts of constructing an extension of the Cane Springs Road between Mercury Highway and the 5-01 Road. Three alternative actions are also evaluated: (1) construction of a new road along the existing alignment of the Powerline Road between Mercury Highway and the 5-01 Road, (2) upgrading the existing 5-01 Road, and (3) taking no action. The purpose and need for improving access to the RWMS are addressed in Section 1.0 of the EA. A detailed description of the proposed action and alternatives is in Section 2.0. Section 3.0 describes the affected environment and Section 4.0 the environmental effects of the proposed action and alternatives. Health and transportation effects, accident scenarios, cumulative effects, and other relevant information are found in Sections 5.0 through 12.0 of the EA. DOE determined that the alternative action of upgrading the existing 5-01 Road would best meet the needs of the agency.

  3. Balloon catheter looping technique for entry site angioplasty during endovascular management of thrombosed arteriovenous grafts by single access.

    PubMed

    Park, Sung Il; Kim, Il Jung; Lee, Shin Jae; Kim, Man Deuk; Won, Jong Yun; Lee, Do Yun; Kang, Shin-Wook; Choi, Kyu Hun

    2014-04-01

    This study was designed to evaluate the feasibility of balloon catheter looping technique for angioplasty of entry site lesions of stenosis or thrombi that could not be aspirated during endovascular treatment of thrombosed arteriovenous grafts by single access. Balloon catheter looping technique was used for angioplasty of entry site lesions in 13 sessions of treatment of thrombosed arteriovenous grafts by single access in 11 patients (M:F = 7:4, mean age: 70.7 years, 9 brachio-axillary straight and 2 brachio-antecubital loop grafts) and were retrospectively evaluated. Middle equator of the graft was punctured and a 7F Desilets-Hoffman introducer sheath was inserted for aspiration thrombectomy and angioplasty. For entry site angioplasty, the balloon catheter was positioned 4-5 cm beyond the tip of the sheath. The sheath was retrieved to the entry site and was redirected into the contralateral limb, so the balloon catheter would form a loop. The introducer sheath was advanced to pull the balloon back to cover the entry site for angioplasty. Radiological images and medical records were evaluated for feasibility, success rate, and complications. Technical success of treatment of thrombosed graft and balloon catheter looping for entry site angioplasty could be achieved in all 13 cases (100%), without requiring second access. Completion fistulography revealed no access complication. Patency rate at 3 and 6 months were 80 and 68.6%, respectively. Balloon catheter looping technique for angioplasty of entry site lesions during endovascular treatment of thrombosed arteriovenous graft is a feasible alternative technique to obtaining a second access.

  4. Managing Information Resources for Accessibility.

    ERIC Educational Resources Information Center

    General Services Administration, Washington, DC. Clearinghouse on Computer Accommodation.

    This handbook presents guidance for federal managers and other personnel who are unfamiliar with the policy and practice of information accessibility to accommodate users with disabilities and to provide for their effective access to information resources. It addresses federal requirements for accessibility, adopting accessibility as a sound…

  5. Habitat characteristics at marten subnivean access sites

    USGS Publications Warehouse

    Corn, Janelle G.; Raphael, Martin G.

    1992-01-01

    The occurrence of coarse woody debris (CWD) at sites of subnivean (under snow) access by martens (Martes americana) has not been quantified adequately, and must be better understood to provide suitable winter habitat management for the species. Consequently, we studied subnivean activity of martens in a subalpine forest in southern Wyoming to determine how subnivean space was accessed, and to examine microhabitat characteristics around entry sites. Martens used existing openings in snow, created primarily by logs at low snow depths and by small live spruce and fir trees at greater snow depths. Sites of marten subnivean entry had greater percent cover (P ≤ 0.01) and total volume of CWD (P ≤ 0.01), greater numbers of log layers (all P ≤ 0.02), greater volume of undecayed (P ≤ 0.05) and moderately decayed logs (P ≤ 0.02), less volume of very decayed logs (P ≤ 0.001), and fewer small root masses (P ≤ 0.001) than surrounding forest stands. Provision of sufficient CWD in winter habitat of martens may require specific effort, particularly in managed forests of the central Rocky Mountains.

  6. Using a Building's Site To Maximize Accessibility.

    ERIC Educational Resources Information Center

    Barraza, Douglas A.

    2003-01-01

    Describes a new basketball arena at the University of Missouri that meet the accessibility requirements of the Americans with Disabilities Act through careful use of the site to take advantage of site grading and provide multiple accessible entries while ensuring visibility and circulation. (SLD)

  7. School-Site Management.

    ERIC Educational Resources Information Center

    English, Fenwick W.

    1989-01-01

    School-site management embodies the concept that decisions should be made at the lowest possible level in organizations and intends that no decision be made without the input of those affected by them. The concept also suggests the empowerment of individual units of the system, particularly, the teachers. Centralization versus decentralization is…

  8. Access to Space Interactive Design Web Site

    NASA Technical Reports Server (NTRS)

    Leon, John; Cutlip, William; Hametz, Mark

    2000-01-01

    The Access To Space (ATS) Group at NASA's Goddard Space Flight Center (GSFC) supports the science and technology community at GSFC by facilitating frequent and affordable opportunities for access to space. Through partnerships established with access mode suppliers, the ATS Group has developed an interactive Mission Design web site. The ATS web site provides both the information and the tools necessary to assist mission planners in selecting and planning their ride to space. This includes the evaluation of single payloads vs. ride-sharing opportunities to reduce the cost of access to space. Features of this site include the following: (1) Mission Database. Our mission database contains a listing of missions ranging from proposed missions to manifested. Missions can be entered by our user community through data input tools. Data is then accessed by users through various search engines: orbit parameters, ride-share opportunities, spacecraft parameters, other mission notes, launch vehicle, and contact information. (2) Launch Vehicle Toolboxes. The launch vehicle toolboxes provide the user a full range of information on vehicle classes and individual configurations. Topics include: general information, environments, performance, payload interface, available volume, and launch sites.

  9. Remotely Accessible Management System (RAMS).

    ERIC Educational Resources Information Center

    Wood, Rex

    Oakland Schools, an Intermediate School District for Administration, operates a Remotely Accessible Management System (RAMS). RAMS is composed of over 100 computer programs, each of which performs procedures on the files of the 28 local school districts comprising the constituency of Oakland Schools. This regional service agency covers 900 square…

  10. Pediatric Enteral Access Device Management.

    PubMed

    Abdelhadi, Ruba A; Rahe, Katina; Lyman, Beth

    2016-10-13

    Enteral nutrition (EN) support has proven to be a nutrition intervention that can provide full or partial calories to promote growth and development in infants and children. To supply these nutrients, an enteral access device is required, and the use of these devices is growing. Placement of the proper device for the patient need, along with appropriate care and monitoring, is required for individualized patient management. When complications arise, early identification and management can prevent more serious morbidity. Complication management requires a tiered approach starting with staff nurses and ending with a physician expert. In addition to this, each institution needs to have an approach that is coordinated among disciplines and departments to promote consistency of practice. The formation of an enteral access team is a conduit for clinical experts to provide education to families, patients, and healthcare professionals while serving as a platform to address product and practice issues. © 2016 American Society for Parenteral and Enteral Nutrition.

  11. 40 CFR 1400.5 - Internet access to certain off-site consequence analysis data elements.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Internet access to certain off-site... DISTRIBUTION OF OFF-SITE CONSEQUENCE ANALYSIS INFORMATION Public Access § 1400.5 Internet access to certain off... elements in the risk management plan database available on the Internet: (a) The concentration of...

  12. 41 CFR 60-1.43 - Access to records and site of employment.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... records and site of employment. Each contractor shall permit access during normal business hours to its... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Access to records and site of employment. 60-1.43 Section 60-1.43 Public Contracts and Property Management Other...

  13. 41 CFR 60-1.43 - Access to records and site of employment.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... records and site of employment. Each contractor shall permit access during normal business hours to its... 41 Public Contracts and Property Management 1 2011-07-01 2009-07-01 true Access to records and site of employment. 60-1.43 Section 60-1.43 Public Contracts and Property Management Other...

  14. Hanford Site Waste Management Units Report

    SciTech Connect

    Shearer, Jeffrey P.

    2014-02-19

    The Hanford Site Waste Management Units Report (HSWMUR) has been created to meet the requirements of the Tri-Party Agreement (TPA) Action Plan, Section 3.5, which states: “The Hanford Site Waste Management Units Report shall be generated, in a format agreed upon by the Parties, as a calendar year report and issued annually by the DOE by the end of February of each year, and posted electronically for regulator and public access. This report shall reflect all changes made in waste management unit status during the previous year.” This February 2013 version of the HSWMUR contains a comprehensive inventory of the 3438 sites and 569 subsites in the Waste Information Data System (WIDS). The information for each site contains a description of each unit and the waste it contains, where applicable. The WIDS database provides additional information concerning the sites contained in this report and is maintained with daily changes to these sites.

  15. Hanford Site Waste Management Units Report

    SciTech Connect

    Shearer, Jeffrey P.

    2013-02-13

    The Hanford Site Waste Management Units Report (HSWMUR) has been created to meet the requirements of the Tri-Party Agreement (TPA) Action Plan, Section 3.5, which states: “The Hanford Site Waste Management Units Report shall be generated, in a format agreed upon by the Parties, as a calendar year report and issued annually by the DOE by the end of February of each year, and posted electronically for regulator and public access. This report shall reflect all changes made in waste management unit status during the previous year.” This February 2013 version of the HSWMUR contains a comprehensive inventory of the 3427 sites and 564 subsites in the Waste Information Data System (WIDS). The information for each site contains a description of each unit and the waste it contains, where applicable. The WIDS database provides additional information concerning the sites contained in this report and is maintained with daily changes to these sites.

  16. Hanford Site Waste Management Units Report

    SciTech Connect

    Shearer, Jeffrey P.

    2012-02-29

    The Hanford Site Waste Management Units Report (HSWMUR) has been created to meet the requirements of the Tri-Party Agreement (TPA) Action Plan, Section 3.5, which states: “The Hanford Site Waste Management Units Report shall be generated, in a format agreed upon by the Parties, as a calendar year report and issued annually by the DOE by the end of February of each year, and posted electronically for regulator and public access. This report shall reflect all changes made in waste management unit status during the previous year.” This February 2012 version of the HSWMUR contains a comprehensive inventory of the 3389 sites and 540 subsites in the Waste Information Data System (WIDS). The information for each site contains a description of each unit and the waste it contains, where applicable. The WIDS database provides additional information concerning the sites contained in this report and is maintained with daily changes to these sites.

  17. Hanford site sodium management plan

    SciTech Connect

    Guttenberg, S.

    1995-09-25

    The Hanford Site Sodium Management Plan, Revision 1, provides changes to the major elements and management strategy to ensure an integrated and coordinated approach for disposition of the more than 350,000 gallons of sodium and related sodium facilities located at the DOE`s Hanford Site

  18. Web Site Accessibility: A Study of Six Genres.

    ERIC Educational Resources Information Center

    Jackson-Sanborn, Emily; Odess-Harnish, Kerri; Warren, Nikki

    2002-01-01

    Examines the accessibility of six categories of Web sites using the evaluation software Bobby. Discusses universal access for users with disabilities; application of the Americans with Disabilities Act and Rehabilitation Act Amendments of 1998; government sites versus commercial sites; and Web site design. (Author/LRW)

  19. Site decommissioning management plan

    SciTech Connect

    Fauver, D.N.; Austin, J.H.; Johnson, T.C.; Weber, M.F.; Cardile, F.P.; Martin, D.E.; Caniano, R.J.; Kinneman, J.D.

    1993-10-01

    The Nuclear Regulatory Commission (NRC) staff has identified 48 sites contaminated with radioactive material that require special attention to ensure timely decommissioning. While none of these sites represent an immediate threat to public health and safety they have contamination that exceeds existing NRC criteria for unrestricted use. All of these sites require some degree of remediation, and several involve regulatory issues that must be addressed by the Commission before they can be released for unrestricted use and the applicable licenses terminated. This report contains the NRC staff`s strategy for addressing the technical, legal, and policy issues affecting the timely decommissioning of the 48 sites and describes the status of decommissioning activities at the sites.

  20. Site Management Guide (Blue Book)

    SciTech Connect

    2014-03-01

    The U.S. Department of Energy (Department) Office of Legacy Management (LM), established in 2003, manages the Department’s postclosure responsibilities and ensures the future protection of human health and the environment. During World War II and the Cold War, the Federal government developed and operated a vast network of industrial facilities for the research, production, and testing of nuclear weapons, as well as other scientific and engineering research. These processes left a legacy of radioactive and chemical waste, environmental contamination, and hazardous facilities and materials at well over 100 sites. Since 1989, the Department has taken an aggressive accelerated cleanup approach to reduce risks and cut costs. At most Departmental sites undergoing cleanup, some residual hazards will remain at the time cleanup is completed due to financial and technical impracticality. However, the Department still has an obligation to protect human health and the environment after cleanup is completed. LM fulfills DOE’s postclosure obligation by providing long-term management of postcleanup sites which do not have continuing missions. LM is also responsible for sites under the Formerly Utilized Sites Remedial Action Program (FUSRAP). Currently, the U.S. Army Corps of Engineers (USACE) is responsible for site surveys and remediation at FUSRAP sites. Once remediation is completed, LM becomes responsible for long-term management. LM also has responsibility for uranium processing sites addressed by Title II of the Uranium Mill Tailings Radiation Control Act (UMTRCA). UMTRCA Title II sites are sites that were commercially owned and are regulated under a U.S. Nuclear Regulatory Commission (NRC) license. For license termination, the owner must conduct an NRC-approved cleanup of any on-site radioactive waste remaining from former uranium ore-processing operations. The site owner must also provide full funding for inspections and, if necessary, ongoing maintenance. Once site

  1. Managing data subject access requests.

    PubMed

    Griffith, Richard

    2017-03-02

    The Data Protection Act 1998 requires district nurses to process personal patient data fairly and lawfully by keeping accurate, contemporaneous and secure records. Patients who have concerns about the accuracy of their record can seek access to the record under the 1998 Act. In this article, Richard Griffith considers the requirements for requesting and granting access to a patient to view and obtain a copy of their health record.

  2. School Web Sites: Are They Accessible to All?

    ERIC Educational Resources Information Center

    Wells, Julie A.; Barron, Ann E.

    2006-01-01

    In 2002, the National Center for Educational Statistics reported that 99% of public schools had Internet access and 86% of those schools had a web site or web page (Kleiner & Lewis, 2003). This study examined accessibility issues on elementary school homepages. Using a random sample of elementary school web sites, the researchers documented…

  3. Spontaneous access to DNA target sites in folded chromatin fibers.

    PubMed

    Poirier, Michael G; Bussiek, Malte; Langowski, Jörg; Widom, Jonathan

    2008-06-13

    DNA wrapped in nucleosomes is sterically occluded from many protein complexes that must act on it; how such complexes gain access to nucleosomal DNA is not known. In vitro studies on isolated nucleosomes show that they undergo spontaneous partial unwrapping conformational transitions, which make the wrapped nucleosomal DNA transiently accessible. Thus, site exposure might provide a general mechanism allowing access of protein complexes to nucleosomal DNA. However, existing quantitative analyses of site exposure focused on single nucleosomes, while the presence of neighbor nucleosomes and concomitant chromatin folding might significantly influence site exposure. In this work, we carried out quantitative studies on the accessibility of nucleosomal DNA in homogeneous nucleosome arrays. Two striking findings emerged. Organization into chromatin fibers changes the accessibility of nucleosomal DNA only modestly, from approximately 3-fold decreases to approximately 8-fold increases in accessibility. This means that nucleosome arrays are intrinsically dynamic and accessible even when they are visibly condensed. In contrast, chromatin folding decreases the accessibility of linker DNA by as much as approximately 50-fold. Thus, nucleosome positioning dramatically influences the accessibility of target sites located inside nucleosomes, while chromatin folding dramatically regulates access to target sites in linker DNA.

  4. Managing Change Toward Site-Based Management.

    ERIC Educational Resources Information Center

    Terry, Paul M.

    The successful implementation of site-based management (SBM) requires time and changes in the role expectations among all members of the school community. Because needs and achievement levels differ among schools, there is no one best way to implement SBM. Schools are better off developing their own self-starting, working models. This paper…

  5. Flux-Based Site Management

    EPA Science Inventory

    Managing DNAPL contaminated sites continues to be among the most pressing environmental problems currently faced. In particular, the benefits of partial DNAPL mass depletion due to remedial activity are unclear. Recent work conducted by an inter-agency research team has been in...

  6. Flux-Based Site Management

    EPA Science Inventory

    Managing DNAPL contaminated sites continues to be among the most pressing environmental problems currently faced. In particular, the benefits of partial DNAPL mass depletion due to remedial activity are unclear. Recent work conducted by an inter-agency research team has been in...

  7. Hanford Site environmental management specification

    SciTech Connect

    Grygiel, M.L.

    1998-06-10

    The US Department of Energy, Richland Operations Office (RL) uses this Hanford Site Environmental Management Specification (Specification) to document top-level mission requirements and planning assumptions for the prime contractors involved in Hanford Site cleanup and infrastructure activities under the responsibility of the US Department of Energy, Office of Environmental Management. This Specification describes at a top level the activities, facilities, and infrastructure necessary to accomplish the cleanup of the Hanford Site and assigns this scope to Site contractors and their respective projects. This Specification also references the key National Environmental Policy Act of 1969 (NEPA), Comprehensive Environmental Response, Compensation, and Liability Act of 1980 (CERCLA), and safety documentation necessary to accurately describe the cleanup at a summary level. The information contained in this document reflects RL`s application of values, priorities, and critical success factors expressed by those involved with and affected by the Hanford Site project. The prime contractors and their projects develop complete baselines and work plans to implement this Specification. These lower-level documents and the data that support them, together with this Specification, represent the full set of requirements applicable to the contractors and their projects. Figure 1-1 shows the relationship of this Specification to the other basic Site documents. Similarly, the documents, orders, and laws referenced in this specification represent only the most salient sources of requirements. Current and contractual reference data contain a complete set of source documents.

  8. Information Management System for Site Remediation Efforts.

    PubMed

    Laha; Mukherjee; Nebhrajani

    2000-05-01

    / Environmental regulatory agencies are responsible for protecting human health and the environment in their constituencies. Their responsibilities include the identification, evaluation, and cleanup of contaminated sites. Leaking underground storage tanks (USTs) constitute a major source of subsurface and groundwater contamination. A significant portion of a regulatory body's efforts may be directed toward the management of UST-contaminated sites. In order to manage remedial sites effectively, vast quantities of information must be maintained, including analytical dataon chemical contaminants, remedial design features, and performance details. Currently, most regulatory agencies maintain such information manually. This makes it difficult to manage the data effectively. Some agencies have introduced automated record-keeping systems. However, the ad hoc approach in these endeavors makes it difficult to efficiently analyze, disseminate, and utilize the data. This paper identifies the information requirements for UST-contaminated site management at the Waste Cleanup Section of the Department of Environmental Resources Management in Dade County, Florida. It presents a viable design for an information management system to meet these requirements. The proposed solution is based on a back-end relational database management system with relevant tools for sophisticated data analysis and data mining. The database is designed with all tables in the third normal form to ensure data integrity, flexible access, and efficient query processing. In addition to all standard reports required by the agency, the system provides answers to ad hoc queries that are typically difficult to answer under the existing system. The database also serves as a repository of information for a decision support system to aid engineering design and risk analysis. The system may be integrated with a geographic information system for effective presentation and dissemination of spatial data.

  9. Security Notice To Federal, State and Local Officials Receiving Access to the Risk Management Program’s Off-site Consequence Analysis Information

    EPA Pesticide Factsheets

    Based on the Chemical Safety Information, Site Security and Fuels Regulatory Relief Act (CSISSFRRA), this notice states that while you may share with the public data from OCA sections, it is illegal to disclose/distribute the sections themselves.

  10. Archiving Web Sites for Preservation and Access: MODS, METS and MINERVA

    ERIC Educational Resources Information Center

    Guenther, Rebecca; Myrick, Leslie

    2006-01-01

    Born-digital material such as archived Web sites provides unique challenges in ensuring access and preservation. This article examines some of the technical challenges involved in harvesting and managing Web archives as well as metadata strategies to provide descriptive, technical, and preservation related information about archived Web sites,…

  11. Archiving Web Sites for Preservation and Access: MODS, METS and MINERVA

    ERIC Educational Resources Information Center

    Guenther, Rebecca; Myrick, Leslie

    2006-01-01

    Born-digital material such as archived Web sites provides unique challenges in ensuring access and preservation. This article examines some of the technical challenges involved in harvesting and managing Web archives as well as metadata strategies to provide descriptive, technical, and preservation related information about archived Web sites,…

  12. Identity and Access Management and Security in Higher Education.

    ERIC Educational Resources Information Center

    Bruhn, Mark; Gettes, Michael; West, Ann

    2003-01-01

    Discusses the drivers for an identity management system (IdM), components of this system, and its role within a school security strategy, focusing on: basic access management; requirements for access management; middleware support for an access management system; IdM implementation considerations (e.g., access eligibilities, authentication…

  13. Challenges in Obtaining Property Access: The FUSRAP Maywood Site Experience - 13433

    SciTech Connect

    Kollar, William

    2013-07-01

    The Formerly Utilized Sites Remedial Action Program (FUSRAP) is the US government program started in 1974 to identify, investigate and clean up or control sites that became contaminated as a result of the nation's early atomic programs. Many of these sites are not owned by the federal government and therefore require owner permission to enter. The experience in pursuing such access at the FUSRAP Maywood Superfund Site (the Maywood Site or the Site) in Bergen County, New Jersey, is extensive. Since the US Army Corps of Engineers (the Corps) assumed responsibility for the Maywood Site from the US Department of Energy in 1997, at least 186 separate property access agreements (known in FUSRAP as a Real Estate Right-of- Entry or ROE) have been executed between the Corps and approximately 55 different land owners and tenant occupants at the Maywood Site (agreement renewals with the same owners over time account for the difference). Maywood's experience during the Corps' tenure, reflected here in three case studies of representative property access efforts, offers some lessons and best practices that may apply to other remedial programs. While the Site Community Relations Manager (the author of this paper) managed the property access task, multi-disciplinary support from across the project was also critical to success in this endeavor. (authors)

  14. Data Access & Management Using the Dmi Filesystem Interface

    NASA Astrophysics Data System (ADS)

    Gasthuber, Martin

    Several months ago DESY started using a new scheme to access the physics data from UNIX based batch machines using the hierarchical Mass-Storage system called OSM (Open Storage Manager). This system provides a network based, file-oriented put/get repository together with a simple set of user commands for access and management. The applications usually requires random access, where the Mass-Storage system only supports a sequential byte stream. This fact leads to the use of dedicated staging systems. These staging systems seem to be sufficient in the case where enough disk (stage) space is available and/or the staging rate is moderate. To allow a better disk-cache efficiency one need to have extended knowledge about the access statistics which recently is only available through the UNIX filesystem. To incorporate site specific access policies this tight connection to the filesystem is also required. The connection between a migration capable filesystems and the hierarchical Mass-Storage system is the first goal. The second goal is the ability to manage large amount of diskspace, distributed between various machines and building something like a `data-domain' while still having a high performance distributed data access. The Data Management Interface (DMI) recently becomes available and offers all requested functionalities for efficient filesystem controlling and management. It allows standard, kernel independent filesystem control and IO operations and will be available on various UNIX flavors soon. This talk will show the design and first practice of such a system using Silicon Graphics DMI implementation and the OSM as the hierarchical Mass-Storage system managing large tape libraries.

  15. A selection system for identifying accessible sites in target RNAs.

    PubMed

    Pan, W H; Devlin, H F; Kelley, C; Isom, H C; Clawson, G A

    2001-04-01

    Although ribozymes offer tremendous potential for posttranscriptionally controlling expression of targeted genes, their utility is often limited by the accessibility of the targeted regions within the RNA transcripts. Here we describe a method that identifies RNA regions that are accessible to oligonucleotides. Based on this selection protocol, we show that construction of hammerhead ribozymes targeted to the identified regions results in catalytic activities that are consistently and substantially greater than those of ribozymes designed on the basis of computer modeling. Identification of accessible sites should also be widely applicable to design of antisense oligonucleotides and DNAzymes.

  16. Access Control Management for SCADA Systems

    NASA Astrophysics Data System (ADS)

    Hong, Seng-Phil; Ahn, Gail-Joon; Xu, Wenjuan

    The information technology revolution has transformed all aspects of our society including critical infrastructures and led a significant shift from their old and disparate business models based on proprietary and legacy environments to more open and consolidated ones. Supervisory Control and Data Acquisition (SCADA) systems have been widely used not only for industrial processes but also for some experimental facilities. Due to the nature of open environments, managing SCADA systems should meet various security requirements since system administrators need to deal with a large number of entities and functions involved in critical infrastructures. In this paper, we identify necessary access control requirements in SCADA systems and articulate access control policies for the simulated SCADA systems. We also attempt to analyze and realize those requirements and policies in the context of role-based access control that is suitable for simplifying administrative tasks in large scale enterprises.

  17. Particle data management--turning data into accessible information.

    PubMed

    Bonniface, J; Coppins, G J

    2007-09-01

    The UKAEA has assigned significant resources to the monitoring and retrieval of particles from the vicinity of its site at Dounreay in the north of Scotland. The monitoring, retrieval and analytical processes each generate information that is required for interpretative and record purposes. As significant resources are made available for studying and retrieving particles, the information collected must be managed in a logical, stable and accessible manner to protect the investment in information. If suitable data management procedures are not in place there is a high risk of data loss and duplication, and stakeholders may be unable to discover what information is already available or be unable to access the existing information. UKAEA Dounreay operates a geographic information system (GIS) that interfaces with a data management system known as IMAGES. These systems are used to securely store and access a wide range of environmental data including those relating to particles. A case study is presented illustrating the processes and systems involved with the collection, storage, analysis and distribution of particle data. The advantages gained through use of the GIS system are considered in relation to alternative types of record management system such as paper, and electronic non-spatial systems. It is considered that the GIS system offers very significant benefits in terms of standardisation of data capture, security of storage and increased accessibility of data compared with other systems.

  18. CILogon: An Integrated Identity and Access Management Platform for Science

    NASA Astrophysics Data System (ADS)

    Basney, J.

    2016-12-01

    When scientists work together, they use web sites and other software to share their ideas and data. To ensure the integrity of their work, these systems require the scientists to log in and verify that they are part of the team working on a particular science problem. Too often, the identity and access verification process is a stumbling block for the scientists. Scientific research projects are forced to invest time and effort into developing and supporting Identity and Access Management (IAM) services, distracting them from the core goals of their research collaboration. CILogon provides an IAM platform that enables scientists to work together to meet their IAM needs more effectively so they can allocate more time and effort to their core mission of scientific research. The CILogon platform enables federated identity management and collaborative organization management. Federated identity management enables researchers to use their home organization identities to access cyberinfrastructure, rather than requiring yet another username and password to log on. Collaborative organization management enables research projects to define user groups for authorization to collaboration platforms (e.g., wikis, mailing lists, and domain applications). CILogon's IAM platform serves the unique needs of research collaborations, namely the need to dynamically form collaboration groups across organizations and countries, sharing access to data, instruments, compute clusters, and other resources to enable scientific discovery. CILogon provides a software-as-a-service platform to ease integration with cyberinfrastructure, while making all software components publicly available under open source licenses to enable re-use. Figure 1 illustrates the components and interfaces of this platform. CILogon has been operational since 2010 and has been used by over 7,000 researchers from more than 170 identity providers to access cyberinfrastructure including Globus, LIGO, Open Science Grid

  19. Managed Access by Controlled Sensing (MACS)

    SciTech Connect

    Curtiss, J.A.; Indusi, J.P.

    1994-08-01

    During chemical weapons challenge inspections, the CWC treaty allows ``alternate means`` of access to be proposed by the nation challenged. BNL`s Safeguards, Safety and Nonproliferation Division is funded by the Defense Nuclear Agency to develop a system to provide the challenge inspection team with a ``virtual presence`` within the facility while denying personal access. A general purpose configuration of a mobile station manned by site personnel and a base station manned by the challenge inspector, supported by a flexible communication system, will allow facility personnel to tailor the basic model to their site. Design of the MACS system is based on maximum use of commercial equipment that is available on the international market. Design requirements for the MACS system include methods of establishing geographical position, distance measuring equipment for use in verifying dimensions on floor plans, video and two-way audio links between the mobile unit and the base station, and portability and versatility of the equipment. The MACS platform will also support deployment of selected instrumentation which the site may offer to the challenge inspection team. This paper describes the design and construction of the prototype MACS system.

  20. Managing Self-Access Language Learning: Principles and Practice

    ERIC Educational Resources Information Center

    Gardner, David; Miller, Lindsay

    2011-01-01

    This paper is based on a research project looking at the management of self-access language learning (SALL) from the perspective of the managers of self-access centres. It looks at the factors which influence the practice of seven managers of self-access language learning in tertiary institutions in Hong Kong. The discussion centres around five…

  1. Managing Self-Access Language Learning: Principles and Practice

    ERIC Educational Resources Information Center

    Gardner, David; Miller, Lindsay

    2011-01-01

    This paper is based on a research project looking at the management of self-access language learning (SALL) from the perspective of the managers of self-access centres. It looks at the factors which influence the practice of seven managers of self-access language learning in tertiary institutions in Hong Kong. The discussion centres around five…

  2. Strategic plan for Hanford site information management

    SciTech Connect

    1994-09-01

    The Hanford Site missions are to clean up the Site, to provide scientific knowledge and technology to meet global needs, and to partner in the economic diversification of the region. To achieve these long-term missions and increase confidence in the quality of the Site`s decision making process, a dramatically different information management culture is required, consistent with US Department of Energy (DOE) mandates on increased safety, productivity, and openness at its sites. This plan presents a vision and six strategies that will move the Site toward an information management culture that will support the Site missions and address the mandates of DOE.

  3. Global Landing Site Access Using Atmospheric Skip Trajectories

    NASA Technical Reports Server (NTRS)

    Bryant, Lee

    2002-01-01

    Mars direct entry, without going into orbit, does not provide global access to all landing site latitudes. Latitudes accessible via direct entry trajectories consist of a ring around the backside of the planet, centered about V infinity. Landing sites outside this ring can be achieved using a modified approach trajectory entering the atmosphere over the South Pole "aerocapture fashion" that will skip out to an altitude above the atmosphere and then re-enter the atmosphere a second time and continue to toward the North Pole. The first aerocapture maneuver is aligned to provide an exit orbit that contains the desired landing site with an apoapsis computed to provide proper ranging for the second entry. A powered maneuver is utilized during the exoatmospheric phase to remove altitude and flight path deviations due to uncertainties in the atmosphere occurring during the first entry. Three guidance schemes are required for global landing site access analysis. Aerocapture guidance was used for the first atmospheric entry, Shuttle Powered Explicit Guidance was used for the exoatmospheric maneuver, and Apollo Derived Entry Guidance was used for the second atmospheric entry. An altimeter to update the onboard navigation state after the first atmospheric entry, was required to remove accumulated deadreckoning navigation errors and achieve reasonable range errors at chute deploy.

  4. Site report for the office information management conference

    SciTech Connect

    Thompson, G.P.

    1989-12-31

    The charter of the End User Services Section is to plan and support office information systems for Savannah River Site organizations and be the first point of contact for users of Information Resource Management Department computer services. This includes personal workstation procurement, electronic mail, computer aided design, operations analysis, and access to information systems both on and off site. The mission also includes the training and support of personnel in the effective use of the new and existing systems.

  5. Site report for the office information management conference

    SciTech Connect

    Thompson, G.P.

    1989-01-01

    The charter of the End User Services Section is to plan and support office information systems for Savannah River Site organizations and be the first point of contact for users of Information Resource Management Department computer services. This includes personal workstation procurement, electronic mail, computer aided design, operations analysis, and access to information systems both on and off site. The mission also includes the training and support of personnel in the effective use of the new and existing systems.

  6. Total Access: Making College Web Sites Accessible to Students with Disabilities

    ERIC Educational Resources Information Center

    Bruyere, Susanne

    2008-01-01

    Colleges increasingly rely on the Web to attract, inform, and interact with students. This makes Web site accessibility and usability critical concerns, particularly for public community colleges, which educate sizable numbers of students with disabilities. As committed providers of postsecondary education to students with disabilities and thus a…

  7. Total Access: Making College Web Sites Accessible to Students with Disabilities

    ERIC Educational Resources Information Center

    Bruyere, Susanne

    2008-01-01

    Colleges increasingly rely on the Web to attract, inform, and interact with students. This makes Web site accessibility and usability critical concerns, particularly for public community colleges, which educate sizable numbers of students with disabilities. As committed providers of postsecondary education to students with disabilities and thus a…

  8. Management of Central Venous Access Device-Associated Skin Impairment

    PubMed Central

    Broadhurst, Daphne; Moureau, Nancy

    2017-01-01

    Patients relying on central venous access devices (CVADs) for treatment are frequently complex. Many have multiple comorbid conditions, including renal impairment, nutritional deficiencies, hematologic disorders, or cancer. These conditions can impair the skin surrounding the CVAD insertion site, resulting in an increased likelihood of skin damage when standard CVAD management practices are employed. Supported by the World Congress of Vascular Access (WoCoVA), developed an evidence- and consensus-based algorithm to improve CVAD-associated skin impairment (CASI) identification and diagnosis, guide clinical decision-making, and improve clinician confidence in managing CASI. A scoping review of relevant literature surrounding CASI management was undertaken March 2014, and results were distributed to an international advisory panel. A CASI algorithm was developed by an international advisory panel of clinicians with expertise in wounds, vascular access, pediatrics, geriatric care, home care, intensive care, infection control and acute care, using a 2-phase, modified Delphi technique. The algorithm focuses on identification and treatment of skin injury, exit site infection, noninfectious exudate, and skin irritation/contact dermatitis. It comprised 3 domains: assessment, skin protection, and patient comfort. External validation of the algorithm was achieved by prospective pre- and posttest design, using clinical scenarios and self-reported clinician confidence (Likert scale), and incorporating algorithm feasibility and face validity endpoints. The CASI algorithm was found to significantly increase participants' confidence in the assessment and management of skin injury (P = .002), skin irritation/contact dermatitis (P = .001), and noninfectious exudate (P < .01). A majority of participants reported the algorithm as easy to understand (24/25; 96%), containing all necessary information (24/25; 96%). Twenty-four of 25 (96%) stated that they would recommend the tool to

  9. Active-Site-Accessible, Porphyrinic Metal;#8722;Organic Framework Materials

    SciTech Connect

    Farha, Omar K.; Shultz, Abraham M.; Sarjeant, Amy A.; Nguyen, SonBinh T.; Hupp, Joseph T.

    2012-02-06

    On account of their structural similarity to cofactors found in many metallo-enzymes, metalloporphyrins are obvious potential building blocks for catalytically active, metal-organic framework (MOF) materials. While numerous porphyrin-based MOFs have already been described, versions featuring highly accessible active sites and permanent microporosity are remarkably scarce. Indeed, of the more than 70 previously reported porphyrinic MOFs, only one has been shown to be both permanently microporous and contain internally accessible active sites for chemical catalysis. Attempts to generalize the design approach used in this single successful case have failed. Reported here, however, is the synthesis of an extended family of MOFs that directly incorporate a variety of metalloporphyrins (specifically Al{sup 3+}, Zn{sup 2+}, Pd{sup 2+}, Mn{sup 3+}, and Fe{sup 3+} complexes). These robust porphyrinic materials (RPMs) feature large channels and readily accessible active sites. As an illustrative example, one of the manganese-containing RPMs is shown to be catalytically competent for the oxidation of alkenes and alkanes.

  10. How Accessible Are Public Libraries' Web Sites? A Study of Georgia Public Libraries

    ERIC Educational Resources Information Center

    Ingle, Emma; Green, Ravonne A.; Huprich, Julia

    2009-01-01

    One issue that public librarians must consider when planning Web site design is accessibility for patrons with disabilities. This article reports a study of Web site accessibility of public libraries in Georgia. The focus of the report is whether public libraries use accessible guidelines and standards in making their Web sites accessible. An…

  11. How Accessible Are Public Libraries' Web Sites? A Study of Georgia Public Libraries

    ERIC Educational Resources Information Center

    Ingle, Emma; Green, Ravonne A.; Huprich, Julia

    2009-01-01

    One issue that public librarians must consider when planning Web site design is accessibility for patrons with disabilities. This article reports a study of Web site accessibility of public libraries in Georgia. The focus of the report is whether public libraries use accessible guidelines and standards in making their Web sites accessible. An…

  12. Hanford site integrated pest management plan

    SciTech Connect

    Giddings, R.F.

    1996-04-09

    The Hanford Site Integrated Pest Management Plan (HSIPMP) defines the Integrated Pest Management (IPM) decision process and subsequent strategies by which pest problems are to be solved at all Hanford Site properties per DOE-RL Site Infrastructure Division memo (WHC 9505090). The HSIPMP defines the roles that contractor organizations play in supporting the IPM process. In short the IPM process anticipates and prevents pest activity and infestation by combining several strategies to achieve long-term pest control solutions.

  13. Laboratory information management system at the Hanford Site

    SciTech Connect

    Leggett, W.; Barth, D.; Ibsen, T.; Newman, B.

    1994-03-01

    In January of 1994 an important new technology was brought on line to help in the monumental waste management and environmental restoration work at the Hanford Site. Cleanup at the Hanford Site depends on analytical chemistry information to identify contaminates, design and monitor cleanup processes, assure worker safety, evaluate progress, and prove completion. The new technology, a laboratory information management system (LIMS) called ``LABCORE,`` provides the latest systems to organize and communicate the analytical tasks: track work and samples; collect and process data, prepare reports, and store data in readily accessible electronic form.

  14. Modelling privilege management and access control.

    PubMed

    Blobel, Bernd; Nordberg, Ragnar; Davis, John Mike; Pharow, Peter

    2006-08-01

    For establishing trustworthiness in advanced architectures for future-proof health information systems being open, flexible, scaleable, portable, and semantically interoperable, security and privacy services needed must be designed as an inherent part of the architecture. Such architecture has to meet the paradigms of distribution, component orientation, formal modelling, separation of logical and technological aspects, etc. In model-driven architectures components providing security and privacy services have to be specified using the same methodology of formal models with meta-languages as expression means, as deployed in computational, technical, or medical domains. The resulting approach must be based on the ISO Reference Model-Open Distributed Processing. Currently, standards developing organisation are defining emerging tasks and standards for semantic interoperability and trustworthy collaboration for advanced health information systems. Communication security issues have been specified and implemented, while application security challenges such as privilege management and access control are still under development. Therefore, a series of formal models have been developed by the authors covering, e.g. domains, service delegation, claims control, policies, roles, authorisations, and access control. The required models are introduced and interpreted in a generic way. The crucial concept of security policy and its relationship to the other concepts has been considered in detail. Based on formal models, security services can be integrated into advanced systems architectures enabling semantic interoperability in the context of trustworthiness of communication and co-operation.

  15. Public access management as an adaptive wildlife management tool

    USGS Publications Warehouse

    Ouren, Douglas S.; Watts, Raymond D.

    2005-01-01

    One key issue in the Black Mesa – Black Canyon area is the interaction between motorized vehicles and. The working hypothesis for this study is that early season elk movement onto private lands and the National Park is precipitated by increased use of Off Highway Vehicles (OHV’s). Data on intensity of motorized use is extremely limited. In this study, we monitor intensity of motorized vehicle and trail use on elk movements and habitat usage and analyze interactions. If management agencies decide to alter accessibility, we will monitor wildlife responses to changes in the human-use regime. This provides a unique opportunity for adaptive management experimentation based on coordinated research and monitoring. The products from this project will provide natural resource managers across the nation with tools and information to better meet these resource challenges.

  16. Site Planning for Solar Access: A Guidebook for Residential Developers and Site Planners.

    ERIC Educational Resources Information Center

    Erley, Duncan; Jaffe, Martin

    This manual is intended to guide developers, site planners, and builders in designing residential developments so that access to sunlight is maintained for planned or potential solar collectors. Almost any housing development can be designed to facilitate the use of solar energy. Differences are not in costs but in planning. Described in this…

  17. Managing Stormwater and Dust at Demolition Sites

    EPA Pesticide Factsheets

    Learn how to manage stormwater and dust at demolition sites, including developing a stormwater solution prevention plan, best practices for erosion, runoff and sediment control to reduce environmental impacts and comply with environmental regulations.

  18. Management of uncontrolled hazardous waste sites

    SciTech Connect

    Not Available

    1985-01-01

    This book is a compilation of papers presented at a conference on the management of uncontrolled hazardous waste sites. Papers were presented in the following topics: federal and state programs; sampling and monitoring; leaking tanks; in-situ treatment; site remediation; banner technology; storage/disposal; endangerment assessment; risk assessment techniques; and research and development.

  19. Remotely Accessed Vehicle Traffic Management System

    NASA Astrophysics Data System (ADS)

    Al-Alawi, Raida

    2010-06-01

    The ever increasing number of vehicles in most metropolitan cities around the world and the limitation in altering the transportation infrastructure, led to serious traffic congestion and an increase in the travelling time. In this work we exploit the emergence of novel technologies such as the internet, to design an intelligent Traffic Management System (TMS) that can remotely monitor and control a network of traffic light controllers located at different sites. The system is based on utilizing Embedded Web Servers (EWS) technology to design a web-based TMS. The EWS located at each intersection uses IP technology for communicating remotely with a Central Traffic Management Unit (CTMU) located at the traffic department authority. Friendly GUI software installed at the CTMU will be able to monitor the sequence of operation of the traffic lights and the presence of traffic at each intersection as well as remotely controlling the operation of the signals. The system has been validated by constructing a prototype that resembles the real application.

  20. Smart tools manage digital imagery access and workflow

    NASA Astrophysics Data System (ADS)

    Buzi, Miriam; LaFramboise, William A.

    2000-05-01

    Lockheed Martin's Intelligent Library System (ILS)TM imagery management solution was originally developed for users and distributors of Earth imagery emanating from commercial remote sensing satellites or aircraft. The product is a total hardware and software solution comprised of two main components: SmartArchiverTM digital asset management system and SmartAnalystTM imagery exploration tools. While investigating the latest technologies and developing Intelligent Library System (ILS)TM as a state-of-the-art system, we realized SmartArchiver systems offered robust functionality not available elsewhere for handling large medical imagery files. The SmartArchiver system's features answer the following needs of medical imagery handling: smooth handling of large individual imagery files; easy access to specific imagery or types of imagery; cost-effective storage of historical data and protection of imagery over time; ability to grow an archive to thousands of terabytes; distribution from a central archive to multiple viewing sites; varying levels of resolutions requirements at the viewing stations; strict multi-level security adherence; and automated workflow management. In this paper we detail the features of the system and how they apply to medical imagery management. We also describe how a medical application can be served by the SmartArchiver asset management system.

  1. Enabling Access in Digital Libraries: A Report on a Workshop on Access Management.

    ERIC Educational Resources Information Center

    Arms, Caroline, Ed.

    On April 6, 1998, the Digital Library Federation (DLF) and the National Science Foundation (NSF) sponsored a one-day workshop on ways to improve systems of managing access to digital information. The workshop was convened to provide input from research libraries with a focus on requirements for access management systems that can be designed and…

  2. The NORM technology connection web site : streamlined access to NORM-related service company and regulatory information.

    SciTech Connect

    Smith, K. P.; Richmond, P.; LePoire, D. J.; Arnish, J. J.; Johnson, R.

    2000-11-08

    Argonne National Laboratory has developed an Internet web site providing access to critical information needed to support decisions on the management and disposal of wastes containing naturally occurring radioactive material (NORM). The NORM Technology Connection web site provides current information on (1) service companies that provide support on NORM issues (e.g., site characterization and remediation, sample analysis, radiation safety training, disposal) and (2) existing applicable NORM regulations and guidelines. A third element of the site is an electronic mail list that allows users to post or respond to questions about the management of NORM. Development of the NORM Technology Connection web site was funded by the U.S. Department of Energy, Office of Fossil Energy. It is hosted and maintained by the Interstate Oil and Gas Compact Commission. The web site is publicly available; access is free, as is participation by any of the service companies.

  3. CommServer: A Communications Manager For Remote Data Sites

    NASA Astrophysics Data System (ADS)

    Irving, K.; Kane, D. L.

    2012-12-01

    CommServer is a software system that manages making connections to remote data-gathering stations, providing a simple network interface to client applications. The client requests a connection to a site by name, and the server establishes the connection, providing a bidirectional channel between the client and the target site if successful. CommServer was developed to manage networks of FreeWave serial data radios with multiple data sites, repeaters, and network-accessed base stations, and has been in continuous operational use for several years. Support for Iridium modems using RUDICS will be added soon, and no changes to the application interface are anticipated. CommServer is implemented on Linux using programs written in bash shell, Python, Perl, AWK, under a set of conventions we refer to as ThinObject.

  4. Increasing access and support for emergency management higher education programs.

    PubMed

    Cwiak, Carol L

    2014-01-01

    The number of emergency management higher education programs has grown dramatically since 1994 when the FEMA Higher Education Program was created to propagate and support such growth. Data collected annually since 2007 from emergency management higher education programs shows that these programs face some consistent challenges. These challenges were coupled with annual data on program access and support indicators via dimensional analysis to answer the questions: To what extent are the challenges linked to a lack of access or support? If there is linkage, what can be gleaned from these linkages that can help address the challenges through improving access and support? The analysis showed that lack of access to funding and resources, and lack of support from partner organizations, has an impact on emergency management higher education. Discussion of that impact is followed with detailed recommendations that are focused on strengthening both internal and external access and support relationships for emergency management higher education programs.

  5. Waste management units: Savannah River Site

    SciTech Connect

    Molen, G.

    1991-09-01

    This report indexes every waste management unit of the Savannah River Site. They are indexed by building number and name. The waste units are also tabulated by solid waste units receiving hazardous materials with a known release or no known release to the environment. It also contains information on the sites which has received no hazardous waste, and units which have received source, nuclear, or byproduct material only. (MB)

  6. Invasive Weed Management Is Site-Specific Weed Management.

    USDA-ARS?s Scientific Manuscript database

    Site-specific weed management in crops and invasive weed management in natural lands and rangelands appear to be unrelated research areas but there are many connections in the research problems, approaches and solutions. An obvious link is technology. The technology of precision agriculture - GPS, ...

  7. Site-Based Management. ERS Information Aid.

    ERIC Educational Resources Information Center

    Educational Research Service, Arlington, VA.

    Although many school districts eagerly embrace site-based management to resolve some fundamental problems facing education, it is wise to consider what effects this decentralization can realistically have. Since procedures vary from school to school, the literature cannot yet furnish guidelines for ensuring a particular program's success. To help…

  8. Nevada Test Site Resource Management Plan

    SciTech Connect

    1998-12-01

    The Nevada Test Site (NTS) Resource Management Plan (RMP) describes the NTS Stewardship Mission and how its accomplishment will preserve the resources of the ecoregion while accomplishing the objectives of the mission. The NTS Stewardship Mission is to manage the land and facilities at the NTS as a unique and valuable national resource. The RMP has defined goals for twelve resource areas based on the principles of ecosystem management. These goals were established using an interdisciplinary team of DOE/NV resource specialists with input from surrounding land managers, private parties, and representatives of Native American governments. The overall goal of the RMP is to facilitate improved NTS land use management decisions within the Great Basin and Mojave Desert ecoregions.

  9. 40 CFR 1400.3 - Public access to paper copies of off-site consequence analysis information.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Public access to paper copies of off-site consequence analysis information. 1400.3 Section 1400.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY AND DEPARTMENT OF JUSTICE ACCIDENTAL RELEASE PREVENTION REQUIREMENTS; RISK MANAGEMENT...

  10. 40 CFR 1400.9 - Access to off-site consequence analysis information by State and local government officials.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 34 2012-07-01 2012-07-01 false Access to off-site consequence analysis information by State and local government officials. 1400.9 Section 1400.9 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY AND DEPARTMENT OF JUSTICE ACCIDENTAL RELEASE PREVENTION REQUIREMENTS; RISK MANAGEMENT PROGRAMS UNDER THE CLEAN AIR...

  11. 40 CFR 1400.9 - Access to off-site consequence analysis information by State and local government officials.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Access to off-site consequence analysis information by State and local government officials. 1400.9 Section 1400.9 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY AND DEPARTMENT OF JUSTICE ACCIDENTAL RELEASE PREVENTION REQUIREMENTS; RISK MANAGEMENT PROGRAMS UNDER THE CLEAN AIR...

  12. 40 CFR 1400.3 - Public access to paper copies of off-site consequence analysis information.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 34 2013-07-01 2013-07-01 false Public access to paper copies of off-site consequence analysis information. 1400.3 Section 1400.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY AND DEPARTMENT OF JUSTICE ACCIDENTAL RELEASE PREVENTION REQUIREMENTS; RISK MANAGEMENT PROGRAMS UNDER THE CLEAN AIR ACT SECTION 112(...

  13. A comparison of the boomerang wire vascular access management system versus manual compression alone during percutaneous diagnostic and interventional cardiovascular procedures.

    PubMed

    Echeverria, Angela; Krajcer, Zvonimir

    2016-01-01

    Vascular closure devices allow for early sheath removal, allowing for earlier patient mobilization The Boomerang vascular access management system does not alter arterial integrity for future interventions Access site complications provide significant morbidity in diagnostic and therapeutic interventions.

  14. Indium-111-labeled leukocyte scintigraphy in hemodialysis access-site infection

    SciTech Connect

    Palestro, C.J.; Vega, A.; Kim, C.K.; Vallabhajosula, S.; Goldsmith, S.J. )

    1990-03-01

    Bacterial sepsis, a significant complication of chronic hemodialysis, is generally the result of infection at the vascular access site. We retrospectively reviewed the utility of indium-111-(111In) labeled autologous leukocyte scintigraphy in 26 patients (30 scans) with synthetic vascular grafts, on chronic hemodialysis, in whom hemodialysis access site infection was a diagnostic consideration. Leukocyte scintigraphy correctly identified all fifteen access-site infections; there was one false-positive study, for an overall sensitivity and specificity of 100% and 93%, respectively. Of particular significance is the fact that in nine (60%) of the fifteen access-site infections, physical examination was normal. Our data indicate that 111In-labeled leukocyte scintigraphy is a useful procedure for the diagnosis of hemodialysis access-site infection, and it is especially valuable when physical examination of the access site is normal.

  15. Remediation management of complex sites using an adaptive site management approach.

    PubMed

    Price, John; Spreng, Carl; Hawley, Elisabeth L; Deeb, Rula

    2017-04-08

    Complex sites require a disproportionate amount of resources for environmental remediation and long timeframes to achieve remediation objectives, due to their complex geologic conditions, hydrogeologic conditions, geochemical conditions, contaminant-related conditions, large scale of contamination, and/or non-technical challenges. A recent team of state and federal environmental regulators, federal agency representatives, industry experts, community stakeholders, and academia worked together as an Interstate Technology & Regulatory Council (ITRC) team to compile resources and create new guidance on the remediation management of complex sites. This article summarizes the ITRC team's recommended process for addressing complex sites through an adaptive site management approach. The team provided guidance for site managers and other stakeholders to evaluate site complexities and determine site remediation potential, i.e., whether an adaptive site management approach is warranted. Adaptive site management was described as a comprehensive, flexible approach to iteratively evaluate and adjust the remedial strategy in response to remedy performance. Key aspects of adaptive site management were described, including tools for revising and updating the conceptual site model (CSM), the importance of setting interim objectives to define short-term milestones on the journey to achieving site objectives, establishing a performance model and metrics to evaluate progress towards meeting interim objectives, and comparing actual with predicted progress during scheduled periodic evaluations, and establishing decision criteria for when and how to adapt/modify/revise the remedial strategy in response to remedy performance. Key findings will be published in an ITRC Technical and Regulatory guidance document in 2017 and free training webinars will be conducted. More information is available at www.itrc-web.org. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Hanford site ground water protection management plan

    SciTech Connect

    Not Available

    1994-10-01

    Ground water protection at the Hanford Site consists of preventative and remedial measures that are implemented in compliance with a variety of environmental regulations at local, state, and federal levels. These measures seek to ensure that the resource can sustain a broad range of beneficial uses. To effectively coordinate and ensure compliance with applicable regulations, the U.S. Department of Energy has issued DOE Order 5400.1 (DOE 1988a). This order requires all U.S. Department of Energy facilities to prepare separate ground water protection program descriptions and plans. This document describes the Ground Water Protection Management Plan (GPMP) for the Hanford Site located in the state of Washington. DOE Order 5400.1 specifies that the GPMP covers the following general topical areas: (1) documentation of the ground water regime; (2) design and implementation of a ground water monitoring program to support resource management and comply with applicable laws and regulations; (3) a management program for ground water protection and remediation; (4) a summary and identification of areas that may be contaminated with hazardous waste; (5) strategies for controlling hazardous waste sources; (6) a remedial action program; and (7) decontamination, decommissioning, and related remedial action requirements. Many of the above elements are currently covered by existing programs at the Hanford Site; thus, one of the primary purposes of this document is to provide a framework for coordination of existing ground water protection activities. The GPMP provides the ground water protection policy and strategies for ground water protection/management at the Hanford Site, as well as an implementation plan to improve coordination of site ground water activities.

  17. A Framework for Managing Inter-Site Storage Area Networks using Grid Technologies

    NASA Technical Reports Server (NTRS)

    Kobler, Ben; McCall, Fritz; Smorul, Mike

    2006-01-01

    The NASA Goddard Space Flight Center and the University of Maryland Institute for Advanced Computer Studies are studying mechanisms for installing and managing Storage Area Networks (SANs) that span multiple independent collaborating institutions using Storage Area Network Routers (SAN Routers). We present a framework for managing inter-site distributed SANs that uses Grid Technologies to balance the competing needs to control local resources, share information, delegate administrative access, and manage the complex trust relationships between the participating sites.

  18. CEO Sites Mission Management System (SMMS)

    NASA Technical Reports Server (NTRS)

    Trenchard, Mike

    2014-01-01

    Late in fiscal year 2011, the Crew Earth Observations (CEO) team was tasked to upgrade its science site database management tool, which at the time was integrated with the Automated Mission Planning System (AMPS) originally developed for Earth Observations mission planning in the 1980s. Although AMPS had been adapted and was reliably used by CEO for International Space Station (ISS) payload operations support, the database structure was dated, and the compiler required for modifications would not be supported in the Windows 7 64-bit operating system scheduled for implementation the following year. The Sites Mission Management System (SMMS) is now the tool used by CEO to manage a heritage Structured Query Language (SQL) database of more than 2,000 records for Earth science sites. SMMS is a carefully designed and crafted in-house software package with complete and detailed help files available for the user and meticulous internal documentation for future modifications. It was delivered in February 2012 for test and evaluation. Following acceptance, it was implemented for CEO mission operations support in April 2012. The database spans the period from the earliest systematic requests for astronaut photography during the shuttle era to current ISS mission support of the CEO science payload. Besides logging basic image information (site names, locations, broad application categories, and mission requests), the upgraded database management tool now tracks dates of creation, modification, and activation; imagery acquired in response to requests; the status and location of ancillary site information; and affiliations with studies, their sponsors, and collaborators. SMMS was designed to facilitate overall mission planning in terms of site selection and activation and provide the necessary site parameters for the Satellite Tool Kit (STK) Integrated Message Production List Editor (SIMPLE), which is used by CEO operations to perform daily ISS mission planning. The CEO team

  19. Hacking Blackboard: Customizing Access to Library Resources through the Blackboard Course Management System

    ERIC Educational Resources Information Center

    Kellam, Lynda M.; Cox, Richard; Winkler, Hannah

    2009-01-01

    Academic libraries have long been trying to gain access to users through their favorite online spaces, such as social networking sites. In this article a project of the University of North Carolina at Greensboro's University Libraries, which integrated library resources with the campus course management system, Blackboard, is detailed. The main…

  20. Hacking Blackboard: Customizing Access to Library Resources through the Blackboard Course Management System

    ERIC Educational Resources Information Center

    Kellam, Lynda M.; Cox, Richard; Winkler, Hannah

    2009-01-01

    Academic libraries have long been trying to gain access to users through their favorite online spaces, such as social networking sites. In this article a project of the University of North Carolina at Greensboro's University Libraries, which integrated library resources with the campus course management system, Blackboard, is detailed. The main…

  1. Management of hypertension in patients during percutaneous dialysis access interventions.

    PubMed

    Gandhi, Bhavika V; Patel, Tejas B; Costanzo, Eric J; Masud, Avais; Mehandru, Sushil; Salman, Loay

    2017-09-11

    Not infrequently, interventionalists are faced with a patient with increased blood pressure who is about to undergo a dialysis access intervention such as tunneled hemodialysis catheter, percutaneous balloon angioplasty, or declotting procedure for a clotted arteriovenous access. This can frequently create a dilemma as functional dialysis access is needed to provide dialysis therapy and delaying treatment could result in a life-threatening situation, particularly in the presence of hyperkalemia. This article investigates hypertension in patients undergoing percutaneous dialysis access interventions and provides guidance to their management.

  2. Accessibility of School Districts' Web Sites: A Descriptive Study

    ERIC Educational Resources Information Center

    Bray, Marty; Flowers, Claudia; Gibson, Patricia

    2003-01-01

    Many school districts (SDs) use the World Wide Web (WWW or Web) to disseminate a wide variety of information about things such as district events, policies, and a wide variety of student information. On-line barriers limit the accessibility of the WWW for persons and students with disabilities and thus can limit their access to vital information.…

  3. Safety management of Ethernet broadband access based on VLAN aggregation

    NASA Astrophysics Data System (ADS)

    Wang, Li

    2004-04-01

    With broadband access network development, the Ethernet technology is more and more applied access network now. It is different from the private network -LAN. The differences lie in four points: customer management, safety management, service management and count-fee management. This paper mainly discusses the safety management related questions. Safety management means that the access network must secure the customer data safety, isolate the broad message which brings the customer private information, such as ARP, DHCP, and protect key equipment from attack. Virtue LAN (VLAN) technology can restrict network broadcast flow. We can config each customer port with a VLAN, so each customer is isolated with others. The IP address bound with VLAN ID can be routed rightly. But this technology brings another question: IP address shortage. VLAN aggregation technology can solve this problem well. Such a mechanism provides several advantages over traditional IPv4 addressing architectures employed in large switched LANs today. With VLAN aggregation technology, we introduce the notion of sub-VLANs and super-VLANs, a much more optimal approach to IP addressing can be realized. This paper will expatiate the VLAN aggregation model and its implementation in Ethernet access network. It is obvious that the customers in different sub-VLANs can not communication to each other because the ARP packet is isolated. Proxy ARP can enable the communication among them. This paper will also expatiate the proxy ARP model and its implementation in Ethernet access network.

  4. 18 CFR 16.5 - Site access for a competing applicant.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Site access for a competing applicant. 16.5 Section 16.5 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... RELICENSING OF LICENSED PROJECTS General Provisions § 16.5 Site access for a competing applicant. (a)...

  5. Association of State Access Standards With Accessibility to Specialists for Medicaid Managed Care Enrollees.

    PubMed

    Ndumele, Chima D; Cohen, Michael S; Cleary, Paul D

    2017-10-01

    Medicaid recipients have consistently reported less timely access to specialists than patients with other types of coverage. By 2018, state Medicaid agencies will be required by the Center for Medicare and Medicaid Services (CMS) to enact time and distance standards for managed care organizations to ensure an adequate supply of specialist physicians for enrollees; however, there have been no published studies of whether these policies have significant effects on access to specialty care. To compare ratings of access to specialists for adult Medicaid and commercial enrollees before and after the implementation of specialty access standards. We used Consumer Assessment of Healthcare Providers and Systems survey data to conduct a quasiexperimental difference-in-differences (DID) analysis of 20 163 nonelderly adult Medicaid managed care (MMC) enrollees and 54 465 commercially insured enrollees in 5 states adopting access standards, and 37 290 MMC enrollees in 5 matched states that previously adopted access standards. Reported access to specialty care in the previous 6 months. Seven thousand six hundred ninety-eight (69%) Medicaid enrollees and 28 423 (75%) commercial enrollees reported that it was always or usually easy to get an appointment with a specialist before the policy implementation (or at baseline) compared with 11 889 (67%) of Medicaid enrollees in states that had previously implemented access standards. Overall, there was no significant improvement in timely access to specialty services for MMC enrollees in the period following implementation of standard(s) (adjusted difference-in-differences, -1.2 percentage points; 95% CI, -2.7 to 0.1), nor was there any impact of access standards on insurance-based disparities in access (0.6 percentage points; 95% CI, -4.3 to 5.4). There was heterogeneity across states, with 1 state that implemented both time and distance standards demonstrating significant improvements in access and reductions in disparities

  6. Web Site Accessibility: What Logo Will We Use Today?

    ERIC Educational Resources Information Center

    Witt, Neil; McDermott, Anne

    2004-01-01

    The Special Educational Needs and Disability Act has amended the Disability Discrimination Act and requires that students with a disability not be discriminated against or substantially disadvantaged by establishments of further and higher education. Academic web site developers must take steps to ensure that their sites fulfil this requirement,…

  7. Web Site Accessibility: What Logo Will We Use Today?

    ERIC Educational Resources Information Center

    Witt, Neil; McDermott, Anne

    2004-01-01

    The Special Educational Needs and Disability Act has amended the Disability Discrimination Act and requires that students with a disability not be discriminated against or substantially disadvantaged by establishments of further and higher education. Academic web site developers must take steps to ensure that their sites fulfil this requirement,…

  8. Accessibility of U.S. Federal Government Home Pages: Section 508 Compliance and Site Accessibility Statements

    ERIC Educational Resources Information Center

    Olalere, Abiodun; Lazar, Jonathan

    2011-01-01

    U.S. federal websites are required to be accessible for people with impairments. However, despite the existing regulations and guidelines, many federal websites continue to be inaccessible, and accessibility policy statements available on federal websites often do not provide any useful information. This paper provides three contributions to the…

  9. Draft Site Management and Monitoring Plan, Corpus Christi Site Management and Monitoring Plan for Maintenance and New Work Ocean Dredged Material Disposal Site

    EPA Pesticide Factsheets

    USEPA Region 6 and the US Army Corps of Engineers submit for comment this Draft Site Management and Monitoring Plan, Corpus Christi Site Management and Monitoring Plan for Maintenance and New Work Ocean Dredged Material Disposal Site

  10. Usability and Accessibility of Air Force Intranet Web Sites

    DTIC Science & Technology

    2006-03-23

    Dennis D. Strouble , PhD (Member) date /signed/ 03 Mar 06...recognize Dr . Van Slyke for undertaking this endeavor despite difficult circumstances and for his continued support when he had a much higher priority...the Internet and utilize network security technologies to limit access (FitzGerald and Dennis , 2005; Van Slyke and Belanger, 2003). The textbook

  11. Secure Web-Site Access with Tickets and Message-Dependent Digests

    USGS Publications Warehouse

    Donato, David I.

    2008-01-01

    Although there are various methods for restricting access to documents stored on a World Wide Web (WWW) site (a Web site), none of the widely used methods is completely suitable for restricting access to Web applications hosted on an otherwise publicly accessible Web site. A new technique, however, provides a mix of features well suited for restricting Web-site or Web-application access to authorized users, including the following: secure user authentication, tamper-resistant sessions, simple access to user state variables by server-side applications, and clean session terminations. This technique, called message-dependent digests with tickets, or MDDT, maintains secure user sessions by passing single-use nonces (tickets) and message-dependent digests of user credentials back and forth between client and server. Appendix 2 provides a working implementation of MDDT with PHP server-side code and JavaScript client-side code.

  12. Web site access statistics and delivery of research results

    Treesearch

    Daniel L. Schmoldt; Matthew F. Winn; Philip A. Araman

    1998-01-01

    For the past 2-1/2 years, our Research Work Unit (RWU) has been operating a Web site (http://www.se4702.forprod.vt.edu). The site became operational in October 1995. In the beginning, it was primarily designed to stake out a piece of the Internet with our name and our RWU’s organizational mission. Quickly, it became apparent to us, however, that our user community...

  13. Savannah River Site`s Site Specific Plan. Environmental restoration and waste management, fiscal year 1992

    SciTech Connect

    Not Available

    1991-08-01

    This Site Specific Plan (SSP) has been prepared by the Savannah River Site (SRS) in order to show the Environmental Restoration and Waste Management activities that were identified during the preparation of the Department of Energy-Headquarters (DOE-HQ) Environmental Restoration and Waste Management Five-Year Plan (FYP) for FY 1992--1996. The SSP has been prepared in accordance with guidance received from DOE-HQ. DOE-SR is accountable to DOE-HQ for the implementation of this plan. The purpose of the SSP is to develop a baseline for policy, budget, and schedules for the DOE Environmental Restoration and Waste Management activities. The plan explains accomplishments since the Fiscal Year (FY) 1990 plan, demonstrates how present and future activities are prioritized, identifies currently funded activities and activities that are planned to be funded in the upcoming fiscal year, and describes future activities that SRS is considering.

  14. 40 CFR 1400.9 - Access to off-site consequence analysis information by State and local government officials.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 33 2011-07-01 2011-07-01 false Access to off-site consequence... CONSEQUENCE ANALYSIS INFORMATION DISTRIBUTION OF OFF-SITE CONSEQUENCE ANALYSIS INFORMATION Access to Off-Site Consequence Analysis Information by Government Officials. § 1400.9 Access to off-site consequence...

  15. Workplace Learning: The Roles of Knowledge Accessibility and Management

    ERIC Educational Resources Information Center

    Li, Jessica; Brake, Gary; Champion, Angeline; Fuller, Tony; Gabel, Sandy; Hatcher-Busch, Lori

    2009-01-01

    Purpose: The purpose of this paper is to examine how knowledge management systems have been used by the studied organizations to improve knowledge accessibility and knowledge sharing in order to increase workplace learning. Design/methodology/approach: The study relies on a qualitative multisite case study method. Data were obtained from five…

  16. Search Hanford accessible reports electronically system configuration management plan

    SciTech Connect

    White, E.L.

    1995-01-01

    This Software Configuration Management Plan (SCMP) provides the requirements for control of the Search Hanford Accessible Reports Electronically (SHARE) software and documentation. The SHARE system consists of the TOPIC Text Search and Retrieval software and the programs necessary to extract information from other sources to be placed in SHARE.

  17. SUPPORTING THE REDEVELOPMENT OF BROWNFIELD SITES USING SITE-SPECIFIC MANAGEMENT APPROACHES AND REDEVELOPMENT TOOLS (SMART)

    EPA Science Inventory

    The Site-Specific Management Approaches and Redevelopment Tools (SMART) provides potential solutions for facilitating the redevelopment of brownfield sites. The term "brownfield site" refers to previously developed property whose reuse may be complicated by the presence of hazar...

  18. SUPPORTING THE REDEVELOPMENT OF BROWNFIELD SITES USING SITE-SPECIFIC MANAGEMENT APPROACHES AND REDEVELOPMENT TOOLS (SMART)

    EPA Science Inventory

    The Site-Specific Management Approaches and Redevelopment Tools (SMART) provides potential solutions for facilitating the redevelopment of brownfield sites. The term "brownfield site" refers to previously developed property whose reuse may be complicated by the presence of hazar...

  19. Novel Use of a Pneumatic Compression Device for Haemostasis of Haemodialysis Fistula Access Catheterisation Sites.

    PubMed

    O'Reilly, Michael K; Ryan, David; Sugrue, Gavin; Geoghegan, Tony; Lawler, Leo P; Farrelly, Cormac T

    2016-12-01

    Transradial pneumatic compression devices can be used to achieve haemostasis following radial artery puncture. This article describes a novel technique for acquiring haemostasis of arterio-venous haemodialysis fistula access sites without the need for suture placement using one such compression device. A retrospective review of fistulograms with or without angioplasty/thrombectomy in a single institution was performed. 20 procedures performed on 12 patients who underwent percutaneous intervention of failing or thrombosed arterio-venous fistulas (AVF) had 27 puncture sites. Haemostasis was achieved using a pneumatic compression device at all access sites. Procedure details including size of access sheath, heparin administration and complications were recorded. Two diagnostic fistulograms, 14 fistulograms and angioplasties and four thrombectomies were performed via access sheaths with an average size (±SD) of 6 Fr (±1.12). IV unfractionated heparin was administered in 11 of 20 procedures. Haemostasis was achieved in 26 of 27 access sites following 15-20 min of compression using the pneumatic compression device. One case experienced limited bleeding from an inflow access site that was successfully treated with reinflation of the device for a further 5 min. No other complication was recorded. Haemostasis of arterio-venous haemodialysis fistula access sites can be safely and effectively achieved using a pneumatic compression device. This is a technically simple, safe and sutureless technique for acquiring haemostasis after AVF intervention.

  20. Surgical Management of Percutaneous Transfemoral Access to Minimize Vascular Complications Related to Transcatheter Aortic Valve' Implantation.

    PubMed

    Lareyre, Fabien; Raffort, Juliette; Dommerc, Carine; Habib, Yacoub; Bourlon, François; Mialhe, Claude

    2017-01-01

    Transcatheter aortic valve implantation (TAVI) is associated with substantial rates of vascular complications. The aim of our study is to describe the surgical management of percutaneous transfemoral access by a vascular surgeon and to report the 30-day postoperative vascular complications and mortality. Perioperative procedures to manage the femoral access site were recorded retrospectively from 220 consecutive patients who underwent TAVI. Postoperative vascular complications related to the main access were categorized according to the Valve Academic Research Consortium 2 classification. Perioperative procedures related to vascular access were performed for 56 (25.4%) patients: 6 patients required open surgical repair, 48 patients underwent endovascular stenting, and 2 patients had both procedures. The all-cause mortality was 3.6%, but no death related to a vascular complication was reported during the 30-day postoperative follow-up period. Ten (4.5%) patients developed postoperative hematomas; 2 (0.9%) of them were retroperitoneal and led to major bleeding requiring an unplanned surgical intervention. Our study underlines the utility of a multidisciplinary approach to manage the percutaneous access in TAVI for managing postoperative vascular complications.

  1. Hand Society and Matching Program Web Sites Provide Poor Access to Information Regarding Hand Surgery Fellowship.

    PubMed

    Hinds, Richard M; Klifto, Christopher S; Naik, Amish A; Sapienza, Anthony; Capo, John T

    2016-08-01

    The Internet is a common resource for applicants of hand surgery fellowships, however, the quality and accessibility of fellowship online information is unknown. The objectives of this study were to evaluate the accessibility of hand surgery fellowship Web sites and to assess the quality of information provided via program Web sites. Hand fellowship Web site accessibility was evaluated by reviewing the American Society for Surgery of the Hand (ASSH) on November 16, 2014 and the National Resident Matching Program (NRMP) fellowship directories on February 12, 2015, and performing an independent Google search on November 25, 2014. Accessible Web sites were then assessed for quality of the presented information. A total of 81 programs were identified with the ASSH directory featuring direct links to 32% of program Web sites and the NRMP directory directly linking to 0%. A Google search yielded direct links to 86% of program Web sites. The quality of presented information varied greatly among the 72 accessible Web sites. Program description (100%), fellowship application requirements (97%), program contact email address (85%), and research requirements (75%) were the most commonly presented components of fellowship information. Hand fellowship program Web sites can be accessed from the ASSH directory and, to a lesser extent, the NRMP directory. However, a Google search is the most reliable method to access online fellowship information. Of assessable programs, all featured a program description though the quality of the remaining information was variable. Hand surgery fellowship applicants may face some difficulties when attempting to gather program information online. Future efforts should focus on improving the accessibility and content quality on hand surgery fellowship program Web sites.

  2. Former UST Site Reused as Greenspace and Access to Ancient Ceremonial Nikwasi Mound in North Carolina

    EPA Pesticide Factsheets

    Read about a former underground storage tank site fronting on the Little Tennessee River in Franklin, NC that is now reused as an attractive greenspace with parking and Main Street access to the Nikwasi Mound.

  3. Usability of AcceSS for Web Site Accessibility. Research Report

    ERIC Educational Resources Information Center

    Hackett, Stephanie; Parmanto, Bambang

    2006-01-01

    The standard display of web pages is inadequate for users who are visually impaired. Most visually impaired people obtain information from a web page in a linear fashion via a screen reader, whereas sighted users can immediately obtain a bird's-eye view of a web page's organization and content by quickly scanning the page. AcceSS (which stands for…

  4. X10: A FORTRAN direct access data management system

    NASA Technical Reports Server (NTRS)

    Roland, D. P.

    1978-01-01

    The XIO system is a set of subroutines that provide generalized data management capability for FORTRAN programs using a direct access file. Arrays of integer, real, double precision, and character data may be stored, each logical group of data identified by a unique matrix number. A matrix may be organized and stored as batches to reduce core requirements. Batches may be accessed randomly or sequentially. The file may be checkpointed and retained, allowing for restarts with stored values. The XIO subroutines operate on either IBM 360-370/OS/VS or DEC PDP-11/RSX computing systems.

  5. Technitium Management at the Hanford Site

    SciTech Connect

    Robbins, Rebecca A.

    2013-08-15

    Long Abstract. Full Text. The Hanford tank waste contains approx 26,000 Ci of technetium-99 (Tc-99), the majority of which is in the supernate fraction. Tc-99 is a long-lived radionuclide with a half-life of approx 212,000 years and, in its predominant pertechnetate (TcO{sub 4}) form, is highly soluble and very mobile in the vadose zone and ultimately the groundwater. Tc-99 is identified as the major dose contributor (in groundwater) by past Hanford site performance assessments and therefore considered a key radionuclide of concern at Hanford. The United States Department of Energy (DOE) River Protection Project's (RPP) long-term Tc-99 management strategy is to immobilize the Tc-99 in a waste form that will retain the Tc-99 for many thousands of years. To achieve this, the RPP flowsheet will immobilize the majority of the Tc-99 as a vitrified low-activity waste product that will be ultimately disposed on site in the Integrated Disposal Facility. The Tc-99 will be released gradually from the glass at very low rates such that the groundwater concentrations at any point in time would be substantially below regulatory limits.The liquid secondary waste will be immobilized in a low-temperature matrix (cast stone) and the solid secondary waste will be stabilized using grout. Although the Tc-99 that is immobilized in glass will meet the release rate for disposal in IDF, a proportion is driven into the secondary waste stream that will not be vitrified and therefore presents a disposal risk. If a portion of the Tc-99 were to be removed from the Hanford waste inventory and disposed off-site, (e.g., as HLW), it could lessen a major constraint on LAW waste form performance, i.e., the requirement to retain Tc-99 over thousands of years and have a positive impact on the IDF Performance Assessment. There are several technologies available at various stages of technical maturity that can be employed for Tc-99 removal. The choice of technology and the associated efficacy of the

  6. 40 CFR 228.3 - Disposal site management responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 24 2010-07-01 2010-07-01 false Disposal site management responsibilities. 228.3 Section 228.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) OCEAN DUMPING CRITERIA FOR THE MANAGEMENT OF DISPOSAL SITES FOR OCEAN DUMPING § 228.3 Disposal site...

  7. Method and apparatus for managing access to a memory

    DOEpatents

    DeBenedictis, Erik

    2017-08-01

    A method and apparatus for managing access to a memory of a computing system. A controller transforms a plurality of operations that represent a computing job into an operational memory layout that reduces a size of a selected portion of the memory that needs to be accessed to perform the computing job. The controller stores the operational memory layout in a plurality of memory cells within the selected portion of the memory. The controller controls a sequence by which a processor in the computing system accesses the memory to perform the computing job using the operational memory layout. The operational memory layout reduces an amount of energy consumed by the processor to perform the computing job.

  8. The contribution of atom accessibility to site of metabolism models for cytochromes P450.

    PubMed

    Rydberg, Patrik; Rostkowski, Michal; Gloriam, David E; Olsen, Lars

    2013-04-01

    Three different types of atom accessibility descriptors are investigated in relation to site of metabolism predictions. To enable the integration of local accessibility we have constructed 2DSASA, a method for the calculation of the atomic solvent accessible surface area that is independent of 3D coordinates. The method was implemented in the SMARTCyp site of metabolism prediction models and improved the results by up to 4 percentage points for nine cytochrome P450 isoforms. The final models are made available at http://www.farma.ku.dk/smartcyp.

  9. 41 CFR 102-79.95 - Who is responsible for the costs associated with providing access to antenna sites?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... the costs associated with providing access to antenna sites? 102-79.95 Section 102-79.95 Public... providing access to antenna sites? The telecommunications service provider is responsible for any reasonable costs to Federal agencies associated with providing access to antenna sites, including...

  10. 41 CFR 102-79.95 - Who is responsible for the costs associated with providing access to antenna sites?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... the costs associated with providing access to antenna sites? 102-79.95 Section 102-79.95 Public... providing access to antenna sites? The telecommunications service provider is responsible for any reasonable costs to Federal agencies associated with providing access to antenna sites, including...

  11. Management of Decommissioning on a Multi-Facility Site

    SciTech Connect

    Laraia, Michele; McIntyre, Peter; Visagie, Abrie

    2008-01-15

    The management of the decommissioning of multi-facility sites may be inadequate or inappropriate if based on approaches and strategies developed for sites consisting of only a single facility. The varied nature of activities undertaken, their interfaces and their interdependencies are likely to complicate the management of decommissioning. These issues can be exacerbated where some facilities are entering the decommissioning phase while others are still operational or even new facilities are being built. Multi-facility sites are not uncommon worldwide but perhaps insufficient attention has been paid to optimizing the overall site decommissioning in the context of the entire life cycle of facilities. Decommissioning management arrangements need to be established taking a view across the whole site. A site-wide decommissioning management system is required. This should include a project evaluation and approval process and specific arrangements to manage identified interfaces and interdependencies. A group should be created to manage decommissioning across the site, ensuring adequate and consistent practices in accordance with the management system. Decommissioning management should be aimed at the entire life cycle of facilities. In the case of multi facility sites, the process becomes more complex and decommissioning management arrangements need to be established with a view to the whole site. A site decommissioning management system, a group that is responsible for decommissioning on site, a site project evaluation and approval process and specific arrangements to manage the identified interfaces are key areas of a site decommissioning management structure that need to be addressed to ensure adequate and consistent decommissioning practices. A decommissioning strategy based on single facilities in a sequential manner is deemed inadequate.

  12. Characterization Report for the 92-Acre Area of the Area 5 Radioactive Waste Management Site, Nevada Test Site, Nevada

    SciTech Connect

    Bechtel Nevada; U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office

    2006-06-01

    The U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office manages two low-level Radioactive Waste Management Sites at the Nevada Test Site. The Area 5 RWMS uses engineered shallow-land burial cells to dispose of packaged waste. This report summarizes characterization and monitoring work pertinent to the 92-Acre Area in the southeast part of the Area 5 Radioactive Waste Management Sites. The decades of characterization and assessment work at the Area 5 RWMS indicate that the access controls, waste operation practices, site design, final cover design, site setting, and arid natural environment contribute to a containment system that meets regulatory requirements and performance objectives for the short- and long-term protection of the environment and public. The available characterization and Performance Assessment information is adequate to support design of the final cover and development of closure plans. No further characterization is warranted to demonstrate regulatory compliance. U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office is proceeding with the development of closure plans for the six closure units of the 92-Acre Area.

  13. Improving access to adequate pain management in Taiwan.

    PubMed

    Scholten, Willem

    2015-06-01

    There is a global crisis in access to pain management in the world. WHO estimates that 4.65 billion people live in countries where medical opioid consumption is near to zero. For 2010, WHO considered a per capita consumption of 216.7 mg morphine equivalents adequate, while Taiwan had a per capita consumption of 0.05 mg morphine equivalents in 2007. In Asia, the use of opioids is sensitive because of the Opium Wars in the 19th century and for this reason, the focus of controlled substances policies has been on the prevention of diversion and dependence. However, an optimal public health outcome requires that also the beneficial aspects of these substances are acknowledged. Therefore, WHO recommends a policy based on the Principle of Balance: ensuring access for medical and scientific purposes while preventing diversion, harmful use and dependence. Furthermore, international law requires that countries ensure access to opioid analgesics for medical and scientific purposes. There is evidence that opioid analgesics for chronic pain are not associated with a major risk for developing dependence. Barriers for access can be classified in the categories of overly restrictive laws and regulations; insufficient medical training on pain management and problems related to assessment of medical needs; attitudes like an excessive fear for dependence or diversion; and economic and logistical problems. The GOPI project found many examples of such barriers in Asia. Access to opioid medicines in Taiwan can be improved by analysing the national situation and drafting a plan. The WHO policy guidelines Ensuring Balance in National Policies on Controlled Substances can be helpful for achieving this purpose, as well as international guidelines for pain treatment. Copyright © 2015. Published by Elsevier B.V.

  14. Waste management units - Savannah River Site

    SciTech Connect

    Not Available

    1989-10-01

    This report is a compilation of worksheets from the waste management units of Savannah River Plant. Information is presented on the following: Solid Waste Management Units having received hazardous waste or hazardous constituents with a known release to the environment; Solid Waste Management Units having received hazardous waste or hazardous constituents with no known release to the environment; Solid Waste Management Units having received no hazardous waste or hazardous constituents; Waste Management Units having received source; and special nuclear, or byproduct material only.

  15. 76 FR 38143 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-29

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy, DOE... Site-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L.... ADDRESSES: Savannah Rapids Pavilion, 3300 Evans to Locks Road, Martinez, GA 30907. FOR FURTHER...

  16. Green Remediation Best Management Practices: Site Investigation

    EPA Pesticide Factsheets

    The U.S. EPA Principles for Greener Cleanups outline the Agency's policy for evaluating and minimizing the environmental 'footprint' of activities undertaken when cleaning up a contaminated site and conducting site investigation.

  17. Nevada Test Site 2007 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    NSTec Environmental Management

    2008-01-01

    This report is a compilation of the groundwater sampling results from three monitoring wells located near the Area 5 Radioactive Waste Management Site (RWMS) at the Nevada Test Site (NTS), Nye County, Nevada, for calendar year 2007. The NTS is an approximately 3,561 square kilometer (1,375 square mile) restricted-access federal installation located approximately 105 kilometers (65 miles) northwest of Las Vegas, Nevada (Figure 1). Pilot wells UE5PW-1, UE5PW-2, and UE5PW-3 are used to monitor the groundwater at the Area 5 RWMS (Figure 2). In addition to groundwater monitoring results, this report includes information regarding site hydrogeology, well construction, sample collection, and meteorological data measured at the Area 5 RWMS. The disposal of low-level radioactive waste and mixed low-level radioactive waste at the Area 5 RWMS is regulated by U.S. Department of Energy (DOE) Order 435.1, 'Radioactive Waste Management'. The disposal of mixed low-level radioactive waste is also regulated by the state of Nevada under the Resource Conservation and Recovery Act (RCRA) regulation Title 40 Code of Federal Regulations (CFR) Part 265, 'Interim Status Standards for Owners and Operators of Hazardous Waste Treatment, Storage, and Disposal Facilities' (CFR, 1999). The format of this report was requested by the Nevada Division of Environmental Protection (NDEP) in a letter dated August 12, 1997. The appearance and arrangement of this document have been modified slightly since that date to provide additional information and to facilitate the readability of the document. The objective of this report is to satisfy any Area 5 RWMS reporting agreements between DOE and NDEP.

  18. Percutaneous management of vascular access in transfemoral transcatheter aortic valve implantation

    PubMed Central

    Dato, Ilaria; Burzotta, Francesco; Trani, Carlo; Crea, Filippo; Ussia, Gian Paolo

    2014-01-01

    Transcatheter aortic valve implantation (TAVI) using stent-based bioprostheses has recently emerged as a promising alternative to surgical valve replacement in selected patients. The main route for TAVI is retrograde access from the femoral artery using large sheaths (16-24 F). Vascular access complications are a clinically relevant issue in TAVI procedures since they are reported to occur in up to one fourth of patients and are strongly associated with adverse outcomes. In the present paper, we review the different types of vascular access site complications associated with transfemoral TAVI. Moreover, we discuss the possible optimal management strategies with particular attention to the relevance of early diagnosis and prompt treatment using endovascular techniques. PMID:25228962

  19. A technique for re-utilizing catheter insertion sites in children with difficult central venous access.

    PubMed

    Johnson, S M; Garnett, G M; Woo, R K

    2017-01-01

    Maintenance of central venous access in patients with chronic medical conditions such as short bowel syndrome demands forethought and ingenuity. We describe an innovative technique for re-utilizing central venous access sites in patients who have chronic central venous access needs. Records of patients undergoing this technique were reviewed between August 2012 and December 2015. The technique involves "cutting-down" to the sterile fibrous tunnel that naturally forms around tunneled catheters. The fibrous sheath is then isolated and controlled much as would be done for a venous "cut-down." A separate exit site is then created for the new catheter and it is tunneled to the "cut-down" site per routine. The non-functioning catheter is then removed from the surgical field. The proximal fibrous sheath is finally cannulated either directly with the new catheter or with a wire/dilator system. This technique effectively re-uses the same venous access point while allowing for a complete change of the physical line and external site. Twenty attempts at this technique were made in twelve patients; six patients underwent the site re-utilization procedure multiple times. Re-using the fibrous tunnel to re-cycle the internal catheter site was successful in seventeen of twenty attempts. All patients had chronic conditions leading to difficult long-term central venous access [short bowel syndrome (6), hemophilia (2), cystic fibrosis (1), chronic need for central IV access (3)]. Indications for catheter replacement included catheter occlusion/mechanical failure/breakage (9), dislodgement (6), infection (1), and inadequate catheter length due to patient growth (4). Broviac/Hickman catheter sites were most commonly re-used (13; one failure); re-using a portcath site was successful in 5 of 7 attempts. There were no short term infections or mechanical complications. We describe a novel technique for salvaging tunneled central venous catheter access sites. This technique is well suited

  20. Access to care - an unmet need in headache management?

    PubMed Central

    2014-01-01

    Access to care for headache sufferers is not always simple. A survey conducted in a large number of members of lay associations point to the existence of multiple barriers to care for headache in several European countries. Patients usually discover the existence of specialized structures with a delay of several years after the onset of their headache. Furthermore, a relevant portion of them are not satisfied with the management of their disease, partly because of the poor efficacy of treatments and partly because of the difficulty to get in touch with the specialist. Headache disorders, and primary headaches in particular, represent an important issue in public health, because they are common, disabling and treatable. A joint effort is required from the relevant stakeholders (scientists, lay organizations, decision-makers, healthcare policymakers, and others) to improve the access to care for headache sufferers. PMID:24742114

  1. Universal Access in Heritage Sites: A Case Study on Historic Sites in Jaipur, India.

    PubMed

    Vardia, Shweta; Khare, Rachna; Khare, Ajay

    2016-01-01

    A nation is recognized by a range of its significant historical, cultural and natural properties. These properties are generally preserved and maintained either by national administration or by private owners and charitable trusts due to higher value of their cultural inheritance and termed globally as heritage or historic sites. Heritage sites are a significant asset, a unique and irreplaceable resource which reflects a rich and diverse expression of past societies and forms an integral part of local, regional and national cultural identity. Today, heritage sites also play an important role in communication and knowledge exchange. Thus the rapidly increasing heritage tourism industry faces several challenges too. One of the challenges is that there is a segment of society who is not yet able to equally enjoy the visit to historic structures/sites and attractions, facilities and services. This paper aims to study the experience and develop understanding regarding the heritage structures/sites approached and interacted by diverse users. This study is an outcome of a hands on workshop conducted with diverse users at various historic sites in the city of Jaipur viz. at The City Palace Complex, Jaipur, Jaigarh Fort and the Haveli at Kanota near to Jaipur India.

  2. Site Specific Management of Cotton Production in the United States

    USDA-ARS?s Scientific Manuscript database

    Site-specific management or precision agriculture, as it is evolving in large-scale crop production, offers promising new methods for managing cotton production for optimized yields, maximized profitability, and minimized environmental pollution. However, adaptation of site-specific theory and meth...

  3. 40 CFR 1400.3 - Public access to paper copies of off-site consequence analysis information.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... INFORMATION DISTRIBUTION OF OFF-SITE CONSEQUENCE ANALYSIS INFORMATION Public Access § 1400.3 Public access to... 40 Protection of Environment 33 2011-07-01 2011-07-01 false Public access to paper copies of off-site consequence analysis information. 1400.3 Section 1400.3 Protection of Environment...

  4. 40 CFR 1400.3 - Public access to paper copies of off-site consequence analysis information.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... INFORMATION DISTRIBUTION OF OFF-SITE CONSEQUENCE ANALYSIS INFORMATION Public Access § 1400.3 Public access to... 40 Protection of Environment 32 2010-07-01 2010-07-01 false Public access to paper copies of off-site consequence analysis information. 1400.3 Section 1400.3 Protection of Environment...

  5. Access to publicly funded outpatient physiotherapy services in Quebec: waiting lists and management strategies.

    PubMed

    Deslauriers, Simon; Raymond, Marie-Hélène; Laliberté, Maude; Lavoie, Amélie; Desmeules, François; Feldman, Debbie E; Perreault, Kadija

    2017-12-01

    Problems with access to outpatient physiotherapy services have been reported in publicly funded healthcare systems worldwide. A few studies have reported management strategies aimed at reducing extensive waiting lists, but their association with waiting times is not fully understood. The purpose of this study was to document access to public outpatient physiotherapy services for persons with musculoskeletal disorders in hospitals and explore organizational factors associated with waiting time. We surveyed outpatient physiotherapy services in publicly funded hospitals in the province of Quebec (Canada). A total of 97 sites responded (99%) to the survey. The median waiting time was more than six months for 41% of outpatient physiotherapy services. The waiting time management strategies most frequently used were attendance and cancelation policies (99.0%) and referral prioritization (95.9%). Based on multivariate analyses, the use of a prioritization process with an initial evaluation and intervention was associated with shorter waiting times (p = 0.008). Our findings provide evidence that a large number of persons wait a long time for publicly funded physiotherapy services in Quebec. Based on our results, implementation of a prioritization process with an initial evaluation and intervention could help improve timely access to outpatient physiotherapy services. Implications for Rehabilitation Access to publicly funded outpatient physiotherapy services is limited by long waiting times in a great proportion of Quebec's hospitals. The use of a specific prioritization process that combines an evaluation and an intervention could possibly help improve timely access to services. Policy-makers, managers, and other stakeholders should work together to address the issue of limited access to publicly funded outpatient physiotherapy services.

  6. Building RAMADDA, (Repository for Archiving, Managing and Accessing Diverse DAta), a Framework for Data Access, Management, Discovery, and Visualization

    NASA Astrophysics Data System (ADS)

    Weber, W. J.; McWhirter, J.

    2008-12-01

    The Repository for Archiving, Managing and Accessing Diverse DAta (RAMADDA), is a web based application that provides a myriad of services for data access, subsetting, and visualization. RAMADDA accomodates many ways to populate its database with meta-data, data, and products. RAMADDA provides a myriad of services including, OPeNDAP, THREDDS, and RSS and can be extended to offer other services. RAMADDA is data agnostic, although created with earth system science in mind, it can handle any data type. Some services are data-centric, but the development of RAMADDA allows other users to provide other types of data handlers or services. RAMADDA is also closely integrated with Unidata's freely available 3D visualization client, the Integrated Data Viewer (IDV). One can directly access the data via the IDV and publish content directly back to the RAMADDA, allowing ease in navigating the full cycle of data use: discovery, access, 3D visualization, and publication back to RAMADDA. These capabilities lend themselves well to educational and research environments, and also facilitate collaboration.

  7. Accredited hand surgery fellowship Web sites: analysis of content and accessibility.

    PubMed

    Trehan, Samir K; Morrell, Nathan T; Akelman, Edward

    2015-04-01

    To assess the accessibility and content of accredited hand surgery fellowship Web sites. A list of all accredited hand surgery fellowships was obtained from the online database of the American Society for Surgery of the Hand (ASSH). Fellowship program information on the ASSH Web site was recorded. All fellowship program Web sites were located via Google search. Fellowship program Web sites were analyzed for accessibility and content in 3 domains: program overview, application information/recruitment, and education. At the time of this study, there were 81 accredited hand surgery fellowships with 169 available positions. Thirty of 81 programs (37%) had a functional link on the ASSH online hand surgery fellowship directory; however, Google search identified 78 Web sites. Three programs did not have a Web site. Analysis of content revealed that most Web sites contained contact information, whereas information regarding the anticipated clinical, research, and educational experiences during fellowship was less often present. Furthermore, information regarding past and present fellows, salary, application process/requirements, call responsibilities, and case volume was frequently lacking. Overall, 52 of 81 programs (64%) had the minimal online information required for residents to independently complete the fellowship application process. Hand fellowship program Web sites could be accessed either via the ASSH online directory or Google search, except for 3 programs that did not have Web sites. Although most fellowship program Web sites contained contact information, other content such as application information/recruitment and education, was less frequently present. This study provides comparative data regarding the clinical and educational experiences outlined on hand fellowship program Web sites that are of relevance to residents, fellows, and academic hand surgeons. This study also draws attention to various ways in which the hand surgery fellowship application

  8. Nevada Test Site Resource Management Plan: Annual summary, January 2000

    SciTech Connect

    2000-01-01

    The Nevada Test Site Resource Management Plan published in December of 1998 (DOE/NV--518) describes the Nevada Test Site stewardship mission and how its accomplishment will preserve the resources of the ecoregion while accomplishing the objectives of the mission. As part of the Nevada Test Site Resource Management Plan, DOE Nevada Operations Office has committed to perform and publish an annual summary review of DOE Nevada Operations' stewardship of the Nevada Test Site. This annual summary includes a description of progress made toward the goals of the Nevada Test Site Resource Management Plan, pertinent monitoring data, actions that were taken to adapt to changing conditions, and any other changes to the Nevada Test Site Resource Management Plan.

  9. Environmental Management Waste Management Facility (EMWMF) Site-Specific Health and Safety Plan, Oak Ridge, Tennessee

    SciTech Connect

    Flynn, N.C. Bechtel Jacobs

    2008-04-21

    The Bechtel Jacobs Company LLC (BJC) policy is to provide a safe and healthy workplace for all employees and subcontractors. The implementation of this policy requires that operations of the Environmental Management Waste Management Facility (EMWMF), located one-half mile west of the U.S. Department of Energy (DOE) Y-12 National Security Complex, be guided by an overall plan and consistent proactive approach to environment, safety and health (ES&H) issues. The BJC governing document for worker safety and health, BJC/OR-1745, 'Worker Safety and Health Program', describes the key elements of the BJC Safety and Industrial Hygiene (IH) programs, which includes the requirement for development and implementation of a site-specific Health and Safety Plan (HASP) where required by regulation (refer also to BJC-EH-1012, 'Development and Approval of Safety and Health Plans'). BJC/OR-1745, 'Worker Safety and Health Program', implements the requirements for worker protection contained in Title 10 Code of Federal Regulations (CFR) Part 851. The EMWMF site-specific HASP requirements identifies safe operating procedures, work controls, personal protective equipment, roles and responsibilities, potential site hazards and control measures, site access requirements, frequency and types of monitoring, site work areas, decontamination procedures, and outlines emergency response actions. This HASP will be available on site for use by all workers, management and supervisors, oversight personnel and visitors. All EMWMF assigned personnel will be briefed on the contents of this HASP and will be required to follow the procedures and protocols as specified. The policies and procedures referenced in this HASP apply to all EMWMF operations activities. In addition the HASP establishes ES&H criteria for the day-to-day activities to prevent or minimize any adverse effect on the environment and personnel safety and health and to meet standards that define acceptable waste management practices. The

  10. Internet access produces misinformed patients: managing the confusion.

    PubMed

    Hungerford, David S

    2009-09-01

    The Internet has produced a truly phenomenal increase in access to information. This is really only helpful to patients if the information is filtered and appropriate to their specific needs. Too often patients access information about conditions they have self-diagnosed and bring it to the consultation with their physician, who then has to spend time disabusing the patients of the misinformation they have accumulated. Patients also return home from their initial consultation, access the Internet, and come up with all manner of promotional information from companies and even orthopedic practices that they want explained to them by their physician. It is the overwhelming conclusion of orthopedic specialists that this kind of Internet use is actually a burden for them in caring for patients and is not contributing to patient enlightenment. It does not have to be this way, if physicians will do just 2 things: first, create white papers for patients that address common current questions, such as surgical approach or bearing surfaces for implants and why we do what we do. This is a huge time saver and will preempt many questions. Second, develop their own website or select excellent nonprejudicial sites to which they can refer patients. To do less will invite a neverending parade of questions irrelevant to patient welfare.

  11. Short- and midterm results of the fascia suture technique for closure of femoral artery access sites after endovascular aneurysm repair.

    PubMed

    Montán, Carl; Lehti, Leena; Holst, Jan; Björses, Katarina; Resch, Timothy A

    2011-12-01

    To evaluate the midterm outcomes and potential risk factors associated with the fascia suture technique (FST) for closure of femoral artery access sites after percutaneous endovascular aneurysm repair (EVAR). Between April 2007 and April 2008, 100 consecutive EVAR cases were evaluated retrospectively. A third of the procedures were emergent (16 ruptured aneurysms). Of the 187 femoral access sites, 160 (85.5%) were closed by the FST as a first choice. Pre- and postoperative chart and imaging data were collected from computerized medical records for analysis of demographics and the rate of complications (bleeding, infection, thrombosis, pseudoaneurysms, and stenosis). Preoperative risk factors for FST failure were analyzed with regard to obesity (based on the subcutaneous fat layer), plaque at the femoral access site, and stenosis based on the pre- and 1-year postoperative computed tomography scans. Of the 160 FST closures, 146 (91.3%) were technically successful. The 14 (8.8%) technical failures were converted to open cutdown intraoperatively because of bleeding (11, 6.8%), inadequate limb perfusion (2, 1.2%), and a broken guidewire (1, 0.6%). Two (1.2%) pseudoaneurysms required surgical repair after 2 weeks. Data from the 1-year follow-up showed no signs of increased stenosis, thrombosis, or formation of plaque. Nine small (<1 cm(3)) pseudoaneurysms were detected and managed conservatively. No preoperative risk factors were associated with FST failure. The fascia suture technique seems to be safe, effective, and simple to use for closing percutaneous access sites after EVAR. Complications are rare, and the outcome is not affected by obesity, femoral calcification, or femoral artery stenosis.

  12. Management of Central Venous Access Device-Associated Skin Impairment: An Evidence-Based Algorithm.

    PubMed

    Broadhurst, Daphne; Moureau, Nancy; Ullman, Amanda J

    Patients relying on central venous access devices (CVADs) for treatment are frequently complex. Many have multiple comorbid conditions, including renal impairment, nutritional deficiencies, hematologic disorders, or cancer. These conditions can impair the skin surrounding the CVAD insertion site, resulting in an increased likelihood of skin damage when standard CVAD management practices are employed. Supported by the World Congress of Vascular Access (WoCoVA), developed an evidence- and consensus-based algorithm to improve CVAD-associated skin impairment (CASI) identification and diagnosis, guide clinical decision-making, and improve clinician confidence in managing CASI. A scoping review of relevant literature surrounding CASI management was undertaken March 2014, and results were distributed to an international advisory panel. A CASI algorithm was developed by an international advisory panel of clinicians with expertise in wounds, vascular access, pediatrics, geriatric care, home care, intensive care, infection control and acute care, using a 2-phase, modified Delphi technique. The algorithm focuses on identification and treatment of skin injury, exit site infection, noninfectious exudate, and skin irritation/contact dermatitis. It comprised 3 domains: assessment, skin protection, and patient comfort. External validation of the algorithm was achieved by prospective pre- and posttest design, using clinical scenarios and self-reported clinician confidence (Likert scale), and incorporating algorithm feasibility and face validity endpoints. The CASI algorithm was found to significantly increase participants' confidence in the assessment and management of skin injury (P = .002), skin irritation/contact dermatitis (P = .001), and noninfectious exudate (P < .01). A majority of participants reported the algorithm as easy to understand (24/25; 96%), containing all necessary information (24/25; 96%). Twenty-four of 25 (96%) stated that they would recommend the tool to

  13. Herpes Zoster Overlying Recently Placed Central Venous Access Site: A Case Report.

    PubMed

    Hess, Rebecca A; Gunnerson, Kyle; Kahler, John

    2017-01-01

    Herpes zoster, commonly called shingles, is a disease that results from the reactivation of varicella zoster virus. Local trauma has been reported as a precipitant for reactivation, but this condition is rarely seen localized to a fresh surgical incision. We present the case of a patient who developed shingles overlying the incision site of a recently buried central venous access port, illustrating the need to consider this diagnosis as a unique imposter of localized infection or reaction at sites of recent procedural trauma.

  14. Sustainable Materials Management in Site Cleanup

    EPA Pesticide Factsheets

    In 2006, the management of materials accounted for 42 of the United States’ greenhouse gas (GHG) emissions, based on a systems analysis (U.S. EPA; 2009). The systems view of materials management represents U.S. emissions related to the...

  15. Evaluation of the content and accessibility of web sites for accredited orthopaedic sports medicine fellowships.

    PubMed

    Mulcahey, Mary K; Gosselin, Michelle M; Fadale, Paul D

    2013-06-19

    The Internet is a common source of information for orthopaedic residents applying for sports medicine fellowships, with the web sites of the American Orthopaedic Society for Sports Medicine (AOSSM) and the San Francisco Match serving as central databases. We sought to evaluate the web sites for accredited orthopaedic sports medicine fellowships with regard to content and accessibility. We reviewed the existing web sites of the ninety-five accredited orthopaedic sports medicine fellowships included in the AOSSM and San Francisco Match databases from February to March 2012. A Google search was performed to determine the overall accessibility of program web sites and to supplement information obtained from the AOSSM and San Francisco Match web sites. The study sample consisted of the eighty-seven programs whose web sites connected to information about the fellowship. Each web site was evaluated for its informational value. Of the ninety-five programs, fifty-one (54%) had links listed in the AOSSM database. Three (3%) of all accredited programs had web sites that were linked directly to information about the fellowship. Eighty-eight (93%) had links listed in the San Francisco Match database; however, only five (5%) had links that connected directly to information about the fellowship. Of the eighty-seven programs analyzed in our study, all eighty-seven web sites (100%) provided a description of the program and seventy-six web sites (87%) included information about the application process. Twenty-one web sites (24%) included a list of current fellows. Fifty-six web sites (64%) described the didactic instruction, seventy (80%) described team coverage responsibilities, forty-seven (54%) included a description of cases routinely performed by fellows, forty-one (47%) described the role of the fellow in seeing patients in the office, eleven (13%) included call responsibilities, and seventeen (20%) described a rotation schedule. Two Google searches identified direct links for

  16. 77 FR 24695 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. . 92... Hilton Savannah DeSoto, 15 East Liberty Street Savannah, GA 31401. FOR FURTHER INFORMATION CONTACT:...

  17. 75 FR 24684 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-05

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463..., 601 East Bay Street, Savannah, Georgia 31401. FOR FURTHER INFORMATION CONTACT: Gerri Flemming,...

  18. 76 FR 25682 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-05

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463... Savannah, Two West Bay Street, Savannah, GA 31402. FOR FURTHER INFORMATION CONTACT: Gerri Flemming,...

  19. 77 FR 53193 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-31

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463... CONTACT: Gerri Flemming, Office of External Affairs, Department of Energy, Savannah River...

  20. 77 FR 13104 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463... of External Affairs, Department of Energy, Savannah River Operations Office, P.O. Box A, Aiken,...

  1. 78 FR 26005 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-03

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463...: Gerri Flemming, Office of External Affairs, Department of Energy, Savannah River Operations Office,...

  2. 78 FR 14088 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-04

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act requires that....m.-5:30 p.m.; Tuesday, March 26, 2013, 8:00 a.m.-4:30 p.m. ADDRESSES: Westin Savannah Harbor,...

  3. 76 FR 55369 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463... Flemming, Office of External Affairs, Department of Energy, Savannah River Operations Office, P.O. Box...

  4. 76 FR 65706 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-24

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463... Flemming, Office of External Affairs, Department of Energy, Savannah River Operations Office, P.O. Box...

  5. 78 FR 716 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-04

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463..., Office of External Affairs, Department of Energy, Savannah River Operations Office, P.O. Box A, Aiken,...

  6. 75 FR 39007 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-07

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463...: Gerri Flemming, Office of External Affairs, Department of Energy, Savannah River Operations Office,...

  7. 78 FR 65979 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-04

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463..., Office of External Affairs, Department of Energy, Savannah River Operations Office, P.O. Box A, Aiken,...

  8. 75 FR 57462 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-21

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. No. 92...: Gerri Flemming, Office of External Affairs, Department of Energy, Savannah River Operations Office,...

  9. 76 FR 11772 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-03

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463... of External Affairs, Department of Energy, Savannah River Operations Office, P.O. Box A, Aiken,...

  10. 78 FR 16260 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board, Savannah River Site (78 FR 14088). This document makes a correction to that notice..., Savannah River Operations Office, P.O. ] Box A, Aiken, SC 29802; Phone: (803) 952-7886. Corrections In...

  11. 77 FR 60688 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463... Flemming, Office of External Affairs, Department of Energy, Savannah River Operations Office, P.O. Box...

  12. 78 FR 54461 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463.... ADDRESSES: Embassy Suites-Savannah, 145 Mulberry Boulevard, Savannah, GA 31322. FOR FURTHER...

  13. 77 FR 39235 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-02

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. 92-463...: Gerri Flemming, Office of External Affairs, Department of Energy, Savannah River Operations Office,...

  14. 78 FR 40130 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... Environmental Management Site-Specific Advisory Board, Savannah River Site AGENCY: Department of Energy. ACTION...-Specific Advisory Board (EM SSAB), Savannah River Site. The Federal Advisory Committee Act (Pub. L. No. 92... CONTACT: Gerri Flemming, Office of External Affairs, Department of Energy, Savannah River...

  15. Research on the Management of Contaminated Sites

    EPA Pesticide Factsheets

    EPA is working to provide solutions and restore sites whose soils or sediments are contaminated by environmental releases of chemicals and toxins, and protect ecosystems and public health from harmful exposure.

  16. Ultrasound - guided access during percutaneous nephrolithotomy: entering desired calyx with appropriate entry site and angle

    PubMed Central

    Basiri, Abbas; Kashi, Amir H.; Zeinali, Mehdi; Nasiri, Mahmoodreza; Sarhangnejad, Reza; Valipour, Reza

    2016-01-01

    ABSTRACT Objectives: To evaluate the success of ultrasonography directed renal access in entering the target calyx from proper entry site and in the direction of renal pelvis during percutaneous nephrolithotomy (PCNL). Materials and Methods: PCNL cases who were operated on by one fellow from May-June 2014 were included in this study. A vertically placed ultrasound probe on the patient flank in prone position was used to identify the preselected target calyx. Needle was advanced through needle holder and fluoroscopy was used to document the entered calyx, site and angle of entry. Results: Successful entering to the target calyx was achieved in 43 cases (91%). Successful entry with appropriate entry site and angle was observed in 34 cases (72%). Reasons for failure were minimal hydronephrosis, upper pole access and high lying kidneys. Conclusions: Although it is feasible to access a preselected calyx by ultrasonography guidance during PCNL, but entry to the calyx from the appropriate site and direction is another problem and needs more experience. In cases of minimal hydronephrosis, superior pole access or high lying kidneys, ultrasonography is less successful and should be used with care. PMID:27583353

  17. Ultrasound - guided access during percutaneous nephrolithotomy: entering desired calyx with appropriate entry site and angle.

    PubMed

    Basiri, Abbas; Kashi, Amir H; Zeinali, Mehdi; Nasiri, Mahmoodreza; Sarhangnejad, Reza; Valipour, Reza

    2016-01-01

    To evaluate the success of ultrasonography directed renal access in entering the target calyx from proper entry site and in the direction of renal pelvis during percutaneous nephrolithotomy (PCNL). PCNL cases who were operated on by one fellow from May-June 2014 were included in this study. A vertically placed ultrasound probe on the patient flank in prone position was used to identify the preselected target calyx. Needle was advanced through needle holder and fluoroscopy was used to document the entered calyx, site and angle of entry. Successful entering to the target calyx was achieved in 43 cases (91%). Successful entry with appropriate entry site and angle was observed in 34 cases (72%). Reasons for failure were minimal hydronephrosis, upper pole access and high lying kidneys. Although it is feasible to access a preselected calyx by ultrasonography guidance during PCNL, but entry to the calyx from the appropriate site and direction is another problem and needs more experience. In cases of minimal hydronephrosis, superior pole access or high lying kidneys, ultrasonography is less successful and should be used with care. Copyright® by the International Brazilian Journal of Urology.

  18. Green Remediation Best Management Practices: Mining Sites

    EPA Pesticide Factsheets

    This fact sheet describes best management practices (BMPs) that can be used to reduce the environmental footprint of cleanup activities associated with common project components, cleanup phases, and implementation of remediation technologies.

  19. Structural Propensities of Human Ubiquitination Sites: Accessibility, Centrality and Local Conformation

    PubMed Central

    Song, Jiangning; Zhang, Ziding

    2013-01-01

    The existence and function of most proteins in the human proteome are regulated by the ubiquitination process. To date, tens of thousands human ubiquitination sites have been identified from high-throughput proteomic studies. However, the mechanism of ubiquitination site selection remains elusive because of the complicated sequence pattern flanking the ubiquitination sites. In this study, we perform a systematic analysis of 1,330 ubiquitination sites in 505 protein structures and quantify the significantly high accessibility and unexpectedly high centrality of human ubiquitination sites. Further analysis suggests that the higher centrality of ubiquitination sites is associated with the multi-functionality of ubiquitination sites, among which protein-protein interaction sites are common targets of ubiquitination. Moreover, we demonstrate that ubiquitination sites are flanked by residues with non-random local conformation. Finally, we provide quantitative and unambiguous evidence that most of the structural propensities contain specific information about ubiquitination site selection that is not represented by the sequence pattern. Therefore, the hypothesis about the structural level of the ubiquitination site selection mechanism has been substantially approved. PMID:24349449

  20. Frequency, Timing, and Impact of Access-Site and Non-Access-Site Bleeding on Mortality Among Patients Undergoing Transcatheter Aortic Valve Replacement.

    PubMed

    Piccolo, Raffaele; Pilgrim, Thomas; Franzone, Anna; Valgimigli, Marco; Haynes, Alan; Asami, Masahiko; Lanz, Jonas; Räber, Lorenz; Praz, Fabien; Langhammer, Bettina; Roost, Eva; Windecker, Stephan; Stortecky, Stefan

    2017-07-24

    The aim of this study was to examine the frequency, timing, and association of access-site and non-access-site bleeding with mortality in the setting of transcatheter aortic valve replacement (TAVR) during long-term follow-up. Bleeding is frequent and associated with impaired prognosis in patients undergoing TAVR. It is currently unknown whether the site of bleeding differentially influences the outcomes of TAVR patients. In total, 926 consecutive patients undergoing TAVR from 2007 through 2014 were evaluated. Bleeding was assessed according to the Valve Academic Research Consortium 2 criteria. The primary outcome of interest was all-cause mortality up to 5 years of follow-up. A total of 285 patients (30.7%) experienced at least 1 (minor, major, or life-threatening) bleeding event up to 5 years. Compared with patients not experiencing bleeding, the adjusted risk for all-cause mortality was significantly increased among patients with access-site (hazard ratio: 1.34; 95% confidence interval: 1.01 to 1.76; p = 0.04) and non-access-site bleeding (hazard ratio: 2.08; 95% confidence interval: 1.60 to 2.71; p < 0.001). However, non-access-site bleeding conferred a significantly higher risk for mortality compared with access-site bleeding (hazard ratio: 1.56; 95% confidence interval: 1.12 to 2.18; p = 0.009). At multivariate analysis, female sex was a significant correlate of access-site bleeding, whereas chronic kidney disease and the Society of Thoracic Surgeons score were significantly associated with non-access-site bleeding. Among patients with severe aortic stenosis undergoing TAVR, access-site and non-access-site bleeding were independently associated with an increased risk for mortality, with the greatest risk related to non-access-site bleeding during long-term follow-up. Copyright © 2017. Published by Elsevier Inc.

  1. MicroRNAs Align With Accessible Sites in Target mRNAs

    PubMed Central

    Pan, Weihua; Xin, Ping; Clawson, Gary A.

    2015-01-01

    The importance of microRNAs (miRs) in control of gene expression is now clearly recognized. While individual microRNAs are thought to target hundreds of disparate mRNAs via imperfect base pairing, little is known about the characteristics of miR target sites. Here we show that the miRs can be aligned with empirically identified accessible sites in a target RNA (Cytokeratin 19, KRT), and that some of the aligned miRs functionally down-regulate KRT expression post-transcriptionally. We employed an RNase-H-based random library selection protocol to identify accessible sites in KRT RNA. We then aligned the Sanger Institute database collection of human miRs to KRT mRNA, and also aligned them using the web-based MicroInspector program. Most miRs aligned with the accessible sites identified empirically; those not aligned with the empirically identified sites also functioned effectively in RNase-H-based assays. Similar results were obtained with a second target RNA (Mammoglobin). Transient transfection assays established that some of the miRs which aligned with KRT significantly down-regulated it at the protein level, with no effect on RNA level. The functionally effective miRs aligned within the coding region of KRT, whereas a number of miRs which aligned with the 3′-untranslated region did not produce down-regulation. PMID:19998415

  2. Journey to the Nevada Test Site Radioactive Waste Management Complex

    ScienceCinema

    None

    2016-07-12

    Journey to the Nevada Test Site Radioactive Waste Management Complex begins with a global to regional perspective regarding the location of low-level and mixed low-level waste disposal at the Nevada Test Site. For decades, the Nevada National Security Site (NNSS) has served as a vital disposal resource in the nation-wide cleanup of former nuclear research and testing facilities. State-of-the-art waste management sites at the NNSS offer a safe, permanent disposal option for U.S. Department of Energy/U.S. Department of Defense facilities generating cleanup-related radioactive waste.

  3. 75 FR 69791 - Risk Management Controls for Brokers or Dealers With Market Access

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-15

    ... CFR Part 240 Risk Management Controls for Brokers or Dealers With Market Access; Final Rule #0;#0... 3235-AK53 Risk Management Controls for Brokers or Dealers With Market Access AGENCY: Securities and... alternative trading system (``ATS''), including those providing sponsored or direct market access to customers...

  4. SPIDR III: A Web Services Based System for Managing and Accessing Solar Terrestrial Physics Data

    NASA Astrophysics Data System (ADS)

    Redmon, R.; Kihn, E.; Zhizhin, M.

    2005-05-01

    We present SPIDR III, a web based data access, visualization and data management system for the space environment community, allowing a solar terrestrial physics customer to intelligently access and manage historical space physics data for integration with environmental models and space weather forecasts. SPIDR III is the newly redesigned Space Physics Interactive Resource (SPIDR) web application and was redesigned with input from it's user community via an intensive usability study. We will present on SPIDR III's new features, improved use and on lessons learned in usability and federating multi-source data. In 2004, SPIDR II underwent extensive rework yielding a completely redesigned interface for improved user interaction and the addition of many enhanced and complex features. The usability alterations were motivated in large part by a usability study performed by outside professional site reviewers and involving key data managers and current SPIDR II users. SPIDR III is built following the application direct to data archive paradigm, using Web Services both for internal and external exchange of data and information. It is now a framework and application set of Web Services. This application suite is fully open source and is designed to operate as a standalone VO as well as seamlessly integrate with other existing VOs. This extensible and open design yields easy mirroring worldwide for free and open exchange of scientific data and information. Data managed by SPIDR includes Geomagnetic Indices, GOES, Ionospheric, and DMSP which is archived/ingested from many data providers including WDC, IIWG, SAO, HDF, AFCCC, SEC, NASA, and this list is easily extendable. SPIDR III may be accessed via http://spidr.ngdc.noaa.gov/spidr/ A guest login is provided for convenience. Becoming a full access user, is free and only requires completing a short registration form.

  5. Accessibility compliance rates of consumer-oriented Canadian health care Web sites.

    PubMed

    O'Grady, Laura

    2005-12-01

    Vast amounts of consumer-based health care information are widely available on the World Wide Web. However, for some this material is inaccessible due to reliance on specialized computer equipment or software known as assistive technology. These tools, designed for people with sensory, physical, or learning disabilities, act as a median to interpret Web pages in accessible ways. Unfortunately, many websites, including those with health-related content are not designed to accommodate this equipment. No research has yet been published examining the extent of this problem in Canadian consumer-oriented health care sites. The purpose of this study was to investigate the percentage of accessible consumer-based health care websites of Canadian origin. A listing of such sites was randomly sampled for study inclusion. Each was assessed for accessibility based on the World Wide Web Consortium (W3C) Web Accessibility Initiative (WAI) Web Content Accessibility Guidelines (WCAG) 1.0 using the validation software Bobby. The results indicated that only about 40% of pages investigated were free of errors in accordance with WCAG 1.0 Priority 1 level. Websites should be constructed in compliance with these standards to better accommodate those using assistive devices.

  6. Digital Accessible Knowledge and well-inventoried sites for birds in Mexico: baseline sites for measuring faunistic change

    PubMed Central

    Navarro-Sigüenza, Adolfo G.; Martínez-Meyer, Enrique

    2016-01-01

    Background Faunal change is a basic and fundamental element in ecology, biogeography, and conservation biology, yet vanishingly few detailed studies have documented such changes rigorously over decadal time scales. This study responds to that gap in knowledge, providing a detailed analysis of Digital Accessible Knowledge of the birds of Mexico, designed to marshal DAK to identify sites that were sampled and inventoried rigorously prior to the beginning of major global climate change (1980). Methods We accumulated DAK records for Mexican birds from all relevant online biodiversity data portals. After extensive cleaning steps, we calculated completeness indices for each 0.05° pixel across the country; we also detected ‘hotspots’ of sampling, and calculated completeness indices for these broader areas as well. Sites were designated as well-sampled if they had completeness indices above 80% and >200 associated DAK records. Results We identified 100 individual pixels and 20 broader ‘hotspots’ of sampling that were demonstrably well-inventoried prior to 1980. These sites are catalogued and documented to promote and enable resurvey efforts that can document events of avifaunal change (and non-change) across the country on decadal time scales. Conclusions Development of repeated surveys for many sites across Mexico, and particularly for sites for which historical surveys document their avifaunas prior to major climate change processes, would pay rich rewards in information about distributional dynamics of Mexican birds. PMID:27651986

  7. Web Content Accessibility of Consumer Health Information Web Sites for People with Disabilities: A Cross Sectional Evaluation

    PubMed Central

    Parmanto, Bambang

    2004-01-01

    Background The World Wide Web (WWW) has become an increasingly essential resource for health information consumers. The ability to obtain accurate medical information online quickly, conveniently and privately provides health consumers with the opportunity to make informed decisions and participate actively in their personal care. Little is known, however, about whether the content of this online health information is equally accessible to people with disabilities who must rely on special devices or technologies to process online information due to their visual, hearing, mobility, or cognitive limitations. Objective To construct a framework for an automated Web accessibility evaluation; to evaluate the state of accessibility of consumer health information Web sites; and to investigate the possible relationships between accessibility and other features of the Web sites, including function, popularity and importance. Methods We carried out a cross-sectional study of the state of accessibility of health information Web sites to people with disabilities. We selected 108 consumer health information Web sites from the directory service of a Web search engine. A measurement framework was constructed to automatically measure the level of Web Accessibility Barriers (WAB) of Web sites following Web accessibility specifications. We investigated whether there was a difference between WAB scores across various functional categories of the Web sites, and also evaluated the correlation between the WAB and Alexa traffic rank and Google Page Rank of the Web sites. Results We found that none of the Web sites we looked at are completely accessible to people with disabilities, i.e., there were no sites that had no violation of Web accessibility rules. However, governmental and educational health information Web sites do exhibit better Web accessibility than the other categories of Web sites (P < 0.001). We also found that the correlation between the WAB score and the popularity of a

  8. Management of uncontrolled hazardous waste sites

    SciTech Connect

    Not Available

    1986-01-01

    This book contains 19 sections, each consisting of several papers. Some of the papers titles are: Safety Improvement Using Simulation and Advanced Control in Hazardous Waste Incineration; Field Experiences with Silicate-Based Systems for the Treatment of Hazardous Wastes; The B.E.S.T. Sludge Treatment Process: An Innovative Alternative Used at a Superfund Site; Attenuating Contamination Migration with Neutralizing and Sorptive Admix Barriers; and Operation of a Light Hydrocarbon Recovery System: Theory, Practical Approach and Case History.

  9. Strategies for managing aortoiliac occlusions: access, treatment and outcomes

    PubMed Central

    Clair, Daniel G; Beach, Jocelyn M

    2015-01-01

    Treatment of severe aortoiliac disease has dramatically evolved from a dependence on open aortobifemoral grafting to hybrid and endovascular only approaches. Open surgery has been the gold standard treatment of severe aortoiliac disease with excellent patency rates, but with increased length of stay and major complications. In contrast, endovascular interventions can successfully treat almost any lesion with decreased risk, compared to open surgery. Although primary patency rates remain inferior, secondary endovascular interventions are often minor procedures resulting in comparable long-term outcomes. The risks of renal insufficiency, embolization and access complications are not insignificant; however, most can be prevented or managed without significant clinical consequence. Endovascular therapies should be considered a first-line treatment option for all patients with aortoiliac disease, especially those with high-risk cardiovascular comorbidities. PMID:25907618

  10. Venous access in haemophilic children: choice and management.

    PubMed

    Santagostino, E; Mancuso, M E

    2010-01-01

    Current haemophilia treatment in children is based on regular intravenous infusions of concentrates for prolonged periods, according to prophylaxis regimens or immune tolerance induction treatment, in cases of inhibitor development. Therefore, a stable and uncomplicated venous access is required and as such peripheral veins represent the preferred option. However, frequent infusions in the home setting can be problematic in very young children and for this reason, central venous access devices (CVADs) have been widely used to improve treatment feasibility. Unfortunately CVADs' use is associated with a high rate of complications, and infections and thrombotic occlusion can influence treatment outcome by causing unwanted treatment interruption. CVADs can be grouped into three main categories: external non-tunnelled, external tunnelled and fully implantable devices known as ports. The management of CVADs at home often represents a challenge because a strict adherence to sterile procedures is required. Indeed, the incidence of infections with ports is much lower than that reported for external devices; however, ports carry the inconvenience of needle sticks. More recently, arteriovenous fistula was shown to be a suitable alternative to CVADs because it is easy to use and is associated with a lower rate of complication.

  11. A Loblolly Pine Management Guide: Managing Site Damage from Logging

    Treesearch

    W.H. McKee; G.E. Hatchell; A.E. Tiarks

    1985-01-01

    Serious damage to forest sites during logging can be avoided through careful planning of logging, preparation of the site for logging, and close supervision of the work.Losses in productivity caused by compaction can be largely restored by cultivation and fertilization.

  12. Strategic plan for Hanford Site Environmental Restoration Information Management

    SciTech Connect

    Cowley, P.J.; Beck, J.E.; Gephart, R.E.

    1994-06-01

    This strategic plan addresses information management for the Environmental Restoration (ER) Program at the Hanford Site. This Program leads the cleanup of the Hanford Site`s soil, groundwater, buried waste, and the decontamination and decommissioning of facilities. The vision that drives this strategic plan is to ensure that quality information is available to the people who need it, when they need it, at a convenient location, in a usable form, and at an acceptable cost. Although investments are being made in managing the vast amounts of information, which include data, records and documents associated with the Hanford Site`s production history and new cleanup mission, it is widely recognized that efforts to date have not accomplished the vision. Effective information management involves more than the compilation of massive amounts of electronic and non-electronic information. It also involves integrating information management into business processes that support user`s needs and decisionmaking. Only then can information management complement and enable environmental restoration priorities and practices, help identify environmental restoration requirements, and enable communication within the Environmental Restoration Program and between the Program and its stakeholders. Successfully accomplishing the Hanford Site mission requires an integrated approach to information management that crosses organizational boundaries, streamlines existing systems, and builds new systems that support the needs of the future. This plan outlines that approach.

  13. Arteriovenous fistulas for hemodialysis access in children and adolescents using the proximal radial artery inflow site.

    PubMed

    Jennings, William C; Turman, Martin A; Taubman, Kevin E

    2009-07-01

    Hemodialysis (HD) for children and adolescents with renal failure is increasingly common in the United States. Consensus opinion views an arteriovenous fistula (AVF) as the best long-term access option, although catheter-based HD remains the most common vascular access in children and has greater risks of complications and higher mortality rates than AVF access. This report reviews our experience with children and adolescents undergoing vascular access operations. We reviewed 721 consecutive vascular access patients who had vascular access surgery by a single surgeon during the previous 5 years. Ten patients 20 years or younger were included in this study. In addition to physical examination, each patient had preoperative vascular ultrasound mapping by the operating surgeon. A radiocephalic AVF (RC-AVF) at the wrist was the first choice for dialysis access when feasible; however, the patients in this report were generally seen after years of intravenous access and venipunctures that necessitated more proximal AVF constructions. A proximal radial artery AVF (PRA-AVF) was our most common choice for vascular access when an RC-AVF was not suitable. Patient ages were 9 to 20 years (mean, 16). Seven were male. Renal failure was caused by glomerulnephitis in 4 patients, 3 had a history of obstuctive uropathy, 2 were diabetic and one had congenital nephrotic syndrome. Eight patients had PRA-AVFs created, 1 had an RC-AVF, and 1 patient required a transposition AVF. Follow-up was 4 to 56 months (mean, 32 months). Primary, primary-assisted, and cumulative patencies were 77.8%, 100%, and 100% at 24 months. No prosthetic grafts were used in any vascular access patient during the study period. We found HD access in children and adolescents was reliably established through use of a PRA-AVF when an RC-AVF was not feasible. Access sites were often possible through the upper arm cephalic veins and/or with retrograde flow into the forearm. Cumulative (secondary) patency was 100% at

  14. Federated Web-accessible Clinical Data Management within an Extensible NeuroImaging Database

    PubMed Central

    Keator, David B.; Wei, Dingying; Fennema-Notestine, Christine; Pease, Karen R.; Bockholt, Jeremy; Grethe, Jeffrey S.

    2010-01-01

    Managing vast datasets collected throughout multiple clinical imaging communities has become critical with the ever increasing and diverse nature of datasets. Development of data management infrastructure is further complicated by technical and experimental advances that drive modifications to existing protocols and acquisition of new types of research data to be incorporated into existing data management systems. In this paper, an extensible data management system for clinical neuroimaging studies is introduced: The Human Clinical Imaging Database (HID) and Toolkit. The database schema is constructed to support the storage of new data types without changes to the underlying schema. The complex infrastructure allows management of experiment data, such as image protocol and behavioral task parameters, as well as subject-specific data, including demographics, clinical assessments, and behavioral task performance metrics. Of significant interest, embedded clinical data entry and management tools enhance both consistency of data reporting and automatic entry of data into the database. The Clinical Assessment Layout Manager (CALM) allows users to create on-line data entry forms for use within and across sites, through which data is pulled into the underlying database via the generic clinical assessment management engine (GAME). Importantly, the system is designed to operate in a distributed environment, serving both human users and client applications in a service-oriented manner. Querying capabilities use a built-in multi-database parallel query builder/result combiner, allowing web-accessible queries within and across multiple federated databases. The system along with its documentation is open-source and available from the Neuroimaging Informatics Tools and Resource Clearinghouse (NITRC) site. PMID:20567938

  15. Federated web-accessible clinical data management within an extensible neuroimaging database.

    PubMed

    Ozyurt, I Burak; Keator, David B; Wei, Dingying; Fennema-Notestine, Christine; Pease, Karen R; Bockholt, Jeremy; Grethe, Jeffrey S

    2010-12-01

    Managing vast datasets collected throughout multiple clinical imaging communities has become critical with the ever increasing and diverse nature of datasets. Development of data management infrastructure is further complicated by technical and experimental advances that drive modifications to existing protocols and acquisition of new types of research data to be incorporated into existing data management systems. In this paper, an extensible data management system for clinical neuroimaging studies is introduced: The Human Clinical Imaging Database (HID) and Toolkit. The database schema is constructed to support the storage of new data types without changes to the underlying schema. The complex infrastructure allows management of experiment data, such as image protocol and behavioral task parameters, as well as subject-specific data, including demographics, clinical assessments, and behavioral task performance metrics. Of significant interest, embedded clinical data entry and management tools enhance both consistency of data reporting and automatic entry of data into the database. The Clinical Assessment Layout Manager (CALM) allows users to create on-line data entry forms for use within and across sites, through which data is pulled into the underlying database via the generic clinical assessment management engine (GAME). Importantly, the system is designed to operate in a distributed environment, serving both human users and client applications in a service-oriented manner. Querying capabilities use a built-in multi-database parallel query builder/result combiner, allowing web-accessible queries within and across multiple federated databases. The system along with its documentation is open-source and available from the Neuroimaging Informatics Tools and Resource Clearinghouse (NITRC) site.

  16. 20 CFR 638.303 - Site selection and facilities management.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false Site selection and facilities management. 638.303 Section 638.303 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR... agency submit a site survey and utilization study. If the Job Corps Director decides to establish a...

  17. Site-specific crop management using geophysical proximal sensors

    USDA-ARS?s Scientific Manuscript database

    Key components of site-specific crop management are (i) identifying the site-specific factors that influence within-field crop yield variation and (ii) spatially characterizing those factors. Geo-referenced measurements of apparent soil electrical conductivity (ECa) provide a potential means of cha...

  18. Implementing a successful data-management framework: the UK10K managed access model

    PubMed Central

    2013-01-01

    This paper outlines the history behind open access principles and describes the development of a managed access data-sharing process for the UK10K Project, currently Britain’s largest genomic sequencing consortium (2010 to 2013). Funded by the Wellcome Trust, the purpose of UK10K was two-fold: to investigate how low-frequency and rare genetic variants contribute to human disease, and to provide an enduring data resource for future research into human genetics. In this paper, we discuss the challenge of reconciling data-sharing principles with the practicalities of delivering a sequencing project of UK10K’s scope and magnitude. We describe the development of a sustainable, easy-to-use managed access system that allowed rapid access to UK10K data, while protecting the interests of participants and data generators alike. Specifically, we focus in depth on the three key issues that emerge in the data pipeline: study recruitment, data release and data access. PMID:24229443

  19. A Computer-Based Method for Teaching Catheter-Access Hemodialysis Management.

    PubMed

    Pun, Sut-Kam; Chiang, Vico Chung-Lim; Choi, Kup-Sze

    2016-10-01

    Patients undergoing hemodialysis are highly susceptible to infections, which could lead to morbidity and mortality. One of the major sources of infections stems from the mishandling of hemodialysis access sites. Although healthcare workers receive training on how to aseptically handle hemodialysis catheters, the increasing number of blood infections associated with dialysis suggests that the conventional approach to training may not be sufficient to ensure a clear understanding of the necessary knowledge and skills. With advancements in digital technology, computer-assisted learning has been gaining popularity as an approach to teaching clinical skills. The purpose of this study was to evaluate the effectiveness of a computer-based training system developed to teach healthcare workers catheter-access hemodialysis management. Forty nurses were recruited and randomly assigned into two groups: the control group, which received conventional training only; and the experimental group, which received both conventional and computer-based training. A knowledge test and a skills competence test were administered to both groups before and after the intervention to evaluate their performance. The results show that the performance of the nurses in the experimental group was significantly better than that in the control group, indicating that the proposed training system is an effective tool for supplementing the learning of catheter-access hemodialysis management.

  20. Delineating site-specific management units with proximal sensors

    USDA-ARS?s Scientific Manuscript database

    Conventional farming uniformly manages fields with no consideration for spatial variability. This causes reduced productivity, misuse of finite resources (e.g., water and fertilizer), and detriment impacts on the environment. Site-specific management units (SSMUs) have been proposed as a means of ...

  1. One Paradox in District Accountability and Site-Based Management.

    ERIC Educational Resources Information Center

    Shellman, David W.

    The paradox of site-based school management with use of standardized tests or instructional management systems that restrict teacher choices was evident in one school district in North Carolina in which measurement of student success has centered on student performance on state-mandated tests. A study was conducted to see if students whose…

  2. The Library Web Site: Collaborative Content Creation and Management

    ERIC Educational Resources Information Center

    Slater, Robert

    2008-01-01

    Oakland University's Kresge Library first launched its Web site in 1996. The initial design and subsequent contributions were originally managed by a single Webmaster. In 2002, the library restructured its Web content creation and management to a distributed, collaborative method with the goal of increasing the amount, accuracy, and timeliness of…

  3. The Library Web Site: Collaborative Content Creation and Management

    ERIC Educational Resources Information Center

    Slater, Robert

    2008-01-01

    Oakland University's Kresge Library first launched its Web site in 1996. The initial design and subsequent contributions were originally managed by a single Webmaster. In 2002, the library restructured its Web content creation and management to a distributed, collaborative method with the goal of increasing the amount, accuracy, and timeliness of…

  4. 22 CFR 502.6 - Terms of use for accessing program materials available on agency Web sites.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... available on agency Web sites. 502.6 Section 502.6 Foreign Relations BROADCASTING BOARD OF GOVERNORS... program materials available on agency Web sites. (a) By accessing Agency Web sites, Requestors agree to all the Terms of Use available on those Web sites. (b) All Requestors are advised that Agency...

  5. Rangelands management in Spanish Natura 2000 sites.

    NASA Astrophysics Data System (ADS)

    Hernando Gallego, A.; Tejera Gimeno, R.; Velázquez Saornil, J.; Núñez Martí, V.; Grande Vega, M.

    2009-04-01

    Spanish open oak woodlands have had multiple land uses such as firewood extraction and grazing through centuries. Consequently, 20% of the Spanish forest is coppice forest. This particular agrosilvopastoral system is well widespread in the southern and western part of the Iberian Peninsula. As a result of the implementation of Natura 2000 in Spain, many of these habitats have been included in this network listed as "Dehesas" with evergreen Quercus spp. (Sclerophyllous grazed forests -dehesas-). The main goal of Natura 2000 is assuring "favourable conservation status" of natural habitats and species within these areas (Habitats Directive 92/43/ECC). This is the case of the study area, "Dehesa Boyal" (Ávila), which management plan has been carried out in a public forest land. The current situation is a degraded coppice forest, Quercus pyrenaica and Q.ilex, with a shrub encroachment due to previous firewood extraction. Besides, problems such as soil compaction and lack of sexual have been observed presumably related with livestock (180 horses, 1100 goats, 900 sheeps and 190 cows distributed in different seasons). Livestock feed on the acorns and hedge young sprouts making them sprouting again. The shrub encroachment is far from "conservation status" required in Natura 2000. Furthermore, the livestock cannot be removed because it is an important part of this agrosilvopastoral system not only for the landscape but also for its economic importance to local owners. Management plans should consider all of these circumstances and propose an integrated approach. To achieve this goal, the area was accurately classified in age classes by "stands" (oak shrubland, low pole stages, coppice tall shrub and sapling) in each habitat, using Geographic Information Systems (G.I.S), remote sensing techniques and detailed field work. Then, the "conservation status" of each stand is classified in A (Favourable), B (Inconvenient) and C (Unfavourable conservation status) considering some

  6. Nevada Test Site 2005 Waste Management Monitoring Report Area 3 and Area 5 Radioactive Waste Management Sites

    SciTech Connect

    David B. Hudson, Cathy A. Wills

    2006-08-01

    Environmental monitoring data were collected at and around the Area 3 and Area 5 Radioactive Waste Management Sites (RWMSs) at the Nevada Test Site. These data are associated with radiation exposure, air, groundwater, meteorology, vadose zone, subsidence, and biota. This report summarizes the 2005 environmental data to provide an overall evaluation of RWMS performance and to support environmental compliance and performance assessment activities. Some of these data (e.g., radiation exposure, air, and groundwater) are presented in other reports (U.S. Department of Energy, 2005; Grossman, 2005; Bechtel Nevada, 2006). Direct radiation monitoring data indicate that exposure levels around the RWMSs are at or below background levels. Air monitoring data at the Area 3 and Area 5 RWMSs indicate that tritium concentrations are slightly above background levels. There is no detectable man-made radioactivity by gamma spectroscopy, and concentrations of americium and plutonium are only slightly above detection limits at the Area 3 RWMS. Measurements at the Area 5 RWMS show that radon flux from waste covers is no higher than natural radon flux from undisturbed soil in Area 5. Groundwater monitoring data indicate that the groundwater in the uppermost aquifer beneath the Area 5 RWMS is not impacted by facility operations. Precipitation during 2005 totaled 219.1 millimeters (mm) (8.63 inches [in.]) at the Area 3 RWMS and 201.4 mm (7.93 in.) at the Area 5 RWMS. Soil-gas tritium monitoring continues to show slow subsurface migration consistent with previous results. Moisture from precipitation at Area 5 has percolated to the bottom of the bare-soil weighing lysimeter, but this same moisture has been removed from the vegetated weighing lysimeter by evapotranspiration. Vadose zone data from the operational waste pit covers show that precipitation from the fall of 2004 and the spring of 2005 infiltrated past the deepest sensors at 188 centimeters (6.2 feet) and remains in the pit cover

  7. INL Site Executable Plan for Energy and Transportation Fuels Management

    SciTech Connect

    Ernest L. Fossum

    2008-11-01

    It is the policy of the Department of Energy (DOE) that sustainable energy and transportation fuels management will be integrated into DOE operations to meet obligations under Executive Order (EO) 13423 "Strengthening Federal Environmental, Energy, and Transportation Management," the Instructions for Implementation of EO 13423, as well as Guidance Documents issued in accordance thereto and any modifcations or amendments that may be issued from time to time. In furtherance of this obligation, DOE established strategic performance-based energy and transportation fuels goals and strategies through the Transformational Energy Action Management (TEAM) Initiative, which were incorporated into DOE Order 430.2B "Departmental Energy, Renewable energy, and Transportation Management" and were also identified in DOE Order 450.1A, "Environmental Protection Program." These goals and accompanying strategies are to be implemented by DOE sites through the integration of energy and transportation fuels management into site Environmental Management Systems (EMS).

  8. 75 FR 20832 - Environmental Management Site-Specific Advisory Board, Nevada Test Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-21

    ...This notice announces a meeting of the Environmental Management Site-Specific Advisory Board (EM SSAB), Nevada Test Site. The Federal Advisory Committee Act (Pub. L. 92-463, 86 Stat. 770) requires that public notice of this meeting be announced in the Federal...

  9. 75 FR 82001 - Environmental Management Site-Specific Advisory Board, Savannah River Site

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-29

    ..., Savannah River Site AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site-Specific Advisory Board (EM SSAB), Savannah River... FURTHER INFORMATION CONTACT: Gerri Flemming, Office of External Affairs, Department of Energy,...

  10. The Savannah River Site: site description, land use, and management history

    Treesearch

    David L. White; Karen F. Gaines

    2000-01-01

    The 78,000-ha Savannah River Site, which is located in the Upper Coastal Plain of South Carolina along the Savannah River, was established as a nuclear production facility in 1951 by the Atomic Energy Commission. The site's physical and vegetative characteristics, land use history, and the impacts of management and operations are described. Aboriginal and early...

  11. 48 CFR 311.7001 - Section 508 accessibility standards for HHS Web site content and communications materials.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... standards for HHS Web site content and communications materials. 311.7001 Section 311.7001 Federal... AGENCY NEEDS Section 508 Accessibility Standards 311.7001 Section 508 accessibility standards for HHS Web... that is specifically intended for publication on, or delivery via, an HHS-owned or -funded Web site....

  12. 48 CFR 311.7001 - Section 508 accessibility standards for HHS Web site content and communications materials.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... standards for HHS Web site content and communications materials. 311.7001 Section 311.7001 Federal... AGENCY NEEDS Section 508 Accessibility Standards 311.7001 Section 508 accessibility standards for HHS Web... that is specifically intended for publication on, or delivery via, an HHS-owned or -funded Web site....

  13. 48 CFR 311.7001 - Section 508 accessibility standards for HHS Web site content and communications materials.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... standards for HHS Web site content and communications materials. 311.7001 Section 311.7001 Federal... AGENCY NEEDS Section 508 Accessibility Standards 311.7001 Section 508 accessibility standards for HHS Web... that is specifically intended for publication on, or delivery via, an HHS-owned or -funded Web site....

  14. 48 CFR 311.7001 - Section 508 accessibility standards for HHS Web site content and communications materials.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... standards for HHS Web site content and communications materials. 311.7001 Section 311.7001 Federal... AGENCY NEEDS Section 508 Accessibility Standards 311.7001 Section 508 accessibility standards for HHS Web... that is specifically intended for publication on, or delivery via, an HHS-owned or -funded Web site....

  15. 48 CFR 311.7001 - Section 508 accessibility standards for HHS Web site content and communications materials.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... standards for HHS Web site content and communications materials. 311.7001 Section 311.7001 Federal... AGENCY NEEDS Section 508 Accessibility Standards 311.7001 Section 508 accessibility standards for HHS Web... that is specifically intended for publication on, or delivery via, an HHS-owned or -funded Web site....

  16. Beyond Section 508: The Spectrum of Legal Requirements for Accessible e-Government Web Sites in the United States

    ERIC Educational Resources Information Center

    Jaeger, Paul T.

    2004-01-01

    In the United States, a number of federal laws establish requirements that electronic government (e-government) information and services be accessible to individuals with disabilities. These laws affect e-government Web sites at the federal, state, and local levels. To this point, research about the accessibility of e-government Web sites has…

  17. [Application of ultrasonography in central venous catheterization; access sites and procedure techniques].

    PubMed

    Czyzewska, Dorota; Ustymowicz, Andrzej; Klukowski, Mark

    2016-08-05

    Central venous catheterization is commonly performed in clinical practice. Traditional procedural technique is based on anatomical landmarks, but is associated with a high risk of failure and complications. To decrease their incidence European and American societies recommend application of ultrasonography. Preliminary ultrasonographic examination allows for assessment of local anatomical relations as well as vessel morphology (diameter, patency), while real-time ultrasonography increases chances of successful needle insertion. This paper presents the most common venous access sites and procedure techniques.

  18. Disease management in the alternate-site health care setting.

    PubMed

    Lima, H A

    1998-03-01

    The role of pharmacies that specialize in the treatment of specific chronic diseases in the alternate-site health care setting is discussed. The optimal use of medications through disease management programs can improve patient outcomes and lower overall health care costs. The increase in disease management programs has spawned the growth of disease-specific pharmacies in the home care and other alternate-site health care settings. These pharmacies usually operate from a single location or are regionalized operations that deliver pharmaceutical products to patients throughout the United States. The pharmacies employ clinicians who specialize in a particular disease. These clinicians conduct comprehensive patient education programs, drug-use review, and compliance monitoring. Disease management pharmacies focus on chronic, expensive diseases; costs related to inventory, equipment, and storage can be very high. Many disease management pharmacies are involved in preferred-distribution or closed-distribution arrangements with pharmaceutical manufacturers. Pharmacists involved in disease management programs routinely send compliance information about their patients to pharmaceutical companies, managed care organizations, or prescribing physicians. Disease management pharmacies act as advocates for patients with particular chronic diseases. Various foundations and patient advocacy and research groups have created their own disease management pharmacies. Disease management has also reached the community pharmacy practice setting. Pharmacies specializing in the treatment of specific chronic diseases in the alternate-site health care setting can improve health care and promote efficient use of health care dollars.

  19. What do citizens want in siting of waste management facilities

    SciTech Connect

    Trimble, L.C.

    1988-09-01

    Answering the question of what citizens want in siting of waste management facilities is more difficult today than when the only option was a landfill; then, citizens did not want a landfill in their neighborhood. Today, citizens do not want landfillsexclamation However, as other options for handling waste come to the forefront, they find that it is almost as difficult to site a transfer station or a waste-to-energy facility as it was to site a landfill. Even finding an acceptable location for a reprocessing facility for recyclables is difficult due to the stigma attached to garbage disposal. A greater effect must be made to get factual information to their citizens and their elected officials regarding all aspects of waste management. This paper explores some issues that citizens want addressed which may make it easier to site needed waste management facilities.

  20. Information management fiscal year 1996 site support program plan, WBS 6.4. Revision 1

    SciTech Connect

    1995-09-01

    In the recent past, information resource management (IRM) was a neatly separable component of the overall DOE mission, concerned primarily with procuring and implementing automatic data processing (ADP) systems. As the DOE missions have shifted from producing product to managing processes, those clear lines have blurred. Today, IRM is firmly embedded in all aspects of the DOE mission. BCS Richland, Inc., (BCSR) provides IRM for the Hanford Site. The main focus in executing this mission is to meet customer goals by providing high-quality, timely, and cost-effective electronic communication, computing, and information services. Information resources provide the US Department of Energy, Richland Operations Office (RL) and the Hanford Site contractors the ability to generate, store, access, and communicate information quickly, reliably, and cost effectively. BCSR plans, implements, and operates electronic communication, computing and information management systems that enable effective operation of the Hanford Site. Five strategic initiatives to encompass the vision provide guidance and focus to the information technology (IT) direction for developing the BCSR program plan. These strategic initiatives are the program vision and are as follows: primary focus; fast response; accessible information; world class information management infrastructure; powerful desktop. The business directions that guide the development of the BCSR Program Plan are: (1) emphasize providing cost-effective and value-added communication, computing, and information systems products and services to the Site missions; (2) strengthen the alignment of products and services with Site projects and programs and eliminate duplications Sitewide; (3) focus on the effective resolution of critical Site information management (IM) issues.

  1. Environmental Restoration and Waste Management Site-Specific Plan (SSP) for fiscal year 1992 (FY92)

    SciTech Connect

    Not Available

    1991-09-01

    The FY-92 Site-Specific Plan (FY-92 SSP) for environmental restoration and waste management at the Idaho National Engineering Laboratory (INEL) is designed to provide the reader with easy access to the status of environmental restoration and waste management activities at INEL. The first chapter provides background on INIEL`s physical environment, site history and mission, and general information about the site and its facilities. In addition, this chapter discusses the inter-relationships between the Site Specific Plan, the Environmental Restoration and Waste Management Five-Year Plan, the environmental restoration and waste management prioritization systems, and the Activity Data Sheets (ADSs) for environmental restoration and waste management. This discussion should help readers understand what the SSP is and how it fits into the environmental restoration and waste management process at INEL. This understanding should provide the reader with a better context for understanding the discussions in the SSP as well as a better feel for how and what to comment on during the public comment period that will be held from the first of September through the end of October 1991.

  2. Environmental Restoration and Waste Management Site-Specific Plan (SSP) for fiscal year 1992 (FY92)

    SciTech Connect

    Not Available

    1991-09-01

    The FY-92 Site-Specific Plan (FY-92 SSP) for environmental restoration and waste management at the Idaho National Engineering Laboratory (INEL) is designed to provide the reader with easy access to the status of environmental restoration and waste management activities at INEL. The first chapter provides background on INIEL's physical environment, site history and mission, and general information about the site and its facilities. In addition, this chapter discusses the inter-relationships between the Site Specific Plan, the Environmental Restoration and Waste Management Five-Year Plan, the environmental restoration and waste management prioritization systems, and the Activity Data Sheets (ADSs) for environmental restoration and waste management. This discussion should help readers understand what the SSP is and how it fits into the environmental restoration and waste management process at INEL. This understanding should provide the reader with a better context for understanding the discussions in the SSP as well as a better feel for how and what to comment on during the public comment period that will be held from the first of September through the end of October 1991.

  3. Nevada Test Site 2008 Waste Management Monitoring Report Area 3 and Area 5 Radioactive Waste Management Sites

    SciTech Connect

    NSTec Environmental Management

    2009-06-23

    Environmental monitoring data were collected at and around the Area 3 and Area 5 Radioactive Waste Management Sites (RWMSs) at the Nevada Test Site. These data are associated with radiation exposure, air, groundwater, meteorology, vadose zone, subsidence, and biota. This report summarizes the 2008 environmental data to provide an overall evaluation of RWMS performance and to support environmental compliance and performance assessment (PA) activities.

  4. Carboxylator: incorporating solvent-accessible surface area for identifying protein carboxylation sites

    NASA Astrophysics Data System (ADS)

    Lu, Cheng-Tsung; Chen, Shu-An; Bretaña, Neil Arvin; Cheng, Tzu-Hsiu; Lee, Tzong-Yi

    2011-10-01

    In proteins, glutamate (Glu) residues are transformed into γ-carboxyglutamate (Gla) residues in a process called carboxylation. The process of protein carboxylation catalyzed by γ-glutamyl carboxylase is deemed to be important due to its involvement in biological processes such as blood clotting cascade and bone growth. There is an increasing interest within the scientific community to identify protein carboxylation sites. However, experimental identification of carboxylation sites via mass spectrometry-based methods is observed to be expensive, time-consuming, and labor-intensive. Thus, we were motivated to design a computational method for identifying protein carboxylation sites. This work aims to investigate the protein carboxylation by considering the composition of amino acids that surround modification sites. With the implication of a modified residue prefers to be accessible on the surface of a protein, the solvent-accessible surface area (ASA) around carboxylation sites is also investigated. Radial basis function network is then employed to build a predictive model using various features for identifying carboxylation sites. Based on a five-fold cross-validation evaluation, a predictive model trained using the combined features of amino acid sequence (AA20D), amino acid composition, and ASA, yields the highest accuracy at 0.874. Furthermore, an independent test done involving data not included in the cross-validation process indicates that in silico identification is a feasible means of preliminary analysis. Additionally, the predictive method presented in this work is implemented as Carboxylator (http://csb.cse.yzu.edu.tw/Carboxylator/), a web-based tool for identifying carboxylated proteins with modification sites in order to help users in investigating γ-glutamyl carboxylation.

  5. Policy on management of post-removal site control. Directive

    SciTech Connect

    Not Available

    1990-12-03

    The directive transmits the OSWER policy on management of post-removal site control for Fund-financed removal activities and communicating decisions to States on the use of institutional controls. It provides procedures to ensure that, when necessary and to the extent practicable, provision for post-removal site control at both National Priorities List (NPL) and non-NPL sites is made prior to initiation of a Fund-financed removal action. Procedures are also provided for communicating decisions to States on the use of institutional controls when waste is left on-site following a removal action.

  6. Inequitable access: provider characteristics and reimbursement policies of primary care office sites in Milwaukee.

    PubMed

    Thomson, Alice R; Baisch, Mary Jo

    2010-10-01

    Availability of primary physician care is a key determinant of health care access. While inequities in access can be related to individual and health care system characteristics, this study focused on the organizational characteristics of the health care system and examined the availability and accessibility of primary care physician offices in Milwaukee, Wisconsin. The study design was a secondary analysis of data extracted from a database of information about physician offices established for case management purposes. Analyzed data related to provider characteristics--geographic distribution, types of practice, hours of practice, and acceptance of new patients--and reimbursement policies. Results indicated there were barriers to primary care access in Milwaukee. Although the majority of physicians accepted new patients, most providers were available only during standard business hours, were located outside the center city, and limited acceptance of patients who were on Medicaid or had no health insurance. Access improves when there is a medical home and a single clinician coordinating patient health care. This is the role of primary care, and this study supports the need for expanded availability of primary care practitioners.

  7. Savannah River Site`s procedure management steering committee: A voice in the crowd

    SciTech Connect

    Schmidt, K.; Powe, K.; Grider, L.

    1994-12-31

    When Westinghouse Electric Corporation`s subsidiary, Westinghouse Savannah River Company, assumed operation of the Savannah River site (SRS) from the DuPont Corporation in April of 1989, it made a commitment to operate facilities and equipment according to explicit procedures. To enact this philosophy, a procedure management control system was needed. Daniel Plung and his management standards department (MSD) developed and implemented such a program, entitled the Integrated Procedure Management System (IPMS). The MSD reviewed the site`s many different practices on handling procedures and examined hundreds of procedures themselves. From that knowledge, the MSD was able to identify and seek out subject matter experts from the major contributors and producers of procedures throughout the SRS. These people formed the basis of the Procedures Management Steering Committee (PMSC), the committee that would help define policy related to the IPMS.

  8. Hanford Site waste management and environmental restoration integration plan

    SciTech Connect

    Merrick, D.L.

    1990-04-30

    The Hanford Site Waste Management and Environmental Restoration Integration Plan'' describes major actions leading to waste disposal and site remediation. The primary purpose of this document is to provide a management tool for use by executives who need to quickly comprehend the waste management and environmental restoration programs. The Waste Management and Environmental Restoration Programs have been divided into missions. Waste Management consists of five missions: double-shell tank (DST) wastes; single-shell tank (SST) wastes (surveillance and interim storage, stabilization, and isolation); encapsulated cesium and strontium; solid wastes; and liquid effluents. Environmental Restoration consists of two missions: past practice units (PPU) (including characterization and assessment of SST wastes) and surplus facilities. For convenience, both aspects of SST wastes are discussed in one place. A general category of supporting activities is also included. 20 refs., 14 figs., 7 tabs.

  9. Consolidated Online Data Management Strategy in Support of Environmental Remediation Activities at the Dupont Chambers Works Formerly Utilized Sites Remedial Action Program (Fusrap) Site

    SciTech Connect

    Nelson, K.A.; Desai, N.B.; Samus, J.E.; Bock, G.O.

    2007-07-01

    The U.S. Army Corps of Engineers (USACE) has developed and implemented an innovative online data management application in support of site characterization and remediation activities at the DuPont Chambers Works Formerly Utilized Sites Remedial Action Program (FUSRAP) Site. The password-protected, web-based application was implemented to centralize project data, facilitate project communications, and provide a large and diverse group of project team members with access to the data and analytical tools they need to efficiently and effectively manage the ongoing characterization and remediation efforts. Centralizing resources using the online application and web-based strategy streamlines data access and communications, allowing the team to effectively keep the project on track while reducing the costs associated with data requests, data duplication, document review and retrieval, software requirements, and lapses in communication or data transfer. (authors)

  10. NASA Project Icon Image Access and Management, year 2

    NASA Technical Reports Server (NTRS)

    1988-01-01

    Viewgraphs used in a presentation of the NASA Project Icon Image Access and Management are given. The viewgraphs depict the opening screen that allows the user to start searching the thesaurus; a schematic of the the NASA image input/output workstation; the main term screen that allows the user to view the term and the associated pictures, enter the term into the search buffer, and go to one of the linked terms; the main input screen that allows the user to enter new terms, edit terms, and add pictures and links between terms; the term index that allows the user to select a term by scrolling through an alphabetic list of all the terms in the thesaurus; the results screen that shows the results of the search on the external database; the screen buffer that displays a list of all the search terms collected while browsing through the thesaurus; and the picture index that allows the user to select a term by scrolling through the list of pictures stored in the visual thesaurus.

  11. IceBridge Data Management and Access Strategies at NSIDC

    NASA Astrophysics Data System (ADS)

    Oldenburg, J.; Tanner, S.; Collins, J. A.; Lewis, S.; FitzGerrell, A.

    2013-12-01

    NASA's Operation IceBridge (OIB) mission, initiated in 2009, collects airborne remote sensing measurements over the polar regions to bridge the gap between NASA's Ice, Cloud and Land Elevation satellite (ICESat) mission and the upcoming ICESat-2 mission in 2016. OIB combines an evolving mix of instruments to gather data on topography, ice and snow thickness, high-resolution photography, and other properties that are more difficult or impossible to measure via satellite. Once collected, these data are stored and made available at the National Snow and Ice Data Center (NSIDC) in Boulder, Colorado. To date, there are nearly 90 terabytes of data available, and there are about three more years of data collection left. The main challenges faced in data management at NSIDC are derived from the quantity and heterogeneity of the data. To deal with the quantity of data, the technical teams at NSIDC have significantly automated the data ingest, metadata generation, and other required data management steps. Heterogeneity of data and the evolution of the Operation over time make technical automation complex. To limit complexity, the IceBridge team has agreed to such practices as using specific data file formats, limiting file sizes, using specific filename templates, etc. These agreements evolve as Operation IceBridge moves forward. The metadata generated about the flights and the data collected thereon make the storage of the data more robust, and enable data discoverability. With so much metadata, users can search the vast collection with ease using specific parameters about the data they seek. An example of this in action is the IceBridge data portal developed at NSIDC, http://nsidc.org/icebridge/portal/. This portal uses the GPS data from the flights projected onto maps as well as other flight and instrument metadata to help the user find the exact data file they seek. This implementation is only possible with dependable data management beneath the surface. The data files

  12. 76 FR 38293 - Risk Management Controls for Brokers or Dealers With Market Access

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-30

    ... COMMISSION 17 CFR Part 240 RIN 3235-AK53 Risk Management Controls for Brokers or Dealers With Market Access... sponsored or direct market access to customers or other persons, and broker-dealer operators of an ATS that...-dealer that could arise as a result of market access, and ensure compliance with all regulatory...

  13. Identification and Access Management: An Action Research Approach to Develop a Training Strategy for Higher Education

    ERIC Educational Resources Information Center

    San Nicolas-Rocca, Tonia

    2010-01-01

    Identification and access management has been among the top security issues facing institutions of higher education. Most institutions of higher education require end users to provide usernames and passwords to gain access to personally identifiable information (PII). This leaves universities vulnerable to unauthorized access and unauthorized…

  14. Identification and Access Management: An Action Research Approach to Develop a Training Strategy for Higher Education

    ERIC Educational Resources Information Center

    San Nicolas-Rocca, Tonia

    2010-01-01

    Identification and access management has been among the top security issues facing institutions of higher education. Most institutions of higher education require end users to provide usernames and passwords to gain access to personally identifiable information (PII). This leaves universities vulnerable to unauthorized access and unauthorized…

  15. Quantifying accessible sites and reactivity on titania–silica (photo)catalysts: Refining TOF calculations

    SciTech Connect

    Eaton, Todd R.; Campos, Michael P.; Gray, Kimberly A.; Notestein, Justin M.

    2014-01-01

    It can be difficult to determine the number of active atoms accessible to the fluid phase in mixed oxide catalysts, as required for obtaining true turnover frequencies (TOF). Here, we utilize the selective titration of surface Ti atoms with phenylphosphonic acid (PPA) on TiO2–SiO2 materials to estimate the number of reactant-accessible sites. TiO2–SiO2 composites were synthesized over a range of Ti loadings from grafting of titanocene dichloride (Cp2TiCl2) or tetraethoxy orthotitanate (TEOT) on SiO2 and sol–gel co-hydrolysis of Si and Ti alkoxides. The materials were characterized by DRUV–vis, XRD, BET, and XANES. Despite the significant morphological and electronic differences, materials prepared by Cp2TiCl2 and TEOT yielded a near-constant TOF of 0.14 h-1 (±0.04) across Ti loadings, for benzyl alcohol photooxidation, when normalizing rates by sites titrated by PPA. The fraction of Ti atoms titrated by PPA was strongly dependent on synthesis method and surface density. PPA titration and benzyl alcohol photooxidation may be useful measures of surface accessibility in other supported oxides.

  16. Access patterns of a clinic-based health information web site for international travelers.

    PubMed

    Licciardone, John C

    2002-01-01

    A large national telephone survey conducted in 2000 by the Pew Internet & American Life Project estimated that 52 million American adults used the Internet to acquire health information. Based on population estimates, these users comprised 25% of all adults. The growth of online health information coupled with increasing Internet access has led to the emergence of consumer informatics as an outbranching from traditional medical informatics. The ease of international communications afforded by the Internet holds great promise for consumers in the realm of travel medicine. For example, an early study found that a Web site hosted by an international travel medicine clinic was accessed by client computers in more than 100 countries. Nevertheless, relatively little research has been conducted on consumer informatics in travel medicine. An important aspect of consumer informatics involves studying consumers' needs for health information. The purpose of this study was to perform a descriptive analysis of overall use and content-specific access patterns for health information provided on a clinic-based Web site for international travelers.

  17. Area 5 Radioactive Waste Management Site Safety Assessment Document

    SciTech Connect

    Horton, K.K.; Kendall, E.W.; Brown, J.J.

    1980-02-01

    The Area 5 Radioactive Waste Management Safety Assessment Document evaluates site characteristics, facilities and operating practices which contribute to the safe handling and storage/disposal of radioactive wastes at the Nevada Test Site. Physical geography, cultural factors, climate and meteorology, geology, hydrology (with emphasis on radionuclide migration), ecology, natural phenomena, and natural resources are discussed and determined to be suitable for effective containment of radionuclides. Also considered, as a separate section, are facilities and operating practices such as monitoring; storage/disposal criteria; site maintenance, equipment, and support; transportation and waste handling; and others which are adequate for the safe handling and storage/disposal of radioactive wastes. In conclusion, the Area 5 Radioactive Waste Management Site is suitable for radioactive waste handling and storage/disposal for a maximum of twenty more years at the present rate of utilization.

  18. Beyond Distance: An Approach to Measure Effective Access to Case Management for Sick Children in Africa

    PubMed Central

    Guenther, Tanya; Sadruddin, Salim; Chimuna, Tiyese; Sichamba, Bias; Yeboah-Antwi, Kojo; Diakite, Bamody; Modibo, Bamadio; Swedberg, Eric; R. Marsh, David

    2012-01-01

    Health planners commonly use geographic proximity to define access to health services. However, effective access to case management requires reliable access to a trained, supplied provider. We defined effective access as the proportion of the study population with geographic access, corrected for other barriers, staffing patterns, and medicine availability. We measured effective access through a cross-sectional survey of 32 health facilities in Malawi, Mali, and Zambia and modeled the potential contribution of community case management (CCM). The population living within Ministry of Health (MOH)–defined geographic access was 43% overall (range = 18–52%), but effective access was only 14% overall (range = 9–17%). Implementing CCM as per MOH plans increased geographic access to 63–90% and effective access to 30–57%. Access to case management is much worse than typically estimated by distance. The CCM increases access dramatically, again if providers are available and supplied, and should be considered even for those within MOH-defined access areas. PMID:23136281

  19. Web-Based Geographic Information System Tool for Accessing Hanford Site Environmental Data

    SciTech Connect

    Triplett, Mark B.; Seiple, Timothy E.; Watson, David J.; Charboneau, Briant L.; Morse, John G.

    2014-11-15

    Data volume, complexity, and access issues pose severe challenges for analysts, regulators and stakeholders attempting to efficiently use legacy data to support decision making at the U.S. Department of Energy’s (DOE) Hanford Site. DOE has partnered with the Pacific Northwest National Laboratory (PNNL) on the PHOENIX (PNNL-Hanford Online Environmental Information System) project, which seeks to address data access, transparency, and integration challenges at Hanford to provide effective decision support. PHOENIX is a family of spatially-enabled web applications providing quick access to decades of valuable scientific data and insight through intuitive query, visualization, and analysis tools. PHOENIX realizes broad, public accessibility by relying only on ubiquitous web-browsers, eliminating the need for specialized software. It accommodates a wide range of users with intuitive user interfaces that require little or no training to quickly obtain and visualize data. Currently, PHOENIX is actively hosting three applications focused on groundwater monitoring, groundwater clean-up performance reporting, and in-tank monitoring. PHOENIX-based applications are being used to streamline investigative and analytical processes at Hanford, saving time and money. But more importantly, by integrating previously isolated datasets and developing relevant visualization and analysis tools, PHOENIX applications are enabling DOE to discover new correlations hidden in legacy data, allowing them to more effectively address complex issues at Hanford.

  20. Efficient use of information in adaptive management with an application to managing recreation near golden eagle nesting sites.

    PubMed

    Fackler, Paul L; Pacifici, Krishna; Martin, Julien; McIntyre, Carol

    2014-01-01

    It is generally the case that a significant degree of uncertainty exists concerning the behavior of ecological systems. Adaptive management has been developed to address such structural uncertainty, while recognizing that decisions must be made without full knowledge of how a system behaves. This paradigm attempts to use new information that develops during the course of management to learn how the system works. To date, however, adaptive management has used a very limited information set to characterize the learning that is possible. This paper uses an extension of the Partial Observable Markov Decision Process (POMDP) framework to expand the information set used to update belief in competing models. This feature can potentially increase the speed of learning through adaptive management, and lead to better management in the future. We apply this framework to a case study wherein interest lies in managing recreational restrictions around golden eagle (Aquila chrysaetos) nesting sites. The ultimate management objective is to maintain an abundant eagle population in Denali National Park while minimizing the regulatory burden on park visitors. In order to capture this objective, we developed a utility function that trades off expected breeding success with hiker access. Our work is relevant to the management of human activities in protected areas, but more generally demonstrates some of the benefits of POMDP in the context of adaptive management.

  1. Efficient Use of Information in Adaptive Management with an Application to Managing Recreation near Golden Eagle Nesting Sites

    PubMed Central

    Fackler, Paul L.; Pacifici, Krishna; Martin, Julien; McIntyre, Carol

    2014-01-01

    It is generally the case that a significant degree of uncertainty exists concerning the behavior of ecological systems. Adaptive management has been developed to address such structural uncertainty, while recognizing that decisions must be made without full knowledge of how a system behaves. This paradigm attempts to use new information that develops during the course of management to learn how the system works. To date, however, adaptive management has used a very limited information set to characterize the learning that is possible. This paper uses an extension of the Partial Observable Markov Decision Process (POMDP) framework to expand the information set used to update belief in competing models. This feature can potentially increase the speed of learning through adaptive management, and lead to better management in the future. We apply this framework to a case study wherein interest lies in managing recreational restrictions around golden eagle (Aquila chrysaetos) nesting sites. The ultimate management objective is to maintain an abundant eagle population in Denali National Park while minimizing the regulatory burden on park visitors. In order to capture this objective, we developed a utility function that trades off expected breeding success with hiker access. Our work is relevant to the management of human activities in protected areas, but more generally demonstrates some of the benefits of POMDP in the context of adaptive management. PMID:25098955

  2. Improving the safety of remote site emergency airway management

    PubMed Central

    Wijesuriya, Julian; Brand, Jonathan

    2014-01-01

    Airway management, particularly in non-theatre settings, is an area of anaesthesia and critical care associated with significant risk of morbidity & mortality, as highlighted during the 4th National Audit Project of the Royal College of Anaesthetists (NAP4). A survey of junior anaesthetists at our hospital highlighted a lack of confidence and perceived lack of safety in emergency airway management, especially in non-theatre settings. We developed and implemented a multifaceted airway package designed to improve the safety of remote site airway management. A Rapid Sequence Induction (RSI) checklist was developed; this was combined with new advanced airway equipment and drugs bags. Additionally, new carbon dioxide detector filters were procured in order to comply with NAP4 monitoring recommendations. The RSI checklists were placed in key locations throughout the hospital and the drugs and advanced airway equipment bags were centralised in the Intensive Care Unit (ICU). It was agreed with the senior nursing staff that an appropriately trained ICU nurse would attend all emergency situations with new airway resources upon request. Departmental guidelines were updated to include details of the new resources and the on-call anaesthetist's responsibilities regarding checks and maintenance. Following our intervention trainees reported higher confidence levels regarding remote site emergency airway management. Nine trusts within the Northern Region were surveyed and we found large variations in the provision of remote site airway management resources. Complications in remote site airway management due lack of available appropriate drugs, equipment or trained staff are potentially life threatening and completely avoidable. Utilising the intervention package an anaesthetist would be able to safely plan and prepare for airway management in any setting. They would subsequently have the drugs, equipment, and trained assistance required to manage any difficulties or complications

  3. Improving the safety of remote site emergency airway management.

    PubMed

    Wijesuriya, Julian; Brand, Jonathan

    2014-01-01

    Airway management, particularly in non-theatre settings, is an area of anaesthesia and critical care associated with significant risk of morbidity & mortality, as highlighted during the 4th National Audit Project of the Royal College of Anaesthetists (NAP4). A survey of junior anaesthetists at our hospital highlighted a lack of confidence and perceived lack of safety in emergency airway management, especially in non-theatre settings. We developed and implemented a multifaceted airway package designed to improve the safety of remote site airway management. A Rapid Sequence Induction (RSI) checklist was developed; this was combined with new advanced airway equipment and drugs bags. Additionally, new carbon dioxide detector filters were procured in order to comply with NAP4 monitoring recommendations. The RSI checklists were placed in key locations throughout the hospital and the drugs and advanced airway equipment bags were centralised in the Intensive Care Unit (ICU). It was agreed with the senior nursing staff that an appropriately trained ICU nurse would attend all emergency situations with new airway resources upon request. Departmental guidelines were updated to include details of the new resources and the on-call anaesthetist's responsibilities regarding checks and maintenance. Following our intervention trainees reported higher confidence levels regarding remote site emergency airway management. Nine trusts within the Northern Region were surveyed and we found large variations in the provision of remote site airway management resources. Complications in remote site airway management due lack of available appropriate drugs, equipment or trained staff are potentially life threatening and completely avoidable. Utilising the intervention package an anaesthetist would be able to safely plan and prepare for airway management in any setting. They would subsequently have the drugs, equipment, and trained assistance required to manage any difficulties or complications

  4. Configuration management program plan for Hanford site systems engineering

    SciTech Connect

    Hoffman, A.G.

    1994-11-14

    This plan establishes the integrated configuration management program for the evolving technical baseline developed through the systems engineering process. This configuration management program aligns with the criteria identified in the DOE Standard, DOE-STD-1073-93. Included are specific requirements for control of the systems engineering RDD-100 database, and electronic data incorporated in the database that establishes the Hanford site technical baseline.

  5. Access to Care and Diabetes Management Among Older American Indians With Type 2 Diabetes.

    PubMed

    Nicklett, Emily J; Omidpanah, Adam; Whitener, Ron; Howard, Barbara V; Manson, Spero M

    2017-03-01

    To examine the relationship between health care access and diabetes management among a geographically diverse sample of American Indians (AIs) aged 50 and older with type 2 diabetes. We examined the relationship between access to care and diabetes management, as measured by HbA1c, using 1998-1999 data from the Strong Heart Family Study. A series of bivariate and multivariate linear models examined the relationships between nine access-related variables and HbA1c levels. In bivariate analyses, out-of-pocket costs were associated with higher HbA1c levels. No other access-related characteristics were significantly associated with diabetes management in bivariate or in multivariate models. Access-related barriers were not associated with worse diabetes management in multivariate analyses. The study concludes with implications for clinicians working with AI populations to enhance opportunities for diabetes management.

  6. Nevada Test Site 2000 Annual Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    Y. E.Townsend

    2001-02-01

    This report is a compilation of the calendar year 2000 groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS). Contamination indicator data are presented in control chart and tabular form with investigation levels (IL) indicated. Gross water chemistry data are presented in graphical and tabular form. Other information in the report includes, the Cumulative Chronology for Area 5 RWMS Groundwater Monitoring Program, a brief description of the site hydrogeology, and the groundwater sampling procedure.

  7. Minimal access surgery in the management of pediatric urolithiasis.

    PubMed

    Fragoso, Ana Catarina; Steyaert, Henry; Arnaud, Pierre; Esposito, Ciro; Estevao-Costa, Jose; Valla, Jean-Stephane

    2016-10-01

    In contrast to adult patients, a relatively large number of open surgical procedures are still needed in the treatment of urolithiasis in children. Since almost all open surgical techniques may be reproduced by minimal access surgery (MAS), there is a rationale to apply the latter in the management of pediatric urolithiasis. Our study aimed to assess the feasibility and outcome of MAS in the treatment of pediatric urinary calculi. The charts of patients with urolithiasis submitted to MAS between 1994 and 2007 were retrospectively reviewed. The inclusion criteria were contraindication for and failure of lithotripsy or endourology techniques. Demographic data, lithiasis characterization (location, dimension, composition), predisposing factors (anatomic or metabolic) and surgical approach (technique and outcome) were evaluated. Fifteen consecutive patients (eight girls, seven boys) with a median age of 108 months (range: 10-297 months) were elected for MAS. Eleven (73%) children had associated urogenital malformations and three (20%) presented metabolic abnormalities. A total of 17 procedures were performed laparoscopically: three nephrolithotomy (one transperitoneal, two by retroperitoneoscopy), four pyelolithotomies (retro), three ureterolithotomy (trans) and seven cystolithotomies (suprapubic approach). Five patients underwent concomitant correction of urological anomalies (three calyceal diverticula, one obstructive megaureter, one ureteropelvic junction obstruction). Complete removal of calculi was accomplished in 14 (82%) procedures. There were two perioperative complications (one intraperitoneal vesical perforation and one perivesical urinoma). At a median follow up of 4 years (range, 1 month to 11 years), four patients have developed recurrence. MAS is an effective and safe approach for urolithiasis in children who are not candidates for minimally invasive modalities.

  8. Minimal access surgery in the management of pediatric urolithiasis

    PubMed Central

    Fragoso, Ana Catarina; Steyaert, Henry; Arnaud, Pierre; Estevao-Costa, Jose´; Valla, Jean-Stephane

    2016-01-01

    Background In contrast to adult patients, a relatively large number of open surgical procedures are still needed in the treatment of urolithiasis in children. Since almost all open surgical techniques may be reproduced by minimal access surgery (MAS), there is a rationale to apply the latter in the management of pediatric urolithiasis. Our study aimed to assess the feasibility and outcome of MAS in the treatment of pediatric urinary calculi. Methods The charts of patients with urolithiasis submitted to MAS between 1994 and 2007 were retrospectively reviewed. The inclusion criteria were contraindication for and failure of lithotripsy or endourology techniques. Demographic data, lithiasis characterization (location, dimension, composition), predisposing factors (anatomic or metabolic) and surgical approach (technique and outcome) were evaluated. Results Fifteen consecutive patients (eight girls, seven boys) with a median age of 108 months (range: 10–297 months) were elected for MAS. Eleven (73%) children had associated urogenital malformations and three (20%) presented metabolic abnormalities. A total of 17 procedures were performed laparoscopically: three nephrolithotomy (one transperitoneal, two by retroperitoneoscopy), four pyelolithotomies (retro), three ureterolithotomy (trans) and seven cystolithotomies (suprapubic approach). Five patients underwent concomitant correction of urological anomalies (three calyceal diverticula, one obstructive megaureter, one ureteropelvic junction obstruction). Complete removal of calculi was accomplished in 14 (82%) procedures. There were two perioperative complications (one intraperitoneal vesical perforation and one perivesical urinoma). At a median follow up of 4 years (range, 1 month to 11 years), four patients have developed recurrence. Conclusions MAS is an effective and safe approach for urolithiasis in children who are not candidates for minimally invasive modalities. PMID:27867850

  9. Management of particles detected on the Dounreay site.

    PubMed

    Goss, O E; Liddiard, M

    2007-09-01

    Much effort is involved in finding and retrieving historic particles from the environs surrounding the Dounreay nuclear site. Historic particles are also present on the site itself, and these are dealt with as part of the ongoing contaminated land management regime. UKAEA operates systems of routine monitoring on outside surface areas in order to limit exposure to the workforce under the Ionising Radiation Regulations 1999. Contaminated material is removed when found, and this material undergoes separation and analysis routinely and where suspected to contain a particle. Information regarding on-site particles has been built up as a result of this. The distribution of on-site particles provides details of the likely dispersion pathways, and it is apparent that some interaction occurs between the on-site and off-site particle transport mechanisms. The strategy for dealing with contaminated land at Dounreay is to manage contamination in situ during the decommissioning phase, where the risk of doing so is acceptable. Particles present a very low risk to Dounreay site workers but it is considered ALARP (as low as reasonably practicable) to detect and remove these particles. The particles are a legacy issue arising from historic practices, which would not meet today's safety standards. A continuing programme to detect, remove and record their presence will be required during the site closure process. This will be necessary to meet current regulations and the likely criteria for releasing the site for future re-use. The final solution for the particles will not be known until the Best Practicable Environmental Options study is completed and further development of the site end-point work has been reported. It is unlikely that there will be a full removal of particles from the total environment, so some form of long term monitoring programme may be required plus a high standard of record keeping.

  10. Managing Self-Access in Development: Three Perspectives.

    ERIC Educational Resources Information Center

    Kafudji, Rita; And Others

    A portion of an Indonesian educational development project, designed to enhance university science lecturers' access to materials and assessed from three perspectives. The program involves the development of a Self-Access Resource Center (SARC) at the English Language Training Center, Cenderawasih University, Manokwari. The project aims to provide…

  11. Hanford Site Groundwater Protection Management Program: Revision 1

    SciTech Connect

    1993-11-01

    Groundwater protection is a national priority that is promulgated in a variety of environmental regulations at local, state, and federal levels. To effectively coordinate and ensure compliance with applicable regulations, the US Department of Energy has issued DOE Order 5400.1 (now under revision) that requires all US Department of Energy facilities to prepare separate groundwater protection program descriptions and plans. This document describes the Groundwater Protection Management Program for the Hanford Site located in the state of Washington. DOE Order 5400.1 specifies that the Groundwater Protection Management Program cover the following general topical areas: (1) documentation of the groundwater regime, (2) design and implementation of a groundwater monitoring program to support resource management and comply with applicable laws and regulations, (3) a management program for groundwater protection and remediation, (4) a summary and identification of areas that may be contaminated with hazardous waste, (5) strategies for controlling these sources, (6) a remedial action program, and (7) decontamination and decommissioning and related remedial action requirements. Many of the above elements are covered by existing programs at the Hanford Site; thus, one of the primary purposes of this document is to provide a framework for coordination of existing groundwater protection activities. Additionally, it describes how information needs are identified and can be incorporated into existing or proposed new programs. The Groundwater Protection Management Program provides the general scope, philosophy, and strategies for groundwater protection/management at the Hanford Site. Subtier documents provide the detailed plans for implementing groundwater-related activities and programs. Related schedule and budget information are provided in the 5-year plan for environmental restoration and waste management at the Hanford Site.

  12. Selective nitrogen capture by porous hybrid materials containing accessible transition metal ion sites

    NASA Astrophysics Data System (ADS)

    Yoon, Ji Woong; Chang, Hyunju; Lee, Seung-Joon; Hwang, Young Kyu; Hong, Do-Young; Lee, Su-Kyung; Lee, Ji Sun; Jang, Seunghun; Yoon, Tae-Ung; Kwac, Kijeong; Jung, Yousung; Pillai, Renjith S.; Faucher, Florian; Vimont, Alexandre; Daturi, Marco; Férey, Gérard; Serre, Christian; Maurin, Guillaume; Bae, Youn-Sang; Chang, Jong-San

    2017-05-01

    Selective dinitrogen binding to transition metal ions mainly covers two strategic domains: biological nitrogen fixation catalysed by metalloenzyme nitrogenases, and adsorptive purification of natural gas and air. Many transition metal-dinitrogen complexes have been envisaged for biomimetic nitrogen fixation to produce ammonia. Inspired by this concept, here we report mesoporous metal-organic framework materials containing accessible Cr(III) sites, able to thermodynamically capture N2 over CH4 and O2. This fundamental study integrating advanced experimental and computational tools confirmed that the separation mechanism for both N2/CH4 and N2/O2 gas mixtures is driven by the presence of these unsaturated Cr(III) sites that allows a much stronger binding of N2 over the two other gases. Besides the potential breakthrough in adsorption-based technologies, this proof of concept could open new horizons to address several challenges in chemistry, including the design of heterogeneous biomimetic catalysts through nitrogen fixation.

  13. AEIS Policy vs. Site-Based Management: Research Agenda Implications.

    ERIC Educational Resources Information Center

    Nash, John B.

    This paper examines the problems of centralized academic-indicator systems in light of the move toward site-based management. Problems with current practice are examined in the framework of critical inquiry. Alternatives to current accountability guidelines are presented that harmonize positivism with critical inquiry, while respecting both local…

  14. Does Site-Based Management Increase Student Achievement?

    ERIC Educational Resources Information Center

    Muhammad, Bridgette D.

    2009-01-01

    The purpose of this review of literature is to determine if the literature suggests that site-based management increase student achievement. Original research findings done on 19 Michigan Title I schools using the Bureaucracy Theory, Systems Theory, and Human Resource Development Theory was reviewed. Also, qualitative studies on superintendents…

  15. Optimizing Curriculum Planning in Site-Based Management.

    ERIC Educational Resources Information Center

    Stewart, William J.

    1997-01-01

    Examines why curriculum planning falls short in site-based management and what can be done about it. Alternative curriculum-planning strategies include holistic planning, construction of thematic units to suit students' individual differences, and a multifaceted, cross-functional approach. Adapting corporate innovations and pursuing strategic…

  16. Detours on the Road to Site-Based Management.

    ERIC Educational Resources Information Center

    Aronstein, Laurence W.; And Others

    1990-01-01

    A Bedford, Massachusetts, middle school lived through a series of critical incidents while moving into site-based management. Flaps developed over minute-taking responsibilities in faculty meetings and a student exchange arrangement with an inner-city middle school. A "pyramiding" process to close the communication gap helped maintain…

  17. Site Based Management: Implications for Education Service Districts.

    ERIC Educational Resources Information Center

    Young, John

    Educational improvement can occur if school decisionmaking is shifted from centralized, "top down" administration to individual school control cooperatively directed by the principal, the staff, and parents. Site-based management allows the school a high degree of autonomy by placing the responsibility and authority for decisions at the school…

  18. SITE TECHNOLOGY CAPSULE: GIS\\KEY ENVIRONMENTAL DATA MANAGEMENT SYSTEM

    EPA Science Inventory

    GIS/Key™ is a comprehensive environmental database management system that integrates site data and graphics, enabling the user to create geologic cross-sections; boring logs; potentiometric, isopleth, and structure maps; summary tables; and hydrographs. GIS/Key™ is menu-driven an...

  19. SITE TECHNOLOGY CAPSULE: GIS\\KEY ENVIRONMENTAL DATA MANAGEMENT SYSTEM

    EPA Science Inventory

    GIS/Key™ is a comprehensive environmental database management system that integrates site data and graphics, enabling the user to create geologic cross-sections; boring logs; potentiometric, isopleth, and structure maps; summary tables; and hydrographs. GIS/Key™ is menu-driven an...

  20. Characteristics, Access, Utilization, Satisfaction, and Outcomes of Healthy Start Participants in Eight Sites

    PubMed Central

    O’Neil, So; Cook, Benjamin; Trebino, Lisa; Walker, Deborah Klein

    2009-01-01

    To describe the characteristics, access, utilization, satisfaction, and outcomes of Healthy Start participants in eight selected sites, a survey of Healthy Start participants with infants ages 6–12-months-old at time of interview was conducted between October 2006 and January 2007. The response rate was 66% (n = 646), ranging from 37% in one site to >70% in seven sites. Healthy Start participants’ outcomes were compared to two national benchmarks. Healthy Start participants reported that they were satisfied with the program (>90% on five measures). Level of unmet need was 6% or less for most services, except for dental appointments (11%), housing (13%), and child care (11%). Infants had significantly better access to medical care than did their mothers, with higher rates of insurance coverage, medical homes, and checkups, and fewer unmet needs for health care. Healthy Start participants’ rates of ever breastfeeding (72%) and putting infants to sleep on their backs (70%) were at or near the Healthy People 2010 objectives, and considerably higher than rates among low-income mothers in the ECLS. The high rate of health education (>90%) may have contributed to these outcomes. Elimination of smoking among Healthy Start participants (46%) fell short of the Healthy People 2010 objective (99%). The low-birth weight (LBW) rate among Black Healthy Start participants (14%) was three times higher than the rate for Whites and Hispanics (5% each). Overall, the LBW rate in the eight sites (7.5%) was similar to the rate for low-income mothers in the ECLS, but both rates were above the Healthy People 2010 objective (5%). Challenges remain in reducing disparities in maternal and child health outcomes. Further attention to risk factors associated with LBW (especially smoking) may help close the gaps. The life course theory suggests that improved outcomes may require longer-term investments. Healthy Start’s emerging focus on interconception care has the potential to address

  1. Efficacy of per oral access in the surgical management of T2/T3 oral cavity squamous cell carcinoma.

    PubMed

    Battoo, Azhar J; Thankappan, Krishnakumar; Ahmad, Sheikh Zahoor; Hedne, Naveen; Balasubramanian, Deepak; Trivedi, Nirav; Iyer, Subramania; Kuriakose, Moni Abraham

    2012-12-01

    Transcutaneous "access" procedures still continue to be widely employed for surgical management of medium-sized (T2, T3) oral cavity tumors in spite of the almost 4-cm mouth opening available to the surgeon to access the oral cavity. We undertook a retrospective study to objectively evaluate "per oral access" in managing these tumors with regard to the ability to achieve a clear surgical margin and enable reconstruction of resultant defect. Case series with chart review. Tertiary academic hospital. Seventy-nine consecutive patients of oral squamous cell carcinoma excised by per oral approach were analyzed. Multiple patient- and tumor-related factors known to influence status of surgical margins were analyzed. The overall frequency of clear, close, and involved margins was noted, as well as 5-year local control rate. The method of reconstruction employed was evaluated. The close/involved margins were more frequent with larger tumors and tumors exhibiting perineural infiltration, but none were statistically significant (P > .12). The overall frequency of clear, close, and involved margins was 81%, 11%, and 8%, respectively. Tongue and buccal mucosa sites constituted approximately 85% of the cases and had an 85% clear margin rate. Five-year local control rate was 70.35%. Fifty-three free flaps reconstruction were undertaken without any additional "access" procedure. Our results demonstrate ability to obtain comparable tumor clearance rates employing per oral access, without compromising ability to perform optimal reconstruction. We suggest per oral access should be the access of choice for medium-sized oral cavity tumors, and additional access procedures should only be considered if the initial access proves inadequate.

  2. Electric power emergency management mechanism considering the access of new energy and renewable energy

    NASA Astrophysics Data System (ADS)

    Zhang, Baoqun; Ma, Longfei; Gong, Cheng; Jiao, Ran; Shi, Rui; Chi, Zhongjun; Ding, Yifeng

    2017-01-01

    Scholars at home and abroad have had a thorough research about the theory system and the frame of emergency management on the background of traditional grid, but for the improvement of the emergency mechanism when new energy and renewable energy access the grid, more work should be done. This paper will summarize the predecessors' work on emergency management, discuss the impact of emergency management while new energy and renewable energy access the grid and some suggestions are given.

  3. 2003 Data Report: Groundwater Monitoring Program, Area 5 Radioactive Waste Management Site, Nevada Test Site

    SciTech Connect

    Bechtel Nevada

    2004-02-01

    This report is a compilation of the calendar year 2003 groundwater sampling results from the Area 5 Radioactive Waste Management Site, Nevada Test Site. Wells Ue5PW-1, Ue5PW-2, and Ue5PW-3 were sampled semi-annually for the required analytes: pH, specific conductance, total organic carbon (TOC), total organic halides (TOX), tritium, and major cations/anions. Results from all samples collected in 2003 were within established criteria. These data indicate that there has been no measurable impact to the uppermost aquifer from the Resource Conservation and Recovery Act (RCRA) regulated unit within the Area 5 Radioactive Waste Management Site and confirm that any previous detections of TOC and TOX were false positives. Contamination indicator data are presented in control chart and tabular form with investigation levels indicated. Gross water chemistry data are presented in graphical and tabular form. There were no major changes noted in the monitored groundwater elevations. There continues to be an extremely small gradient to the northeast with an average flow velocity of less than one foot per year. Other information in the report includes a Cumulative Chronology for the Area 5 Radioactive Waste Management Site Groundwater Monitoring Program, a brief description of the site hydrogeology, and the current groundwater sampling procedure.

  4. Development of a site-wide accident management center for the Savannah River Site

    SciTech Connect

    Heal, D.W.; Britt, T.E.

    1992-01-01

    In 1990, the Safety Analysis Group at the Savannah River Site (SRS) began development of an Accident Management program. The program was designed to provide a total system which would meet the Department of Energy (DOE) Safety Performance Criteria, in regard to severe accident management, in the most effective manner. This paper will present two significant changes in the current SRS Accident Management program which will be used to meet these expanded needs. The first and most significant change will be to expand the diversity of the groups involved in the Accident Management process. In the future, organizations such as Environmental Safety, Health Quality Assurance, Emergency Planning, Site Management, Human Factors, Risk Assessment, and many others will work as an integrated team to solve facility problems. Organizations such as Materials Technology, Equipment Engineering and many of the laboratories on site will be utilized as support groups to increase the technical capability for specific accident analyses. This phase of the program is currently being structured, and should be operational by January of 1993.

  5. Development of a site-wide accident management center for the Savannah River Site

    SciTech Connect

    Heal, D.W.; Britt, T.E.

    1992-12-31

    In 1990, the Safety Analysis Group at the Savannah River Site (SRS) began development of an Accident Management program. The program was designed to provide a total system which would meet the Department of Energy (DOE) Safety Performance Criteria, in regard to severe accident management, in the most effective manner. This paper will present two significant changes in the current SRS Accident Management program which will be used to meet these expanded needs. The first and most significant change will be to expand the diversity of the groups involved in the Accident Management process. In the future, organizations such as Environmental Safety, Health & Quality Assurance, Emergency Planning, Site Management, Human Factors, Risk Assessment, and many others will work as an integrated team to solve facility problems. Organizations such as Materials Technology, Equipment Engineering and many of the laboratories on site will be utilized as support groups to increase the technical capability for specific accident analyses. This phase of the program is currently being structured, and should be operational by January of 1993.

  6. Accessibility

    EPA Pesticide Factsheets

    Federal laws, including Section 508 of the Rehabilitation Act, mandate that people with disabilities have access to the same information that someone without a disability would have. 508 standards cover electronic and information technology (EIT) products.

  7. Single-Site Laparoscopic Management of a Large Adnexal Mass

    PubMed Central

    Scribner, Dennis R.; Weiss, Patrice M.

    2013-01-01

    Introduction: Single-site laparoscopy is gaining acceptance in many surgical fields including gynecology. The purpose of this report is to demonstrate the technique and outcome for removing a large adnexal mass through a single site. Case Description: A 41-y-old female was referred to gynecology oncology for increased abdominal girth for 3 mo. An ultrasound confirmed a benign-appearing, 37-cm left adnexal mass. The mass was removed through a single-site laparoscopic incision with the aid of drainage and a morcellator. The operating time was 84 min. The patient was discharged 2 h and 35 min later with full return to normal activity in 5 d. Conclusion: Large, benign-appearing adnexal masses can be managed safely with superior cosmetic results using single-site laparoscopy. PMID:23925036

  8. Predictors of patient non-attendance at Improving Access to Psychological Therapy services demonstration sites

    PubMed Central

    Di Bona, Laura; Saxon, David; Barkham, Michael; Dent-Brown, Kim; Parry, Glenys

    2014-01-01

    Background Improving Access to Psychological Therapy (IAPT) services have increased the number of people with common mental health disorders receiving psychological therapy in England, but concerns remain about how equitably these services are accessed. Method Using cohort patient data (N=363) collected as part of the independent evaluation of the two demonstration sites, logistic regression was utilised to identify socio-demographic, clinical and service factors predictive of IAPT non-attendance. Results Significant predictors of IAPT first session non-attendance by patients were: lower non-risk score on the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM); more frequent thoughts of “being better off dead” (derived from the CORE-OM); either a very recent onset of common mental health disorder (1 month or less) or a long term condition (more than 2 years); and site. Limitations The small sample and low response rate are limitations, as the sample may not be representative of all those referred to IAPT services. The predictive power of the logistic regression model is limited and suggests other variables not available in the dataset may also be important predictors. Conclusions The clinical characteristics of risk to self, severity of emotional distress, and illness duration, along with site, were more predictive of IAPT non-attendance than socio-demographic characteristics. Further testing of the relationship between these variables and IAPT non-attendance is recommended. Clinicians should monitor IAPT uptake in those they refer and implement strategies to increase their engagement with services, particularly when referring people presenting with suicidal ideation or more chronic illness. PMID:25194784

  9. Predictors of patient non-attendance at Improving Access to Psychological Therapy services demonstration sites.

    PubMed

    Di Bona, Laura; Saxon, David; Barkham, Michael; Dent-Brown, Kim; Parry, Glenys

    2014-12-01

    Improving Access to Psychological Therapy (IAPT) services have increased the number of people with common mental health disorders receiving psychological therapy in England, but concerns remain about how equitably these services are accessed. Using cohort patient data (N=363) collected as part of the independent evaluation of the two demonstration sites, logistic regression was utilised to identify socio-demographic, clinical and service factors predictive of IAPT non-attendance. Significant predictors of IAPT first session non-attendance by patients were: lower non-risk score on the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM); more frequent thoughts of "being better off dead" (derived from the CORE-OM); either a very recent onset of common mental health disorder (1 month or less) or a long term condition (more than 2 years); and site. The small sample and low response rate are limitations, as the sample may not be representative of all those referred to IAPT services. The predictive power of the logistic regression model is limited and suggests other variables not available in the dataset may also be important predictors. The clinical characteristics of risk to self, severity of emotional distress, and illness duration, along with site, were more predictive of IAPT non-attendance than socio-demographic characteristics. Further testing of the relationship between these variables and IAPT non-attendance is recommended. Clinicians should monitor IAPT uptake in those they refer and implement strategies to increase their engagement with services, particularly when referring people presenting with suicidal ideation or more chronic illness. Copyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.

  10. Managing data from multiple disciplines, scales, and sites to support synthesis and modeling

    USGS Publications Warehouse

    Olson, R. J.; Briggs, J. M.; Porter, J.H.; Mah, Grant R.; Stafford, S.G.

    1999-01-01

    The synthesis and modeling of ecological processes at multiple spatial and temporal scales involves bringing together and sharing data from numerous sources. This article describes a data and information system model that facilitates assembling, managing, and sharing diverse data from multiple disciplines, scales, and sites to support integrated ecological studies. Cross-site scientific-domain working groups coordinate the development of data associated with their particular scientific working group, including decisions about data requirements, data to be compiled, data formats, derived data products, and schedules across the sites. The Web-based data and information system consists of nodes for each working group plus a central node that provides data access, project information, data query, and other functionality. The approach incorporates scientists and computer experts in the working groups and provides incentives for individuals to submit documented data to the data and information system.

  11. Benefits of On-Site Management of Environmental Restoration Wastes

    SciTech Connect

    Irwin, Michael J. ,P.E.; Wood, Craig, R.E.M.; Kwiecinski, Daniel, P.E.; Alanis, Saul

    2003-02-27

    As Sandia National Laboratories/New Mexico (SNL/NM) began assessing options under which to conduct the remediation of environmental restoration sites, it became clear that the standard routes for permanent disposal of waste contaminated with hazardous materials would be difficult. Publicly, local citizens' groups resisted the idea of large volumes of hazardous waste being transported through their communities. Regulations for the off-site disposal are complicated due to the nature of the environmental restoration waste, which included elevated tritium levels. Waste generated from environmental restoration at SNL/NM included debris and soils contaminated with a variety of constituents. Operationally, disposal of environmental restoration waste was difficult because of the everchanging types of waste generated during site remediation. As an alternative to standard hazardous waste disposal, SNL/NM proposed and received regulatory approval to construct a Corrective Action Management Unit (CAMU). By containing the remediation wastes on-site, SNL/NM's Environmental Restoration (ER) Program managed to eliminate transportation concerns from the public, worked with regulatory agencies to develop a safe, permanent disposal, and modified the waste disposal procedures to accommodate operational changes. SNL/NM accomplished the task and saved approximately $200 million over the life of the CAMU project, as compared to off-site disposal options.

  12. Matrix Management in Practice in Access Services at the NCSU Libraries

    ERIC Educational Resources Information Center

    Harris, Colleen S.

    2010-01-01

    The former Associate Head of Access and Delivery Services of the North Carolina State University Libraries reports on successful use of matrix management techniques for the Circulation and Reserves unit of the department. Despite their having fallen out of favor in much of the management literature, matrix management principles are useful for…

  13. Matrix Management in Practice in Access Services at the NCSU Libraries

    ERIC Educational Resources Information Center

    Harris, Colleen S.

    2010-01-01

    The former Associate Head of Access and Delivery Services of the North Carolina State University Libraries reports on successful use of matrix management techniques for the Circulation and Reserves unit of the department. Despite their having fallen out of favor in much of the management literature, matrix management principles are useful for…

  14. Perceived access in a managed care environment: determinants of satisfaction.

    PubMed

    Akinci, F; Sinay, T

    2003-05-01

    With increasing competition in the local and regional healthcare markets, and growing interest in assessing the effectiveness of services and patient outcomes, satisfaction measures are becoming prominent in evaluating the performance of the healthcare system. This study examines the independent effect of predisposing, enabling and medical need factors on perceived access to care with particular focus on insurance plans. A survey questionnaire is developed to investigate access limitations at three levels: (1) the health plan, (2) the individual provider(s) and (3) the healthcare organization. In addition, shortage of providers, residents' perceptions of their health status, satisfaction with access to care and socio-demographic indicators are incorporated into the analysis. Multivariate logistic regression is used to assess the independent effects of the above factors on a dichotomous dependent variable--residents' overall satisfaction with access to healthcare services. The most salient determinants of overall satisfaction with access to care were the type of health insurance plan, cost of insurance premiums, co-payments, difficulty with obtaining referrals, self-rated general health, the opportunity cost of taking time to see a provider (measured by the loss of hourly wages), marital status and the age factor over 80 years.

  15. Site specific plan. [Environmental Restoration and Waste Management, Savannah River Site

    SciTech Connect

    Hutchison, J.; Jernigan, G.

    1989-12-01

    The Environmental Restoration and Waste Management Five-Year Plan (FYP) covers the period for FY 1989 through FY 1995. The plan establishes a Department of Energy -- Headquarters (DOE-HQ) agenda for cleanup and compliance against which overall progress can be measured. The FYP covers three areas: Corrective Activities, Environmental Restoration, and Waste Management Operations. Corrective Activities are those activities necessary to bring active or standby facilities into compliance with local, state, and federal environmental regulations. Environmental restoration activities include the assessment and cleanup of surplus facilities and inactive waste sites. Waste management operations includes the treatment, storage, and disposal of wastes which are generated as a result of ongoing operations. This Site Specific Plan (SSP) has been prepared by the Savannah River Site (SRS) in order to show how environmental restoration and waste management activities that were identified during the preparation of the FYP will be implemented, tracked, and reported. The SSP describes DOE Savannah River (DOE-SR) and operating contractor, Westinghouse Savannah River Company (WSRC), organizations that are responsible, for undertaking the activities identified in this plan. The SSP has been prepared in accordance with guidance received from DOE-HQ. DOE-SR is accountable to DOE-HQ for the implementation of this plan. 8 refs., 46 figs., 23 tabs.

  16. Closure Plan for the Area 5 Radioactive Waste Management Site at the Nevada Test Site

    SciTech Connect

    NSTec Environmental Management

    2008-09-01

    The Area 5 Radioactive Waste Management Site (RMWS) at the Nevada Test Site (NTS) is managed and operated by National Security Technologies, LLC (NSTec), for the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO). This document is the first update of the preliminary closure plan for the Area 5 RWMS at the NTS that was presented in the Integrated Closure and Monitoring Plan (DOE, 2005a). The major updates to the plan include a new closure schedule, updated closure inventory, updated site and facility characterization data, the Title II engineering cover design, and the closure process for the 92-Acre Area of the RWMS. The format and content of this site-specific plan follows the Format and Content Guide for U.S. Department of Energy Low-Level Waste Disposal Facility Closure Plans (DOE, 1999a). This interim closure plan meets closure and post-closure monitoring requirements of the order DOE O 435.1, manual DOE M 435.1-1, Title 40 Code of Federal Regulations (CFR) Part 191, 40 CFR 265, Nevada Administrative Code (NAC) 444.743, and Resource Conservation and Recovery Act (RCRA) requirements as incorporated into NAC 444.8632. The Area 5 RWMS accepts primarily packaged low-level waste (LLW), low-level mixed waste (LLMW), and asbestiform low-level waste (ALLW) for disposal in excavated disposal cells.

  17. Nevada National Security Site 2013 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    Hudson, David B.

    2014-02-01

    This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS) at the Nevada National Security Site, Nye County, Nevada. Groundwater samples from the aquifer immediately below the Area 5 RWMS have been collected and analyzed and static water levels have been measured in this aquifer since 1993. This report updates these data to include the 2013 results. Beginning with this report, analysis results for leachate collected from the mixed-waste cell at the Area 5 RWMS (Cell 18) are also included.

  18. Opportunities for Launch Site Integrated System Health Engineering and Management

    NASA Technical Reports Server (NTRS)

    Waterman, Robert D.; Langwost, Patricia E.; Waterman, Susan J.

    2005-01-01

    The launch site processing flow involves operations such as functional verification, preflight servicing and launch. These operations often include hazards that must be controlled to protect human life and critical space hardware assets. Existing command and control capabilities are limited to simple limit checking durig automated monitoring. Contingency actions are highly dependent on human recognition, decision making, and execution. Many opportunities for Integrated System Health Engineering and Management (ISHEM) exist throughout the processing flow. This paper will present the current human-centered approach to health management as performed today for the shuttle and space station programs. In addition, it will address some of the more critical ISHEM needs, and provide recommendations for future implementation of ISHEM at the launch site.

  19. Savannah River Site Geographic Information System management plan

    SciTech Connect

    Gordon, D.E.

    1992-02-01

    A plan for managing the development of Geographic Information System (GIS) applications at the Savannah River Site (SRS) in a coordinated, integrated fashion has been developed. Included in the plan are discussions on the guidance for GIS activities at the site, the overall strategy for managing GIS applications development, the specific administrative and programmatic tasks with projected completion schedules, and the organizational structure in place to direct this GIS effort. The Department of Energy-Savannah River Field Office (DOE-SR) has encouraged all primary subcontracting organizations at SRS involved with the mapping of spatial data to coordinate their efforts and be more cost effective. This plan provides a description of organized activities in 1992 for establishing a coordinated approach for developing and implementing GIS technology.

  20. Single-site laparoscopic sleeve gastrectomy: preclinical use of a novel multi-access port device.

    PubMed

    Varela, J Esteban

    2009-09-01

    Single-site laparoscopy (SSL) has emerged as an alternative technique for sleeve gastrectomy. The author describes the preclinical technique of SSL sleeve gastrectomy through a novel multichannel port device in the porcine model. Anesthetized swine underwent 3-cm longitudinal supra-umbilical incision. A multichannel port device was inserted. A gastric sleeve was created by multiple applications of a 60-mm stapler. The access device's channel housing was removed and the sleeve specimen exteriorized. The mean operative time was 60+/-10 minutes, and the mean estimated blood loss was 30+/-5 cc. The multichannel port device allowed induction and maintenance of pneumoperitoneum throughout the procedure (range 12-15 mm Hg) with efficient rotation and substantial abdominal wall torque and minimal instrument clashing. SSL sleeve gastrectomy in the porcine model was facilitated by the use of a novel multichannel port device. Clinical studies are warranted.

  1. Advanced Simulation Capability for Environmental Management (ASCEM): Early Site Demonstration

    SciTech Connect

    Meza, Juan; Hubbard, Susan; Freshley, Mark D.; Gorton, Ian; Moulton, David; Denham, Miles E.

    2011-03-07

    The U.S. Department of Energy Office of Environmental Management, Technology Innovation and Development (EM-32), is supporting development of the Advanced Simulation Capability for Environmental Management (ASCEM). ASCEM is a state-of-the-art scientific tool and approach for understanding and predicting contaminant fate and transport in natural and engineered systems. The modular and open source high performance computing tool will facilitate integrated approaches to modeling and site characterization that enable robust and standardized assessments of performance and risk for EM cleanup and closure activities. As part of the initial development process, a series of demonstrations were defined to test ASCEM components and provide feedback to developers, engage end users in applications, and lead to an outcome that would benefit the sites. The demonstration was implemented for a sub-region of the Savannah River Site General Separations Area that includes the F-Area Seepage Basins. The physical domain included the unsaturated and saturated zones in the vicinity of the seepage basins and Fourmile Branch, using an unstructured mesh fit to the hydrostratigraphy and topography of the site. The calculations modeled variably saturated flow and the resulting flow field was used in simulations of the advection of non-reactive species and the reactive-transport of uranium. As part of the demonstrations, a new set of data management, visualization, and uncertainty quantification tools were developed to analyze simulation results and existing site data. These new tools can be used to provide summary statistics, including information on which simulation parameters were most important in the prediction of uncertainty and to visualize the relationships between model input and output.

  2. Access Services: Organization and Management. SPEC Kit #179.

    ERIC Educational Resources Information Center

    Steel, Virginia, Comp.

    This Systems and Exchange Center (SPEC) kit begins with a summary by Virginia Steel of the findings of a survey of Association of Research Libraries (ARL) member libraries that was conducted in 1991 to determine the prevalence of the organizational model of access services--i.e., a department or division responsible for the services and operations…

  3. Marshall Space Flight Center's role in EASE/ACCESS mission management

    NASA Technical Reports Server (NTRS)

    Hawkins, Gerald W.

    1987-01-01

    The Marshall Space Flight Center (MSFC) Spacelab Payload Project Office was responsible for the mission management and development of several successful payloads. Two recent space construction experiments, the Experimental Assembly of Structures in Extravehicular Activity (EASE) and the Assembly Concept for Construction of Erectable Space Structures (ACCESS), were combined into a payload managed by the center. The Ease/ACCESS was flown aboard the Space Shuttle Mission 61-B. The EASE/ACCESS experiments were the first structures assembled in space, and the method used to manage this successful effort will be useful for future space construction missions. The MSFC mission management responsibilities for the EASE/ACCESS mission are addressed and how the lessons learned from the mission can be applied to future space construction projects are discussed.

  4. Site action plan for maintenance management program. Revision D

    SciTech Connect

    Pearson, A.W.

    1993-11-30

    (DOE) Order 4330.4B, ``Maintenance Management Program`` requires each site to develop a Site Action Plan for implementing a Maintenance Management Program. Nonnuclear facilities are required to address the 32 elements of Chapter 1: Guidelines for the Conduct of Maintenance at DOE Nonnuclear Facilities. This document details the degree of implementation for each element, and the Martin Marietta Specialty Components, Inc., plan for implementation of the items which remain to be completed. The original Pinellas Plant Maintenance Management Program Site Action Plan (Issue A) was completed March 27, 1991. The format was modified per DOE request and it was resubmitted as Issue B and approved by AL September 16, 1991. Issue C was submitted, and approved December 20, 1992. The most significant achievement during FY-93 were the implementation of plant wide Graded Approach, and Configuration Control programs. The methodologies for performing these activities were developed, and pilot programs were implemented to verify their effectiveness. Plant wide implementation of both programs is progressing on a high priority basis. The formalized method for grading equipment and facilities provides a basis for establishing uniform, risk based priorities. The risks involved are environment, safety, health and programmatic mission. Other achievements for FY-93, include the establishment of procedures for the decommissioning, and down-grading of facilities, improved work control, improved work performance reporting, improved quality plans, and improved operating procedures.

  5. Pocket-size imaging devices allow for reliable bedside screening for femoral artery access site complications.

    PubMed

    Filipiak-Strzecka, Dominika; Michalski, Błażej; Kasprzak, Jarosław D; Lipiec, Piotr

    2014-12-01

    The aim of this study was to validate pocket-size imaging devices (PSIDs) as a fast screening tool for detecting complications after femoral artery puncture. Forty patients undergoing femoral artery puncture for arterial access related to percutaneous coronary intervention were enrolled. Twenty-four hours after percutaneous coronary intervention, the involved inguinal region was assessed with PSIDs enabling 2-D gray-scale and color Doppler imaging. Subsequently, examination with a stationary high-end ultrasound system was performed to verify the findings of bedside examination in all patients. In 37 patients, PSID imaging had good diagnostic quality. False aneurysms (one asymptomatic) occurred in four patients, and all were recognized during bedside screening with PSID. One case of femoral artery thrombosis was confirmed with PSID and during standard ultrasonographic examination. Physical examination augmented with the quick bedside PSID examination had a sensitivity of 100% and specificity of 91%. PSID facilitated rapid bedside detection of serious access site complications in the vast majority of patients, including asymptomatic cases.

  6. Retroperitoneoscopic assisted single-site pyeloplasty using EZ access in children: Comparison with open dismembered pyeloplasty.

    PubMed

    Yamazaki, Yuichiro; Kim, Woo Jin; Akiyama, Sayaka; Ikeda, Takashi

    2017-04-01

    The aim of this study was to compare the results of the retroperitoneoscopic assisted pyeloplasty (RASP) using EZ access (silicone rubber cap) with open dismembered pyeloplasty (ODP) in children. A retrospective review was performed of patients treated for ureteropelvic junction (UPJ) obstruction with either RASP or ODP from 2010 to 2015. For patients with RASP, two 5-mm trocars were placed in the EZ access. The UPJ was dissected retroperitoneoscopically and dismembered pyeloplasty was performed extracorporeally. Patient demographics and operative outcomes were compared between the groups. A total of 50 children were included, with 25 RASP and 25 ODP. Mean patient age was 49months in the RASP group and 53months in the ODP group. Perioperative outcomes, including operative time (185 vs 188min) and postoperative hospital stay (2.0 vs 2.2days), were similar between the two groups. Mean skin scar length (17 vs 34mm) was significantly smaller in the RASP group. The postoperative success rate (96% vs 100%) was not significantly different between the groups. The RASP represents a safe and effective single-site procedure in children. This procedure significantly reduces the skin scar length and has equivalent surgical outcomes to ODP. Retrospective comparative study. III. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Environmental data management system at the Savannah River Site

    SciTech Connect

    Story, C.H.; Gordon, D.E.

    1989-01-01

    The volume and complexity of data associated with escalating environmental regulations has prompted professionals at the Savannah River Site to begin taking steps necessary to better manage environmental information. This paper describes a plan to implement an integrated environmental information system at the site. Nine topic areas have been identified. They are: administrative, air, audit QA, chemical information/inventory, ecology, environmental education, groundwater, solid/hazardous waste, and surface water. Identification of environmental databases that currently exist, integration into a friendly environment,'' and development of new applications will all take place as a result of this effort. New applications recently completed include Groundwater Well Construction, NPDES (Surface Water) Discharge Monitoring, RCRA Quarterly Reporting, and Material Safety Data Sheet Information. Database applications are relational (Oracle RDBMS) and reside largely in DEC VMS environments. In today's regulatory and litigation climate, the site recognizes they must have knowledge of accurate environmental data at the earliest possible time. Implementation of this system will help ensure this.

  8. Personnel Management in Access Services: A General Overview of the Literature, 1990-2002

    ERIC Educational Resources Information Center

    Lee, Leslie A.; Wu, Michelle M.

    2003-01-01

    Access services is not unique in its need for effective personnel management. A review of the literature indicates that there are many publications on or relating to library personnel administration; however, relatively few of them are dedicated to the narrow topic of access services. As such, this review encompasses literature that is general to…

  9. Impact of Serials Management, Access and Use on Publication Output of Lecturers in Nigerian Universities

    ERIC Educational Resources Information Center

    Akinbode, Rahmon O. Onaolapo; Nwalo, Kenneth Ivo Ngozi

    2017-01-01

    This study investigates serials management in university libraries, determines the extent to which serials are accessed and used and appraises the influence of availability, accessibility and use of serials on publications output of lecturers in federal universities in Nigeria. Questionnaire administration method was adopted to accumulate data for…

  10. Personnel Management in Access Services: A General Overview of the Literature, 1990-2002

    ERIC Educational Resources Information Center

    Lee, Leslie A.; Wu, Michelle M.

    2003-01-01

    Access services is not unique in its need for effective personnel management. A review of the literature indicates that there are many publications on or relating to library personnel administration; however, relatively few of them are dedicated to the narrow topic of access services. As such, this review encompasses literature that is general to…

  11. The Role of the Access Services Manager in the Virtual Library

    ERIC Educational Resources Information Center

    Jetton, Lora Lennertz; Bailey, Alberta S.

    2010-01-01

    This article updates a previous article published in 1992 that described the role of the access services manager in policy formation. Since that time, the access services department and mission has matured and evolved to a prominent position within the library organization. Technological changes and innovation in the marketplace of wired and…

  12. Draft Site Management and Monitoring Plan for Corpus Christi Maintenance and New Work Ocean Dredged Material Disposal Site

    EPA Pesticide Factsheets

    USEPA Region 6 and the US Army Corps of Engineers submit for public comment the Draft Site Management and Monitoring Plan for Corpus Christi Maintenance and New Work Ocean Dredged Material Disposal Site

  13. Making Data Management Accessible in the Undergraduate Chemistry Curriculum

    ERIC Educational Resources Information Center

    Reisner, Barbara A.; Vaughan, K. T. L.; Shorish, Yasmeen L.

    2014-01-01

    In the age of "big data" science, data management is becoming a key information literacy skill for chemistry professionals. To introduce this skill in the undergraduate chemistry major, an activity has been developed to familiarize undergraduates with data management. In this activity, students rename and organize cards that represent…

  14. Making Data Management Accessible in the Undergraduate Chemistry Curriculum

    ERIC Educational Resources Information Center

    Reisner, Barbara A.; Vaughan, K. T. L.; Shorish, Yasmeen L.

    2014-01-01

    In the age of "big data" science, data management is becoming a key information literacy skill for chemistry professionals. To introduce this skill in the undergraduate chemistry major, an activity has been developed to familiarize undergraduates with data management. In this activity, students rename and organize cards that represent…

  15. Successful treatment of a LifeSite Hemodialysis Access System pocket infection with large-volume kanamycin solution irrigation.

    PubMed

    Ross, John R

    2003-07-01

    Bridge devices-dialysis catheters and subcutaneous access devices-play a critical role in increasing the placement of arteriovenous (AV) fistulas by providing hemodialysis vascular access while AV fistulas mature. The LifeSite Hemodialysis Access System (Vasca Inc, Tewskburg, MA), a fully implantable, subcutaneous dual valve access system, has been shown to have lower complication rates, higher blood flow rates, and better long-term device survival than conventional tunneled hemodialysis catheters, indicating it may better meet the requirements for optimally bridging to a fistula. This case study of a 48-year-old black man undergoing chronic hemodialysis for renal failure because of insulin-dependent diabetes describes a simple approach for resolving localized pocket infections associated with the LifeSite System by drip irrigation of the valves and tissue pockets with an antibiotic solution. Eight weeks after implantation of the LifeSite System, the patient exhibited symptoms of infection of the lateral LifeSite valve tissue pocket, which on culture was shown to be caused by Staphylococcus aureus. Flushing the LifeSite valve and tissue pocket with a large volume of kanamycin solution, in conjunction with intravenous vancomycin and routine irrigation of the valve with isopropyl alcohol, resolved the infection after 1 treatment. The LifeSite System successfully bridged the patient to a transposed basilic vein fistula created through a 2-stage surgical procedure. The LifeSite System provided uninterrupted access for hemodialysis over a period of 6 months while the fistula matured. The LifeSite System should allow surgeons to attempt fistula construction in more patients, including diabetics, access-challenged patients, and patients with small vessels, who may benefit from a nontraditional surgical approach toward fistula creation.

  16. Consumers’ experiences of back pain in rural Western Australia: access to information and services, and self-management behaviours

    PubMed Central

    2012-01-01

    Background Coordinated, interdisciplinary services, supported by self-management underpin effective management for chronic low back pain (CLBP). However, a combination of system, provider and consumer-based barriers exist which limit the implementation of such models into practice, particularly in rural areas where unique access issues exist. In order to improve health service delivery for consumers with CLBP, policymakers and service providers require a more in depth understanding of these issues. The objective of this qualitative study was to explore barriers experienced by consumers in rural settings in Western Australia (WA) to accessing information and services and implementing effective self-management behaviours for CLBP. Methods Fourteen consumers with a history of CLBP from three rural sites in WA participated. Maximum variation sampling was employed to ensure a range of experiences were captured. An interviewer, blinded to quantitative pain history data, conducted semi-structured telephone interviews using a standardised schedule to explore individuals’ access to information and services for CLBP, and self-management behaviours. Interviews were digitally recorded and transcribed verbatim. Inductive analysis techniques were used to derive and refine key themes. Results Five key themes were identified that affected individuals’ experiences of managing CLBP in a rural setting, including: 1) poor access to information and services in rural settings; 2) inadequate knowledge and skills among local practitioners; 3) feelings of isolation and frustration; 4) psychological burden associated with CLBP; and 5) competing lifestyle demands hindering effective self-management for CLBP. Conclusions Consumers in rural WA experienced difficulties in knowing where to access relevant information for CLBP and expressed frustration with the lack of service delivery options to access interdisciplinary and specialist services for CLBP. Competing lifestyle demands such as

  17. Contaminated scrap-metal inventories at ORO-managed sites

    SciTech Connect

    Mack, J.E.

    1981-01-01

    Radioactively contaminated scrap metal inventories were surveyed at facilities operating under contract with the US Department of Energy and managed through the Oak Ridge Operations Office. Nearly 90,000 tons of nickel, aluminum, copper, and ferrous metals (steels) contaminated with low-enriched uranium have accumulated, primarily at the uranium enrichment facilities. The potential value of this metal on the scrap market is over $100 million. However, existing regulations do not permit sale for unlicensed use of materials contaminated with low-enriched uranium. Therefore, current handling practices include burial and above-ground storage. Smelting is also used for shape declassification, with subsequent storage of ingots. This survey of existing inventories, generation rates, and handling capabilities is part of an overall metal waste management program to coordinate related activities among the ORO-managed sites.

  18. Site-specific PEGylation of therapeutic proteins via optimization of both accessible reactive amino acid residues and PEG derivatives.

    PubMed

    Zhang, Chun; Yang, Xiao-lan; Yuan, Yong-hua; Pu, Jun; Liao, Fei

    2012-08-01

    Modification of accessible amino acid residues with poly(ethylene glycol) [PEG] is a widely used technique for formulating therapeutic proteins. In practice, site-specific PEGylation of all selected/engineered accessible nonessential reactive residues of therapeutic proteins with common activated PEG derivatives is a promising strategy to concomitantly improve pharmacokinetics, allow retention of activity, alleviate immunogenicity, and avoid modification isomers. Specifically, through molecular engineering of a therapeutic protein, accessible essential residues reactive to an activated PEG derivative are substituted with unreactive residues provided that protein activity is retained, and a limited number of accessible nonessential reactive residues with optimized distributions are selected/introduced. Subsequently, all accessible nonessential reactive residues are completely PEGylated with the activated PEG derivative in great excess. Branched PEG derivatives containing new PEG chains with negligible metabolic toxicity are more desirable for site-specific PEGylation. Accordingly, for the successful formulation of therapeutic proteins, optimization of the number and distributions of accessible nonessential reactive residues via molecular engineering can be integrated with the design of large-sized PEG derivatives to achieve site-specific PEGylation of all selected/engineered accessible reactive residues.

  19. 77 FR 31837 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-30

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... and site management in the areas of environmental restoration, waste management and related activities...

  20. 77 FR 4027 - Environmental Management Site-Specific Advisory Board, Nevada

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-26

    ... Environmental Management Site-Specific Advisory Board, Nevada AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site-Specific... and site management in the areas of environmental restoration, waste management, and...

  1. 78 FR 20311 - Environmental Management Site-Specific Advisory Board Chairs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-04

    ... Environmental Management Site-Specific Advisory Board Chairs AGENCY: Department of Energy. ACTION: Notice of Open Webinar. SUMMARY: This notice announces a webinar of the Environmental Management Site-Specific... recommendations to DOE-EM and site management in the areas of environmental restoration, waste management,...

  2. 78 FR 53135 - Environmental Management Site-Specific Advisory Board, Nevada

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-28

    ... Environmental Management Site-Specific Advisory Board, Nevada AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site-Specific... recommendations to DOE-EM and site management in the areas of environmental restoration, waste management,...

  3. Management of Hanford Site non-defense production reactor spent nuclear fuel, Hanford Site, Richland, Washington

    SciTech Connect

    1997-03-01

    The US Department of Energy (DOE) needs to provide radiologically, and industrially safe and cost-effective management of the non-defense production reactor spent nuclear fuel (SNF) at the Hanford Site. The proposed action would place the Hanford Site`s non-defense production reactor SNF in a radiologically- and industrially-safe, and passive storage condition pending final disposition. The proposed action would also reduce operational costs associated with storage of the non-defense production reactor SNF through consolidation of the SNF and through use of passive rather than active storage systems. Environmental, safety and health vulnerabilities associated with existing non-defense production reactor SNF storage facilities have been identified. DOE has determined that additional activities are required to consolidate non-defense production reactor SNF management activities at the Hanford Site, including cost-effective and safe interim storage, prior to final disposition, to enable deactivation of facilities where the SNF is now stored. Cost-effectiveness would be realized: through reduced operational costs associated with passive rather than active storage systems; removal of SNF from areas undergoing deactivation as part of the Hanford Site remediation effort; and eliminating the need to duplicate future transloading facilities at the 200 and 400 Areas. Radiologically- and industrially-safe storage would be enhanced through: (1) removal from aging facilities requiring substantial upgrades to continue safe storage; (2) utilization of passive rather than active storage systems for SNF; and (3) removal of SNF from some storage containers which have a limited remaining design life. No substantial increase in Hanford Site environmental impacts would be expected from the proposed action. Environmental impacts from postulated accident scenarios also were evaluated, and indicated that the risks associated with the proposed action would be small.

  4. The 1000 Genomes Project: data management and community access.

    PubMed

    Clarke, Laura; Zheng-Bradley, Xiangqun; Smith, Richard; Kulesha, Eugene; Xiao, Chunlin; Toneva, Iliana; Vaughan, Brendan; Preuss, Don; Leinonen, Rasko; Shumway, Martin; Sherry, Stephen; Flicek, Paul

    2012-04-27

    The 1000 Genomes Project was launched as one of the largest distributed data collection and analysis projects ever undertaken in biology. In addition to the primary scientific goals of creating both a deep catalog of human genetic variation and extensive methods to accurately discover and characterize variation using new sequencing technologies, the project makes all of its data publicly available. Members of the project data coordination center have developed and deployed several tools to enable widespread data access.

  5. USING SPMDS TO ACCESS MANAGMENT STRATEGIES FOR PCB CONTAMINATED SEDIMENTS

    EPA Science Inventory

    Dredging, in-place treatment, capping and monitored natural recovery, used together or separately are the primary approaches for managing contaminated sediment risks. Understanding how well different approaches work in different environments is critical for choosing an appropria...

  6. USING SPMDS TO ACCESS MANAGEMENT STRATEGIES FOR PCB CONTAMINATED SEDIMENTS

    EPA Science Inventory

    Dredging, in-place treatment, capping and monitored natural recovery, used together or separately are the primary approaches for managing contaminated sediment risks. Understanding how well different approaches work in different environments is critical for choosing an appropria...

  7. USING SPMDS TO ACCESS MANAGMENT STRATEGIES FOR PCB CONTAMINATED SEDIMENTS

    EPA Science Inventory

    Dredging, in-place treatment, capping and monitored natural recovery, used together or separately are the primary approaches for managing contaminated sediment risks. Understanding how well different approaches work in different environments is critical for choosing an appropria...

  8. Distributed data access and resource management in the D0 SAM system

    SciTech Connect

    Igor V Terekhov; Ruth Pordes; Victoria White et al.

    2001-06-26

    SAM (Sequential Access through Meta-data) is the data access and job management system for the D0 high energy physics experiment at Fermilab. The SAM system is being developed and used to handle the Petabyte-scale experiment data, accessed by hundreds of D0 collaborators scattered around the world. In this paper, we present solutions to some of the distributed data processing problems from the perspective of real experience dealing with mission-critical data. We concentrate on the distributed disk caching, resource management and job control. The system has elements of the Grid Computing and has features applicable to data-intensive computing in general.

  9. Protection Versus Public Access: Two Concepts Compared within the Italian Underwater Cultural Heritage Management System

    NASA Astrophysics Data System (ADS)

    Secci, Massimiliano

    2011-12-01

    The concepts of protection and public access relating to underwater cultural heritage are often taken as two contrasting notions in the Italian underwater cultural heritage management panorama. This contribution aims to review these concepts with the objective of emphasizing the possibility of sound and scientifically compelling public access to the underwater cultural heritage, keeping protection principles intact. With the support of in-the-field examples successfully produced worldwide, this paper will attempt to underline how scientifically sound public access activities in the field of underwater cultural heritage management can benefit the protection of such heritage.

  10. WHALE, a management tool for Tier-2 LCG sites

    NASA Astrophysics Data System (ADS)

    Barone, L. M.; Organtini, G.; Talamo, I. G.

    2012-12-01

    The LCG (Worldwide LHC Computing Grid) is a grid-based hierarchical computing distributed facility, composed of more than 140 computing centers, organized in 4 tiers, by size and offer of services. Every site, although indipendent for many technical choices, has to provide services with a well-defined set of interfaces. For this reason, different LCG sites need frequently to manage very similar situations, like jobs behaviour on the batch system, dataset transfers between sites, operating system and experiment software installation and configuration, monitoring of services. In this context we created WHALE (WHALE Handles Administration in an LCG Environment), a software actually used at the T2_IT_Rome site, an LCG Tier-2 for the CMS experiment. WHALE is a generic, site independent tool written in Python: it allows administrator to interact in a uniform and coherent way with several subsystems using a high level syntax which hides specific commands. The architecture of WHALE is based on the plugin concept and on the possibility of connecting the output of a plugin to the input of the next one, in a pipe-like system, giving the administrator the possibility of making complex functions by combining the simpler ones. The core of WHALE just handles the plugin orchestrations, while even the basic functions (eg. the WHALE activity logging) are performed by plugins, giving the capability to tune and possibly modify every component of the system. WHALE already provides many plugins useful for a LCG site and some more for a Tier-2 of the CMS experiment, especially in the field of job management, dataset transfer and analysis of performance results and availability tests (eg. Nagios tests, SAM tests). Thanks to its architecture and the provided plugins WHALE makes easy to perform tasks that, even if logically simple, are technically complex or tedious, like eg. closing all the worker nodes with a job-failure rate greater than a given threshold. Finally, thanks to the

  11. [Access to care, access to rights, and health education: stakes of the global management fo patients].

    PubMed

    Moutel, G; Hervé, C

    2001-04-21

    Together with primary care physicians, the public health clinic of the Max Fourestier Hospital (Nanterre, France) initiated a pilot experience within the framework of its access to health care network (ADES). In addition to full access to traditional health care, patients who agree to participate in this unique network benefit from a medical and social risk screening and prevention program. This program is proposed to all patients who, by definition, have one or more medical or social risk factors. At each visit, targeted history taking and the physical exam can lead to individualized propositions for a global approach to screening and prevention, whatever the initial reason for consulting. In addition, patients who require permanent care benefit from the dose link between the medical care and social care teams. Over the last year, this experience has involved 3430 consultations in a polyvalent clinic that has provided global care including health education and screening for health risks. Our analysis of the medical and ethical issues involved points out the importance of a global approach to health care.

  12. Draft Site Management and Monitoring Plan, Mississippi River, Southwest Pass, Louisiana

    EPA Pesticide Factsheets

    Joint Public Notice and Notice of Availability for Draft Mississippi River, Southwest Pass, Louisiana Site Management and Monitoring Plan for the Maintenance Dredging Ocean Dredged Material Disposal Site

  13. 77 FR 74838 - Environmental Management Site-Specific Advisory Board, Northern New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-18

    ..., Surveillance and Remediation Committee and Waste Management Committee of the Environmental Management Site... and site management in the areas of environmental restoration, waste management, and related... approval by the full NNMCAB, may be sent to DOE-EM for action. Purpose of the Waste Management...

  14. Efficient identity management and access control in cloud environment

    NASA Astrophysics Data System (ADS)

    Gloster, Jonathan

    2013-05-01

    As more enterprises are enticed to move data to a cloud environment to enhance data sharing and reduce operating costs by exploiting shared resources, concerns have risen over the ability to secure information within the cloud. This paper examines how a traditional Identity and Access Control (IDAM) architecture can be adapted to address security concerns of a cloud environment. We propose changing the paradigm of IDAM form a pure trust model to a risk based model will enable information to be protected securely in a cloud environment without impacting efficiencies of cloud environments.

  15. Percutaneous Transsplenic Access to the Portal Vein for Management of Vascular Complication in Patients with Chronic Liver Disease

    SciTech Connect

    Chu, Hee Ho; Kim, Hyo-Cheol Jae, Hwan Jun; Yi, Nam-Joon; Lee, Kwang-Woong; Suh, Kyung-Suk; Chung, Jin Wook; Park, Jae Hyung

    2012-12-15

    Purpose: To evaluate the safety and feasibility of percutaneous transsplenic access to the portal vein for management of vascular complication in patients with chronic liver diseases. Methods: Between Sept 2009 and April 2011, percutaneous transsplenic access to the portal vein was attempted in nine patients with chronic liver disease. Splenic vein puncture was performed under ultrasonographic guidance with a Chiba needle, followed by introduction of a 4 to 9F sheath. Four patients with hematemesis or hematochezia underwent variceal embolization. Another two patients underwent portosystemic shunt embolization in order to improve portal venous blood flow. Portal vein recanalization was attempted in three patients with a transplanted liver. The percutaneous transsplenic access site was closed using coils and glue. Results: Percutaneous transsplenic splenic vein catheterization was performed successfully in all patients. Gastric or jejunal varix embolization with glue and lipiodol mixture was performed successfully in four patients. In two patients with a massive portosystemic shunt, embolization of the shunting vessel with a vascular plug, microcoils, glue, and lipiodol mixture was achieved successfully. Portal vein recanalization was attempted in three patients with a transplanted liver; however, only one patient was treated successfully. Complete closure of the percutaneous transsplenic tract was achieved using coils and glue without bleeding complication in all patients. Conclusion: Percutaneous transsplenic access to the portal vein can be an alternative route for portography and further endovascular management in patients for whom conventional approaches are difficult or impossible.

  16. Access as a managed care marketing outcomes measure.

    PubMed

    Montoya, I D; Perez, B A

    2000-01-01

    As their position in the health care market diminishes, HMOs are feeling the pinch from the competition. Purchasers of health plans have many more options available today than in the past. Employers can select from single or consolidated health plans, plans offered by coalitions, or plans offered by provider systems. Following closely behind the withstanding issue of controlling costs is quality of care and customer satisfaction. The bad press surrounding managed care is making employers demand assurances that employees will receive the best quality of care their money can buy. To assist in this endeavor managed care companies are focusing more on their customers. To this end marketers use report cards to assess purchaser and enrollee satisfactions, with the hope that if they have a happy customer, s/he will be a loyal one. This paper reviews current marketing strategies of managed care companies and their level of usefulness with respect to sustaining customers and hence market share.

  17. Managing Both Quality and Access at Higher Educational Institutions in Tobago

    ERIC Educational Resources Information Center

    Julien Sealey, Beverley

    2011-01-01

    This paper will focus on the island of Tobago and indicate what practical solutions are best suited for administrators to manage quality and access at higher educational institutions on the island. The key areas to managing quality identified are the inclusiveness of a quality plan, administrators desire to see quality as an institutional culture…

  18. 15 CFR Appendix III to Subpart P... - Wildlife Management Areas Access Restrictions

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 15 Commerce and Foreign Trade 3 2010-01-01 2010-01-01 false Wildlife Management Areas Access... COMMERCE OCEAN AND COASTAL RESOURCE MANAGEMENT NATIONAL MARINE SANCTUARY PROGRAM REGULATIONS Florida Keys National Marine Sanctuary Pt. 922, Subpt. P, App. III Appendix III to Subpart P of Part 922—Wildlife...

  19. NASA UAS Traffic Management National Campaign Operations across Six UAS Test Sites

    NASA Technical Reports Server (NTRS)

    Rios, Joseph; Mulfinger, Daniel; Homola, Jeff; Venkatesan, Priya

    2016-01-01

    NASA's Unmanned Aircraft Systems Traffic Management research aims to develop policies, procedures, requirements, and other artifacts to inform the implementation of a future system that enables small drones to access the low altitude airspace. In this endeavor, NASA conducted a geographically diverse flight test in conjunction with the FAA's six unmanned aircraft systems Test Sites. A control center at NASA Ames Research Center autonomously managed the airspace for all participants in eight states as they flew operations (both real and simulated). The system allowed for common situational awareness across all stakeholders, kept traffic procedurally separated, offered messages to inform the participants of activity relevant to their operations. Over the 3- hour test, 102 flight operations connected to the central research platform with 17 different vehicle types and 8 distinct software client implementations while seamlessly interacting with simulated traffic.

  20. ANALYSIS OF STANDARD MULTI-PORT VS. SINGLE SITE ACCESS FOR LAPAROSCOPIC SKILLS TRAINING

    PubMed Central

    Cox, Daniel R; Zeng, Wenjing; Frisella, Margaret M; Brunt, L. Michael

    2015-01-01

    Introduction Single site access (SSA) laparoscopy is more challenging to perform than multi-port(MP) laparoscopy. We examined MP versus SSA skills training on laparoscopic performance in surgically naive individuals. Methods Forty end-of-1st year medical students were randomized into two groups. Both were trained on 4 basic laparoscopic drills (peg, rope, bean drop, pattern cutting) using a standard MP setup (Group 1) or SSA approach (Group 2). Time to proficiency and number of repetitions (reps) were recorded. Each group then crossed over to the alternate approach where the sequence was repeated. Data are mean ± SD and statistical analysis was with two-tailed, unpaired t-test. Results Total times to proficiency for the SSA and MP approaches was not significantly different between groups (Group 1 M-P 234.0 ± 114.9 min vs Group 2 SSA 216.4 ± 106.5 min, p=0.67). The MP-trained group took less time to reach proficiency on the standard MP setup than the SSA group on the SSA approach (119.1 ± 69.7 min vs 178.0 ± 93.4 min, p=0.058) with significantly fewer repetitions (77.6 ± 42.6 vs. 118.8 ± 54.3, p=0.027). The SSA-trained group took significantly less time to reach proficiency on the MP setup than the standard MP-trained group (38.4 ± 29.4 min vs. 119.1 ± 69.7 min; p=0.0013) requiring only a mean of 26.9 total repetitions. When the standard MP group crossed over to the SSA setup, they took significantly less time to reach proficiency with the SSA approach than the SSA-trained group (114.8 ± 50.5 min vs. 178.0 ± 93.4 min, p=0.026) but with more total repetitions than with the M-P approach (86.2 ± 35.2 vs 77.6 ± 42.6, p= NS). Conclusions Laparoscopic single site access skills training results in longer times and more repetitions to achieve proficiency than multi-port training, but the skills acquired transfer well to the multi-port approach. PMID:20872019

  1. Commercial managed care plans leaving the Medicaid managed care program in New York State: impact on quality and access.

    PubMed

    Roohan, P J; Conroy, M B; Anarella, J P; Butch, J M; Gesten, F C

    2000-12-01

    To develop sufficient managed care capacity to accomplish the goal of transitioning Medicaid recipients into managed care, state policymakers have relied on commercial health maintenance organizations to open their panels of providers to the Medicaid population. However, while commercial health maintenance organization involvement in Medicaid managed care was high initially, since 1996 New York State has had 14 commercial plans leave the New York State Medicaid Managed Care Program. It has been speculated that the exodus of these commercial plans would have a negative impact on Medicaid enrollees' access and quality of care. This paper attempts to evaluate the impact of this departure from the perspective of quality and access measures and plan audit performance. Univariate and multivariate analyses were performed to evaluation the effect of commercial managed care plans leaving the Medicaid program. The overall performance of plans that remained in the program was compared to that of the plans that chose to leave for the two time periods 1996-1997 and 1998-2000. Access to care, quality of care, and annual audit performance data were analyzed. The departure of commercial health plans from the New York State Medicaid Managed Care Program has not had a statistically significant negative effect on the quality of care provided to Medicaid recipients as evaluated by standardized performance measures. In addition, there were no instances when there was a negative impact of the exit of the commercial plans on access to care. Managed care plans that chose to remain in Medicaid passed the Quality Assurance Reporting Requirements audit at a significantly (P < .01) higher rate than plans that chose to leave. A program consisting of health plans voluntarily participating and committed to Medicaid managed care can provide Medicaid recipients with appropriate access to high-quality health care. The exodus of commercial health plans from New York's Medicaid Managed Care Program

  2. Case management: key to access, quality, and financial success.

    PubMed

    Smith, Alison P

    2003-01-01

    Several strategic, organizational, and operational variables drive successful case management programs. Organizational goals and accountability for support by administrative and medical staff leaders set the stage for a comprehensive program. The integration of utilization review, discharge planning, and other functions into the role of the case manager improves productivity and continuity. Choosing a model for assigning patients, a variable unique to the institution, should be carefully considered. Regardless of the power of strategic goals or the creative selection of a model, daily practices that promote daily review and communication will reveal all of the opportunities for improved performance. Complications are avoided one patient at a time and patients deserve vigilance. Length of stay is shortened 1 day at a time and we can no longer afford to miss these opportunities. In the period of high census, an unnecessary day for one patient at the end of his/her stay may mean another patient being diverted to another hospital away from his/her physician and past medical records. Creating constructive physician partnerships and cooperative relationships with postacute care providers can bring a case management program to higher level of performance. While many organizations have employees called "case managers," fewer have a comprehensive approach that has the potential to drive so many important indicators of performance.

  3. Access to opioids: a global pain management crisis.

    PubMed

    Buitrago, Rosa

    2013-03-01

    The lack of availability of opioids in many countries has created a pain management crisis. Because the Single Convention on Narcotic Drugs requires governments to report annual opioid statistics, there is a need for methods to calculate individual nations' opioid needs. Ways to address this need are discussed.

  4. Science Information Storage and Access: Data Management Using Appleworks.

    ERIC Educational Resources Information Center

    Schlenker, Richard M.

    This report describes a data management process that provides users with a systematic approach to document identification, and to information storage and retrieval using the AppleWorks database subprogram and a simple organizational scheme. The functions of this scheme are described and include: (1) taking the user from general to specific…

  5. Records access and management on closure of a medical practice.

    PubMed

    Carter, David J

    2015-07-20

    Despite uneven regulation, health practitioners registered with the Australian Health Practitioner Regulation Agency have immediate and continuing obligations to patients when contemplating practice closure. Recent enforcement actions by regulators highlight the importance of knowledge and compliance with requirements relating to record management.

  6. Investigation of prototypal MOFs consisting of polyhedral cages with accessible Lewis-acid sites for quinoline synthesis.

    PubMed

    Gao, Wen-Yang; Leng, Kunyue; Cash, Lindsay; Chrzanowski, Matthew; Stackhouse, Chavis A; Sun, Yinyong; Ma, Shengqian

    2015-03-21

    A series of prototypal metal-organic frameworks (MOFs) consisting of polyhedral cages with accessible Lewis-acid sites, have been systematically investigated for Friedländer annulation reaction, a straightforward approach to synthesizing quinoline and its derivatives. Amongst them MMCF-2 demonstrates significantly enhanced catalytic activity compared with the benchmark MOFs, HKUST-1 and MOF-505, as a result of a high-density of accessible Cu(II) Lewis acid sites and large window size in the cuboctahedral cage-based nanoreactor of MMCF-2.

  7. Externalization of tunneled hemodialysis catheter in patients with tunnel or exit-site infections and limited access options.

    PubMed

    Jaberi, Arash; Hadziomerovic, Adnan; Toor, Sundeep S; Galwa, Ramprakash P; Graham, Janet; Thornhill, Rebecca E; Ryan, Stephen E

    2014-04-01

    To evaluate the viability and effectiveness of temporary externalization of a tunneled hemodialysis (HD) catheter in catheter-dependent HD patients presenting with catheter-related tunnel or exit-site infection, documented central venous stenosis, and limited alternative venous access. All catheter-dependent HD patients with known central venous stenosis presenting with exit-site or tunnel infection and who subsequently underwent catheter externalization between February 2008 and May 2012 were reviewed. After catheter externalization, patients were concurrently treated with antibiotics for approximately 3 weeks before reinsertion of a new tunneled catheter. Treatment outcomes were collected, with treatment failures defined as reinfection with the same organism within 45 days of tunneled catheter reinsertion. There were 42 catheter externalization procedures performed in 26 patients for 42 exit-site or tunnel infections. Technical success rate for catheter externalization was 100%, with no complications during the externalization procedure and preservation of all original access sites. Treatment failure occurred in 9.8% (4 of 41) of cases. Median infection-free survival after treatment and retunneling of a new dialysis catheter was 80 days. One major periprocedural complication of death occurred before reinsertion of a new tunneled catheter. Minor complications after the procedure occurred in four patients and included three cases of a small persistent wound at the temporary supraclavicular access site and one initially nonfunctioning externalized catheter. Temporary dialysis catheter externalization appears both technically feasible and effective for the treatment of exit-site and tunnel infections, while allowing preservation of the venous access site in catheter-dependent HD patients with central venous stenosis and limited alternative venous access. Copyright © 2014 SIR. Published by Elsevier Inc. All rights reserved.

  8. Flood Assessment Area 3 Radioactive Waste Management Site, Nevada Test Site, Nye County, Nevada

    SciTech Connect

    NSTec Environmental Management

    2007-07-01

    A flood assessment was conducted at the Area 3 Radioactive Waste Management Site (RWMS) at the Nevada Test Site (NTS) in Nye County, Nevada (Figure 1-1). The study area encompasses the watershed of Yucca Flat, a closed basin approximately 780 square kilometers (km2) (300 square miles) in size. The focus of this effort was on a drainage area of approximately 94 km2 (36 mi2), determined from review of topographic maps and aerial photographs to be the only part of the Yucca Flat watershed that could directly impact the Area 3 RWMS. This smaller area encompasses portions of the Halfpint Range, including Paiute Ridge, Jangle Ridge, Carbonate Ridge, Slanted Buttes, Cockeyed Ridge, and Banded Mountain. The Area 3 RWMS is located on coalescing alluvial fans emanating from this drainage area.

  9. Global Access Programs: A Collaborative Approach for Effective Implementation and Management.

    PubMed

    Ainge, Debra; Aitken, Suzanne; Corbett, Mark; De-Keyzer, David

    Global access programs (GAPs) provide access to medicinal products for patients with serious medical conditions and no commercially available treatment options. Providing early access to medicines can be challenging for a pharmaceutical company. The demand for a GAP often occurs at a time when other activities are the prime focus, such as delivery of pivotal clinical trials or gaining of marketing authorization. Furthermore, the skills, experience, and infrastructure necessary to implement and manage a successful GAP vary significantly from those required for regular clinical trial execution, and the regulatory environment presents its own challenges, with regulations often poorly defined and with considerable inter-country variation. This article considers the triggers for early access requests and examines the need for companies to develop a global strategy for GAPs in order to respond appropriately to requests for early access. It also provides a comprehensive overview of the processes for GAP set-up, implementation, management, and closure, along with the considerations affecting the type and scope of GAP, such as demand, regulatory feasibility, license status of the product, drug pricing structure, company strategy, costs, and product supply. Also discussed is the need for appropriate personnel to implement and manage the GAP, and when to consider collaboration with an external GAP provider. In summary, GAPs require careful and efficient planning and management, from set-up to closure. Well-run GAPs provide an ethical and regulatory-compliant pathway for access of new treatments to patients with serious conditions and an unmet medical need.

  10. [Definition of processes and indicators for the management of vascular accesses for hemodialysis].

    PubMed

    Almonacid, Pedro Jiménez; Gruss, Enrique; Lorenzo, Susana; Lasala, Manuel; Hernández, Teresa; Portolés, José; Rueda, José Antonio; Tato, Ana; Del Cerro, Julián; Quintans, Antonio

    2007-05-01

    The prevalence of renal replacement therapy has increased, affecting 885 patients per million inhabitants. More than 50% of these patients require hemodialysis with permanent vascular access. In our center a multidisciplinary group was organized to manage processes related to vascular access for hemodialysis. To define processes for the management of vascular access for hemodialysis and to evaluate these processes. Setting. Level III hospital in the autonomous community of Madrid serving 485,000 inhabitants. 2002-2004. A multidisciplinary working group was set up. The three most frequent processes were defined and described. Flow charts were used for graphical representation. Quality criteria and indicators were defined with prospective monitoring of electronic medical records, design of a specific surgical protocol, and retrospective analysis. Comparison of the results with the literature. First vascular access. The percentage of patients with arteriovenous fistulas on starting hemodialysis. Percentage of prevalent patients with venous access (autologous fistula, prosthetic device, catheter). Maintenance of access: Rate of thrombosis in autologous-prosthetic arteriovenous fistulas. Percentage of rescued arteriovenous fistulas after thrombosis. Rate of temporary catheters. Resource management. Percentage of ambulatory interventions. Rate of admissions related to arteriovenous fistulas. Arteriovenous fistulas are the main source of morbidity and hospital admission in patients with chronic renal failure in hemodialysis programs. Multidisciplinary management achieves results above the standards described in the literature. There do not appear to be other determining factors for these results, since the technical procedures performed do not differ from those described in the literature.

  11. Associative programming language and virtual associative access manager

    NASA Technical Reports Server (NTRS)

    Price, C.

    1978-01-01

    APL provides convenient associative data manipulation functions in a high level language. Six statements were added to PL/1 via a preprocessor: CREATE, INSERT, FIND, FOR EACH, REMOVE, and DELETE. They allow complete control of all data base operations. During execution, data base management programs perform the functions required to support the APL language. VAAM is the data base management system designed to support the APL language. APL/VAAM is used by CADANCE, an interactive graphic computer system. VAAM is designed to support heavily referenced files. Virtual memory files, which utilize the paging mechanism of the operating system, are used. VAAM supports a full network data structure. The two basic blocks in a VAAM file are entities and sets. Entities are the basic information element and correspond to PL/1 based structures defined by the user. Sets contain the relationship information and are implemented as arrays.

  12. Associative programming language and virtual associative access manager

    NASA Technical Reports Server (NTRS)

    Price, C.

    1978-01-01

    APL provides convenient associative data manipulation functions in a high level language. Six statements were added to PL/1 via a preprocessor: CREATE, INSERT, FIND, FOR EACH, REMOVE, and DELETE. They allow complete control of all data base operations. During execution, data base management programs perform the functions required to support the APL language. VAAM is the data base management system designed to support the APL language. APL/VAAM is used by CADANCE, an interactive graphic computer system. VAAM is designed to support heavily referenced files. Virtual memory files, which utilize the paging mechanism of the operating system, are used. VAAM supports a full network data structure. The two basic blocks in a VAAM file are entities and sets. Entities are the basic information element and correspond to PL/1 based structures defined by the user. Sets contain the relationship information and are implemented as arrays.

  13. The ClpP N-Terminus Coordinates Substrate Access with Protease Active Site Reactivity

    SciTech Connect

    Jennings, L.; Bohon, J; Chance, M; Licht, S

    2008-01-01

    Energy-dependent protein degradation machines, such as the Escherichia coli protease ClpAP, require regulated interactions between the ATPase component (ClpA) and the protease component (ClpP) for function. Recent studies indicate that the ClpP N-terminus is essential in these interactions, yet the dynamics of this region remain unclear. Here, we use synchrotron hydroxyl radical footprinting and kinetic studies to characterize functionally important conformational changes of the ClpP N-terminus. Footprinting experiments show that the ClpP N-terminus becomes more solvent-exposed upon interaction with ClpA. In the absence of ClpA, deletion of the ClpP N-terminus increases the initial degradation rate of large peptide substrates 5-15-fold. Unlike ClpAP, ClpP?N exhibits a distinct slow phase of product formation that is eliminated by the addition of hydroxylamine, suggesting that truncation of the N-terminus leads to stabilization of the acyl-enzyme intermediate. These results indicate that (1) the ClpP N-terminus acts as a 'gate' controlling substrate access to the active sites, (2) binding of ClpA opens this 'gate', allowing substrate entry and formation of the acyl-enzyme intermediate, and (3) closing of the N-terminal 'gate' stimulates acyl-enzyme hydrolysis.

  14. Geographic Information System Tools for Management of US DOE Sites - 13489

    SciTech Connect

    Carpenter, Cliff; Pilz, Elaine; Pawel, Steve

    2013-07-01

    The DOE Office of Legacy Management (LM) uses a variety of GIS tools to support long-term surveillance and maintenance (LTS and M) activities at DOE closure sites. These geo-spatial applications provide access to data both for external public viewing and for internal analysis and decision making. LM uses a custom geo-spatial application called geo-spatial Environmental Mapping System (GEMS) that draws validated information from a database of 4.6 million analytical results and 232,000 water level measurements for 58 LTS and M sites. These data were collected from transferred sites over a period of 40 years. The database is used to capture and store historical environmental information such as analytical chemistry data, groundwater depths and elevations, well logs, well construction data, geo-referenced boundaries, site physical features, and sampling locations from LTS and M sites. Stakeholders, regulators, and project personnel can use this Web-based application and data to display information in several forms, such as a tabular report, a graph, and a geo-spatial display, or the data can be labeled or highlighted in a map view. Institutional controls, with their LTS and M requirements and documentation, have recently been incorporated into a prototype GEMS Web page for the Weldon Spring, Missouri, Site. LM uses multiple internal GIS viewers to help ensure the future protection of human health and the environment. For example, at the Rocky Flats, Colorado, Site, LM uses a GIS application to display real property interests on authoritative maps. Another project is used to facilitate discussions at stakeholder meetings for the Rocky Flats site's Original Landfill. The Uranium Leasing Program uses multiple interactive maps that assist in ongoing monitoring and the oversight of lease-holders' activities. (authors)

  15. A Short History of Waste Management at the Hanford Site

    SciTech Connect

    Gephart, Roy E.

    2010-03-31

    "The world’s first full-scale nuclear reactors and chemical reprocessing plants built at the Hanford Site in the desert of eastern Washington State produced two-thirds of the plutonium generated in the United States for nuclear weapons. Operating these facilities also created large volumes of radioactive and chemical waste, some of which was released into the environment exposing people who lived downwind and downstream. Hanford now contains the largest accumulation of nuclear waste in the Western Hemisphere. Hanford’s last reactor shut down in 1987 followed by closure of the last reprocessing plant in 1990. Today, Hanford’s only mission is cleanup. Most onsite radioactive waste and nuclear material lingers inside underground tanks or storage facilities. About half of the chemical waste remains in tanks while the rest persists in the soil, groundwater, and burial grounds. Six million dollars each day, or nearly two billion dollars each year, are spent on waste management and cleanup activities. There is significant uncertainty in how long cleanup will take, how much it will cost, and what risks will remain for future generations. This paper summarizes portions of the waste management history of the Hanford Site published in the book “Hanford: A Conversation about Nuclear Waste and Cleanup.”(1) "

  16. A short history of waste management at the Hanford Site

    NASA Astrophysics Data System (ADS)

    Gephart, Roy E.

    The world’s first full-scale nuclear reactors and chemical reprocessing plants built at the Hanford Site in the desert of southeastern Washington State produced two-thirds of the plutonium generated in the United States for nuclear weapons. Operating these facilities also created large volumes of radioactive and chemical waste, some of which was released into the environment exposing people who lived downwind and downstream. Hanford now contains the largest accumulation of nuclear waste in the Western Hemisphere. Hanford’s last reactor shut down in 1987 followed by closure of the last reprocessing plant in 1990. Today, Hanford’s only mission is cleanup. Most onsite radioactive waste and nuclear material lingers inside underground tanks or storage facilities. About half of the chemical waste remains in tanks while the rest persists in the soil, groundwater, and burial grounds. Six million dollars each day, or nearly two billion dollars each year, are spent on waste management and cleanup activities. There is significant uncertainty in how long cleanup will take, how much it will cost, and what risks will remain for future generations. This paper summarizes portions of the waste management history of the Hanford Site published in the book “Hanford: A Conversation about Nuclear Waste and Cleanup.” ( Gephart, 2003).

  17. 77 FR 47047 - Environmental Management Site-Specific Advisory Board, Northern New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-07

    ... Environmental Management Site-Specific Advisory Board, Northern New Mexico AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... purpose of the Board is to make recommendations to DOE-EM and site management in the areas...

  18. 77 FR 39234 - Environmental Management Site-Specific Advisory Board, Northern New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-02

    ... Environmental Management Site-Specific Advisory Board, Northern New Mexico AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... Board is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  19. 76 FR 8359 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-14

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... purpose of the Board is to make recommendations to DOE-EM and site management in the areas of...

  20. 78 FR 49739 - Environmental Management Site-Specific Advisory Board, Northern New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-15

    ... Environmental Management Site-Specific Advisory Board, Northern New Mexico AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... of the Board: The purpose of the Board is to make recommendations to DOE-EM and site management in...

  1. 78 FR 10611 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of Open Meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... purpose of the Board is to make recommendations to DOE-EM and site management in the areas of...

  2. 76 FR 64329 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-18

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... purpose of the Board is to make recommendations to DOE-EM and site management in the areas of...

  3. 77 FR 76475 - Environmental Management Site-Specific Advisory Board, Idaho National Laboratory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-28

    ...] [FR Doc No: 2012-31173] DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board... notice announces a meeting of the Environmental Management Site-Specific Advisory Board (EM SSAB), Idaho... the Board is to make recommendations to DOE-EM and site management in the areas of environmental...

  4. Site-Based Management in a Collective Bargaining Environment: Can We Mix Oil and Water?

    ERIC Educational Resources Information Center

    Fossey, Richard

    Site-based management has become a popular school reform strategy. However, conflicts can arise when school districts with collective bargaining try to implement site-based management. Site-based management depends on collaboration and cooperation among educators, both of which conflict with collective bargaining's adversarial nature. There is…

  5. 76 FR 36100 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-21

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy. DOE. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... Board is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  6. 76 FR 63613 - Environmental Management Site-Specific Advisory Board, Hanford

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-13

    ...] [FR Doc No: 2011-26475] DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board... meeting of the Environmental Management Site-Specific Advisory Board (EM SSAB), Hanford. The Federal... is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  7. 76 FR 57981 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-19

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... Board is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  8. 75 FR 19379 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-14

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... Board is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  9. 77 FR 37390 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-21

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... Board is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  10. 77 FR 29997 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-21

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... Board is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  11. 75 FR 51026 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-18

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... Board is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  12. 77 FR 63300 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-16

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... Board is to make recommendations to DOE-EM and site management in the areas of environmental restoration...

  13. A clinical recruiting management system for complex multi-site clinical trials using qualification decision support systems.

    PubMed

    Vahabzadeh, Massoud; Lin, Jia-Ling; Mezghanni, Mustapha; Contoreggi, Carlo; Leff, Michelle

    2007-10-11

    A clinical recruiting management system with qualification decision support systems was developed to increase the efficiency of screening and evaluation of participants during a recruiting process whereby recruiting for various protocols are conducted at multiple sites by different groups with process interdependencies. This system is seamlessly integrated into our enterprise-scale Human Research Information System (HuRIS), encompassing research participants' electronic health records (EHR), with real-time access to the clinical trial data.

  14. Institutional Control Policies and Implementation for the Area 5 and Area 3 Radioactive Waste Management Sites

    SciTech Connect

    Vefa Yucel, Greg Shott, Denise Wieland, et al.

    2007-11-01

    The U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) has implemented varying institutional control policies in performance assessment/composite analysis (PA/CA) calculations for the Area 5 and Area 3 Radioactive Waste Management Sites (RWMSs) (Shott et al., 1998; 2000; Bechtel Nevada [BN] and Neptune and Company Inc. [Neptune], 2006). The facilities are within the actively maintained boundaries of the Nevada Test Site (NTS) that are enforced by NNSA/NSO. Under current policies, access required for exposure of the member of public (MOP) or the inadvertent human intruder (IHI) is prohibited. Uncertainties affecting institutional control policies are the duration and effectiveness of the controls during the post-closure period. Implementing a uniform set of institutional control policies for the RWMSs that encompasses waste management and environmental restoration programs and is consistent with the end-state vision for the environmental management programs for the NTS (DOE, 2006) is a primary goal of the maintenance program. The NNSA/NSO Performance Management Plan (DOE, 2002) complies with DOE Policy P455.1, 'Use of Risk-Based End States' (DOE, 2003a). Expected future land uses are a driver in selecting acceptable end state conditions and clean-up goals for the NTS. NNSA/NSO Environmental Management's (EM's) land management assumptions and framework for Environmental Management activities are as follows: The NTS will remain under federal control in perpetuity as an NNSA test site, and the large buffer zone surrounding the NTS (the Nevada Test and Training Range) is assumed to remain under the control of the U.S. Air Force. There are no plans for transfer of any NTS lands to other agencies or public entities. Access will continue to be restricted to the NTS and the surrounding areas. For management purposes, NNSA/NV EM activities have been established based on the source of contamination and type of waste

  15. Surgical management of vascular access related aneurysms to salvage dialysis access: case report and a systematic review of the literature.

    PubMed

    Furukawa, Hiroshi

    2015-01-01

    We retrospectively evaluated the surgical outcome of revising vascular access related aneurysms (VARAs) to salvage dialysis access. Twenty-six consecutive hemodialysis patients (mean age 67.6 years, range: 32-89 years) who presented with true or false VARA and underwent surgery between January 2006 and February 2011 were enrolled in this study, and comprised 11 women and 15 men. Aneurysms were true in 21 patients and false in five; native arteriovenous fistulas (AVFs) were reported in 23, including one infected native pseudoaneurysm, and arteriovenous prosthetic grafts (AVGs) in three. The mean aneurysm diameter was 29.8 ± 8.0 mm, ranging from 18 to 50 mm. Indications of surgical intervention were local pain, rapid enlargement of the aneurysm, and AVF failure due to stenosis. Surgical revision was performed by resection of VARA and concomitant creation of a new proximal arteriovenous anastomosis in 18 patients. Two aneurysms were ruptured by blunt dissection; however, bleeding did not occur due to prior clamping of the inflow artery without hemodynamic compromise. VARA plication was performed in one case in which severe calcified VARA could not be incised. No significant complications were reported, except for delayed wound healing in three patients and minor peripheral neuropathy in five. The postoperative course was uneventful without hospital mortality in all patients with VARA. Aggressive surgical management of VARAs is likely to become an acceptable procedure to salvage dialysis access and consistently maintain AVF or AVG function.

  16. Robotic single-access splenectomy using the Da Vinci Single-Site® platform: a case report.

    PubMed

    Corcione, Francesco; Bracale, Umberto; Pirozzi, Felice; Cuccurullo, Diego; Angelini, Pier Luigi

    2014-03-01

    Single-access laparoscopic splenectomy can offer patients some advantages. It has many difficulties, such as instrument clashing, lack of triangulation, odd angles and lack of space. The Da Vinci Single-Site® robotic surgery platform could decrease these difficulties. We present a case of single-access robotic splenectomy using this device. A 37 year-old female with idiopathic thrombocytopenic purpura was operated on with a single-site approach, using the Da Vinci Single-Site robotic surgery device. The procedure was successfully completed in 140 min. No intraoperative and postoperative complications occurred. The patient was discharged from hospital on day 3. Single-access robotic splenectomy seems to be feasible and safe using the new robotic single-access platform, which seems to overcome certain limits of previous robotic or conventional single-access laparoscopy. We think that additional studies should also be performed to explore the real cost-effectiveness of the platform. Copyright © 2013 John Wiley & Sons, Ltd.

  17. Phytoextraction potential of two Rumex acetosa L. accessions collected from metalliferous and non-metalliferous sites: effect of fertilization.

    PubMed

    Barrutia, O; Epelde, L; García-Plazaola, J I; Garbisu, C; Becerril, J M

    2009-01-01

    Metal tolerance and phytoextraction potential of two common sorrel (Rumex acetosa L.) accessions, collected from a Pb/Zn contaminated site (CS, Lanestosa) and an uncontaminated site (UCS, Larrauri), were studied in fertilized and non-fertilized pots prepared by combining soil samples from both sites in different proportions (i.e., 0%, 33%, 66% and 100% of Lanestosa contaminated soil). The original metalliferous mine soil contained 20480, 4950 and 14 mg kg(-1) of Zn, Pb and Cd, respectively. The microcosm experiment was carried out for two months under greenhouse controlled conditions. It was found that fertilization increased mean plant biomass of both accessions as well as their tolerance. However, only the CS accession survived all treatments even though its biomass decreased proportionally according to the percentage of contaminated mine soil present in the pots. This metallicolous accession would be useful for the revegetation and phytostabilization of mine soils. Due to its high concentration and bioavailability in the contaminated soil, the highest values of metal phytoextracted corresponded to Zn. The CS accession was capable of efficiently phytoextracting metal from the 100% mine soil, indeed reaching very promising phytoextraction rates in the fertilized pots (6.8 mg plant(-1) month(-1)), similar to the ones obtained with hyperaccumulator plants. It was concluded that fertilization is certainly worth being considered for phytoextraction and revegetation with native plants from metalliferous soils.

  18. Environmental data management system at the Savannah River Site

    SciTech Connect

    Story, C.H.; Gordon, D.E.

    1989-12-31

    The volume and complexity of data associated with escalating environmental regulations has prompted professionals at the Savannah River Site to begin taking steps necessary to better manage environmental information. This paper describes a plan to implement an integrated environmental information system at the site. Nine topic areas have been identified. They are: administrative, air, audit & QA, chemical information/inventory, ecology, environmental education, groundwater, solid/hazardous waste, and surface water. Identification of environmental databases that currently exist, integration into a ``friendly environment,`` and development of new applications will all take place as a result of this effort. New applications recently completed include Groundwater Well Construction, NPDES (Surface Water) Discharge Monitoring, RCRA Quarterly Reporting, and Material Safety Data Sheet Information. Database applications are relational (Oracle RDBMS) and reside largely in DEC VMS environments. In today`s regulatory and litigation climate, the site recognizes they must have knowledge of accurate environmental data at the earliest possible time. Implementation of this system will help ensure this.

  19. 2005 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    Bechtel Nevada

    2006-02-01

    This report is a compilation of the calendar year 2005 groundwater sampling results from the Area 5 Radioactive Waste Management Site. In additon to providing groundwater monitoring results, this report also includes information regarding site hydrogeology, well construction, sample collection, and meteorological data measured at the Area 5 Radioactive Waste Management Site at the Nevada Test Site, Ny County, Nevada.

  20. The complexities of measuring access to parks and physical activity sites in New York City: a quantitative and qualitative approach

    PubMed Central

    Maroko, Andrew R; Maantay, Juliana A; Sohler, Nancy L; Grady, Kristen L; Arno, Peter S

    2009-01-01

    Background Proximity to parks and physical activity sites has been linked to an increase in active behaviors, and positive impacts on health outcomes such as lower rates of cardiovascular disease, diabetes, and obesity. Since populations with a low socio-economic status as well as racial and ethnic minorities tend to experience worse health outcomes in the USA, access to parks and physical activity sites may be an environmental justice issue. Geographic Information systems were used to conduct quantitative and qualitative analyses of park accessibility in New York City, which included kernel density estimation, ordinary least squares (global) regression, geographically weighted (local) regression, and longitudinal case studies, consisting of field work and archival research. Accessibility was measured by both density of park acreage and density of physical activity sites. Independent variables included percent non-Hispanic black, percent Hispanic, percent below poverty, percent of adults without high school diploma, percent with limited English-speaking ability, and population density. Results The ordinary least squares linear regression found weak relationships in both the park acreage density and the physical activity site density models (Ra2 = .11 and .23, respectively; AIC = 7162 and 3529, respectively). Geographically weighted regression, however, suggested spatial non-stationarity in both models, indicating disparities in accessibility that vary over space with respect to magnitude and directionality of the relationships (AIC = 2014 and -1241, respectively). The qualitative analysis supported the findings of the local regression, confirming that although there is a geographically inequitable distribution of park space and physical activity sites, it is not globally predicted by race, ethnicity, or socio-economic status. Conclusion The combination of quantitative and qualitative analyses demonstrated the complexity of the issues around racial and ethnic

  1. Database Access Manager for the Software Engineering Laboratory (DAMSEL) user's guide

    NASA Technical Reports Server (NTRS)

    1990-01-01

    Operating instructions for the Database Access Manager for the Software Engineering Laboratory (DAMSEL) system are presented. Step-by-step instructions for performing various data entry and report generation activities are included. Sample sessions showing the user interface display screens are also included. Instructions for generating reports are accompanied by sample outputs for each of the reports. The document groups the available software functions by the classes of users that may access them.

  2. 40 CFR 1400.8 - Access to off-site consequence analysis information by Federal government officials.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Access to off-site consequence analysis information by Federal government officials. 1400.8 Section 1400.8 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY AND DEPARTMENT OF JUSTICE ACCIDENTAL RELEASE PREVENTION REQUIREMENTS; RISK...

  3. 40 CFR 1400.9 - Access to off-site consequence analysis information by State and local government officials.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 33 2014-07-01 2014-07-01 false Access to off-site consequence analysis information by State and local government officials. 1400.9 Section 1400.9 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY AND DEPARTMENT OF JUSTICE ACCIDENTAL RELEASE PREVENTION...

  4. 40 CFR 1400.9 - Access to off-site consequence analysis information by State and local government officials.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... local government official in electronic form, unless the official specifically requests the information... analysis information by State and local government officials. 1400.9 Section 1400.9 Protection of... Consequence Analysis Information by Government Officials. § 1400.9 Access to off-site consequence...

  5. The Influence of High Computer Access on Schoolwork and Student Empowerment: An Exploratory Study of the Nashville ACOT Site.

    ERIC Educational Resources Information Center

    Fisher, Charles W.

    This study examines the relationship between high computer access and "student empowerment" at the Nashville, Tennessee, site of the Apple Classroom of Tomorrow (ACOT) project. The study rests on the premise that school learning is a function of the work carried out by students in school, and that schoolwork is experienced by students as…

  6. 40 CFR 1400.8 - Access to off-site consequence analysis information by Federal government officials.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... analysis information by Federal government officials. 1400.8 Section 1400.8 Protection of Environment... Information by Government Officials. § 1400.8 Access to off-site consequence analysis information by Federal government officials. The Administrator shall provide any Federal government official with the...

  7. 40 CFR 1400.8 - Access to off-site consequence analysis information by Federal government officials.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... analysis information by Federal government officials. 1400.8 Section 1400.8 Protection of Environment... Information by Government Officials. § 1400.8 Access to off-site consequence analysis information by Federal government officials. The Administrator shall provide any Federal government official with the...

  8. 40 CFR 1400.8 - Access to off-site consequence analysis information by Federal government officials.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... analysis information by Federal government officials. 1400.8 Section 1400.8 Protection of Environment... Information by Government Officials. § 1400.8 Access to off-site consequence analysis information by Federal government officials. The Administrator shall provide any Federal government official with the...

  9. 40 CFR 1400.8 - Access to off-site consequence analysis information by Federal government officials.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... analysis information by Federal government officials. 1400.8 Section 1400.8 Protection of Environment... Information by Government Officials. § 1400.8 Access to off-site consequence analysis information by Federal government officials. The Administrator shall provide any Federal government official with the...

  10. Preliminary access routes and cost study analyses for seven potentially acceptable salt sites: Final report, October 1984

    SciTech Connect

    Not Available

    1987-02-01

    This report analyzes highway and railroad access to seven potentially acceptable salt repository sites: Richton Dome and Cypress Creek Dome in Mississippi, Vacherie Dome in Louisiana, Swisher County and Deaf Smith County in Texas, and Davis Canyon and Lavender Canyon in utah. The objectives of the study were to investigate the routing of reasonable access corridors to the sites, describe major characteristics of each route, and estimate the costs for constructing or upgrading highways and railroads. The routes used in the analysis are not necessarily recommended or preferred over other routes, nor do they represent an implied final selection. Detailed engineering studies must be performed for the Davis Canyon and Lavender Canyon highway access before the analyzed routes can be considered to be viable. 20 refs., 7 figs., 3 tabs.

  11. 78 FR 16260 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-14

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of Open Meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  12. 78 FR 25064 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-29

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  13. 78 FR 45518 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-29

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  14. 75 FR 2859 - Environmental Management Site-Specific Advisory Board, Hanford

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-19

    ... Environmental Management Site-Specific Advisory Board, Hanford AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site-Specific... management in the areas of environmental restoration, waste management, and related activities....

  15. 77 FR 43583 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-25

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities....

  16. 78 FR 78952 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-27

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities....

  17. 78 FR 32640 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of Open Meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  18. 76 FR 48148 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-08

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  19. 75 FR 24686 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-05

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  20. 75 FR 66074 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-27

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of Open Meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  1. 76 FR 5147 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-28

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  2. 77 FR 59598 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-28

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  3. 75 FR 54600 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-08

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE) ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  4. 75 FR 61711 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-06

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... management in the areas of environmental restoration, waste management and related activities. Tentative...

  5. 41 CFR 102-79.95 - Who is responsible for the costs associated with providing access to antenna sites?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... MANAGEMENT REGULATION REAL PROPERTY 79-ASSIGNMENT AND UTILIZATION OF SPACE Assignment and Utilization of Space Siting Antennas on Federal Property § 102-79.95 Who is responsible for the costs associated with... sale or use of Government property or resources. For antenna sites on non-GSA property, see also the...

  6. 41 CFR 102-79.95 - Who is responsible for the costs associated with providing access to antenna sites?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... MANAGEMENT REGULATION REAL PROPERTY 79-ASSIGNMENT AND UTILIZATION OF SPACE Assignment and Utilization of Space Siting Antennas on Federal Property § 102-79.95 Who is responsible for the costs associated with... sale or use of Government property or resources. For antenna sites on non-GSA property, see also the...

  7. International differences in sport medicine access and clinical management

    PubMed Central

    Heron, Neil; Malliaropoulos, Nikolaos G.

    2012-01-01

    Summary I undertook the 2012 ECOSEP travelling fellowship, sponsored by Bauerfeind, between May and August 2012, which involved visiting 5 European sport medicine centres and spending approximately one week in each centre. The 5 centres included: National Track and Field Centre, SEGAS, Thessaloniki, Greece; Professional School in Sport & Exercise Medicine, University of Barcelona, Spain; Sport Medicine Frankfurt Institute, Germany; Isokinetic Medical Group, FIFA Medical Centre of Excellence, Bologna, Italy, and Centre for Sports and Exercise Medicine, Barts and the London School of Medicine and Dentistry, Mile End Hospital, England. Throughout the fellowship, the clinical cases which were routinely encountered were documented. The following sections detail my experiences throughout the fellowship, the sports of the athletes and the injuries which were treated at each of the sport medicine centres during the fellowship visit and the different forms of management employed. PMID:23738305

  8. Managing tissue bank access to the OR for tissue recovery.

    PubMed

    Trim, Robert S

    2011-08-01

    Hospitals often have tissue recovery service agreements with regional tissue banks to facilitate the donation process. The agreements that outline the tissue bank-hospital relationship frequently allow tissue bank personnel to perform tissue recovery procedures in the referring hospital's OR and may or may not specify any preparatory orientation or any written protocols for tissue bank staff members to follow. This creates the potential for unintentional breaches of protocol that can affect operation of equipment or result in contamination that may put surgical patients and staff members at risk. The OR manager is responsible for establishing appropriate orientation plans for tissue bank employees to ensure they understand and adhere to the hospital's protocols.

  9. Foreign exam management in practice: seamless access to foreign images and results in a regional environment.

    PubMed

    Nagels, Jason; MacDonald, David; Parker, David

    2015-04-01

    A challenge for many clinical users is that a patient may receive a diagnostic imaging (DI) service at a number of hospitals or private imaging clinics. The DI services that patients receive at other locations could be clinically relevant to current treatments, but typically, there is no seamless method for a clinical user to access longitudinal DI results for their patient. Radiologists, and other specialists that are intensive users of image data, require seamless ingestion of foreign exams into the picture archiving and communication system (PACS) to achieve full clinical value. Most commonly, a clinical user will depend on the patient to bring in a CD that contains imaging from another location. However, a number of issues can arise when using this type of solution. Firstly, a CD will not provide the clinical user with the full longitudinal record of the patient. Secondly, a CD often will not contain the report associated with the images. Finally, a CD is not seamless, due to the need to manually import the contents of the CD into the local PACS. In order to overcome these limitations, and provide clinical users with a greater benefit related to a patient's longitudinal DI history, the implementation of foreign exam management (FEM) at the local site level is required. This paper presents the experiences of FEM in practice. By leveraging industry standards and edge devices to support FEM, multiple sites with disparate PACS and radiology information system (RIS) vendors are able to seamlessly ingest foreign exams within their local PACS as if they are local exams.

  10. Differential Site Accessibility Mechanistically Explains Subcellular-Specific N-Glycosylation Determinants

    PubMed Central

    Lee, Ling Yen; Lin, Chi-Hung; Fanayan, Susan; Packer, Nicolle H.; Thaysen-Andersen, Morten

    2014-01-01

    Glycoproteins perform extra- and intracellular functions in innate and adaptive immunity by lectin-based interactions to exposed glyco-determinants. Herein, we document and mechanistically explain the formation of subcellular-specific N-glycosylation determinants on glycoproteins trafficking through the shared biosynthetic machinery of human cells. LC-MS/MS-based quantitative glycomics showed that the secreted glycoproteins of eight human breast epithelial cells displaying diverse geno- and phenotypes consistently displayed more processed, primarily complex type, N-glycans than the high-mannose-rich microsomal glycoproteins. Detailed subcellular glycome profiling of proteins derived from three breast cell lines (MCF7/MDA468/MCF10A) demonstrated that secreted glycoproteins displayed significantly more α-sialylation and α1,6-fucosylation, but less α-mannosylation, than both the intermediately glycan-processed cell-surface glycoproteomes and the under-processed microsomal glycoproteomes. Subcellular proteomics and gene ontology revealed substantial presence of endoplasmic reticulum resident glycoproteins in the microsomes and confirmed significant enrichment of secreted and cell-surface glycoproteins in the respective subcellular fractions. The solvent accessibility of the glycosylation sites on maturely folded proteins of the 100 most abundant putative N-glycoproteins observed uniquely in the three subcellular glycoproteomes correlated with the glycan type processing thereby mechanistically explaining the formation of subcellular-specific N-glycosylation. In conclusion, human cells have developed mechanisms to simultaneously and reproducibly generate subcellular-specific N-glycosylation using a shared biosynthetic machinery. This aspect of protein-specific glycosylation is important for structural and functional glycobiology and discussed here in the context of the spatio-temporal interaction of glyco-determinants with lectins central to infection and immunity

  11. Updating and normalization of the Nursing Management Minimum Data Set element 6: patient/client accessibility.

    PubMed

    Kunkel, Dorcas Elisabeth; Westra, Bonnie L; Hart, Colleen M; Subramanian, Amarnath; Kenny, Shanne; Delaney, Connie W

    2012-03-01

    Patient/client accessibility is one of 18 Nursing Management Minimum Data Set data elements developed to evaluate contextual factors at the nursing unit or service level of care. The Nursing Management Minimum Data Set 06 patient/client accessibility was developed to capture variability in time and distance required to access patients. Variability in access to patients, needed supplies, equipment, and information for patient care has an impact on the amount of time available for direct patient care. Limitations in time available to provide safe and quality care may negatively affect patient outcomes, nurse retention, and, as a result, a healthcare organization's accreditation and finances. Since 2005, the first five Nursing Management Minimum Data Set data elements have been incorporated into the publicly accessible healthcare data set Logical Observation Identifier Names and Codes, thereby making results derived from these nursing management data elements available for empirical use. A critical review of the literature and other healthcare resources was conducted to update patient/client accessibility. A consensus approach was used by an interdisciplinary panel of experts to finalize recommendations for revisions. The name, conceptual and operational definitions, and measures were updated. The revised data element is titled "client accessibility." The conceptual and operational definitions were expanded and measures changed to increase validity and reliability of data collection. The updated conceptual definition is "the time, distance, and method to connect the nurse/provider and client for an encounter and includes the information, supplies, equipment, and personnel required for the encounter." The Nursing Management Minimum Data Set can provide individuals responsible for managing and financing nursing resources with quantifiable data regarding the context of nursing care. At present, healthcare costs are rising at an unsustainable rate, and many national

  12. Mercury- Distributed Metadata Management, Data Discovery and Access System

    NASA Astrophysics Data System (ADS)

    Palanisamy, Giri; Wilson, Bruce E.; Devarakonda, Ranjeet; Green, James M.

    2007-12-01

    Mercury is a federated metadata harvesting, search and retrieval tool based on both open source and ORNL- developed software. It was originally developed for NASA, and the Mercury development consortium now includes funding from NASA, USGS, and DOE. Mercury supports various metadata standards including XML, Z39.50, FGDC, Dublin-Core, Darwin-Core, EML, and ISO-19115 (under development). Mercury provides a single portal to information contained in disparate data management systems. It collects metadata and key data from contributing project servers distributed around the world and builds a centralized index. The Mercury search interfaces then allow the users to perform simple, fielded, spatial and temporal searches across these metadata sources. This centralized repository of metadata with distributed data sources provides extremely fast search results to the user, while allowing data providers to advertise the availability of their data and maintain complete control and ownership of that data. Mercury supports various projects including: ORNL DAAC, NBII, DADDI, LBA, NARSTO, CDIAC, OCEAN, I3N, IAI, ESIP and ARM. The new Mercury system is based on a Service Oriented Architecture and supports various services such as Thesaurus Service, Gazetteer Web Service and UDDI Directory Services. This system also provides various search services including: RSS, Geo-RSS, OpenSearch, Web Services and Portlets. Other features include: Filtering and dynamic sorting of search results, book-markable search results, save, retrieve, and modify search criteria.

  13. Environmental Information Management For Data Discovery and Access System

    NASA Astrophysics Data System (ADS)

    Giriprakash, P.

    2011-01-01

    Mercury is a federated metadata harvesting, search and retrieval tool based on both open source software and software developed at Oak Ridge National Laboratory. It was originally developed for NASA, and the Mercury development consortium now includes funding from NASA, USGS, and DOE. A major new version of Mercury was developed during 2007 and released in early 2008. This new version provides orders of magnitude improvements in search speed, support for additional metadata formats, integration with Google Maps for spatial queries, support for RSS delivery of search results, and ready customization to meet the needs of the multiple projects which use Mercury. For the end users, Mercury provides a single portal to very quickly search for data and information contained in disparate data management systems. It collects metadata and key data from contributing project servers distributed around the world and builds a centralized index. The Mercury search interfaces then allow ! the users to perform simple, fielded, spatial and temporal searches across these metadata sources. This centralized repository of metadata with distributed data sources provides extremely fast search results to the user, while allowing data providers to advertise the availability of their data and maintain complete control and ownership of that data.

  14. Patients' experiences of an open access follow up arrangement in managing inflammatory bowel disease.

    PubMed

    Rogers, A; Kennedy, A; Nelson, E; Robinson, A

    2004-10-01

    Improving access is a key policy issue in improving quality of care and extending patient choice and participation. People's experience of changing from fixed outpatient appointments to more flexible direct access arrangements for chronic disease has been underexplored. To examine patients' views on using an open system of access compared with fixed outpatient appointments as part of a guided self-management intervention for inflammatory bowel disease (IBD). Embedded qualitative study undertaken alongside a randomised controlled trial. Semi-structured interviews were undertaken to obtain an in depth understanding of patients' experience of the change in access arrangements. A purposive sample (n = 30) was drawn from the intervention group (n = 700) according to a range of responses to the trial baseline and follow up quantitative measures. 28 interviews were included in the analysis. Compared with the previous system of fixed appointments, preference for the new open access system was based on enhanced personal control in contacting services and the view that it fitted better with everyday routine management and the requirement for urgent medical contact when symptoms fail to respond to medication. Preference for retaining fixed appointments was based on a sense of security from gaining access which did not require the individual to initiate the request for medical help. Open access may fit better with patients' self-management of their condition and everyday routines, roles and responsibilities. Ensuring that outpatient organisational arrangements and personnel are responsive to patient initiated requests for appointments is likely to impact on the acceptability of this type of access arrangement. Some people may continue to prefer the fixed appointment system which should be retained if patient choice is to be respected.

  15. Patients' experiences of an open access follow up arrangement in managing inflammatory bowel disease

    PubMed Central

    Rogers, A; Kennedy, A; Nelson, E; Robinson, A

    2004-01-01

    Background: Improving access is a key policy issue in improving quality of care and extending patient choice and participation. People's experience of changing from fixed outpatient appointments to more flexible direct access arrangements for chronic disease has been underexplored. Objectives: To examine patients' views on using an open system of access compared with fixed outpatient appointments as part of a guided self-management intervention for inflammatory bowel disease (IBD). Design: Embedded qualitative study undertaken alongside a randomised controlled trial. Semi-structured interviews were undertaken to obtain an in depth understanding of patients' experience of the change in access arrangements. Participants: A purposive sample (n = 30) was drawn from the intervention group (n = 700) according to a range of responses to the trial baseline and follow up quantitative measures. Results: 28 interviews were included in the analysis. Compared with the previous system of fixed appointments, preference for the new open access system was based on enhanced personal control in contacting services and the view that it fitted better with everyday routine management and the requirement for urgent medical contact when symptoms fail to respond to medication. Preference for retaining fixed appointments was based on a sense of security from gaining access which did not require the individual to initiate the request for medical help. Conclusions: Open access may fit better with patients' self-management of their condition and everyday routines, roles and responsibilities. Ensuring that outpatient organisational arrangements and personnel are responsive to patient initiated requests for appointments is likely to impact on the acceptability of this type of access arrangement. Some people may continue to prefer the fixed appointment system which should be retained if patient choice is to be respected. PMID:15465941

  16. Qualitative insights into practice time management: does 'patient-centred time' in practice management offer a portal to improved access?

    PubMed Central

    Buetow, S; Adair, V; Coster, G; Hight, M; Gribben, B; Mitchell, E

    2002-01-01

    BACKGROUND: Different sets of literature suggest how aspects of practice time management can limit access to general practitioner (GP) care. Researchers have not organised this knowledge into a unified framework that can enhance understanding of barriers to, and opportunities for, improved access. AIM: To suggest a framework conceptualising how differences in professional and cultural understanding of practice time management in Auckland, New Zealand, influence access to GP care for children with chronic asthma. DESIGN OF STUDY: A qualitative study involving selective sampling, semi-structured interviews on barriers to access, and a general inductive approach. SETTING: Twenty-nine key informants and ten mothers of children with chronic, moderate to severe asthma and poor access to GP care in Auckland. METHOD: Development of a framework from themes describing barriers associated with, and needs for, practice time management. The themes were independently identified by two authors from transcribed interviews and confirmed through informant checking. Themes from key informant and patient interviews were triangulated with each other and with published literature. RESULTS: The framework distinguishes 'practice-centred time' from 'patient-centred time.' A predominance of 'practice-centred time' and an unmet opportunity for 'patient-centred time' are suggested by the persistence of five barriers to accessing GP care: limited hours of opening; traditional appointment systems; practice intolerance of missed appointments; long waiting times in the practice; and inadequate consultation lengths. None of the barriers is specific to asthmatic children. CONCLUSION: A unified framework was suggested for understanding how the organisation of practice work time can influence access to GP care by groups including asthmatic children. PMID:12528583

  17. LLNL Site 200 Risk Management PlanAgust 2008

    SciTech Connect

    Pinkston, D; Johnson, M

    2008-07-30

    It is the Lawrence Livermore National Laboratory's (LLNL) policy to perform work in a manner that protects the health and safety of employees and the public, preserves the quality of the environment, and prevents property damage using the Integrated Safety Management System. The environment, safety, and health are to take priority in the planning and execution of work activities at the Laboratory. Furthermore, it is the policy of LLNL to comply with applicable ES&H laws, regulations, and requirements (LLNL Environment, Safety and Health Manual, Document 1.2, ES&H Policies of LLNL). The program and policies that improve LLNL's ability to prevent or mitigate accidental releases are described in the LLNL Environment, Health, and Safety Manual that is available to the public. The laboratory uses an emergency management system known as the Incident Command System, in accordance with the California Standardized Emergency Management System (SEMS) to respond to Operational Emergencies and to mitigate consequences resulting from them. Operational Emergencies are defined as unplanned, significant events or conditions that require time-urgent response from outside the immediate area of the incident that could seriously impact the safety or security of the public, LLNL's employees, its facilities, or the environment. The Emergency Plan contains LLNL's Operational Emergency response policies, commitments, and institutional responsibilities for managing and recovering from emergencies. It is not possible to list in the Emergency Plan all events that could occur during any given emergency situation. However, a combination of hazard assessments, an effective Emergency Plan, and Emergency Plan Implementing Procedures (EPIPs) can provide the framework for responses to postulated emergency situations. Revision 7, 2004 of the above mentioned LLNL Emergency Plan is available to the public. The most recent revision of the LLNL Emergency Plan LLNL-AM-402556, Revision 11, March 2008, has

  18. Public managed care and service access in outpatient substance abuse treatment units.

    PubMed

    Chuang, Emmeline; Wells, Rebecca; Alexander, Jeffrey A

    2011-10-01

    The continued growth of public managed behavioral health care has raised concerns about possible effects on services provided. This study uses a national sample of outpatient substance abuse treatment units surveyed in 2005 to examine associations between public managed care and service access, measured as both the types of services provided and the amount of treatment received by clients. The percentage of clients funded through public managed care versus other types of public funding was positively associated with treatment units' odds of providing some types of resource-intensive services and with the odds of providing transportation to clients, but was negatively associated with the average number of individual therapy sessions clients received over the course of treatment. In general, public managed care does not appear to restrict access to outpatient substance abuse treatment, although states should monitor these contracts to ensure clients receive adequate courses of individual treatment.

  19. Scientific foundation and possible implications for practice of the Minimizing Adverse Haemorrhagic Events by Transradial Access Site andSystemic Implementation of AngioX (MATRIX) trial.

    PubMed

    Valgimigli, Marco; Calabrò, Paolo; Cortese, Bernardo; Frigoli, Enrico; Garducci, Stefano; Rubartelli, Paolo; Andò, Giuseppe; Santarelli, Andrea; Galli, Mario; Garbo, Roberto; Repetto, Alessandra; Ierna, Salvatore; Briguori, Carlo; Limbruno, Ugo; Violini, Roberto; Gagnor, Andrea

    2014-02-01

    Early invasive management and the use of combined antithrombotic therapies have decreased the risk of recurrent ischaemia in patients with acute coronary syndrome (ACS) but have also increased the bleeding risk. Transradial intervention (TRI) and bivalirudin infusion compared to transfemoral intervention (TFI) or unfractionated heparin (UFH) plus glycoprotein IIb/IIIa inhibitors (GPI) decrease bleeding complications in patients with ACS. To what extent, a bleeding preventive strategy incorporating at least one of these two treatment options translates into improved outcomes is a matter of debate. The Minimizing Adverse Haemorrhagic Events by Transradial Access Site and Systemic Implementation of AngioX study is a large-scale, multicenter, prospective, open-label trial, conducted at approximately 100 sites in Europe aiming to primarily assess whether TRI and bivalirudin infusion, as compared to TFI and UFH plus provisional GPI, decrease the 30-day incidence of death, myocardial infarction or stroke across the whole spectrum of ACS patients.

  20. Nevada National Security Site 2012 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    NSTec Environmental Management

    2013-02-11

    This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS). The data have been collected since 1993 and include calendar year 2012 results. During 2012, groundwater samples were collected and static water levels were measured at the three pilot wells surrounding the Area 5 RWMS. Groundwater samples were collected at UE5PW-1, UE5PW-2, and UE5PW-3 on March 21, August 7, August 21, and September 11, 2012, and static water levels were measured at each of the three pilot wells on March 19, June 6, August 2, and October 15, 2012. Groundwater samples were analyzed for the following indicators of contamination: pH, specific conductance, total organic carbon, total organic halides, and tritium. Indicators of general water chemistry (cations and anions) were also measured. Final results from samples collected in 2012 were within the limits established by agreement with the Nevada Division of Environmental Protection for each analyte. These data indicate that there has been no measurable impact to the uppermost aquifer from the Area 5 RWMS. There were no significant changes in measured groundwater parameters compared to previous years. The report contains an updated cumulative chronology for the Area 5 RWMS Groundwater Monitoring Program and a brief description of the site hydrogeology.

  1. Nevada National Security Site 2010 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    NSTec Environmental Management

    2011-01-01

    This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS). The data have been collected since 1993 and include calendar year 2010 results. During 2010, groundwater samples were collected and static water levels were measured at the three pilot wells surrounding the Area 5 RWMS. Samples were collected at UE5PW-1 on March 10 and August 10, 2010; at UE5PW-2 on March 10, August 10, and August 25, 2010; and at UE5PW-3 on March 31, August 10, and August 25, 2010. Static water levels were measured at each of the three pilot wells on March 1, April 26, August 9, and November 9, 2010. Groundwater samples were analyzed for the following indicators of contamination: pH, specific conductance, total organic carbon, total organic halides, and tritium. Indicators of general water chemistry (cations and anions) were also measured. Results from all samples collected in 2010 were within the limits established by agreement with the Nevada Division of Environmental Protection for each analyte. These data indicate that there has been no measurable impact to the uppermost aquifer from the Area 5 RWMS. There were no significant changes in measured groundwater parameters compared to previous years. The report contains an updated cumulative chronology for the Area 5 RWMS Groundwater Monitoring Program and a brief description of the site hydrogeology.

  2. Nevada Test Site 2009 Data Report: Groundwater Monitoring Program, Area 5 Radioactive Waste Management Site

    SciTech Connect

    NSTec Environmental Management

    2010-01-19

    This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS). The data have been collected since 1993 and include calendar year 2009 results. During 2009, groundwater at each of the three pilot wells was sampled on March 10, 2009, and August 18, 2009, and water levels at each of the three pilot wells were measured on February 17, May 6, August 17, and November 10, 2009. Groundwater samples were analyzed for the following indicators of contamination: pH, specific conductance, total organic carbon, total organic halides, and tritium. Indicators of general water chemistry (cations and anions) were also measured. Results from all samples collected in 2009 were within the limits established by agreement with the Nevada Division of Environmental Protection for each analyte. These data indicate that there has been no measurable impact to the uppermost aquifer from the Area 5 RWMS. There were no significant changes in measured groundwater parameters compared to previous years. The report contains an updated cumulative chronology for the Area 5 RWMS Groundwater Monitoring Program and a brief description of the site hydrogeology.

  3. Nevada Test Site 2002 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    Y. E. Townsend

    2003-02-01

    This report is a compilation of the calendar year 2002 groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS). Wells Ue5PW-1, Ue5PW-2, and Ue5PW-3 were sampled semiannually for the required analytes: pH, specific conductance, major cations/anions, metals, tritium, total organic carbon (TOC), and total organic halogen (TOX). Results from all samples collected in 2002 were within established criteria. These data indicate that there has been no measurable impact to the uppermost aquifer from the Resource Conservation and Recovery Act(RCRA) regulated unit within the RWMS-5 and confirm that the detections of TOC and TOX in 2000 were false positives. Contamination indicator data are presented in control chart and tabular form with investigation levels (ILs) indicated. Gross water chemistry data are presented in graphical and tabular form. There were no major changes noted in the monitored groundwater elevation. There continues to be an extremely small gradient to the northeast with an average flow velocity of less than one foot per year. Other information in the report includes, the Cumulative Chronology for Area 5 RWMS Groundwater Monitoring Program, a brief description of the site hydrogeology, and the groundwater sampling procedure.

  4. Nevada Test Site 2001 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    Y. E. Townsend

    2002-02-01

    This report is a compilation of the calendar year 2001 groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS). Contamination indicator data are presented in control chart and tabular form with investigation levels (ILs) indicated. Gross water chemistry data are presented in graphical and tabular form. Other information in the report includes, the Cumulative Chronology for Area 5 RWMS Groundwater Monitoring Program, a brief description of the site hydrogeology, and the groundwater sampling procedure. Wells Ue5PW-1, Ue5PW-2, and Ue5PW-3 were sampled semiannually for the required analytes: pH, specific conductance, major cations/anions, metals, tritium, total organic carbon (TOC), and total organic halogen (TOX). Due to detections of TOC and TOX in some samples collected in 2000, a plan, as approved by the Nevada Division of Environmental Protection (NDEP), was executed to collect an increased number and type of samples in 2001. Results from all samples collected in 2001 were below ILs. These data indicate that there has been no measurable impact to the uppermost aquifer from the Resource Conservation and Recovery Act (RCRA) regulated unit within the Area 5 RWMS and confirm that the detections of TOC and TOX in 2000 were false positives. There were no major changes noted in the monitored groundwater elevation. There continues to be an extremely small gradient to the northeast with an average flow velocity of less than one foot per year.

  5. Requirements on Clinical Trial Management Systems for Academic Site Management Organizations.

    PubMed

    Schöbel, Martin; Stäubert, Sebastian; Löbe, Matthias; Meinel, Kirsti; Winter, Alfred

    2016-01-01

    As a part of the introduction of a Clinical Trial Management System (CTMS) for an Academic Site Management Organization (SMO) we had to determine the requirements such a system has to meet. By performing extensive Requirements Engineering, we aimed at raising the success of the future system and the user satisfaction. Investigations revealed the existence of TORE (Task and Object-oriented Requirements Engineering), a task-driven approach for determining requirements on user interface- and information-intensive systems. In this paper, we present an adoption of this method for our purposes, resulting in a reasonable list of requirements for CTMS acquisition.

  6. CytoAccess, a relational laboratory information management system for a clinical cytogenetics laboratory.

    PubMed

    Xiang, Bixia; Li, Peining; Hemingway, Susan S; Qumsiyeh, Mazin

    2006-01-01

    We developed a CytoAccess laboratory management system based on the widely used Microsoft Access software to facilitate data processing, result reporting, and quality management for a full-service cytogenetics laboratory. The CytoAccess system consists of four functional modules. The data entry module is for logging in patient information. The result entry module is used to generate chromosome, fluorescent in situ hybridization (FISH), and array comparative genomic hybridization (aCGH) reports. The administrative module enables periodic monitoring of quality control and quality improvement (QA/QI) parameters and produces billing forms. The maintenance module allows users to update clinical demographics, report templates, code tables, and to refresh data links. We have integrated into this system over 15,000 chromosome and FISH results from prenatal, postnatal, and cancer cases for the past six years. This system is cost-effective, user-friendly, flexible in updating, and potentially adaptable for data mining.

  7. Access, labor, and wild floral greens management in western Washington's forests.

    Treesearch

    Kathryn A. Lynch; Rebecca J. McLain

    2003-01-01

    This report compares the changes that took place between 1994 and 2002 in the nontimber forest product (NTFP) management regime that governed access to floral greens and other NTFPs in western coastal Washington. A rapid rural appraisal approach was used to gather data from 24 NTFP stakeholders during phase I (1994) and from 37 NTFP stakeholders during phase II (2002...

  8. 15 CFR Appendix III to Subpart P... - Wildlife Management Areas Access Restrictions

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 15 Commerce and Foreign Trade 3 2012-01-01 2012-01-01 false Wildlife Management Areas Access Restrictions III Appendix III to Subpart P of Part 922 Commerce and Foreign Trade Regulations Relating to... National Marine Sanctuary Pt. 922, Subpt. P, App. III Appendix III to Subpart P of Part...

  9. 15 CFR Appendix III to Subpart P... - Wildlife Management Areas Access Restrictions

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 15 Commerce and Foreign Trade 3 2013-01-01 2013-01-01 false Wildlife Management Areas Access Restrictions III Appendix III to Subpart P of Part 922 Commerce and Foreign Trade Regulations Relating to... National Marine Sanctuary Pt. 922, Subpt. P, App. III Appendix III to Subpart P of Part...

  10. 15 CFR Appendix III to Subpart P... - Wildlife Management Areas Access Restrictions

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 15 Commerce and Foreign Trade 3 2014-01-01 2014-01-01 false Wildlife Management Areas Access Restrictions III Appendix III to Subpart P of Part 922 Commerce and Foreign Trade Regulations Relating to... National Marine Sanctuary Pt. 922, Subpt. P, App. III Appendix III to Subpart P of Part...

  11. Program Description-DASM: Direct Access Storage Management. Information System for Vocational Decisions.

    ERIC Educational Resources Information Center

    Brewster, David

    This paper explains DASM, a package of programs and routines for Direct Access Storage Management on 70/564 disc packs. Its basic unit of data is a record. DASM processes (retrieves and maintains) records by techniques which require the user to reference a record by its name (both record and file name). The steps through which a user can create a…

  12. Accessibility Evaluation of Online Learning Management System for Persons with Visual Impairment

    ERIC Educational Resources Information Center

    Suwannawut, Nantanoot

    2014-01-01

    Many academic institutions around the world are utilizing and investing in online learning management systems (LMS). While several research studies have examined the functionality of this type of technology, little attention has been paid to accessibility issues, in particular to the complex web-based interfaces for learners with disabilities,…

  13. Arroyo Management Plan (Alameda County): A Plan for Implementing Access and Restoring Riparian Habitats

    Treesearch

    Kent E. Watson; Jim Horner; Louise Mozingo

    1989-01-01

    Innovative techniques for restoring riparian habitats are of little value without a community endorsed plan for their implementation. A flood control district commissioned the Arroyo Management Plan in order to determine how it might provide public access and improve habitat along its current and future channels in a fast-growing area of Northern California. The Plan,...

  14. Accessibility Evaluation of Online Learning Management System for Persons with Visual Impairment

    ERIC Educational Resources Information Center

    Suwannawut, Nantanoot

    2014-01-01

    Many academic institutions around the world are utilizing and investing in online learning management systems (LMS). While several research studies have examined the functionality of this type of technology, little attention has been paid to accessibility issues, in particular to the complex web-based interfaces for learners with disabilities,…

  15. Analysis of standard multiport versus single-site access for laparoscopic skills training.

    PubMed

    Cox, Daniel R; Zeng, Wenjing; Frisella, Margaret M; Brunt, L Michael

    2011-04-01

    Single-site-access (SSA) laparoscopy is more challenging to perform than multiport (MP) laparoscopy. This study examined the effect of MP versus SSA skills training on laparoscopic performance using surgically naive medical students. For the study, 40 medical students at the end of their first year were randomized into two groups. Both groups were trained in four basic laparoscopic drills (peg, rope, bean drop, pattern cutting) using a standard MP setup (group 1) and an SSA approach (group 2). The time and number of repetitions required to attain proficiency were recorded. Each group then crossed over to the alternate approach and repeated the sequence. Data are presented as mean ± standard deviation, and statistical analysis was performed using the two-tailed, unpaired t test. The total times required to attain proficiency for the SSA and MP approaches were not significantly different between the MP-trained group (234.0 ± 114.9 min) and the SSA-trained group (216.4 ± 106.5 min) (p = 0.67). The MP-trained group required less time to reach proficiency on the standard MP setup than the group using the SSA approach (119.1 ± 69.7 vs. 178.0 ± 93.4 min; p = 0.058) and significantly fewer repetitions (77.6 ± 42.6 vs. 118.8 ± 54.3; p = 0.027). The SSA-trained group required significantly less time to reach proficiency on the MP setup than the standard MP-trained group (38.4 ± 29.4 vs. 119.1 ± 69.7 min; p = 0.0013) and needed only a mean of 26.9 repetitions. When the standard MP trainees crossed over to the SSA setup, they required significantly less time to reach proficiency with the SSA approach than the SSA-trained group (114.8 ± 50.5 vs. 178.0 ± 93.4 min; p = 0.026) but required more repetitions than with the MP approach (86.2 ± 35.2 vs. 77.6 ± 42.6; nonsignificant difference). Laparoscopic SSA skills training results in longer times and more repetitions to achieve proficiency than MP training, but the skills acquired transfer well to the MP approach.

  16. 75 FR 43517 - Environmental Management Site-Specific Advisory Board, Northern New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-26

    ..., Surveillance and Remediation Committee and Waste Management Committee of the Environmental Management Site... the areas of environmental restoration, waste management, and related activities. Purpose of the... to DOE-EM for action. Purpose of the Waste Management Committee: The Waste Management...

  17. Nevada Test Site 2001 Waste Management Monitoring Report Area 3 and Area 5 Radioactive Waste Management Sites

    SciTech Connect

    Y. E. Townsend

    2002-06-01

    Environmental monitoring data, subsidence monitoring data, and meteorology monitoring data were collected at and around the Area 3 and Area 5 Radioactive Waste Management Sites (RWMSs) at the Nevada Test Site (NTS) (refer to Figure 1). These monitoring data include radiation exposure, air, groundwater, meteorology, vadose zone, subsidence, and biota data. Although some of these media (radiation exposure, air, and groundwater) are reported in detail in other Bechtel Nevada (BN) reports (Annual Site Environmental Report [ASER], the National Emissions Standard for Hazardous Air Pollutants [NESHAP] report, and the Annual Groundwater Monitoring Report), they are also summarized in this report to provide an overall evaluation of RWMS performance and environmental compliance. Direct radiation monitoring data indicate that exposure at and around the RWMSs is not above background levels. Air monitoring data indicate that tritium concentrations are slightly above background levels. Groundwater monitoring data indicate that the groundwater in the uppermost aquifer beneath the Area 5 RWMS has not been affected by the facility. Meteorology data indicate that 2001 was an average rainfall year: rainfall totaled 150 mm (5.9 in) at the Area 3 RWMS and 120 mm (4.7 in) at the Area 5 RWMS. Vadose zone monitoring data indicate that 2001 rainfall infiltrated less than one meter (3 ft) before being returned to the atmosphere by evaporation. Soil-gas tritium monitoring data indicate slow subsurface migration, and tritium concentrations in biota were lower than in previous years. All 2001 monitoring data indicate that the Area 3 and Area 5 RWMSs are performing within expectations of the model and parameter assumptions for the facility performance assessments.

  18. Nevada Test Site 2000 Waste Management Monitoring Report Area 3 and Area 5 Radioactive Waste Management Sites

    SciTech Connect

    Yvonne Townsend

    2001-06-01

    Environmental monitoring data, subsidence monitoring data, and meteorology monitoring data were collected at and around the Area 3 and Area 5 Radioactive Waste Management Sites (RWMSs) at the Nevada Test Site (NTS) (refer to Figure 1). These monitoring data include radiation exposure, air, groundwater, meteorology, vadose zone, subsidence, and biota data. Although some of these media (radiation exposure, air, and groundwater) are reported in detail in other Bechtel Nevada reports (Annual Site Environmental Report [ASER], the National Emissions Standard for Hazardous Air Pollutants [NESHAP] report, and the Annual Groundwater Monitoring Report), they are also summarized in this report to provide an overall evaluation of RWMS performance and environmental compliance. Direct radiation monitoring data indicate that exposure at and around the RWMSs is not above background levels. Air monitoring data indicate that tritium concentrations are slightly above background levels, whereas radon concentrations are not above background levels. Groundwater monitoring data indicate that the groundwater in the uppermost aquifer beneath the Area 5 RWMS has not been affected by the facility. Meteorology data indicate that 2000 was an average rainfall year: rainfall totaled 167 mm (6.6 in) at the Area 3 RWMS (annual average is 156 mm [6.5 in]) and 123 mm (4.8 in) at the Area 5 RWMS (annual average is 127 mm [5.0 in]). Vadose zone monitoring data indicate that 2000 rainfall infiltrated less than one meter (3 ft) before being returned to the atmosphere by evaporation. Soil-gas tritium monitoring data indicate slow subsurface migration, and tritium concentrations in biota were lower than in previous years. All 2000 monitoring data indicate that the Area 3 and Area 5 RWMSs are performing well at isolating buried waste.

  19. Redox potential: An indicator of site productivity in forest management

    NASA Astrophysics Data System (ADS)

    Sajedi, Toktam; Prescott, Cindy; Lavkulich, Les

    2010-05-01

    Redox potential (Eh) is an integrated soil measurement that reflects several environmental conditions in the soil associated with aeration, moisture and carbon (organic matter) dynamics. Its measurement can be related to water table fluctuations, precipitation and landscape gradients, organic matter decomposition rates, nutrient dynamics, biological diversity and plant species distribution. Redox is an excellent indicator of soil biological processes, as it is largely a reflection of microbial activities which to a large extent govern carbon dynamics and nutrient cycling. Redox thus serves as an ecological indicator of site productivity at the ecosystem scale and may be used for management purposes as its magnitude can be altered by activities such as harvesting and drainage. A threshold value of 300 mv has been documented as the critical value below which anaerobic conditions in the soil develop. However, redox measurements and its impacts on ecosystem processes such as nutrient cycling and productivity, especially in forest ecosystems, have not received the attention that this "master" variable deserves, On northern Vancouver Island, Canada, regenerating stands of western redcedar-western hemlock (CH) sites exhibit symptoms of nutrient deficiencies and slow growth, but this phenomenon does not occur on adjacent western hemlock- amabalis fir (HA) sites. We tested the hypothesis that differences in nutrient supply and distribution of plant species was caused by differences in moisture regime and redox potential. Redox potential, pH, soil aeration depth (steel rods), organic matter thickness, bulk density, soil carbon store, plant species distribution and richness were measured at five old-growth and five 10-year-old cutover blocks. Results of investigations confirmed that CH forests were wetter, had redox values lower than the critical 300mv and a shallower aerated zone, compared with adjacent regenerating HA sites. Fifty percent of the CH plots had redox values

  20. ACCESSING FEDERAL DATA BASES FOR CONTAMINATED SITE CLEAN-UP TECHNOLOGIES

    EPA Science Inventory

    The Federal Remediation Technologies Roundtable (Roundtable) eveloped this publication to provide information on accessing Federal data bases that contain data on innovative remediation technologies. The Roundtable includes representatives from the Department of Defense (DoD), En...

  1. ACCESSING FEDERAL DATA BASES FOR CONTAMINATED SITE CLEAN-UP TECHNOLOGIES

    EPA Science Inventory

    The Federal Remediation Technologies Roundtable (Roundtable) eveloped this publication to provide information on accessing Federal data bases that contain data on innovative remediation technologies. The Roundtable includes representatives from the Department of Defense (DoD), En...

  2. What Use Patterns Were Observed for PEV Drivers at Publicly Accessible AC Level 2 EVSE Sites?

    SciTech Connect

    Francfort, James Edward

    2015-12-01

    The EV Project deployed over 4,000 ACL2 EVSE for drivers to charge their plug-in electric vehicle (PEV) when away-from-home. The vast majority of these EVSE stations were installed to be available to all PEV drivers at publicly accessible locations. Some were also deployed for use at workplaces and fleets. This paper examines only the use patterns of PEV drivers using the EVSE intended to be publicly accessible.

  3. Endovascular revascularization of chronically thrombosed arteriovenous fistulas and grafts for hemodialysis: a retrospective study in 15 patients with 18 access sites.

    PubMed

    Weng, Mei-Jui; Chen, Matt Chiung-Yu; Chi, Wen-Che; Liu, Yi-Chun; Liang, Huei-Lung; Pan, Huay-Ben

    2011-04-01

    The current study retrospectively evaluated whether endovascular revascularization of chronically thrombosed and long-discarded vascular access sites for hemodialysis was feasible. Technical and clinical success rates, postintervention primary and secondary patency rates, and complications were reported. During a 1-year period, we reviewed a total of 924 interventions performed for dysfunction and/or failed hemodialysis vascular access sites and permanent catheters in 881 patients. In patients whose vascular access-site problems were considered untreatable or were considered treatable with a high risk of failure and access-site abandonment, we attempted to revascularize (resurrect) the chronically occluded and long-discarded (mummy) vascular access sites. We attempted to resurrect a total of 18 mummy access sites (mean age 46.6 ± 38.7 months; range 5-144) in 15 patients (8 women and 7 men; mean age 66.2 ± 11.5 years; age range 50-85) and had an overall technical success rate of 77.8%. Resurrection failure occurred in 3 fistulas and in 1 straight graft. The clinical success rate was 100% at 2 months after resurrection. In the 14 resurrected vascular access sites, 6 balloon-assisted maturation procedures were required in 5 fistulas; after access-site maturation, a total of 22 interventions were performed to maintain access-site patency. The mean go-through time for successful resurrection procedures was 146.6 ± 34.3 min (range 74-193). Postmaturation primary patency rates were 71.4 ± 12.1% at 30 days, 57.1 ± 13.2% at 60 days, 28.6 ± 13.4% at 90 days, and 19 ± 11.8% at 180 days. Postmaturation secondary patency rates were 100% at 30, 60, and 90 days and 81.8 ± 11.6% at 180 days. There were 2 major complications consisting of massive venous ruptures in 2 mummy access sites during balloon dilation; in both cases, prolonged balloon inflation failed to achieve hemostasis, but percutaneous N-butyl cyanoacrylate glue seal-off was performed successfully. Percutaneous

  4. Endovascular Revascularization of Chronically Thrombosed Arteriovenous Fistulas and Grafts for Hemodialysis: A Retrospective Study in 15 Patients With 18 Access Sites

    SciTech Connect

    Weng Meijui; Chen, Matt Chiung-Yu; Chi Wenche; Liu Yichun; Liang, Huei-Lung; Pan, Huay-Ben

    2011-04-15

    The current study retrospectively evaluated whether endovascular revascularization of chronically thrombosed and long-discarded vascular access sites for hemodialysis was feasible. Technical and clinical success rates, postintervention primary and secondary patency rates, and complications were reported. During a 1-year period, we reviewed a total of 924 interventions performed for dysfunction and/or failed hemodialysis vascular access sites and permanent catheters in 881 patients. In patients whose vascular access-site problems were considered untreatable or were considered treatable with a high risk of failure and access-site abandonment, we attempted to revascularize (resurrect) the chronically occluded and long-discarded (mummy) vascular access sites. We attempted to resurrect a total of 18 mummy access sites (mean age 46.6 {+-} 38.7 months; range 5-144) in 15 patients (8 women and 7 men; mean age 66.2 {+-} 11.5 years; age range 50-85) and had an overall technical success rate of 77.8%. Resurrection failure occurred in 3 fistulas and in 1 straight graft. The clinical success rate was 100% at 2 months after resurrection. In the 14 resurrected vascular access sites, 6 balloon-assisted maturation procedures were required in 5 fistulas; after access-site maturation, a total of 22 interventions were performed to maintain access-site patency. The mean go-through time for successful resurrection procedures was 146.6 {+-} 34.3 min (range 74-193). Postmaturation primary patency rates were 71.4 {+-} 12.1% at 30 days, 57.1 {+-} 13.2% at 60 days, 28.6 {+-} 13.4% at 90 days, and 19 {+-} 11.8% at 180 days. Postmaturation secondary patency rates were 100% at 30, 60, and 90 days and 81.8 {+-} 11.6% at 180 days. There were 2 major complications consisting of massive venous ruptures in 2 mummy access sites during balloon dilation; in both cases, prolonged balloon inflation failed to achieve hemostasis, but percutaneous N-butyl cyanoacrylate glue seal-off was performed

  5. 77 FR 50488 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ..., waste management and related activities. Tentative Agenda Call to Order, Introductions, Review of Agenda... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site...

  6. 76 FR 70121 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-10

    ..., waste management and related activities. Tentative Agenda Call to Order, Introductions, Review of Agenda... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of Open Meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site...

  7. 77 FR 16021 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-19

    ..., waste management and related activities. Tentative Agenda Call to Order, Introductions, Review of Agenda... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site...

  8. 78 FR 10612 - Environmental Management Site-Specific Advisory Board, Northern New Mexico

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... Environmental Management Site-Specific Advisory Board, Northern New Mexico AGENCY: Department of Energy. ] ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management... of the Board: The purpose of the Board is to make recommendations to DOE-EM and site management in...

  9. 78 FR 30910 - Environmental Management Site-Specific Advisory Board, Idaho National Laboratory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-23

    ... Environmental Management Site-Specific Advisory Board, Idaho National Laboratory AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management... the Board is to make recommendations to DOE-EM and site management in the areas of environmental...

  10. 75 FR 24685 - Environmental Management Site-Specific Advisory Board, Idaho National Laboratory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-05

    ... Environmental Management Site-Specific Advisory Board, Idaho National Laboratory AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management... Board: The purpose of the Board is to make recommendations to DOE-EM and site management in the areas of...

  11. 78 FR 58294 - Environmental Management Site-Specific Advisory Board, Idaho National Laboratory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ... Environmental Management Site-Specific Advisory Board, Idaho National Laboratory AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management... purpose of the Board is to make recommendations to DOE-EM and site management in the areas of...

  12. 76 FR 78909 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-20

    ... Use Mapping and Data/ Wildlife Management Plan--Summary of Year 1 Field Work and Data Collection, Bob... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of Open Meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site...

  13. 76 FR 80354 - Environmental Management Site-Specific Advisory Board, Nevada

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-23

    ...] [FR Doc No: 2011-32910] DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board... meeting of the Environmental Management Site-Specific Advisory Board (EM SSAB), Nevada. The Federal... environmental restoration, waste management, and related activities. Tentative Agenda: Fiscal Year...

  14. 76 FR 80355 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-23

    ...] [FR Doc No: 2011-32913] DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board... a meeting of the Environmental Management Site-Specific Advisory Board (EM SSAB), Paducah. The... environmental restoration, waste management, and related activities. Tentative Agenda Call to Order...

  15. 75 FR 7577 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-22

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of Open Meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... environmental restoration, waste management and related activities. Tentative Agenda: Call to Order...

  16. 78 FR 26635 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-07

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy. ACTION: Notice of... of open meeting announcing a meeting on May 16, 2013 of the Environmental Management Site-Specific..., Deputy Committee Management Officer. BILLING CODE 6450-01-P ...

  17. 77 FR 2282 - Environmental Management Site-Specific Advisory Board, Paducah

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-17

    ... Environmental Management Site-Specific Advisory Board, Paducah AGENCY: Department of Energy. ACTION: Notice of... of open meeting announcing a meeting on January 19, 2012, of the Environmental Management Site... Washington, DC, on January 12, 2012. LaTanya R. Butler, Acting Deputy Committee Management Officer. BILLING...

  18. 76 FR 48148 - Environmental Management Site-Specific Advisory Board, Hanford

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-08

    ... Environmental Management Site-Specific Advisory Board, Hanford AGENCY: Department of Energy (DoE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site... environmental restoration, waste management, and related activities. Tentative Agenda: Annual Tri-Party Agency...

  19. 75 FR 56526 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION... Environmental Management Site-Specific Advisory Board (EM SSAB), Portsmouth. The Federal Advisory Committee Act... areas of environmental restoration, waste management and related activities. Tentative Agenda Portsmouth...

  20. 78 FR 59012 - Environmental Management Site-Specific Advisory Board Chairs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-25

    ... Environmental Management Site-Specific Advisory Board Chairs AGENCY: Department of Energy. ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site-Specific... environmental restoration, waste management, and related activities. Tentative Agenda Topics: Wednesday, October...

  1. Vibroacoustic Payload Environment Prediction System (VAPEPS): VAPEPS management center remote access guide

    NASA Technical Reports Server (NTRS)

    Fernandez, J. P.; Mills, D.

    1991-01-01

    A Vibroacoustic Payload Environment Prediction System (VAPEPS) Management Center was established at the JPL. The center utilizes the VAPEPS software package to manage a data base of Space Shuttle and expendable launch vehicle payload flight and ground test data. Remote terminal access over telephone lines to the computer system, where the program resides, was established to provide the payload community a convenient means of querying the global VAPEPS data base. This guide describes the functions of the VAPEPS Management Center and contains instructions for utilizing the resources of the center.

  2. Vibroacoustic payload environment prediction system (VAPEPS): Data base management center remote access guide

    NASA Technical Reports Server (NTRS)

    Thomas, V. C.

    1986-01-01

    A Vibroacoustic Data Base Management Center has been established at the Jet Propulsion Laboratory (JPL). The center utilizes the Vibroacoustic Payload Environment Prediction System (VAPEPS) software package to manage a data base of shuttle and expendable launch vehicle flight and ground test data. Remote terminal access over telephone lines to a dedicated VAPEPS computer system has been established to provide the payload community a convenient means of querying the global VAPEPS data base. This guide describes the functions of the JPL Data Base Management Center and contains instructions for utilizing the resources of the center.

  3. Electrochemistry suggests proton access from the exit site to the binuclear center in Paracoccus denitrificans cytochrome c oxidase pathway variants.

    PubMed

    Meyer, Thomas; Melin, Frédéric; Richter, Oliver-M H; Ludwig, Bernd; Kannt, Aimo; Müller, Hanne; Michel, Hartmut; Hellwig, Petra

    2015-02-27

    Two different pathways through which protons access cytochrome c oxidase operate during oxygen reduction from the mitochondrial matrix, or the bacterial cytoplasm. Here, we use electrocatalytic current measurements to follow oxygen reduction coupled to proton uptake in cytochrome c oxidase isolated from Paracoccus denitrificans. Wild type enzyme and site-specific variants with defects in both proton uptake pathways (K354M, D124N and K354M/D124N) were immobilized on gold nanoparticles, and oxygen reduction was probed electrochemically in the presence of varying concentrations of Zn(2+) ions, which are known to inhibit both the entry and the exit proton pathways in the enzyme. Our data suggest that under these conditions substrate protons gain access to the oxygen reduction site via the exit pathway. Copyright © 2015 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.

  4. FACILITATING PUBLIC ACCESS TO GOVERNMENT ENVIRONMENTAL MONITORING DATA: THE LIVING EVERGLADES WEB SITE

    EPA Science Inventory

    The Technology Transfer and Support Division of the USEPA, Office of Research and Development's (ORD) National Risk Management Research Laboratory has developed this handbook, in conjunction with the South Florida Water Management District (SFWMD), to document The Living Everglad...

  5. FACILITATING PUBLIC ACCESS TO GOVERNMENT ENVIRONMENTAL MONITORING DATA: THE LIVING EVERGLADES WEB SITE

    EPA Science Inventory

    The Technology Transfer and Support Division of the USEPA, Office of Research and Development's (ORD) National Risk Management Research Laboratory has developed this handbook, in conjunction with the South Florida Water Management District (SFWMD), to document The Living Everglad...

  6. Surgical management of brainstem hydatid cyst--an unusual site.

    PubMed

    Muthusubramanian, Vikram; Pande, Anil; Vasudevan, Madhabushi Chakravarthy; Ravi, Ramamurthi

    2009-01-01

    The authors describe their surgical experience of a hydatid cyst in the brainstem, which is an unusual site. The cyst was internally decompressed and totally excised. Although the Dowling technique has been described to be the ideal method for removal of hydatid cysts, it may not be possible when the cyst is in a deep-seated, vital, and eloquent location. We report the use of internal decompression by aspiration followed by total excision as an alternative method when the cyst is located in vital areas of the brain. A 40-year-old female presented with headache, progressive right-sided weakness, double vision, and unsteadiness of gait of 1-month duration. On examination, she had left one-and-a-half syndrome, right hemiparesis of 3/5, and left cerebellar signs. Computed tomographic and MRI scans of the brain revealed a solitary, stenciled-out cystic lesion in the brainstem more toward the left side with features suggestive of hydatid cyst. A left retromastoid craniectomy followed by left middle cerebellar peduncle approach, aspiration of the cyst, and total excision of the cyst was performed. Postoperatively, the patient improved progressively and was asymptomatic with minimal left cerebellar signs at 1-year follow-up. Hydatid cyst is a benign lesion. Appropriate management is mandatory for reducing the morbidity. Although the Dowling technique with its modifications is appropriate for cerebral parenchymal surfacing or superficial hydatid cysts, in deep-seated cysts located in eloquent and vital areas such as the brainstem, management by internal decompression by aspiration followed by extirpation of the cyst wall, protecting the surrounding cisterns and CSF spaces, is an alternative option.

  7. Rapid hemostasis at the femoral venous access site using a novel hemostatic pad containing kaolin after atrial fibrillation ablation.

    PubMed

    Sairaku, Akinori; Nakano, Yukiko; Oda, Noboru; Makita, Yuko; Kajihara, Kenta; Tokuyama, Takehito; Kihara, Yasuki

    2011-08-01

    Hemostasis at the femoral venous access site after atrial fibrillation (AF) ablation is often prolonged because of aggressive anticoagulation and the use of several large-sized sheaths. A newly developed hemostatic pad containing a natural mineral called kaolin causes blood to clot quickly. We evaluated the efficacy of this pad for hemostasis at the venous access site after AF ablation. Patients who were scheduled to undergo AF ablation were randomized to be treated with manual compression with (n = 59) or without kaolin-impregnated pads (n = 59) as hemostatic approaches at the femoral venous access site following sheath removal. Hemostasis time, rebleeding frequency, massive hematoma, device-related complications, and deep venous thrombosis (DVT) were compared between the two groups. Hemostasis time in the patients treated with kaolin-impregnated pads was significantly shorter than in those treated without (6.1 ± 2.3 vs. 14.5 ± 4.0 min; p < 0.0001). Multiple linear regression analysis revealed that the use of kaolin-impregnated pads was the only independent variable reducing hemostasis time (β = -0.78; p < 0.0001). However, rebleeding rates of the two groups were similar (37% with vs. 46% without kaolin-impregnated pads; p = 0.35). Only one patient had a massive groin hematoma, and no patient had device-related complications or DVT. Kaolin-impregnated hemostatic pads safely and effectively decreased hemostasis time for the femoral venous access site in patients undergoing AF ablation. However, whether its use allows earlier postprocedural ambulation is difficult to predict.

  8. Modular Robotics for Delivering On-Site contamination Sensors and Mapping Systems to Difficult-to-Access Locations

    SciTech Connect

    Geisinger, Joseph

    2001-05-21

    Presently, characterization operations are scheduled for thousands of facilities and pieces of equipment throughout DOE sites, each of which requires manual surveying with handheld instruments and manual record keeping. Such work, particularly in difficult-to-access-areas, results in significant amounts of worker exposure, long timelines and additional secondary waste generation. Therefore, a distinct need exists for remote tools that can quickly deploy sensors and automated contamination mapping systems into these areas.

  9. Fernald Environmental Management Project 1995 site environmental report

    SciTech Connect

    1996-06-01

    The Fernald site continues to examine the air and liquid pathways as possible routes through which pollutants from past operations and current remedial activities may leave the site. This 1995 Site Environmental Report provides the general public as well as scientists and engineers with the results from the site`s ongoing Environmental Monitoring Program. Also included in this report is information concerning the site`s progress toward achieving full compliance with requirements set forth by DOE, US Environmental Protection Agency (USEPA), and Ohio EPA.

  10. Poly(dA-dT) promoter elements increase the equilibrium accessibility of nucleosomal DNA target sites.

    PubMed

    Anderson, J D; Widom, J

    2001-06-01

    Polypurine tracts are important elements of eukaryotic promoters. They are believed to somehow destabilize chromatin, but the mechanism of their action is not known. We show that incorporating an A(16) element at an end of the nucleosomal DNA and further inward destabilizes histone-DNA interactions by 0.1 +/- 0.03 and 0.35 +/- 0.04 kcal mol(-1), respectively, and is accompanied by 1.5- +/- 0.1-fold and 1.7- +/- 0.1-fold increases in position-averaged equilibrium accessibility of nucleosomal DNA target sites. These effects are comparable in magnitude to effects of A(16) elements that correlate with transcription in vivo, suggesting that our system may capture most of their physiological role. These results point to two distinct but interrelated models for the mechanism of action of polypurine tract promoter elements in vivo. Given a nucleosome positioned over a promoter region, the presence of a polypurine tract in that nucleosome's DNA decreases the stability of the DNA wrapping, increasing the equilibrium accessibility of other DNA target sites buried inside that nucleosome. Alternatively (if nucleosomes are freely mobile), the presence of a polypurine tract provides a free energy bias for the nucleosome to move to alternative locations, thereby changing the equilibrium accessibilities of other nearby DNA target sites.

  11. Nevada National Security Site 2011 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    NSTec Environmental Management

    2012-02-27

    This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS). The data have been collected since 1993 and include calendar year 2011 results. During 2011, groundwater samples were collected and static water levels were measured at the three pilot wells surrounding the Area 5 RWMS. Samples were collected at UE5PW-1 on March 8, August 2, August 24, and October 19, 2011; at UE5PW-2 on March 8, August 2, August 23, and October 19, 2011; and at UE5PW-3 on March 8, August 2, August 23, and October 19, 2011. Static water levels were measured at each of the three pilot wells on March 1, June 7, August 1, and October 17, 2011. Groundwater samples were analyzed for the following indicators of contamination: pH, specific conductance, total organic carbon, total organic halides, and tritium. Indicators of general water chemistry (cations and anions) were also measured. Initial total organic carbon and total organic halides results for samples collected in August 2011 were above previous measurements and, in some cases, above the established investigation limits. However, after field sample pumps and tubing were disinfected with Clorox solution, the results returned to normal levels. Final results from samples collected in 2011 were within the limits established by agreement with the Nevada Division of Environmental Protection for each analyte. These data indicate that there has been no measurable impact to the uppermost aquifer from the Area 5 RWMS. There were no significant changes in measured groundwater parameters compared to previous years. The report contains an updated cumulative chronology for the Area 5 RWMS Groundwater Monitoring Program and a brief description of the site hydrogeology.

  12. Using systematic change management to improve emergency patients' access to specialist care: the Big Squeeze.

    PubMed

    Rafman, Heidi; Lim, Siang Ngin; Quek, Swee Chye; Mahadevan, Malcolm; Lim, Chanelle; Lim, Aymeric

    2013-06-01

    Delayed access to specialist care for emergency patients is associated with increased risk of morbidity and mortality, and increased patient anxiety. (1) To provide timelier access to inpatient and urgent outpatient specialist care for emergency patients. (2) To influence multiple stakeholders to modify their traditional practices and sustain changes. National University Hospital of Singapore, an academic medical centre with 997 beds in Singapore and over 34 sub-specialties. A set of six interventions was implemented to meet three goals: (1) provide timely access to urgent outpatient specialist care requested by the emergency department ED; (2) increase early inpatient discharges (in order to better match timing of emergency admissions); and (3) provide earlier defined care by inpatient specialists at the ED. An eight-step organisational change management plan was implemented to ensure all specialties complied with the changes. The goals were achieved. (1) Specialist outpatient appointments given within the timeframe requested by the ED doctor increased from 51.7% to 80.8%. (2) Early discharges increased from 11.9% to 26.6% and were sustained at 27.2%. (3) 84% of eligible patients received earlier defined specialist care at the ED. The change management achieved excellent clinician compliance rates ranging from 84% to 100%. However the median wait for admission remained unchanged. The interventions reduced the time for ED patients to access specialist outpatient and inpatient care. The systematic organisational change management approach resulted in sustained compliance.

  13. An efficient key-management scheme for hierarchical access control in e-medicine system.

    PubMed

    Wu, Shuhua; Chen, Kefei

    2012-08-01

    In e-medicine system, the sharing of patients' medical histories scattered among medical institutions through the Internet is highly desirable. The most immediate cryptographic need certainly is an efficient key management method to solve dynamic access problems in a user hierarchy. In this paper, we propose a practical solution for dynamic access problem in a user hierarchy based on hybrid cryptosystems. When compared with Nikooghadam et al.'s scheme proposed most recently, the time complexity and the required storage space is reduced significantly. Moreover, it provides provable security, and is easy to implement. Therefore, our scheme is more suitable for e-medicine system.

  14. Here and There: Managing Multiply-Purposed Digital Assets on the Duyfken Web Site.

    ERIC Educational Resources Information Center

    Towler, Marjolein; Hobbs, Valerie; Pigott, Diarmuid

    This paper describes a model for managing a dynamic Web site with multiple concurrent versions. The voyage of the Duyfken Replica (i.e., a replica of a 17th century Dutch ship) from Australia to the Netherlands has generated great interest in its associated Web site, and it is now planned to extend the original site to mirror sites in both…

  15. Nevada National Security Site 2014 Data Report: Groundwater Monitoring Program Area 5 Radioactive Waste Management Site

    SciTech Connect

    Hudson, David

    2015-02-01

    This report is a compilation of the groundwater sampling results from the Area 5 Radioactive Waste Management Site (RWMS) at the Nevada National Security Site, Nye County, Nevada. Groundwater samples from the aquifer immediately below the Area 5 RWMS have been collected and analyzed and static water levels have been measured in this aquifer since 1993. This report updates these data to include the 2014 results. Analysis results for leachate contaminants collected from the mixed-waste cell at the Area 5 RWMS (Cell 18) are also included. During 2014, groundwater samples were collected and static water levels were measured at three wells surrounding the Area 5 RWMS. Groundwater samples were collected at wells UE5PW-1, UE5PW-2, and UE5PW-3 on March 11 and August 12, 2014, and static water levels were measured at each of these wells on March 10, June 2, August 11, and October 14, 2014. Groundwater samples were analyzed for the following indicators of contamination: pH, specific conductance, total organic carbon, total organic halides, and tritium. General water chemistry (cations and anions) was also measured. Results from samples collected in 2014 are within the limits established by agreement with the Nevada Division of Environmental Protection for each analyte. The data from the shallow aquifer indicate that there has been no measurable impact to the uppermost aquifer from the Area 5 RWMS, and there were no significant changes in measured groundwater parameters compared to previous years. Leachate from above the primary liner of Cell 18 drains into a sump and is collected in a tank at the ground surface. Cell 18 began receiving waste in January 2011. Samples were collected from the tank when the leachate volume approached the 3,000-gallon tank capacity. Leachate samples have been collected 16 times since January 2011. During 2014, samples were collected on February 25, March 5, May 20, August 12, September 16, November 11, and December 16. Each leachate sample was

  16. Statistical and Economic Techniques for Site-specific Nematode Management.

    PubMed

    Liu, Zheng; Griffin, Terry; Kirkpatrick, Terrence L

    2014-03-01

    Recent advances in precision agriculture technologies and spatial statistics allow realistic, site-specific estimation of nematode damage to field crops and provide a platform for the site-specific delivery of nematicides within individual fields. This paper reviews the spatial statistical techniques that model correlations among neighboring observations and develop a spatial economic analysis to determine the potential of site-specific nematicide application. The spatial econometric methodology applied in the context of site-specific crop yield response contributes to closing the gap between data analysis and realistic site-specific nematicide recommendations and helps to provide a practical method of site-specifically controlling nematodes.

  17. Statistical and Economic Techniques for Site-specific Nematode Management

    PubMed Central

    Liu, Zheng; Griffin, Terry; Kirkpatrick, Terrence L.

    2014-01-01

    Recent advances in precision agriculture technologies and spatial statistics allow realistic, site-specific estimation of nematode damage to field crops and provide a platform for the site-specific delivery of nematicides within individual fields. This paper reviews the spatial statistical techniques that model correlations among neighboring observations and develop a spatial economic analysis to determine the potential of site-specific nematicide application. The spatial econometric methodology applied in the context of site-specific crop yield response contributes to closing the gap between data analysis and realistic site-specific nematicide recommendations and helps to provide a practical method of site-specifically controlling nematodes. PMID:24643451

  18. Closure Plan for the Area 3 Radioactive Waste Management Site at the Nevada Test Site

    SciTech Connect

    NSTec Environmental Management

    2007-09-01

    The Area 3 Radioactive Waste Management Site (RMWS) at the Nevada Test Site (NTS) is managed and operated by National Security Technologies, LLC (NSTec) for the U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office (NNSA/NSO). This document is the first update of the interim closure plan for the Area 3 RWMS, which was presented in the Integrated Closure and Monitoring Plan (ICMP) (DOE, 2005). The format and content of this plan follows the Format and Content Guide for U.S. Department of Energy Low-Level Waste Disposal Facility Closure Plans (DOE, 1999a). The major updates to the plan include a new closure date, updated closure inventory, the new institutional control policy, and the Title II engineering cover design. The plan identifies the assumptions and regulatory requirements, describes the disposal sites and the physical environment in which they are located, presents the design of the closure cover, and defines the approach and schedule for both closing and monitoring the site. The Area 3 RWMS accepts low-level waste (LLW) from across the DOE Complex in compliance with the NTS Waste Acceptance Criteria (NNSA/NSO, 2006). The Area 3 RWMS accepts both packaged and unpackaged unclassified bulk LLW for disposal in subsidence craters that resulted from deep underground tests of nuclear devices in the early 1960s. The Area 3 RWMS covers 48 hectares (119 acres) and comprises seven subsidence craters--U-3ax, U-3bl, U-3ah, U-3at, U-3bh, U-3az, and U-3bg. The area between craters U-3ax and U-3bl was excavated to form one large disposal unit (U-3ax/bl); the area between craters U-3ah and U-3at was also excavated to form another large disposal unit (U-3ah/at). Waste unit U-3ax/bl is closed; waste units U-3ah/at and U-3bh are active; and the remaining craters, although currently undeveloped, are available for disposal of waste if required. This plan specifically addresses the closure of the U-3ah/at and the U-3bh LLW units. A final closure

  19. Improving Sampling, Analysis, and Data Management for Site Investigation and Cleanup

    EPA Pesticide Factsheets

    The United States Environmental Protection Agency (EPA) supports the adoption of streamlined approaches to sampling, analysis, and data management activities conducted during site assessment, characterization, and cleanup.

  20. Barriers of access to care in a managed competition model: lessons from Colombia

    PubMed Central

    2010-01-01

    Background The health sector reform in Colombia, initiated by Law 100 (1993) that introduced a managed competition model, is generally presented as a successful experience of improving access to care through a health insurance regulated market. The study's objective is to improve our understanding of the factors influencing access to the continuum of care in the Colombian managed competition model, from the social actors' point of view. Methods An exploratory, descriptive-interpretative qualitative study was carried out, based on case studies of four healthcare networks in rural and urban areas. Individual semi-structured interviews were conducted to a three stage theoretical sample: I) cases, II) providers and III) informants: insured and uninsured users (35), health professionals (51), administrative personnel (20), and providers' (18) and insurers' (10) managers. Narrative content analysis was conducted; segmented by cases, informant's groups and themes. Results Access, particularly to secondary care, is perceived as complex due to four groups of obstacles with synergetic effects: segmented insurance design with insufficient services covered; insurers' managed care and purchasing mechanisms; providers' networks structural and organizational limitations; and, poor living conditions. Insurers' and providers' values based on economic profit permeate all factors. Variations became apparent between the two geographical areas and insurance schemes. In the urban areas barriers related to market functioning predominate, whereas in the rural areas structural deficiencies in health services are linked to insufficient public funding. While financial obstacles are dominant in the subsidized regime, in the contributory scheme supply shortage prevails, related to insufficient private investment. Conclusions The results show how in the Colombian healthcare system structural and organizational barriers to care access, that are common in developing countries, are widened by both

  1. Barriers of access to care in a managed competition model: lessons from Colombia.

    PubMed

    Vargas, Ingrid; Vázquez, María Luisa; Mogollón-Pérez, Amparo Susana; Unger, Jean-Pierre

    2010-10-29

    The health sector reform in Colombia, initiated by Law 100 (1993) that introduced a managed competition model, is generally presented as a successful experience of improving access to care through a health insurance regulated market. The study's objective is to improve our understanding of the factors influencing access to the continuum of care in the Colombian managed competition model, from the social actors' point of view. An exploratory, descriptive-interpretative qualitative study was carried out, based on case studies of four healthcare networks in rural and urban areas. Individual semi-structured interviews were conducted to a three stage theoretical sample: I) cases, II) providers and III) informants: insured and uninsured users (35), health professionals (51), administrative personnel (20), and providers' (18) and insurers' (10) managers. Narrative content analysis was conducted; segmented by cases, informant's groups and themes. Access, particularly to secondary care, is perceived as complex due to four groups of obstacles with synergetic effects: segmented insurance design with insufficient services covered; insurers' managed care and purchasing mechanisms; providers' networks structural and organizational limitations; and, poor living conditions. Insurers' and providers' values based on economic profit permeate all factors. Variations became apparent between the two geographical areas and insurance schemes. In the urban areas barriers related to market functioning predominate, whereas in the rural areas structural deficiencies in health services are linked to insufficient public funding. While financial obstacles are dominant in the subsidized regime, in the contributory scheme supply shortage prevails, related to insufficient private investment. The results show how in the Colombian healthcare system structural and organizational barriers to care access, that are common in developing countries, are widened by both the insurers' use of mechanisms that

  2. 76 FR 62054 - Environmental Management Site-Specific Advisory Board Chairs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-06

    ... Reinvestment Act Close-Out. Waste Disposition Update. Update on DOE Order 435.1: Radioactive Waste Management... make recommendations to DOE-EM and site management in the areas of environmental restoration,...

  3. Ligand access to the active site in Thermus thermophilus ba(3) and bovine heart aa(3) cytochrome oxidases.

    PubMed

    McDonald, William; Funatogawa, Chie; Li, Yang; Szundi, Istvan; Chen, Ying; Fee, James A; Stout, C David; Einarsdóttir, Ólöf

    2013-01-29

    Knowledge of the structure and dynamics of the ligand channel(s) in heme-copper oxidases is critical for understanding how the protein environment modulates the functions of these enzymes. Using photolabile NO and O(2) carriers, we recently found that NO and O(2) binding in Thermus thermophilus (Tt) ba(3) is ~10 times faster than in the bovine enzyme, indicating that inherent structural differences affect ligand access in these enzymes. Using X-ray crystallography, time-resolved optical absorption measurements, and theoretical calculations, we investigated ligand access in wild-type Tt ba(3) and the mutants, Y133W, T231F, and Y133W/T231F, in which tyrosine and threonine in the O(2) channel of Tt ba(3) are replaced by the corresponding bulkier tryptophan and phenylalanine, respectively, present in the aa(3) enzymes. NO binding in Y133W and Y133W/T231F was found to be 5 times slower than in wild-type ba(3) and the T231F mutant. The results show that the Tt ba(3) Y133W mutation and the bovine W126 residue physically impede NO access to the binuclear center. In the bovine enzyme, there is a hydrophobic "way station", which may further slow ligand access to the active site. Classical simulations of diffusion of Xe to the active sites in ba(3) and bovine aa(3) show conformational freedom of the bovine F238 and the F231 side chain of the Tt ba(3) Y133W/T231F mutant, with both residues rotating out of the ligand channel, resulting in no effect on ligand access in either enzyme.

  4. Spatial accessibility to vaccination sites in a campaign against rabies in São Paulo city, Brazil.

    PubMed

    Polo, Gina; Acosta, Carlos Mera; Dias, Ricardo Augusto

    2013-08-01

    It is estimated that the city of São Paulo has over 2.5 million dogs and 560 thousand cats. These populations are irregularly distributed throughout the territory, making it difficult to appropriately allocate health services focused on these species. To reasonably allocate vaccination sites, it is necessary to identify social groups and their access to the referred service. Rabies in dogs and cats has been an important zoonotic health issue in São Paulo and the key component of rabies control is vaccination. The present study aims to introduce an approach to quantify the potential spatial accessibility to the vaccination sites of the 2009 campaign against rabies in the city of São Paulo and solve the overestimation associated with the classic methodology that applies buffer zones around vaccination sites based on Euclidean (straight-line) distance. To achieve this, a Gaussian-based two-step floating catchment area method with a travel-friction coefficient was adapted in a geographic information system environment, using distances along a street network based on Dijkstra's algorithm (short path method). The choice of the distance calculation method affected the results in terms of the population covered. In general, areas with low accessibility for both dogs and cats were observed, especially in densely populated areas. The eastern zone of the city had higher accessibility values compared with peripheral and central zones. The Gaussian-based two-step floating catchment method with a travel-friction coefficient was used to assess the overestimation of the straight-line distance method, which is the most widely used method for coverage analysis. We conclude that this approach has the potential to improve the efficiency of resource use when planning rabies control programs in large urban environments such as São Paulo. The findings emphasize the need for surveillance and intervention in isolated areas. Copyright © 2013 Elsevier B.V. All rights reserved.

  5. Acoustic Metadata Management and Transparent Access to Networked Oceanographic Data Sets

    DTIC Science & Technology

    2012-09-30

    export summary data to OBIS- SEAMAP . In addition, this effort provides users with access to online physical oceanography databases using a single...and discussions with Ei Fujioka of Duke University on formats for OBIS- SEAMAP export. In addition, we will be introducing a web site for...having conversations with Ei Fujioka about incorporation of Tethys data into OBIS- SEAMAP . We are sharing code with OBIS- SEAMAP so that they can

  6. Fernald Environmental Management Project 1995 site environmental report summary

    SciTech Connect

    1996-06-01

    This report summarizes the 1995 Site Environmental Report for the Fernald site. It describes the Fernald site mission, exposure pathways, and environmental standards and guidelines. An overview is presented of the impact these activities have on the local environment and public health. Environmental monitoring activities measure and estimate the amount of radioactive and nonradioactive materials that may leave the site and enter the surrounding environment.

  7. The interactive impact of forest site and stand attributes and logging technology on stand management

    Treesearch

    C.B. LeDoux; J.E. Baumgras

    1991-01-01

    The impact of selected site and stand attributes on stand management is demonstrated using actual forest model plot data and a complete systems simulation model called MANAGE. The influence of terrain on the type of logging technology required to log a stand and the resulting impact on stand management is also illustrated. The results can be used by managers and...

  8. Global Scale Methane Emissions from On-Site Wastewater Management

    NASA Astrophysics Data System (ADS)

    Reid, M. C.; Guan, K.; Mauzerall, D. L.

    2013-12-01

    Pit latrines and other on-site sanitation methods are important forms of wastewater management at the global scale, providing hygienic and low-cost sanitation for more than 1.7 billion people in developing and middle-income regions. Latrines have also been identified as major sources of the greenhouse gas methane (CH4) from the anaerobic decomposition of organic waste in pits. Understanding the greenhouse gas footprint of different wastewater systems is essential for sustainable water resource development and management. Despite this importance, CH4 emissions from decentralized wastewater treatment have received little attention in the scientific literature, and the rough calculations underlying government inventories and integrated assessment models do not accurately capture variations in emissions within and between countries. In this study, we improve upon earlier efforts and develop the first spatially explicit approach to quantifying latrine CH4 emissions, combining a high-resolution geospatial analysis of population, urbanization, and water table (as an indicator of anaerobic decomposition pathways) with CH4 emissions factors from the 2006 IPCC Guidelines for National Greenhouse Gas Inventories. Country-level health and sanitation surveys were used to determine latrine utilization in 2000 and predict usage in 2015. 18 representative countries in Asia, Africa, and Latin America were selected for this analysis to illustrate regional variations in CH4 emissions and to include the greatest emitting nations. Our analysis confirms that pit latrines are a globally significant anthropogenic CH4 source, emitting 4.7 Tg CH4 yr-1 in the countries considered here. This total is projected to decrease ~25% by 2015, however, driven largely by rapid urbanization in China and decreased reliance on latrines in favor of flush toilets. India has the greatest potential for large growth in emissions in the post-2015 period, since public health campaigns to end open defecation

  9. Replacement tunnelled dialysis catheters for haemodialysis access: Same site, new site, or exchange - a multivariate analysis and risk score.

    PubMed

    Tapping, C R; Scott, P M; Lakshminarayan, R; Ettles, D F; Robinson, G J

    2012-10-01

    To identify variables related to complications following tunnelled dialysis catheter (TDC) replacement and stratifying the risk to reduce morbidity in patients with end-stage renal disease. One hundred and forty TDCs (Split Cath, medCOMP) were replaced in 140 patients over a 5 year period. Multiple variables were retrospectively collected and analysed to stratify the risk and to predict patients who were more likely to suffer from complications. Multivariate regression analysis was used to identify variables predictive of complications. There were six immediate complications, 42 early complications, and 37 late complications. Multivariate analysis revealed that variables significantly associated to complications were: female sex (p = 0.003; OR 2.9); previous TDC in the same anatomical position in the past (p = 0.014; OR 4.1); catheter exchange (p = 0.038; OR 3.8); haemoglobin <11 g/dl (p = 0.033; OR 3.6); albumin <30 g/l (p = 0.007; OR 4.4); prothrombin time >15 s (p = 0.002; OR 4.1); and C-reactive protein >50 mg/l (p = 0.007; OR 4.6). A high-risk score, which used the values from the multivariate analysis, predicted 100% of the immediate complications, 95% of the early complications, and 68% of the late complications. Patients can now be scored prior to TDC replacement. A patient with a high-risk score can be optimized to reduce the chance of complications. Further prospective studies to confirm that rotating the site of TDC reduces complications are warranted as this has implications for current guidelines. Copyright © 2012 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

  10. Comparison of airway management techniques for different access in a simulated motor vehicle entrapment scenario.

    PubMed

    Steinmann, Daniel; Ahne, Thomas; Heringhaus, Christian; Goebel, Ulrich

    2016-08-01

    Emergency airway management can be particularly challenging in patients entrapped in crashed cars because of limited access. The aim of this study was to analyse the feasibility of four different airway devices in various standardized settings utilized by paramedics and emergency physicians. Twenty-five paramedics and 25 emergency physicians were asked to perform advanced airway management in a manikin entrapped in a car's left front seat, with access to the patient through the opened driver's door or access from the back seat. Available airway devices included Macintosh and Airtraq laryngoscopes, as well as laryngeal mask airway (LMA) Supreme and the Laryngeal Tube. The primary endpoints were successful placement, along with attempts needed to do so, and time for successful placement. The secondary endpoints included Cormack-Lehane grades and rating of the difficulty of the technique with the different devices. The overall intubation and placement success rates were equal for the Macintosh and Airtraq laryngoscopes as well as the LMA Supreme and Laryngeal Tube, with access from the back seat being superior in terms of placement time and ease of use. Supraglottic airway devices required half of the placement time and were easier to use compared with endotracheal tubes (with placement times almost >30 s). Paramedics and emergency physicians achieved equal overall successful placement rates for all devices. Both scenarios of securing the airway seem suitable in this manikin study, with access from the back seat being superior. Although all airway devices were applicable by both groups, paramedics and emergency physicians, supraglottic device placement was faster and always possible at the first attempt. Therefore, the LMA Supreme and the Laryngeal Tube are attractive alternatives for airway management in this context if endotracheal tube placement fails. Furthermore, supraglottic device placement, while the patient is still in the vehicle, followed by a definitive

  11. Racial and ethnic differences in access to medical care in managed care plans.

    PubMed Central

    Hargraves, J L; Cunningham, P J; Hughes, R G

    2001-01-01

    OBJECTIVE: To examine the extent to which access differences between racial/ethnic minorities and whites in managed care plans are greater than such differences in other types of health plans. DATA SOURCE: A nationally representative sample of 4,811 African American, 3,379 Hispanic, and 33,737 white nonelderly persons with public or private health insurance. STUDY DESIGN/DATA COLLECTION: A cross-sectional survey of households was conducted during 1996 and 1997. Commonly used measures of access to and utilization of medical care were constructed for individuals: (1) percentage of visits with a usual provider, (2) percentage with a regular provider, (3) visit with a physician in the past year, (4) hospital ER use, (5) last visit was to a specialist. PRINCIPAL FINDINGS: Fewer than 74 percent of Hispanics and African Americans had a regular provider compared to more than 78 percent of white Americans. Hispanics were least likely to have had their last doctor visit with a specialist (22 percent) compared to African Americans (26 percent) and whites (28 percent). Differences between ethnic/racial minorities and whites in managed care plans are similar to differences observed in non-managed care plans. Americans of all racial and ethnic backgrounds in managed care plans with gatekeeping are more likely to have a usual source of care, a regular provider, and lower use of specialists compared to persons in plans without gatekeeping. CONCLUSION: Although greater access to primary care was shown among African Americans and Hispanics in managed care plans, the extent of the disparities between racial/ethnic minorities and whites in managed care is similar to disparities in other types of health plans. PMID:11666107

  12. Ganges Chasma Landing Site: Access to Layered Mesa Material, Wall Rock, and Sand Sheet

    NASA Astrophysics Data System (ADS)

    Rice, James W., Jr.

    2001-01-01

    The floor of Ganges Chasma offers an ideal landing site for the Mars Exploration Rover (MER) A/B rovers. This site is exquisite both in terms of engineering constraints and science objectives. The floor of Ganges Chasma is mantled with an extensive low relief sand sheet. This maximizes landing site safety issues and allows us entrance into Valles Marineris. Other floor regions of Valles Marineris (e.g., Candor, Capri, Melas) appear very rough and hazardous in Mars Orbiter Camera (MOC) imagery. The philosophy for selecting this site is that it would allow analysis of Chasma floor material which should be composed of wall material and the layered mesa material, there is also abundant evidence of channels emptying into the canyon thereby providing a source for aqueous sediments.

  13. Access road from State Route 240 to the 200 West Area, Hanford Site, Richland, Washington: Environmental assessment

    SciTech Connect

    Not Available

    1994-02-01

    The US Department of Energy (DOE) proposes to construct an access road on the Hanford Site, from State Route (SR) 240 to Beloit Avenue in the 200 West Area. Traffic volume during shift changes creates an extremely serious congestion and safety problem on Route 4S from the Wye barricade to the 200 Areas. A Risk Evaluation (Trost 1992) indicated that there is a probability of 1.53 fatal accidents on Route 4S within 2 years. To help alleviate this danger, a new 3.5-kilometer (2.2-mile)-long access road would be constructed from Beloit Avenue in the 200 West Area to SR 240. In addition, administrative controls such as redirecting traffic onto alternate routes would be used to further reduce traffic volume. The proposed access road would provide an alternative travel-to-work route for many outer area personnel, particularly those with destinations in the 200 West Area. This proposal is the most reasonable alternative to reduce the problem. While traffic safety would be greatly improved, a small portion of the shrub-steppe habitat would be disturbed. The DOE would offset any habitat damage by re-vegetation or other appropriate habitat enhancement activities elsewhere on the Hanford Site. This Environmental Assessment (EA) provides information about the environmental impacts of the proposed action, so a decision can be made to either prepare an Environmental Impact Statement or issue a Finding of No Significant Impact.

  14. Geology Report: Area 3 Radioactive Waste Management Site DOE/Nevada Test Site, Nye County, Nevada

    SciTech Connect

    NSTec Environmental Management

    2006-07-01

    Surficial geologic studies near the Area 3 Radioactive Waste Management Site (RWMS) were conducted as part of a site characterization program. Studies included evaluation of the potential for future volcanism and Area 3 fault activity that could impact waste disposal operations at the Area 3 RWMS. Future volcanic activity could lead to disruption of the Area 3 RWMS. Local and regional studies of volcanic risk indicate that major changes in regional volcanic activity within the next 1,000 years are not likely. Mapped basalts of Paiute Ridge, Nye Canyon, and nearby Scarp Canyon are Miocene in age. There is a lack of evidence for post-Miocene volcanism in the subsurface of Yucca Flat, and the hazard of basaltic volcanism at the Area 3 RWMS, within the 1,000-year regulatory period, is very low and not a forseeable future event. Studies included a literature review and data analysis to evaluate unclassified published and unpublished information regarding the Area 3 and East Branch Area 3 faults mapped in Area 3 and southern Area 7. Two trenches were excavated along the Area 3 fault to search for evidence of near-surface movement prior to nuclear testing. Allostratigraphic units and fractures were mapped in Trenches ST02 and ST03. The Area 3 fault is a plane of weakness that has undergone strain resulting from stress imposed by natural events and underground nuclear testing. No major vertical displacement on the Area 3 fault since the Early Holocene, and probably since the Middle Pleistocene, can be demonstrated. The lack of major displacement within this time frame and minimal vertical extent of minor fractures suggest that waste disposal operations at the Area 3 RWMS will not be impacted substantially by the Area 3 fault, within the regulatory compliance period. A geomorphic surface map of Yucca Flat utilizes the recent geomorphology and soil characterization work done in adjacent northern Frenchman Flat. The approach taken was to adopt the map unit boundaries (line

  15. Behavioral approaches to anxiety and pain management for pediatric venous access.

    PubMed

    Cohen, Lindsey L

    2008-11-01

    Pediatric venous access causes unnecessary anxiety and pain in children and, in turn, can have detrimental consequences. Behavioral approaches to pediatric venous access distress management can be organized temporally. Specifically, preparation before the procedure includes providing children with sensory and procedural information in an age-appropriate manner and providing training in coping skills. It is important to consider the timing, format, and content of the approach to provide optimal preparation for the unique circumstances of the individual patient. In addition to the child patient, preparing parents and teaching them which specific behaviors might be most helpful to their child should prove valuable to both patient and parents. During the procedure, there are benefits to providing secure and comfortable positioning. In addition, researchers recommend that adults encourage children to cope and actively engage children in distracting activities. For infants, there is support for the distress-mitigation properties of swaddling, skin-to-skin contact, breastfeeding, and sucrose. After venous access, distraction and encouragement of coping should speed recovery. In sum, research in behavioral approaches to pediatric pain management has provided recommendations for minimizing children's anxiety and pain associated with venous access.

  16. Simulations reveal the power and peril of artificial breeding sites for monitoring and managing animals.

    PubMed

    McClure, Christopher J W; Pauli, Benjamin P; Heath, Julie A

    2017-01-24

    Despite common use, the efficacy of artificial breeding sites (e.g., nest boxes, bat houses, artificial burrows) as tools for monitoring and managing animals depends on the demography of target populations and availability of natural sites. Yet, the conditions enabling artificial breeding sites to be useful or informative have yet to be articulated. We use a stochastic simulation model to determine situations where artificial breeding sites are either useful or disadvantageous for monitoring and managing animals. Artificial breeding sites are a convenient tool for monitoring animals and therefore occupancy of artificial breeding sites is often used as an index of population levels. However, systematic changes in availability of sites that are not monitored might induce trends in occupancy of monitored sites-a situation rarely considered by monitoring programs. We therefore examine how systematic changes in unmonitored sites could bias inference from trends in the occupancy of monitored sites. Our model also allows us to examine effects on population levels if artificial breeding sites either increase or decrease population vital rates (survival and fecundity). We demonstrate that trends in occupancy of monitored sites are misleading if the number of unmonitored sites changes over time. Further, breeding site fidelity can cause an initial lag in occupancy of newly installed sites that could be misinterpreted as an increasing population, even when the population has been continuously declining. Importantly, provisioning of artificial breeding sites only benefits populations if breeding sites are limiting or if artificial sites increase vital rates. There are many situations where installation of artificial breeding sites, and their use in monitoring, can have unintended consequences. Managers should therefore not assume that provision of artificial breeding sites will necessarily benefit populations. Further, trends in occupancy of artificial breeding sites should be

  17. Current Status of On-Site Wastewater Management

    ERIC Educational Resources Information Center

    Senn, Charles L.

    1978-01-01

    Wastewater management is becoming an important environmental issue nationally. This article reports the history and current status of wastewater management. Regulatory programs are discussed with specific state examples. Needs assessment is also included. (MA)

  18. Current Status of On-Site Wastewater Management

    ERIC Educational Resources Information Center

    Senn, Charles L.

    1978-01-01

    Wastewater management is becoming an important environmental issue nationally. This article reports the history and current status of wastewater management. Regulatory programs are discussed with specific state examples. Needs assessment is also included. (MA)

  19. Options for venous access in ambulatory care: issues in selection and management.

    PubMed

    Herbst, S L

    1996-01-01

    As advances in VAD technology continue, the biggest challenge becomes the ability to stay abreast of all the emerging devices and the evolutions in management and care. Various resources are available which provide guidelines and standards to enable providers in the care of patients with VADs (see Table 6). It is incumbent upon caregivers to disseminate information as it is gained through observations and experience with VADs. The literature must remain current and accessible to all caregivers in order to ensure optimal management of patients with VADs.

  20. Chapter 16. Management of restored and revegetated sites

    Treesearch

    Richard Stevens

    2004-01-01

    Management of restored and rehabilitated ranges can be divided into (1) post-treatment, which we are most concerned with herein, and (2) management of the subsequent mature community. Immediate post-treatment management can positively or negatively affect the ultimate success and longevity of a project, and the actual returns and benefits received. It is essential to...

  1. Surficial geology and performance assessment for a Radioactive Waste Management Facility at the Nevada Test Site

    SciTech Connect

    Snyder, K.E.; Gustafson, D.L.; Huckins-Gang, H.E.; Miller, J.J.; Rawlinson, S.E.

    1995-02-01

    At the Nevada Test Site, one potentially disruptive scenario being evaluated for the Greater Confinement Disposal (GCD) Facility Performance Assessment is deep post-closure erosion that would expose buried radioactive waste to the accessible environment. The GCD Facility located at the Area 5 Radioactive Waste Management Site (RWMS) lies at the juncture of three alluvial fan systems. Geomorphic surface mapping in northern Frenchman Flat indicates that reaches of these fans where the RWMS is now located have been constructional since at least the middle Quaternary. Mapping indicates a regular sequence of prograding fans with entrenchment of the older fan surfaces near the mountain fronts and construction of progressively younger inset fans farther from the mountain fronts. At the facility, the oldest fan surfaces are of late Pleistocene and Holocene age. More recent geomorphic activity has been limited to erosion and deposition along small channels. Trench and pit wall mapping found maximum incision in the vicinity of the RWMS to be less than 1.5 m. Based on collected data, natural geomorphic processes are unlikely to result in erosion to a depth of more than approximately 2 m at the facility within the 10,000-year regulatory period.

  2. A Case Study in Balancing Protection, Interpretation, and Public Access in the Treasure Hunting Capital of the World: The Management of the HMS Fowey Shipwreck in Biscayne National Park

    NASA Astrophysics Data System (ADS)

    Marano, Joshua

    2015-08-01

    The management of the HMS Fowey shipwreck site in Biscayne National Park is a unique case study in the development of an interpretation and outreach program for the sensitive and now inaccessible site. Decades of restricted access and recent stabilization activities completed at the site have effectively closed archaeological access to it for the foreseeable future. The National Park Service did not come lightly to the decision to physically remove access the site. However, after several decades of monitoring significant loss, due to both erosion and looting, few options remained. This article utilizes the management of HMS Fowey as a case study in the development and modification of an interpretation and outreach program that can be applied to resources in similar peril and specifically to those located within the Florida Keys. Following a discussion of the archaeological history of the wreck site and the difficulties of regulating public access to HMS Fowey, this article addresses some of the difficulties associated with interpreting a closed and inaccessible archaeological site while detailing the Park's attempts to balance the protection, interpretation, and public access to sensitive archaeological sites in what could be described as the treasure hunting capital of the world.

  3. Measuring access to urban health services using Geographical Information System (GIS): a case study of health service management in Bandar Abbas, Iran.

    PubMed

    Masoodi, Mehdi; Rahimzadeh, Mahsa

    2015-02-06

    The current distribution of and access to health services along with the future health needs of the population have prompted wide application of Geographic Information Systems (GISs). During recent years, GIS has been used in public health management for planning and organization of healthcare services. This study investigates geographical accessibility of residential areas in Bandar Abbas, Iran to healthcare services. Accessibility was evaluated by using Floating Catchment Area (FCA), minimum distance methods and Response Time (RT) accessibility technique. More accurate measures of distances in Bandar Abbas, illustrated that Euclidean distances were not strongly correlated with network distances. The RT accessibility technique that utilizes shortest network path and time distances, presented detailed information about all the possible positions of the patients with respect to available healthcare services based on optimum and critical response times. Locations of public health services in Bandar Abbas were not related to the sites of populations. The RT accessibility technique provides a reasonably sensitive and robust evaluation of accessibility. © 2015 by Kerman University of Medical Sciences.

  4. Measuring access to urban health services using Geographical Information System (GIS): a case study of health service management in Bandar Abbas, Iran

    PubMed Central

    Masoodi, Mehdi; Rahimzadeh, Mahsa

    2015-01-01

    Background: The current distribution of and access to health services along with the future health needs of the population have prompted wide application of Geographic Information Systems (GISs). During recent years, GIS has been used in public health management for planning and organization of healthcare services. This study investigates geographical accessibility of residential areas in Bandar Abbas, Iran to healthcare services. Methods: Accessibility was evaluated by using Floating Catchment Area (FCA), minimum distance methods and Response Time (RT) accessibility technique. Results: More accurate measures of distances in Bandar Abbas, illustrated that Euclidean distances were not strongly correlated with network distances. The RT accessibility technique that utilizes shortest network path and time distances, presented detailed information about all the possible positions of the patients with respect to available healthcare services based on optimum and critical response times. Conclusion: Locations of public health services in Bandar Abbas were not related to the sites of populations. The RT accessibility technique provides a reasonably sensitive and robust evaluation of accessibility. PMID:26188808

  5. Nevada Test Site, 2006 Waste Management Monitoring Report, Area 3 and Area 5 Radioactive Waste Management Sites

    SciTech Connect

    David B. Hudson

    2007-06-30

    Environmental monitoring data were collected at and around the Area 3 and Area 5 Radioactive Waste Management Sites (RWMSs) at the Nevada Test Site. These data are associated with radiation exposure, air, groundwater, meteorology, vadose zone, subsidence, and biota. This report summarizes the 2006 environmental data to provide an overall evaluation of RWMS performance and to support environmental compliance and performance assessment (PA) activities. Some of these data (e.g., radiation exposure, air, and groundwater) are presented in other reports (U.S. Department of Energy, 2006; Warren and Grossman, 2007; National Security Technologies, LLC, 2007). Direct radiation monitoring data indicate that exposure levels around the RWMSs are at or below background levels. Air monitoring data at the Area 3 and Area 5 RWMSs indicate that tritium concentrations are slightly above background levels. There is no detectable man-made radioactivity by gamma spectroscopy, and concentrations of americium and plutonium are only slightly above detection limits at the Area 3 RWMS. Measurements at the Area 5 RWMS show that radon flux from waste covers is no higher than natural radon flux from undisturbed soil in Area 5. Groundwater monitoring data indicate that the groundwater in the uppermost aquifer beneath the Area 5 RWMS is not impacted by facility operations. Precipitation during 2006 totaled 98.6 millimeters (mm) (3.9 inches [in.]) at the Area 3 RWMS and 80.7 mm (3.2 in.) at the Area 5 RWMS. Soil-gas tritium monitoring continues to show slow subsurface migration consistent with previous results. Moisture from precipitation at Area 5 remains at the bottom of the bare-soil weighing lysimeter, but this same moisture has been removed from the vegetated weighing lysimeter by evapotranspiration. Vadose zone data from the operational waste pit covers show that evaporation continues to slowly remove soil moisture that came from the heavy precipitation in the fall of 2004 and the spring of

  6. Expansion of access tunnels and active-site cavities influence activity of haloalkane dehalogenases in organic cosolvents.

    PubMed

    Stepankova, Veronika; Khabiri, Morteza; Brezovsky, Jan; Pavelka, Antonin; Sykora, Jan; Amaro, Mariana; Minofar, Babak; Prokop, Zbynek; Hof, Martin; Ettrich, Rudiger; Chaloupkova, Radka; Damborsky, Jiri

    2013-05-10

    The use of enzymes for biocatalysis can be significantly enhanced by using organic cosolvents in the reaction mixtures. Selection of the cosolvent type and concentration range for an enzymatic reaction is challenging and requires extensive empirical testing. An understanding of protein-solvent interaction could provide a theoretical framework for rationalising the selection process. Here, the behaviour of three model enzymes (haloalkane dehalogenases) was investigated in the presence of three representative organic cosolvents (acetone, formamide, and isopropanol). Steady-state kinetics assays, molecular dynamics simulations, and time-resolved fluorescence spectroscopy were used to elucidate the molecular mechanisms of enzyme-solvent interactions. Cosolvent molecules entered the enzymes' access tunnels and active sites, enlarged their volumes with no change in overall protein structure, but surprisingly did not act as competitive inhibitors. At low concentrations, the cosolvents either enhanced catalysis by lowering K(0.5) and increasing k(cat), or caused enzyme inactivation by promoting substrate inhibition and decreasing k(cat). The induced activation and inhibition of the enzymes correlated with expansion of the active-site pockets and their occupancy by cosolvent molecules. The study demonstrates that quantitative analysis of the proportions of the access tunnels and active-sites occupied by organic solvent molecules provides the valuable information for rational selection of appropriate protein-solvent pair and effective cosolvent concentration. Copyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  7. Examination of CRISPR/Cas9 design tools and the effect of target site accessibility on Cas9 activity.

    PubMed

    Lee, Ciaran M; Davis, Timothy H; Bao, Gang

    2017-03-16

    The recent adaptation of the CRISPR/Cas9 system for targeted genome engineering has led to its widespread applications in many fields worldwide. In order to better understand the design rules of CRISPR/Cas9 systems, several groups have carried out large library-based screens leading to some insight into sequence preferences among highly active target sites. To facilitate CRISPR/Cas9 design these studies have spawned a plethora of gRNA design tools with algorithms based solely on direct or indirect sequence features. Here we demonstrate that the predictive power of these tools is poor, suggesting that sequence features alone cannot accurately inform the cutting efficiency of a particular CRISPR/Cas9 gRNA design. Furthermore we demonstrate that DNA target site accessibility influences the activity of CRISPR/Cas9. With further optimisation we hypothesise that it will be possible to increase the predictive power of gRNA design tools by including both sequence and target site accessibility metrics. This article is protected by copyright. All rights reserved.

  8. UTSA-74: A MOF-74 Isomer with Two Accessible Binding Sites per Metal Center for Highly Selective Gas Separation.

    PubMed

    Luo, Feng; Yan, Changsheng; Dang, Lilong; Krishna, Rajamani; Zhou, Wei; Wu, Hui; Dong, Xinglong; Han, Yu; Hu, Tong-Liang; O'Keeffe, Michael; Wang, Lingling; Luo, Mingbiao; Lin, Rui-Biao; Chen, Banglin

    2016-05-04

    A new metal-organic framework Zn2(H2O)(dobdc)·0.5(H2O) (UTSA-74, H4dobdc = 2,5-dioxido-1,4-benzenedicarboxylic acid), Zn-MOF-74/CPO-27-Zn isomer, has been synthesized and structurally characterized. It has a novel four coordinated fgl topology with one-dimensional channels of about 8.0 Å. Unlike metal sites in the well-established MOF-74 with a rod-packing structure in which each of them is in a five coordinate square pyramidal coordination geometry, there are two different Zn(2+) sites within the binuclear secondary building units in UTSA-74 in which one of them (Zn1) is in a tetrahedral while another (Zn2) in an octahedral coordination geometry. After activation, the two axial water molecules on Zn2 sites can be removed, generating UTSA-74a with two accessible gas binding sites per Zn2 ion. Accordingly, UTSA-74a takes up a moderately high and comparable amount of acetylene (145 cm(3)/cm(3)) to Zn-MOF-74. Interestingly, the accessible Zn(2+) sites in UTSA-74a are bridged by carbon dioxide molecules instead of being terminally bound in Zn-MOF-74, so UTSA-74a adsorbs a much smaller amount of carbon dioxide (90 cm(3)/cm(3)) than Zn-MOF-74 (146 cm(3)/cm(3)) at room temperature and 1 bar, leading to a superior MOF material for highly selective C2H2/CO2 separation. X-ray crystal structures, gas sorption isotherms, molecular modeling, and simulated and experimental breakthroughs comprehensively support this result.

  9. Acute Kidney Injury After Radial or Femoral Access for Invasive Acute Coronary Syndrome Management: AKI-MATRIX.

    PubMed

    Andò, Giuseppe; Cortese, Bernardo; Russo, Filippo; Rothenbühler, Martina; Frigoli, Enrico; Gargiulo, Giuseppe; Briguori, Carlo; Vranckx, Pascal; Leonardi, Sergio; Guiducci, Vincenzo; Belloni, Flavia; Ferrari, Fabio; de la Torre Hernandez, Jose Maria; Curello, Salvatore; Liistro, Francesco; Perkan, Andrea; De Servi, Stefano; Casu, Gavino; Dellavalle, Antonio; Fischetti, Dionigi; Micari, Antonio; Loi, Bruno; Mangiacapra, Fabio; Russo, Nunzio; Tarantino, Fabio; Saia, Francesco; Heg, Dik; Windecker, Stephan; Jüni, Peter; Valgimigli, Marco

    2017-05-11

    It remains unclear whether radial access (RA), compared with femoral access (FA), mitigates the risk of acute kidney injury (AKI). The authors assessed the incidence of AKI in patients with acute coronary syndrome (ACS) enrolled in the MATRIX-Access (Minimizing Adverse Haemorrhagic Events by Transradial Access Site and Systemic Implementation of Angiox) trial. Among 8,404 patients, 194 (2.3%) were excluded due to missing creatinine values, no or an incomplete coronary angiogram, or previous dialysis. The primary AKI-MATRIX endpoint was AKI, defined as an absolute (>0.5 mg/dl) or a relative (>25%) increase in serum creatinine (sCr). AKI occurred in 634 patients (15.4%) with RA and 712 patients (17.4%) with FA (odds ratio [OR]: 0.87; 95% confidence interval [CI]: 0.77 to 0.98; p = 0.0181). A >25% sCr increase was noted in 633 patients (15.4%) with RA and 710 patients (17.3%) with FA (OR: 0.87; 95% CI: 0.77 to 0.98; p = 0.0195), whereas a >0.5 mg/dl absolute sCr increase occurred in 175 patients (4.3%) with RA versus 223 patients (5.4%) with FA (OR: 0.77; 95% CI: 0.63 to 0.95; p = 0.0131). By implementing the Kidney Disease Improving Global Outcomes criteria, AKI was 3-fold less prevalent and trended lower with RA (OR: 0.85; 95% CI: 0.70 to 1.03; p = 0.090), with stage 3 AKI occurring in 28 patients (0.68%) with RA versus 46 patients (1.12%) with FA (p = 0.0367). Post-intervention dialysis was needed in 6 patients (0.15%) with RA and 14 patients (0.34%) with FA (p = 0.0814). Stratified analyses suggested greater benefit with RA than FA in patients at greater risk for AKI. In ACS patients who underwent invasive management, RA was associated with a reduced risk of AKI compared with FA. (Minimizing Adverse Haemorrhagic Events by TRansradial Access Site and Systemic Implementation of angioX [MATRIX]; NCT01433627). Copyright © 2017 American College of Cardiology Foundation. Published by Elsevier Inc. All rights reserved.

  10. 76 FR 1415 - Environmental Management Site-Specific Advisory Board, Oak Ridge Reservation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... Environmental Management Site-Specific Advisory Board, Oak Ridge Reservation AGENCY: Department of Energy... January 12, 2011, ] meeting of the Environmental Management Site-Specific Advisory Board (EM SSAB), Oak... Coordinator, Department of Energy Oak Ridge Operations Office, P.O. Box 2001, EM-90, Oak Ridge, TN 37831...

  11. 78 FR 63171 - Environmental Management Site-Specific Advisory Board, Oak Ridge Reservation; Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-23

    ... Environmental Management Site-Specific Advisory Board, Oak Ridge Reservation; Meeting AGENCY: Department of... Management Site-Specific Advisory Board (EM SSAB), Oak Ridge Reservation. The Federal Advisory Committee Act..., Office of Science and Technical Information, 1 Science.gov Way, Oak Ridge, Tennessee 37830. FOR FURTHER...

  12. 77 FR 2283 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-17

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site..., Department of Energy Portsmouth/Paducah Project Office, Post Office Box 700, Piketon, Ohio 45661, (740)...

  13. 77 FR 6790 - Environmental Management Site-Specific Advisory Board, Portsmouth

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-09

    ... Environmental Management Site-Specific Advisory Board, Portsmouth AGENCY: Department of Energy (DOE). ACTION: Notice of open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site..., Department of Energy Portsmouth/Paducah Project Office, Post Office Box 700, Piketon, Ohio 45661, (740)...

  14. 76 FR 28218 - Environmental Management Site-Specific Advisory Board, Hanford

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-16

    ... open meeting. SUMMARY: This notice announces a meeting of the Environmental Management Site-Specific... Discussions: Issue Managers. Advice Development. Public Participation: The meeting is open to the public. The... the following Web site: http://www.hanford.gov/page.cfm/hab . ] Issued at Washington, DC on May...

  15. 75 FR 56527 - Environmental Management Site-Specific Advisory Board, Idaho National Laboratory

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ... Environmental Management Site-Specific Advisory Board, Idaho National Laboratory AGENCY: Department of Energy... Site-Specific Advisory Board (EM SSAB), Idaho National Laboratory. The Federal Advisory Committee Act.... Overview Legacy Management--Long-Term Land Use at Idaho National Laboratory. Integrated Waste Treatment...

  16. 76 FR 20651 - Environmental Management Site-Specific Advisory Board Chairs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board Chairs AGENCY: Department of Energy. ACTION: Notice of... Environmental Management Site-Specific Advisory Board Chairs (76 FR 17118). This notice announces the...

  17. 75 FR 19630 - Environmental Management Site-Specific Advisory Board Charter Renewal

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-15

    ... No: 2010-8658] DEPARTMENT OF ENERGY Environmental Management Site-Specific Advisory Board Charter... site-specific issues include clean-up standards and environmental restoration; waste management and... determined to be essential to conduct Department of Energy business and to be in the public interest in...

  18. 76 FR 52944 - Environmental Management Site-Specific Advisory Board, Nevada

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-24

    ... Environmental Management Site-Specific Advisory Board, Nevada AGENCY: Department of Energy. ACTION: Notice of... (EIS) Committee of the Environmental Management Site- Specific Advisory Board (EM SSAB), Nevada. The... be announced in the Federal Register. DATES: Wednesday, September 7, 2011; 2 p.m. ADDRESSES:...

  19. 76 FR 50204 - Environmental Management Site-Specific Advisory Board, Nevada

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-12

    ... Environmental Management Site-Specific Advisory Board, Nevada AGENCY: Department of Energy. ACTION: Notice of... (EIS) Committee of the Environmental Management Site- Specific Advisory Board (EM SSAB), Nevada. The... be announced in the Federal Register. DATES: Wednesday, August 17, 2011, 2 p.m. ADDRESSES:...

  20. 76 FR 55370 - Environmental Management Site-Specific Advisory Board, Nevada

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-07

    ... Environmental Management Site-Specific Advisory Board, Nevada AGENCY: Department of Energy. ACTION: Notice of... (EIS) Committee of the Environmental Management Site- Specific Advisory Board (EM SSAB), Nevada. The... be announced in the Federal Register. DATES: Tuesday, October 4, 2011; 2 p.m. ADDRESSES: Nevada...

  1. Stormwater Management Plan for the Arden Hills Army Training Site, Arden Hills, Minnesota

    SciTech Connect

    Carr, Adrianne E.; Wuthrich, Kelsey K.; Ziech, Angela M.; Bowen, Esther E.; Quinn, John

    2013-03-01

    This stormwater management plan focuses on the cantonment and training areas of the Arden Hills Army Training Site (AHATS). The plan relates the site stormwater to the regulatory framework, and it summarizes best management practices to aide site managers in promoting clean site runoff. It includes documentation for a newly developed, detailed model of stormwater flow retention for the entire AHATS property and adjacent upgradient areas. The model relies on established modeling codes integrated in a U.S. Department of Defense-sponsored software tool, the Watershed Modeling System (WMS), and it can be updated with data on changes in land use or with monitoring data.

  2. Management of venous hypertension following arteriovenous fistula creation for hemodialysis access

    PubMed Central

    Mittal, Varun; Srivastava, Aneesh; Kapoor, Rakesh; Lal, Hira; Javali, Tarun; Sureka, Sanjoy; Patidar, Nitesh; Arora, Sohrab; Kumar, Manoj

    2016-01-01

    Introduction: Venous hypertension (VH) is a distressing complication following the creation of arteriovenous fistula (AVF). The aim of management is to relieve edema with preservation of AVF. Extensive edema increases surgical morbidity with the loss of hemodialysis access. We present our experience in management of VH. Methods: A retrospective study was conducted on 37 patients with VH managed between July 2005 to May 2014. Patient demographics, evaluation, and procedures performed were noted. A successful outcome of management with surgical ligation (SL), angioembolization (AE), balloon dilatation (BD) or endovascular stent (EVS) was defined by immediate disappearance of thrill and murmur with resolution of edema in the next 48–72 h, no demonstrable flow during check angiogram and resolution of edema with preservation of AVF respectively. Results: All 8 distal AVF had peripheral venous stenosis and were managed with SL in 7 and BD in one patient. In 29 proximal AVF, central and peripheral venous stenosis was present in 16 and 13 patients respectively. SL, AE, BD, and BD with EVS were done in 18, 5, 4, and 3 patients, respectively. All patients had a successful outcome. SL was associated with wound related complications in 11 (29.73 %) patients. A total of 7 AVF were salvaged. One had restenosis after BD and was managed with AE. BD, EVS, and AE had no associated morbidity. Conclusions: Management of central and peripheral venous stenosis with VH should be individualized and in selected cases it seems preferable to secure a new access in another limb and close the native AVF in edematous limb for better overall outcome. PMID:27127358

  3. Multidisciplinary management of vascular access for haemodialysis: from the preparation of the initial access to the treatment of stenosis and thrombosis.

    PubMed

    Reinhold, C; Haage, P; Hollenbeck, M; Mickley, V; Ranft, J

    2011-05-01

    In February 2008 a multidisciplinary study group was established in Germany to improve the treatment of patients with potential vascular access problems. As one of the first results of their work interdisciplinary recommendations for the management of vascular access were provided, from the creation of the initial access to the treatment of complications. As a rule the wrist arteriovenous fistula (AVF) is the access of choice due to its lower complication rate when compared to other types of access. The AVF should be created 3 months prior to the expected start of haemodialysis to allow for sufficient maturation. Second and third choice accesses are arteriovenous grafts (AVG) and central venous catheters (CVC). Ultrasound is a reliable tool for vessel selection before access creation, and also for the diagnosis of complications in AVF and grafts. Access stenosis and thrombosis can be treated surgically and interventionally. The comparison of both methods reveals advantages and disadvantages for each. The therapeutic decision should be based on the individual patients' constitution, and also on the availability and experience of the involved specialists.

  4. Soil Characterization Database for the Area 5 Radioactive Waste Management Site, Nevada Test Site, Nye County, Nevada

    SciTech Connect

    Y. J. Lee; R. D. Van Remortel; K. E. Snyder

    2005-01-01

    Soils were characterized in an investigation at the Area 5 Radioactive Waste Management Site at the U.S. Department of Energy Nevada Test Site in Nye County, Nevada. Data from the investigation are presented in four parameter groups: sample and site characteristics, U.S. Department of Agriculture (USDA) particle size fractions, chemical parameters, and American Society for Testing Materials-Unified Soil Classification System (ASTM-USCS) particle size fractions. Spread-sheet workbooks based on these parameter groups are presented to evaluate data quality, conduct database updates,and set data structures and formats for later extraction and analysis. This document does not include analysis or interpretation of presented data.

  5. Soil Characterization Database for the Area 3 Radioactive Waste Management Site, Nevada Test Site, Nye County, Nevada

    SciTech Connect

    R. D. Van Remortel; Y. J. Lee; K. E. Snyder

    2005-01-01

    Soils were characterized in an investigation at the Area 3 Radioactive Waste Management Site at the U.S. Department of Energy Nevada Test Site in Nye County, Nevada. Data from the investigation are presented in four parameter groups: sample and site characteristics, U.S. Department of Agriculture (USDA) particle size fractions, chemical parameters, and American Society for Testing Materials-Unified Soil Classification System (ASTM-USCS) particle size fractions. Spread-sheet workbooks based on these parameter groups are presented to evaluate data quality, conduct database updates, and set data structures and formats for later extraction and analysis. This document does not include analysis or interpretation of presented data.

  6. Ecological sites: A useful tool for land management

    Treesearch

    Alicia N. Struckhoff; Douglas Wallace; Fred. Young

    2017-01-01

    Developing ecological sites in Missouri is a multiagency, multidiscipline effort led by the Missouri Department of Conservation and the U.S. Department of Agriculture (USDA) Natural Resources Conservation Service. The methodology developed in Missouri has recently served as a model for ecological site development across the country and has aided in an initiative to...

  7. REGULATORY PERSPECTIVE ON MANAGING RISKS AT WOOD TREATING SITES

    EPA Science Inventory

    Over 700 sites in the United States have been identified where wood preserving operations have been conducted. The most common types of wood preservatives found at these sites are creosote, pentachlorophenol (PCP), and copper chromated arsenate (CCA). When properly used and dis...

  8. REGULATORY PERSPECTIVE ON MANAGING RISKS AT WOOD TREATING SITES

    EPA Science Inventory

    Over 700 sites in the United States have been identified where wood preserving operations have been conducted. The most common types of wood preservatives found at these sites are creosote, pentachlorophenol (PCP), and copper chromated arsenate (CCA). When properly used and dis...

  9. OpSite Plus in the management of exuding wounds.

    PubMed

    Fear, M

    2001-08-01

    This article discusses the use of OpSite Plus (formerly known as OpSite Post-Op ) in the community setting. This semi permeable film dressing with an absorbent pad was evaluated by the community hospital and by practice and district nurses within Plymouth's NHS Primary Care Trust.

  10. Access to NMR Spectroscopy for Two-Year College Students: The NMR Site at Trinity University

    ERIC Educational Resources Information Center

    Mills, Nancy S.; Shanklin, Michael

    2011-01-01

    Students at two-year colleges and small four-year colleges have often obtained their exposure to NMR spectroscopy through "canned" spectra because the cost of an NMR spectrometer, particularly a high-field spectrometer, is prohibitive in these environments. This article describes the design of a NMR site at Trinity University in which…

  11. Impact of language anxiety and self-efficacy on accessing Internet sites.

    PubMed

    Yang, Hui-Jen; Lay, Yun-Long; Tsao, Wen-Yu; Liou, Yi-Chin; Lin, Cheng-Kun

    2007-04-01

    Language interface plays a critical role as the foundation of communication. Possessing greater fluency in the host language can lead to increased opportunities for interaction with host members. This research is to examine the impact of language and Internet usage anxiety and self-efficacy on the intended uses of Internet sites, respectively. By the same token, whether Internet/language self-efficacy would mediate the effects of Internet/language anxiety on the intention of the Internet site use is also examined. A valid sample of 368 undergraduates was tested in this study. The path analysis results mostly supported the model tested. The results display that the anxiety of language and Internet use have significantly influenced self-efficacy of Internet use and language, respectively. Anxiety about language and Internet use have also significantly influenced the intention to use Internet sites individually. Furthermore, language self-efficacy has significantly influenced the intention to use Internet sites, but Internet self-efficacy has not. The implications are discussed at the end of the paper.

  12. Access to NMR Spectroscopy for Two-Year College Students: The NMR Site at Trinity University

    ERIC Educational Resources Information Center

    Mills, Nancy S.; Shanklin, Michael

    2011-01-01

    Students at two-year colleges and small four-year colleges have often obtained their exposure to NMR spectroscopy through "canned" spectra because the cost of an NMR spectrometer, particularly a high-field spectrometer, is prohibitive in these environments. This article describes the design of a NMR site at Trinity University in which…

  13. Exploring Wait List Prioritization and Management Strategies for Publicly Funded Ambulatory Rehabilitation Services in Ontario, Canada: Further Evidence of Barriers to Access for People with Chronic Disease

    PubMed Central

    Passalent, Laura A.; Landry, Michel D.; Cott, Cheryl A.

    2010-01-01

    Background: Timely access to publicly funded health services is a priority issue across the healthcare continuum in Canada. The purpose of this study was to examine wait list management strategies for publicly funded ambulatory rehabilitation services in Ontario, Canada. Methods: Ambulatory rehabilitation services were defined as community occupational therapy (OT) and physiotherapy (PT) services. A mailed self-administered questionnaire was sent to all 374 Ontario publicly funded sites. Descriptive statistics were used to explore management strategies. Results: The response rate was 57.2%. Client acuity was the most common method used to prioritize access across all settings. The most frequently reported methods to manage wait lists included teaching self-management strategies (85.0%), implementing attendance policies (69.5%) and conducting wait list audits (67.3%). Conclusion: Ambulatory rehabilitation settings have implemented a number of strategies for wait list management. The results of this study suggest that an increasing number of Ontarians encounter barriers when accessing publicly funded ambulatory rehabilitation services. PMID:21532763

  14. Nevada Test 1999 Waste Management Monitoring Report, Area 3 and Area 5 radioactive waste management sites

    SciTech Connect

    Yvonne Townsend

    2000-05-01

    Environmental monitoring data were collected at and around the Area 3 and Area 5 Radioactive Waste Management Sites (RWMSs) at the Nevada Test Site (NTS). These monitoring data include radiation exposure, air, groundwater, meteorology, vadose zone, and biota data. Although some of these media (radiation exposure, air, and groundwater) are reported in detail in other Bechtel Nevada reports (Annual Site Environmental Report [ASER], the National Emissions Standard for Hazardous Air Pollutants [NESHAP] report, and the Annual Groundwater Monitoring Report), they are also summarized in this report to provide an overall evaluation of RWMS performance and environmental compliance. Direct radiation monitoring data indicate that exposure at and around the RWMSs is not above background levels. Air monitoring data indicate that tritium concentrations are slightly above background levels, whereas radon concentrations are not above background levels. Groundwater monitoring data indicate that the groundwater in the alluvial aquifer beneath the Area 5 RWMS has not been affected by the facility. Meteorology data indicate that 1999 was a dry year: rainfall totaled 3.9 inches at the Area 3 RWMS (61 percent of average) and 3.8 inches at the Area 5 RWMS (75 percent of average). Vadose zone monitoring data indicate that 1999 rainfall infiltrated less than one foot before being returned to the atmosphere by evaporation. Soil-gas tritium data indicate very slow migration, and tritium concentrations in biota were insignificant. All 1999 monitoring data indicate that the Area 3 and Area 5 RWMSs are performing as expected at isolating buried waste.

  15. 17 CFR 240.15c3-5 - Risk management controls for brokers or dealers with market access.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... designed to manage the financial, regulatory, and other risks of this business activity. Such broker or... by paragraph (b) of this section shall include the following elements: (1) Financial risk management... access. (d) The financial and regulatory risk management controls and supervisory procedures described in...

  16. 75 FR 8051 - Environmental Management Site-Specific Advisory Board, Hanford

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-23

    ... open meeting. SUMMARY: This notice announces a combined meeting of the Environmental Management Site... Stewardship Plan for the Hanford site. Public Participation: The meeting is open to the public. The EM SSAB... available at the following Web site: http://www.hanford.gov/page.cfm/hab . Issued at Washington, DC,...

  17. Advancements in Data Access at the IRIS Data Management Center to Broaden Data Use

    NASA Astrophysics Data System (ADS)

    Benson, R. B.; Trabant, C. M.; Ahern, T. K.

    2013-12-01

    The IRIS Data Management Center (DMC) has been serving digital seismic data for more than 20 years and has offered a variety of access mechanisms that have stood the test of time. However, beginning in 2010, and in response to multiple needs being requested from the IRIS DMC, we have developed web service interfaces to access our primary data repository. These new interfaces have rapidly grown in popularity. In 2013, the third full year of their operation, these services were responsible for half of all the data shipped from the DMC. In the same time period, the amount of data shipped from the other data access mechanisms has also increased. This non-linear growth of data shipments reflects the increased data usage by the research community. We believe that our new web service interfaces are well suited to fit future data access needs and signify a significant evolution in integrating different scientific data sets. Based on standardized web technologies, support for writing access software is ubiquitous. As fundamentally programmatic interfaces, the services are well suited for integration into data processing systems, in particular large-scale data processing systems. Their programmatic nature also makes then well suited for use with brokering systems where, for example, data from multiple disciplines can be integrated. In addition to providing access to raw data, the DMC created web services that apply simple, on-the-fly processing and format conversion. Processing the data (e.g. converting to Earth units) and formatting the result into something generally usable (e.g. ASCII) removes important barriers for users working in other disciplines. The end result is that we are shipping a much larger amount of data in a manner more directly usable by users. Many of these principles will be applied to the DMC's future work in the NSF's EarthCube Web Service Building Blocks project.

  18. Management of the Area 5 Radioactive Waste Management Site using Decision-based, Probabilistic Performance Assessment Modeling

    SciTech Connect

    Carilli, J.; Crowe, B.; Black, P.; Tauxe, J.; Stockton, T.; Catlett, K.; Yucel, V.

    2003-02-27

    Low-level radioactive waste from cleanup activities at the Nevada Test Site and from multiple sites across the U.S. Department of Energy (DOE) complex is disposed at two active Radioactive Waste Management Sites (RWMS) on the Nevada Test Site. These facilities, which are managed by the DOE National Nuclear Security Administration Nevada Site Office, were recently designated as one of two regional disposal centers and yearly volumes of disposed waste now exceed 50,000 m3 (> 2 million ft3). To safely and cost-effectively manage the disposal facilities, the Waste Management Division of Environmental Management has implemented decision-based management practices using flexible and problem-oriented probabilistic performance assessment modeling. Deterministic performance assessments and composite analyses were completed originally for the Area 5 and Area 3 RWMSs located in, respectively, Frenchman Flat and Yucca Flat on the Nevada Test Site. These documents provide the technical bases for issuance of disposal authorization statements for continuing operation of the disposal facilities. Both facilities are now in a maintenance phase that requires testing of conceptual models, reduction of uncertainty, and site monitoring all leading to eventual closure of the facilities and transition to long-term stewardship.

  19. 40 CFR 1400.5 - Internet access to certain off-site consequence analysis data elements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... elements in the risk management plan database available on the Internet: (a) The concentration of the...) The statistical model used (RMP Sections 2.3; 3.3; 4.2; 5.2); (d) The endpoint used for flammables in...

  20. 40 CFR 1400.5 - Internet access to certain off-site consequence analysis data elements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... elements in the risk management plan database available on the Internet: (a) The concentration of the...) The statistical model used (RMP Sections 2.3; 3.3; 4.2; 5.2); (d) The endpoint used for flammables in...