47 CFR 87.219 - Automatic operations.

Code of Federal Regulations, 2012 CFR

2012-10-01

... weather information was gathered by real-time sensors or within the last minute; and, (iv) The time and date of the last update must be included when the weather information was not gathered within the last...

47 CFR 87.219 - Automatic operations.

Code of Federal Regulations, 2013 CFR

2013-10-01

... weather information was gathered by real-time sensors or within the last minute; and, (iv) The time and date of the last update must be included when the weather information was not gathered within the last...

47 CFR 87.219 - Automatic operations.

Code of Federal Regulations, 2011 CFR

2011-10-01

... weather information was gathered by real-time sensors or within the last minute; and, (iv) The time and date of the last update must be included when the weather information was not gathered within the last...

International Space Station (ISS) Plasma Contactor Unit (PCU) Utilization Plan Assessment Update

NASA Technical Reports Server (NTRS)

Hernandez-Pellerano, Amri; Iannello, Christopher J.; Wollack, Edward J.; Wright, Kenneth H.; Garrett, Henry B.; Ging, Andrew T.; Katz, Ira; Keith, R. Lloyd; Minow, Joseph I.; Willis, Emily M.;

Design update and recent results of the Apollon 10 PW facility

NASA Astrophysics Data System (ADS)

Le Garrec, B.; Papadopoulos, D. N.; Le Blanc, C.; Zou, J. P.; Chériaux, G.; Georges, P.; Druon, F.; Martin, L.; Fréneaux, L.; Beluze, A.; Lebas, N.; Mathieu, F.; Audebert, P.

2017-05-01

In this paper we are giving a summary of the Apollon 10 PW facility laser design together with updated laser performance. The Apollon facility is currently under construction in France. The APOLLON laser system is a laser designed for delivering pulses as short as 15 fs (10-15 s) with an energy exceeding 150 Joules on target. The peak power delivered by this laser system will be 10 Petawatts (1016W). The Apollon laser system will be delivering 4 beams: one 10 PW beam (F1 beam 400 mm diameter), one 1 PW beam (F2 beam 140 mm diameter) and two additional probe beams (F3 and F4) at a repetition rate of 1 shot per minute. The laser system is based on Ti-sapphire amplifiers pumped by frequency doubled solid-state lasers. The repetition rate of the high energy part will be 1 shot per minute. The main beam at the output of the last amplifier will be split and dispatched to two experimental areas. The main laser beam is delivering 30 J before compression at a repetition rate of 1 shot per minute and we are currently increasing to get 100J.

Living with Insects in the Big City. Urban Insect Ecology and Safe Pest Management. A Science Curriculum for Grades K-3.

ERIC Educational Resources Information Center

Bush, Diane; Dreistadt, Steve

This program has 10 units, each to be taught in 40-50 minute periods. Each unit includes a statement of purpose, concepts to be taught, a list of necessary materials, preparation, and graphics. Guidelines are provided for 10-15 minutes of introduction with classroom discussion, 15-20 minutes of activities and 5-10 minutes of wrap-up discussion.…

76 FR 7231 - Wild Horse and Burro Advisory Board; Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-09

... Sheraton Phoenix Downtown Hotel, 340 N. 3rd Street, Phoenix, Arizona, 85004. The hotel phone number for... June 15, 2010 Minutes Program Updates Gathers Adoptions Budget Facilities Break (2:20 p.m.--2:45 p.m...

Cross-State Air Pollution Rule Update Allowance Allocation Final Rule TSD

EPA Pesticide Factsheets

This Technical Support Document (TSD) provides information that supports EPA’s determination of unit-level allocations for existing and new units under the final Cross-State Air Pollution Rule Update.

Update to An Inventory of Sources and Environmental Releases of Dioxin-Like Compounds in the United States for the Years 1987, 1995, and 2000 (2013, External Review Draft)

EPA Science Inventory

In 2006, EPA published an inventory of sources and environmental releases of dioxin-like compounds in the United States. This draft report presents an update and revision to that dioxin source inventory. It also presents updated estimates of environmental releases of dioxin-like...

House Committee on Veterans' Affairs

MedlinePlus

... Phil Roe, M.D. Visit Chairman Roe's Website Twitter Updates Follow @HouseVetAffairs HouseVetAffairs @HouseVetAffairs a minute ago ... FRI 11/17) at 2pm ET for a Twitter Q&A. Ask questions using #askVBA . h… HouseVetAffairs @ ...

Digital Geologic Map of the Nevada Test Site and Vicinity, Nye, Lincoln, and Clark Counties, Nevada, and Inyo County, California

USGS Publications Warehouse

Slate, Janet L.; Berry, Margaret E.; Rowley, Peter D.; Fridrich, Christopher J.; Morgan, Karen S.; Workman, Jeremiah B.; Young, Owen D.; Dixon, Gary L.; Williams, Van S.; McKee, Edwin H.; Ponce, David A.; Hildenbrand, Thomas G.; Swadley, W.C.; Lundstrom, Scott C.; Ekren, E. Bartlett; Warren, Richard G.; Cole, James C.; Fleck, Robert J.; Lanphere, Marvin A.; Sawyer, David A.; Minor, Scott A.; Grunwald, Daniel J.; Laczniak, Randell J.; Menges, Christopher M.; Yount, James C.; Jayko, Angela S.

1999-01-01

This digital geologic map of the Nevada Test Site (NTS) and vicinity, as well as its accompanying digital geophysical maps, are compiled at 1:100,000 scale. The map compilation presents new polygon (geologic map unit contacts), line (fault, fold axis, metamorphic isograd, dike, and caldera wall) and point (structural attitude) vector data for the NTS and vicinity, Nye, Lincoln, and Clark Counties, Nevada, and Inyo County, California. The map area covers two 30 x 60-minute quadrangles-the Pahute Mesa quadrangle to the north and the Beatty quadrangle to the south-plus a strip of 7.5-minute quadrangles on the east side-72 quadrangles in all. In addition to the NTS, the map area includes the rest of the southwest Nevada volcanic field, part of the Walker Lane, most of the Amargosa Desert, part of the Funeral and Grapevine Mountains, some of Death Valley, and the northern Spring Mountains. This geologic map improves on previous geologic mapping of the same area (Wahl and others, 1997) by providing new and updated Quaternary and bedrock geology, new geophysical interpretations of faults beneath the basins, and improved GIS coverages. Concurrent publications to this one include a new isostatic gravity map (Ponce and others, 1999) and a new aeromagnetic map (Ponce, 1999).

Update on sideline and event preparation for management of sudden cardiac arrest in athletes.

PubMed

Harmon, Kimberly G; Drezner, Jonathan A

2007-06-01

Sudden death in athletes occurs approximately once every 3 days in the United States. Each school or venue should have an emergency action plan that is coordinated with local emergency medical services (EMS). Access to early defibrillation to treat sudden cardiac arrest (SCA) is critical. If EMS response times are greater than 3 to 5 minutes from collapse to first shock, an on-site automated external defibrillator (AED) should be available. Delays in recognition of SCA in athletes occur commonly. Any collapsed and unresponsive athlete should be considered to be in cardiac arrest and an AED should be applied for rhythm analysis as soon as possible. Cardiopulmonary resuscitation should be provided while waiting for an AED and interruptions in chest compressions should be minimized. Rehearsal of the emergency action plan with potential first responders is essential to ensuring an efficient response to SCA in athletics.

77 FR 65416 - Advisory Committee on the Electronic Records Archives (ACERA)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-26

... Minutes ERA Program Update Business Priorities Presidential Directive on Records Management Online Public Access Discussions: Encouraging development of automated tools for electronic records management, impact of big data, and benchmarking Dated: October 24, 2012. Patrice Little Murray, Acting Committee...

Research, methodology, and applications of probabilistic seismic-hazard mapping of the Central and Eastern United States; minutes of a workshop on June 13-14, 2000, at Saint Louis University

USGS Publications Warehouse

Wheeler, Russell L.; Perkins, David M.

2000-01-01

The U.S. Geological Survey (USGS) is updating and revising its 1996 national seismic-hazard maps for release in 2001. Part of this process is the convening of four regional workshops with earth scientists and other users of the maps. The second of these workshops was sponsored by the USGS and the Mid-America Earthquake Center, and was hosted by Saint Louis University on June 13-14, 2000.The workshop concentrated on the central and eastern U.S. (CEUS) east of the Rocky Mountains. The tasks of the workshop were to (1) evaluate new research findings that are relevant to seismic hazard mapping, (2) discuss modifications in the inputs and methodology used in the national maps, (3) discuss concerns by engineers and other users about the scientific input to the maps and the use of the hazard maps in building codes, and (4) identify needed research in the CEUS that can improve the seismic hazard maps and reduce their uncertainties. These minutes summarize the workshop discussions. This is not a transcript; some individual remarks and short discussions of side issues and logistics were omitted. Named speakers were sent a draft of the minutes with a request for corrections of any errors in remarks attributed to them. Nine people returned corrections, amplifications, or approvals of their remarks as reported. The rest of this document consists of the meeting agenda, discussion summaries, and a list of the 60 attendees.

Prediction of Clinical Outcomes in Prenatal Hydronephrosis: Importance of Gravity Assisted Drainage.

PubMed

Sussman, Rachael D; Blum, Emily S; Sprague, Bruce M; Majd, Massoud; Rushton, H Gil; Pohl, Hans G

2017-03-01

In infants with SFU (Society for Fetal Urology) grade 3-4 congenital hydronephrosis, 99m Tc-mercaptoacetyltriglycine diuretic renography assesses differential function and drainage half-time. We routinely also include the percent of radiotracer drained after 30 minutes of diuresis as well as after 15 minutes with the patient in the upright position. We investigated whether any 1 or more of these parameters on initial diuretic renography predicts persistent or worsening drainage parameters. Infants 6 months or younger with grade 3-4 congenital hydronephrosis who presented between January 2009 and December 2014 were identified from billing data and included in analysis if they underwent at least 1 baseline diuretic renography. Those with structural anomalies were excluded from study. Baseline and followup differential function, diuresis half-time, clearance at 30 minutes and clearance with the patient upright were abstracted and comparisons were made between those with initially indeterminate diuresis half-time who underwent pyeloplasty vs those showing spontaneous improvement. A total of 74 patients (82 renal units) with presumed ureteropelvic junction obstruction met inclusion/exclusion criteria. All 10 renal units with initial diuresis half-time less than 5 minutes resolved spontaneously and all 25 renal units with initial diuresis half-time greater than 75 minutes underwent pyeloplasty. Therefore, we defined the indeterminate group as the 47 renal units with initial half-time between 5 and 75 minutes. Of those 47 renal units with indeterminate initial diuresis half-time 23 (47%) underwent pyeloplasty and 25 (53%) resolved spontaneously. Indications for pyeloplasty included worsening in 17 cases, persistent obstruction in 4 and urinary tract infection in 1. Among renal units with indeterminate drainage clearance while upright and clearance at 30 minutes were the only variables that differed significantly between surgical cases and those that resolved spontaneously. Radiotracer clearance with the patient upright and clearance at 30 minutes are more predictive of surgical management than diuresis half-time or differential function for renal units with indeterminate drainage. They should be included in the standard assessment of ureteropelvic junction obstruction. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Updated Eastern Interconnect Wind Power Output and Forecasts for ERGIS: July 2012

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pennock, K.

AWS Truepower, LLC (AWST) was retained by the National Renewable Energy Laboratory (NREL) to update wind resource, plant output, and wind power forecasts originally produced by the Eastern Wind Integration and Transmission Study (EWITS). The new data set was to incorporate AWST's updated 200-m wind speed map, additional tall towers that were not included in the original study, and new turbine power curves. Additionally, a primary objective of this new study was to employ new data synthesis techniques developed for the PJM Renewable Integration Study (PRIS) to eliminate diurnal discontinuities resulting from the assimilation of observations into mesoscale model runs.more » The updated data set covers the same geographic area, 10-minute time resolution, and 2004?2006 study period for the same onshore and offshore (Great Lakes and Atlantic coast) sites as the original EWITS data set.« less

A combination of HARMONIE short time direct normal irradiance forecasts and machine learning: The #hashtdim procedure

NASA Astrophysics Data System (ADS)

Gastón, Martín; Fernández-Peruchena, Carlos; Körnich, Heiner; Landelius, Tomas

2017-06-01

The present work describes the first approach of a new procedure to forecast Direct Normal Irradiance (DNI): the #hashtdim that treats to combine ground information and Numerical Weather Predictions. The system is centered in generate predictions for the very short time. It combines the outputs from the Numerical Weather Prediction Model HARMONIE with an adaptive methodology based on Machine Learning. The DNI predictions are generated with 15-minute and hourly temporal resolutions and presents 3-hourly updates. Each update offers forecasts to the next 12 hours, the first nine hours are generated with 15-minute temporal resolution meanwhile the last three hours present hourly temporal resolution. The system is proved over a Spanish emplacement with BSRN operative station in south of Spain (PSA station). The #hashtdim has been implemented in the framework of the Direct Normal Irradiance Nowcasting methods for optimized operation of concentrating solar technologies (DNICast) project, under the European Union's Seventh Programme for research, technological development and demonstration framework.

25. FOLSOM, CALIFORNIA, 15 MINUTE QUADRANGLE. 1941. Scale 1:62,500. United ...

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

25. FOLSOM, CALIFORNIA, 15 MINUTE QUADRANGLE. 1941. Scale 1:62,500. United States Geological Survey. - Natomas Ditch System, Rhoades' Branch Ditch, Approximately 7 miles between Nesmith Court and White Rock Road, Folsom, Sacramento County, CA

75 FR 346 - State Energy Advisory Board (STEAB)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-05

... advancement, find ways to encourage energy efficiency market transformation, and update members on routine business matters affecting the Board. Public Participation: The meeting is open to the public. Written... empowered to conduct the meeting in a fashion that will facilitate the orderly conduct of business. Minutes...

77 FR 24555 - Sunshine Act Meeting Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-24

... news media following the Board meeting. Status: Open. Agenda Chairman's Welcome. Old Business Approval of minutes of February 16, 2012, Board Meeting New Business 1. Report from President and CEO 2. Financial Update 3. Report of the Finance, Rates, and Portfolio Committee A. Proposed contract with Holtec...

"Big Data Assimilation" for 30-second-update 100-m-mesh Numerical Weather Prediction

NASA Astrophysics Data System (ADS)

Miyoshi, Takemasa; Lien, Guo-Yuan; Kunii, Masaru; Ruiz, Juan; Maejima, Yasumitsu; Otsuka, Shigenori; Kondo, Keiichi; Seko, Hiromu; Satoh, Shinsuke; Ushio, Tomoo; Bessho, Kotaro; Kamide, Kazumi; Tomita, Hirofumi; Nishizawa, Seiya; Yamaura, Tsuyoshi; Ishikawa, Yutaka

2017-04-01

A typical lifetime of a single cumulonimbus is within an hour, and radar observations often show rapid changes in only a 5-minute period. For precise prediction of such rapidly-changing local severe storms, we have developed what we call a "Big Data Assimilation" (BDA) system that performs 30-second-update data assimilation cycles at 100-m grid spacing. The concept shares that of NOAA's Warn-on-Forecast (WoF), in which rapidly-updated high-resolution NWP will play a central role in issuing severe-storm warnings even only minutes in advance. The 100-m resolution and 30-second update frequency are a leap above typical recent research settings, and it was possible by the fortunate combination of Japan's most advanced supercomputing and sensing technologies: the 10-petaflops K computer and the Phased Array Weather Radar (PAWR). The X-band PAWR is capable of a dense three-dimensional volume scan at 100-m range resolution with 100 elevation angles and 300 azimuth angles, up to 60-km range within 30 seconds. The PAWR data show temporally-smooth evolution of convective rainstorms. This gives us a hope that we may assume the Gaussian error distribution in 30-second forecasts before strong nonlinear dynamics distort the error distribution for rapidly-changing convective storms. With this in mind, we apply the Local Ensemble Transform Kalman Filter (LETKF) that considers flow-dependent error covariance explicitly under the Gaussian-error assumption. The flow-dependence would be particularly important in rapidly-changing convective weather. Using a 100-member ensemble at 100-m resolution, we have tested the Big Data Assimilation system in real-world cases of sudden local rainstorms, and obtained promising results. However, the real-time application is a big challenge, and currently it takes 10 minutes for a cycle. We explore approaches to accelerating the computations, such as using single-precision arrays in the model computation and developing an efficient I/O middleware for passing the large data between model and data assimilation as quickly as possible. In this presentation, we will present the most up-to-date progress of our Big Data Assimilation research.

Kerman Photovoltaic Power Plant R&D data collection computer system operations and maintenance

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rosen, P.B.

1994-06-01

The Supervisory Control and Data Acquisition (SCADA) system at the Kerman PV Plant monitors 52 analog, 44 status, 13 control, and 4 accumulator data points in real-time. A Remote Terminal Unit (RTU) polls 7 peripheral data acquisition units that are distributed throughout the plant once every second, and stores all analog, status, and accumulator points that have changed since the last scan. The R&D Computer, which is connected to the SCADA RTU via a RS-232 serial link, polls the RTU once every 5-7 seconds and records any values that have changed since the last scan. A SCADA software package calledmore » RealFlex runs on the R&D computer and stores all updated data values taken from the RTU, along with a time-stamp for each, in a historical real-time database. From this database, averages of all analog data points and snapshots of all status points are generated every 10 minutes and appended to a daily file. These files are downloaded via modem by PVUSA/Davis staff every day, and the data is placed into the PVUSA database.« less

78 FR 30869 - Mid-Atlantic Fishery Management Council (MAFMC); Public Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-23

... April 2013 minutes, receive Organizational Reports, the New England and South Atlantic Liaison Reports... fishery; Illex control date, Amendment 15 update, and the squid port meeting results. The SC/OQ Committee... management measures (see above list for MSB Committee), approve Illex control date, and receive an Amendment...

(Updated) Students, Teachers Share Technology Now Advantages with ATRF Staff | Poster

Cancer.gov

By Carolynne Keenan, Contributing Writer Philip Evich, a senior at Middletown High School, loves talking about literature, even beyond the allotted 90 minutes of his Advanced Placement (AP) Literature class. That’s why he and his classmates embraced the opportunity to blog about books read in the class.

75 FR 51968 - Outer Continental Shelf Air Regulations Consistency Update for Massachusetts

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-24

... comments to: Ida McDonnell, Air Permits, Toxics and Indoor Air Unit, Office of Ecosystem Protection, U.S... INFORMATION CONTACT: Ida E. McDonnell, Air Permits, Toxics and Indoor Air Unit, U.S. Environmental Protection... Continental Shelf Air Regulations Consistency Update for Massachusetts AGENCY: Environmental Protection Agency...

ADAS Update and Maintainability

NASA Technical Reports Server (NTRS)

Watson, Leela R.

2010-01-01

Since 2000, both the National Weather Service Melbourne (NWS MLB) and the Spaceflight Meteorology Group (SMG) have used a local data integration system (LOIS) as part of their forecast and warning operations. The original LOIS was developed by the Applied Meteorology Unit (AMU) in 1998 (Manobianco and Case 1998) and has undergone subsequent improvements. Each has benefited from three-dimensional (3-D) analyses that are delivered to forecasters every 15 minutes across the peninsula of Florida. The intent is to generate products that enhance short-range weather forecasts issued in support of NWS MLB and SMG operational requirements within East Central Florida. The current LDIS uses the Advanced Regional Prediction System (ARPS) Data Analysis System (AD AS) package as its core, which integrates a wide variety of national, regional, and local observational data sets. It assimilates all available real-time data within its domain and is run at a finer spatial and temporal resolution than current national or regional-scale analysis packages. As such, it provides local forecasters with a more comprehensive understanding of evolving fine-scale weather features. Over the years, the LDIS has become problematic to maintain since it depends on AMU-developed shell scripts that were written for an earlier version of the ADAS software. The goals of this task were to update the NWS MLB/SMG LDIS with the latest version of ADAS, incorporate new sources of observational data, and upgrade and modify the AMU-developed shell scripts written to govern the system. In addition, the previously developed ADAS graphical user interface (GUI) was updated. Operationally, these upgrades will result in more accurate depictions of the current local environment to help with short-range weather forecasting applications, while also offering an improved initialization for local versions of the Weather Research and Forecasting (WRF) model used by both groups.

A procedure for rapid issue of red cells for emergency use.

PubMed

Weiskopf, Richard B; Webb, Mary; Stangle, Deena; Klinbergs, Gunter; Toy, Pearl

2005-04-01

A College of American Pathologists Q-Probe revealed that the median turnaround times for emergency requests for red blood cells from the operating room were 30 minutes to release of cells from the blood bank and 34 minutes to delivery to the operating room. These times may not be adequate to permit the red cells to provide sufficiently rapid delivery of oxygen in massively bleeding patients. To improve the time from emergency request for red cells to delivery to the operating room. A new emergency issue program was implemented for only the operating rooms; emergency issue to all other hospital locations remained unchanged. Six units of group O Rh-negative red blood cells (RBCs) are maintained in the blood bank in a separate basket with transfusion forms containing the unit numbers and expiration dates and a bag with one blood tubing segment from each unit. The times to issue and to delivery to the operating room suite were compared with time to issue of 2 group O Rh-negative RBCs for other hospital locations using the older system during the same time period and with the time to issue of 2 units to all other hospital locations during the preceding 2 years. A university hospital. Time between emergency request for red cells and delivery to the operating room. The time between blood bank notification and arrival in the operating room of the 6 units of RBCs was significantly shorter than the time required to just issue (not including delivery time) 2 units of RBCs to other hospital locations. With the new procedure, 82% of units issued reached the operating room within 2 minutes of request, 91% arrived within 3 minutes, and 100% arrived within 4 minutes. These percentages are significantly higher than those for only issue of blood (without delivery) using the older issuing procedure for all hospital locations during the previous 2 years (37%, 49%, and 66%, respectively; P = .007, .009, and .02, respectively) and for other locations during the same 7-month period (29%, 46%, and 73%, respectively; P = .004, .01, and .09, respectively). Time (mean [95% confidence interval]) from blood bank notification to delivery of RBCs to the operating room suite (2.1 [1.6-2.6] minutes, of which approximately 50-60 seconds is attributable to delivery time) was less than issue times (not including delivery times) using the older issuing procedure for other hospital locations during the same period (4.1 [3.1-5.0] minutes; P = .007). An emergency issue procedure can be used to issue several units of RBCs within 1 minute and have them delivered to the operating room within 2 minutes while maintaining sufficient controls and providing required information to satisfy patient and blood bank requirements.

78 FR 69125 - Renewal of Approved Information Collection

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-18

....70). Certification of continuing 1 2 hours 2 hours. development (43 CFR 3137.71). Productivity for a... hours. Notification of productivity (43 CFR 1 30 minutes 30 minutes. 3137.88). Notification of productivity for non- 1 30 minutes 30 minutes. unit well (43 CFR 3137.91). Production information (43 CFR 1 1...

LANGUAGE LABS--AN UPDATED REPORT.

ERIC Educational Resources Information Center

1963

REPORTS FROM SEVERAL SCHOOL DISTRICTS ON THE USE OF AND PLANNING OF LANGUAGE LABORATORIES ARE PRESENTED. LABORATORIES SHOULD BE ARRANGED FOR FLEXIBLE USE. THE AVERAGE HIGH SCHOOL STUDENT CAN USE A LAB PROFITABLY FOR 20 TO 25 MINUTES. THERE ARE THREE DIFFERENT TYPES OF LANGUAGE LABORATORIES THAT ARE DESCRIBED. THE SATELLITE LAB IS DIVIDED BY A…

Implementation of a School-Based State Policy to Increase Physical Activity

ERIC Educational Resources Information Center

Evenson, Kelly R.; Ballard, Kymm; Lee, Ginny; Ammerman, Alice

2009-01-01

Background: In 2005, the North Carolina State Board of Education updated the Healthy Active Children Policy to include a requirement that all kindergarten through eighth-grade children receive at least 30 minutes of moderate-to-vigorous physical activity each school day through physical education, recess, and other creative approaches. This study…

75 FR 8916 - Glenn/Colusa County Resource Advisory Committee

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-26

...) Introductions, (2) Approve Minutes, (3) RAC Admin Updates, (4) Public Comment, (5) FY08 and FY09 New Project... National Forest Supervisor's Office, 825 N. Humboldt Ave., Willows, CA 95988. Individuals who wish to speak... . SUPPLEMENTARY INFORMATION: The meeting will be open to the public. Committee discussion is limited to Forest...

75 FR 71465 - National Science Board; Sunshine Act Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-23

... Science Foundation, 4201 Wilson Blvd., Room 1235, Arlington, VA 22230. All visitors must report to the NSF... Session: 9:50 a.m.-11 a.m., Room 1235 Approval of Minutes. PCAST Report: Prepare and Inspire: K-12.... Update on NSF's Response to the STEM Innovators Report and Other Recent STEM Education Policy...

Energy Cost of Free-Play Activities in 10- to 11-Year-Old Children.

PubMed

Mackintosh, Kelly Alexandra; Ridley, Kate; Stratton, Gareth; Ridgers, Nicola D

2016-06-01

This study sought to ascertain the energy expenditure (EE) associated with different sedentary and physically active free-play activities in primary school-aged children. Twenty-eight children (13 boys; 11.4 ± 0.3 years; 1.45 ± 0.09 m; 20.0 ± 4.7 kg∙m-2) from 1 primary school in Northwest England engaged in 6 activities representative of children's play for 10 minutes (drawing, watching a DVD, playground games and free-choice) and 5 minutes (self-paced walking and jogging), with 5 minutes rest between each activity. Gas exchange variables were measured throughout. Resting energy expenditure was measured during 15 minutes of supine rest. Child (Schofield-predicted) MET values for watching a DVD, self-paced jogging and playing reaction ball were significantly higher for girls (P < .05). Utilizing a field-based protocol to examine children's free-living behaviors, these data contribute to the scarcity of information concerning children's EE during play to update the Compendium of Energy Expenditures for Youth.

Sequence History Update Tool

NASA Technical Reports Server (NTRS)

Khanampompan, Teerapat; Gladden, Roy; Fisher, Forest; DelGuercio, Chris

2008-01-01

The Sequence History Update Tool performs Web-based sequence statistics archiving for Mars Reconnaissance Orbiter (MRO). Using a single UNIX command, the software takes advantage of sequencing conventions to automatically extract the needed statistics from multiple files. This information is then used to populate a PHP database, which is then seamlessly formatted into a dynamic Web page. This tool replaces a previous tedious and error-prone process of manually editing HTML code to construct a Web-based table. Because the tool manages all of the statistics gathering and file delivery to and from multiple data sources spread across multiple servers, there is also a considerable time and effort savings. With the use of The Sequence History Update Tool what previously took minutes is now done in less than 30 seconds, and now provides a more accurate archival record of the sequence commanding for MRO.

Water availability and flood hazards in the John Day Fossil Beds National Monument, Oregon

USGS Publications Warehouse

Frank, Frank J.; Oster, E.A.

1979-01-01

The rock formations of the John Day Fossil Beds National Monument area are aquifers that can be expected to yield less than 10 gallons of water per minute to wells. The most permeable of the geologic units is the alluvium that occurs at low elevations along the John Day River and most of the smaller streams. Wells in the alluvial deposits can be expected to yield adequate water supplies for recreational areas; also, wells completed in the underlying bedrock at depths ranging from 50 to 200 feet could yield as much as 10 gallons per minute. Pumping tests on two unused wells indicated yields of 8 gallons per minute and 2 gallons per minute. Nine of the ten springs measured in and near the monument area in late August of 1978 were flowing 0.2 to 30 gallons per minute. Only the Cant Ranch spring and the Johnny Kirk Spring near the Sheep Rock unit had flows exceeding 6 gallons per minute. Chemical analyses of selected constituents of the ground water indicated generally low concentrations of dissolved minerals. Although cloudbursts in the Painted Hills unit could generate a flood wave on the valley floors, flood danger can be reduced by locating recreational sites on high ground. The campground in Indian Canyon of the Clarno unit is vulnerable to cloudburst flooding. About 80 percent of the proposed campground on the John Day River in the Sheep Rock unit is above the estimated level of 1-percent chance flood (100-year flood) of the river. The 1-percent chance flood would extend about 120 feet from the riverbank into the upstream end of the campground. (USGS).

Editor's Choice - Acute Cardiovascular Care Association Position Paper on Intensive Cardiovascular Care Units: An update on their definition, structure, organisation and function.

PubMed

Bonnefoy-Cudraz, Eric; Bueno, Hector; Casella, Gianni; De Maria, Elia; Fitzsimons, Donna; Halvorsen, Sigrun; Hassager, Christian; Iakobishvili, Zaza; Magdy, Ahmed; Marandi, Toomas; Mimoso, Jorge; Parkhomenko, Alexander; Price, Susana; Rokyta, Richard; Roubille, Francois; Serpytis, Pranas; Shimony, Avi; Stepinska, Janina; Tint, Diana; Trendafilova, Elina; Tubaro, Marco; Vrints, Christiaan; Walker, David; Zahger, Doron; Zima, Endre; Zukermann, Robert; Lettino, Maddalena

2018-02-01

Acute cardiovascular care has progressed considerably since the last position paper was published 10 years ago. It is now a well-defined, complex field with demanding multidisciplinary teamworking. The Acute Cardiovascular Care Association has provided this update of the 2005 position paper on acute cardiovascular care organisation, using a multinational working group. The patient population has changed, and intensive cardiovascular care units now manage a large range of conditions from those simply requiring specialised monitoring, to critical cardiovascular diseases with associated multi-organ failure. To describe better intensive cardiovascular care units case mix, acuity of care has been divided into three levels, and then defining intensive cardiovascular care unit functional organisation. For each level of intensive cardiovascular care unit, this document presents the aims of the units, the recommended management structure, the optimal number of staff, the need for specially trained cardiologists and cardiovascular nurses, the desired equipment and architecture, and the interaction with other departments in the hospital and other intensive cardiovascular care units in the region/area. This update emphasises cardiologist training, referring to the recently updated Acute Cardiovascular Care Association core curriculum on acute cardiovascular care. The training of nurses in acute cardiovascular care is additionally addressed. Intensive cardiovascular care unit expertise is not limited to within the unit's geographical boundaries, extending to different specialties and subspecialties of cardiology and other specialties in order to optimally manage the wide scope of acute cardiovascular conditions in frequently highly complex patients. This position paper therefore addresses the need for the inclusion of acute cardiac care and intensive cardiovascular care units within a hospital network, linking university medical centres, large community hospitals, and smaller hospitals with more limited capabilities.

78 FR 21343 - Sunshine Act Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

... COMMISSION ON CIVIL RIGHTS Sunshine Act Meeting AGENCY: United States Commission on Civil Rights... Update on the Sex Trafficking: A Gender-Based Violation of Civil Rights briefing Update on the Federal Civil Rights Engagement with Arab & Muslim Communities Post 9/11 briefing Update on the Assessing the...

78 FR 6289 - Sunshine Act Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-30

... COMMISSION ON CIVIL RIGHTS Sunshine Act Notice AGENCY: United States Commission on Civil Rights.... Program Planning Update on the Sex Trafficking: A Gender-Based Violation of Civil Rights briefing Update on the Federal Civil Rights Engagement with Arab & Muslim Communities Post 9/11 briefing Update on...

Parents' Experiences Following Children's Moderate to Severe Traumatic Brain Injury: A Clash of Cultures

PubMed Central

Roscigno, Cecelia I.; Swanson, Kristen M.

2012-01-01

Little is understood about parents' experiences following children's moderate to severe traumatic brain injury (TBI). Using descriptive phenomenology we explored common experiences of parents whose children were diagnosed with moderate to severe TBI. Parents from across the United States (N = 42 from 37 families) participated in two semistructured interviews (~ 90 minutes and 12–15 months apart) in the first five years following children's TBI. First interviews were in person. Second interviews, done in person or by phone, facilitated updating parents' experiences and garnering their critique of the descriptive model. Parent themes were: (a) grateful to still have my child; (b) grieving for the child I knew; (c) running on nerves; and (d) grappling to get what your child and family need. Parents reported cultural barriers because of others' misunderstandings. More qualitative inquiry is needed to understand how the knowledge, attitudes, beliefs, and expectations of others (culture) influence parents' interactions and the family's adjustment and well-being. PMID:21613654

75 FR 53643 - Examination Guidelines Update: Developments in the Obviousness Inquiry After KSR v.Teleflex

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-01

...The United States Patent and Trademark Office (USPTO or Office) is issuing an update (2010 KSR Guidelines Update) to its obviousness guidelines for its personnel to be used when applying the law of obviousness under 35 U.S.C. 103. This 2010 KSR Guidelines Update highlights case law developments on obviousness under 35 U.S.C. 103 since the 2007 decision by the United States Supreme Court (Supreme Court) in KSR Int'l Co. v. Teleflex Inc. These guidelines are intended to be used by Office personnel in conjunction with the guidance in the Manual of Patent Examining Procedure when applying the law of obviousness under 35 U.S.C. 103. Members of the public are invited to provide comments on the 2010 KSR Guidelines Update. The Office is especially interested in receiving suggestions of recent decisional law in the field of obviousness that would have particular value as teaching tools.

Completion of the 2006 National Land Cover Database Update for the Conterminous United States

EPA Science Inventory

Under the organization of the Multi-Resolution Land Characteristics (MRLC) Consortium, the National Land Cover Database (NLCD) has been updated to characterize both land cover and land cover change from 2001 to 2006. An updated version of NLCD 2001 (Version 2.0) is also provided....

76 FR 5825 - U.S.-Korea Free Trade Agreement: Passenger Vehicle Sector Update

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-02

...: Passenger Vehicle Sector Update AGENCY: United States International Trade Commission. ACTION: Institution of...) instituted investigation No. 332-523, U.S.-Korea Free Trade Agreement: Passenger Vehicle Sector Update. DATES... concluded negotiations to modify the FTA, including certain provisions relating to the passenger vehicle...

Worksite Wellness Media Report Research Update 1988. Worksite Wellness Series.

ERIC Educational Resources Information Center

Behrens, Ruth; Weiss, Joanne

This report is the 15th in a series of updates on worksite health promotion activities in the United States. The first section summarizes the results of three recent surveys: a study of the extent of worksite wellness activities in the United States (funded by the Office of Disease Prevention and Health Promotion); a 1986 Harris poll of Americans…

Public Diplomacy - Capturing the Information Terrain on the Way to Victory

DTIC Science & Technology

2002-04-01

John Pilger was released in the US entitled: �Paying the Price�The Killing of the Children of Iraq.� This 11 90-minute documentary covered the...engagement have not been updated since the days of the Cold War.4 Often times, this handcuffs engagement initiatives such as a program for some Middle East

Comparison of NOAA lidar data at 1.5 and 3 meter resolutions, for adequate watershed delineation in Tift County, Georgia, USA

USDA-ARS?s Scientific Manuscript database

The USDA Southeast Watershed Research Laboratory is located in Tifton, Ga, and performs ongoing watershed research for the Tift County area, as well as surrounding counties. Current watershed delineations are based on 1972-1977, 7.5-minute USGS Quadrangle sheets, and require updating. Light Detectio...

19 CFR 10.21 - Updating cost data and other information.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 19 Customs Duties 1 2014-04-01 2014-04-01 false Updating cost data and other information. 10.21... Articles Assembled Abroad with United States Components § 10.21 Updating cost data and other information. When a claim for the exemption is predicated on estimated cost data furnished either in advance of or...

19 CFR 10.21 - Updating cost data and other information.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 19 Customs Duties 1 2013-04-01 2013-04-01 false Updating cost data and other information. 10.21... Articles Assembled Abroad with United States Components § 10.21 Updating cost data and other information. When a claim for the exemption is predicated on estimated cost data furnished either in advance of or...

19 CFR 10.21 - Updating cost data and other information.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 19 Customs Duties 1 2010-04-01 2010-04-01 false Updating cost data and other information. 10.21... Articles Assembled Abroad with United States Components § 10.21 Updating cost data and other information. When a claim for the exemption is predicated on estimated cost data furnished either in advance of or...

19 CFR 10.21 - Updating cost data and other information.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 19 Customs Duties 1 2011-04-01 2011-04-01 false Updating cost data and other information. 10.21... Articles Assembled Abroad with United States Components § 10.21 Updating cost data and other information. When a claim for the exemption is predicated on estimated cost data furnished either in advance of or...

Updated Estimates of the Average Financial Return on Master's Degree Programs in the United States

ERIC Educational Resources Information Center

Gándara, Denisa; Toutkoushian, Robert K.

2017-01-01

In this study, we provide updated estimates of the private and social financial return on enrolling in a master's degree program in the United States. In addition to returns for all fields of study, we show estimated returns to enrolling in master's degree programs in business and education, specifically. We also conduct a sensitivity analysis to…

The materials flow of mercury in the economies of the United States and the world

USGS Publications Warehouse

Sznopek, John L.; Goonan, Thomas G.

2000-01-01

Although natural sources of mercury exist in the environment, measured data and modeling results indicate that the amount of mercury released into the biosphere has increased since the beginning of the industrial age. Mercury is naturally distributed in the air, water, and soil in minute amounts, and can be mobile within and between these media. Because of these properties and the subsequent impacts on human health, mercury was selected for an initial materials flow study, focusing on the United States in 1990. This study was initiated to provide a current domestic and international analysis. As part of an increased emphasis on materials flow, this report researched changes and identified the associated trends in mercury flows; it also updates statistics through 1996. In addition to domestic flows, the report includes an international section, because all primary mercury-producing mines are currently foreign, 86 percent of the mercury cell sector of the worldwide chlor-alkali industry is outside the United States, there is a large international mercury trade (1,395 t 1 in 1996), and environmental regulations are not uniform or similarly enforced from country to country. Environmental concerns have brought about numerous regulations that have dramatically decreased both the use and the production of mercury since the late 1980?s. Our study indicates that this trend is likely to continue into the future, as the world eliminates the large mercury inventories that have been stockpiled to support prior industrial processes and products.

Orion recovery test update on This Week @NASA - August 8, 2014

NASA Image and Video Library

2014-08-08

NASA wrapped up its second Underway Recovery Test Aug. 4 with the Orion spacecraft, off the coast of San Diego, California. The agency teamed with Lockheed Martin, the U.S. Navy and the Department of Defense's Human Space Flight Support Detachment 3 to evaluate primary and alternative methods to recover Orion after the spacecraft safely splashes down in the ocean at the conclusion of future deep space missions. Orion’s first spaceflight test with a splashdown in the Pacific Ocean is targeted for December. Also, Low-Density Supersonic Decelerator update, 2nd anniversary: 7 Minutes of Terror, Bolden visits MMS at Naval Research Lab, Scanning for algal blooms, Earth science showcase, and more!

Mothers as Mediators of Cognitive Development: A Coding Manual. Updated.

ERIC Educational Resources Information Center

Friedman, Sarah L.; Sherman, Tracy L.

Coding systems developed for a study of the way mothers influence the cognitive development of their 2- to 4-year-old children are described in this report. The coding systems were developed for the analysis of data recorded on videotapes of 3 mother-child situations: 8 minutes of interaction starting with a reunion between mother and child, 5…

Vegetation map for the Hakalau Forest Unit of the Big Island National Wildlife Refuge Complex on the island of Hawai‘i

USGS Publications Warehouse

Jacobi, James D.

2017-01-01

This vegetation map was produced to serve as an updated habitat base for management of natural resources of the Hakalau Forest Unit (HFU) of the Big Island National Wildlife Refuge Complex (Refuge) on the island of Hawai‘i. The map is based on a vegetation map originally produced as part of the U.S. Fish and Wildlife Service’s Hawai‘i Forest Bird Survey to depict the distribution, structure, and composition of plant communities on the island of Hawai‘i as they existed in 1977. The current map has been updated to represent current conditions of plant communities in the HFU, based on WorldView 2 imagery taken in 2012 and very-high-resolution imagery collected by Pictometry International from 2010 to 2014. Thirty-one detailed plant communities are identified on this map, and fourteen of these units are found within the boundaries of HFU. Additionally, the mapped units can be displayed as five tree canopy cover units, three moisture zones units, eight dominant tree species units, and four habitat status units by choosing the various fields to group the units from the map attribute table. This updated map will provide a foundation for the refinement and tracking of management actions on the Refuge for the near future, particularly as the habitats in this area are subject to projected climate change.

The use of remote sensing for updating extensive forest inventories

Treesearch

John F. Kelly

1990-01-01

The Forest Inventory and Analysis unit of the USDA Forest Service Southern Forest Experiment Station (SO-FIA) has the research task of devising an inventory updating system that can be used to provide reliable estimates of forest area, volume, growth, and removals at the State level. These updated inventories must be accomplished within current budgetary restraints....

77 FR 71179 - TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-29

... notice provides the updated regional per-diem rates for low-volume mental health providers; the update... beneficiary per-diem cost-share amount for low-volume providers; and, the updated per-diem rates for both full... with high TRICARE volume) and regional-specific rates for psychiatric hospitals and units with low...

Earth Observing System (EOS) Advanced Microwave Sounding Unit-A (AMSU-A): Instrumentation interface control document

NASA Technical Reports Server (NTRS)

1994-01-01

This Interface Control Document (ICD) defines the specific details of the complete accomodation information between the Earth Observing System (EOS) PM Spacecraft and the Advanced Microwave Sounding Unit (AMSU-A)Instrument. This is the first submittal of the ICN: it will be updated periodically throughout the life of the program. The next update is planned prior to Critical Design Review (CDR).

12 CFR 407.6 - Transcripts, recordings and minutes of closed meetings.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Transcripts, recordings and minutes of closed meetings. 407.6 Section 407.6 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES REGULATIONS GOVERNING PUBLIC OBSERVATION OF EX-IM BANK MEETINGS § 407.6 Transcripts, recordings and minutes of closed...

Mile-a-minute weed in the northeast

Treesearch

Larry H. McCormick; C. Fagan Johnson

1998-01-01

Mile-a-minute, Polygonum perfoliatum L., is an introduced weed from eastern Asia that is rapidly colonizing non-crop areas in Pennsylvania and surrounding states. Since its introduction into the United States, in south-central Pennsylvania, in the 1930s, the mile-a-minute weed has spread to other regions of Pennsylvania, Delaware, Maryland, New...

Evaluating the 4-hour and 30-minute rules: effects of room temperature exposure on red blood cell quality and bacterial growth.

PubMed

Ramirez-Arcos, Sandra; Mastronardi, Cherie; Perkins, Heather; Kou, Yuntong; Turner, Tracey; Mastronardi, Emily; Hansen, Adele; Yi, Qi-Long; McLaughlin, Natasha; Kahwash, Eiad; Lin, Yulia; Acker, Jason

2013-04-01

A 30-minute rule was established to limit red blood cell (RBC) exposure to uncontrolled temperatures during storage and transportation. Also, RBC units issued for transfusion should not remain at room temperature (RT) for more than 4 hours (4-hour rule). This study was aimed at determining if single or multiple RT exposures affect RBC quality and/or promote bacterial growth. Growth and RT exposure experiments were performed in RBCs inoculated with Serratia liquefaciens and Serratia marcescens. RBCs were exposed once to RT for 5 hours (S. liquefaciens) or five times to RT for 30 minutes (S. marcescens) with periodic sampling for bacterial counts. Noncontaminated units were exposed to RT once (5 hr) or five times (30 min each) and sampled to measure in vitro quality variables. RBC core temperature was monitored using mock units with temperature loggers. Growth and RT exposure experiments were repeated three and at least six times, respectively. Statistical analysis was done using mixed-model analysis. RBC core temperature ranged from 7.3 to 11.6°C during 30-minute RT exposures and the time to reach 10°C varied from 22 to 55 minutes during 5-hour RT exposures. RBC quality was preserved after single or multiple RT exposures. Increased growth of S. liquefaciens was only observed after 2 hours of continuous RT exposure. S. marcescens concentration increased significantly in multiple-exposed units compared to the controls but did not reach clinically important levels. Single or multiple RT exposures did not affect RBC quality but slightly promoted bacterial growth in contaminated units. The clinical significance of these results remains unclear and needs further investigation. © 2012 American Association of Blood Banks.

Functional Dissociation of Latency-Variable, Stimulus- and Response-Locked Target P3 Sub-components in Task-Switching.

PubMed

Brydges, Christopher R; Barceló, Francisco

2018-01-01

Cognitive control warrants efficient task performance in dynamic and changing environments through adjustments in executive attention, stimulus and response selection. The well-known P300 component of the human event-related potential (ERP) has long been proposed to index "context-updating"-critical for cognitive control-in simple target detection tasks. However, task switching ERP studies have revealed both target P3 (300-350 ms) and later sustained P3-like potentials (400-1,200 ms) to first targets ensuing transition cues, although it remains unclear whether these target P3-like potentials also reflect context updating operations. To address this question, we applied novel single-trial EEG analyses-residue iteration decomposition (RIDE)-in order to disentangle target P3 sub-components in a sample of 22 young adults while they either repeated or switched (updated) task rules. The rationale was to revise the context updating hypothesis of P300 elicitation in the light of new evidence suggesting that "the context" consists of not only the sensory units of stimulation, but also associated motor units, and intermediate low- and high-order sensorimotor units, all of which may need to be dynamically updated on a trial by trial basis. The results showed functionally distinct target P3-like potentials in stimulus-locked, response-locked, and intermediate RIDE component clusters overlying parietal and frontal regions, implying multiple functionally distinct, though temporarily overlapping context updating operations. These findings support a reformulated version of the context updating hypothesis, and reveal a rich family of distinct target P3-like sub-components during the reactive control of target detection in task-switching, plausibly indexing the complex and dynamic workings of frontoparietal cortical networks subserving cognitive control.

Schools Going Solar: A Guide to Schools Enjoying the Power of Solar Energy. Volume 2.

ERIC Educational Resources Information Center

Hitchcock, Susan Tyler

This companion document updates an April 1998 volume on designing schools to use solar energy as a power source. Volume 2 presents numerous case studies of solar installations in new and existing schools across the United States and Europe, updates and presents new examples of solar education programs, and offers an updated resource listing of…

76 FR 12074 - TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-04

... notice provides the updated regional per-diem rates for low-volume mental health providers; the update... beneficiary per-diem cost-share amount for low-volume providers; and, the updated per-diem rates for both full... psychiatric hospitals and units with low TRICARE volume will have their TRICARE rates for Fiscal Year 2011...

77 FR 3750 - U.S. Air Force Academy Board of Visitors Notice of Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-25

... a meeting in Harmon Hall at the United States Air Force Academy in Colorado Springs, Colorado on 10... Academy Athletic Corporation Transition Plan Update; Character Update; Focus Group (Gold Bar Lieutenants...

[Management of pediatric status epilepticus].

PubMed

Vargas L, Carmen Paz; Varela E, Ximena; Kleinsteuber S, Karin; Cortés Z, Rocío; Avaria B, María de Los Ángeles

2016-01-01

Pediatric Status Epilepticus (SE) is an emergency situation with high morbidity and mortality that requires early and aggressive management. The minimum time criterion to define SE was reduced from 30 to 5 minutes, defined as continuous seizure activity or rapidly recurrent seizures without resumption of consciousness for more than 5 minutes. This definition considers that seizures that persist for > 5 minutes are likely to do so for more than 30 min. Those that persist for more than 30 minutes are more difficult to treat. Refractory SE is the condition that extends beyond 60-120 minutes and requires anesthetic management. Super-refractory SE is the state of no response to anesthetic management or relapse during withdrawal of these drugs. The aim of this review is to provide and update on convulsive SE concepts, pathophysiology, etiology, available antiepileptic treatment and propose a rational management scheme. A literature search of articles published between January 1993 and January 2013, focused on pediatric population was performed. The evidence about management in children is limited, mostly corresponds to case series of patients grouped by diagnosis, mainly adults. These publications show treatment alternatives such as immunotherapy, ketogenic diet, surgery and hypothermia. A 35% mortality, 26% of neurological sequelae and 35% of recovery to baseline condition is described on patient’s evolution.

Seismic hazard in the eastern United States

USGS Publications Warehouse

Mueller, Charles; Boyd, Oliver; Petersen, Mark D.; Moschetti, Morgan P.; Rezaeian, Sanaz; Shumway, Allison

2015-01-01

The U.S. Geological Survey seismic hazard maps for the central and eastern United States were updated in 2014. We analyze results and changes for the eastern part of the region. Ratio maps are presented, along with tables of ground motions and deaggregations for selected cities. The Charleston fault model was revised, and a new fault source for Charlevoix was added. Background seismicity sources utilized an updated catalog, revised completeness and recurrence models, and a new adaptive smoothing procedure. Maximum-magnitude models and ground motion models were also updated. Broad, regional hazard reductions of 5%–20% are mostly attributed to new ground motion models with stronger near-source attenuation. The revised Charleston fault geometry redistributes local hazard, and the new Charlevoix source increases hazard in northern New England. Strong increases in mid- to high-frequency hazard at some locations—for example, southern New Hampshire, central Virginia, and eastern Tennessee—are attributed to updated catalogs and/or smoothing.

Seismograms live from around the world

USGS Publications Warehouse

Woodward, Robert L.; Shedlock, Kaye M.; Bolton, Harold F.

1999-01-01

You can view earthquakes as they happen! Seismograms from seismic stations around the world are broadcast live, via the Internet, and are updated every 30 minutes, With an Internet connection and a web browser, you can view current seismograms and earthquake locations on your own computer. With special software also available via the Internet, you can obtain seismic data as it arrives from a global network of seismograph stations.

77 FR 17060 - Announcement of Requirements and Registration for Beat Down Blood Pressure Challenge

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-23

....Challenge.gov and must provide: The title of the Video; A link to the Video on YouTube.com or Vimeo.com (the.... This step ensures that you will receive important challenge updates. 3. Create a video and ensure the... longer than 2 minutes. 4. Confirm that you have read and agreed to the Official Rules. A Contestant will...

Indirect antiglobulin test-crossmatch using low-ionic-strength saline-albumin enhancement medium and reduced incubation time: effectiveness in the detection of most clinically significant antibodies and impact on blood utilization.

PubMed

Dinardo, C L; Bonifácio, S L; Mendrone, A

2014-01-01

Indirect antiglobulin test-crossmatch (IAT-XM) using enhancement media such as low-ionic-strength saline (LISS) and polyethylene glycol (PEG) usually requires 15 minutes of incubation. These methods are necessary when testing samples from blood recipients who have a higher risk of alloimmunization. In emergency situations, IAT-XM can be time-consuming and can influence presurgery routine, resulting in more red blood cell (RBC) units being tested and stored to avoid the transfusion of uncrossmatched ones. The objective of this study was to evaluate the performance of a LISS-albumin enhancer to intensify antigen-antibody reaction after 5 minutes of 37oC incubation and compare this performance with that of other enhancers, gel, and conventional tube testing. Second, the study evaluated the impact of this method's implementation in the C:T ratio (crossmatched to transfused RBC units) of a transfusion laboratory. Ninety serum samples containing alloantibodies of potential clinical significance were tested against phenotyped RBCs using four different methods: (1) tube with LISS-albumin enhancer (5 minutes of incubation), (2) tube with LISS-albumin and PEG (15 minutes of incubation), (3) gel, and (4) conventional tube method (60 minutes of incubation). In parallel, the study compared the C:T ratio of a tertiary-hospital transfusion laboratory in two different periods: 3 months before and 3 months after the implementation of the 5-minute IAT-XM protocol. The use of LISS-albumin with 5 minutes of incubation exhibited the same performance as LISS-albumin, PEG, and gel with 15 minutes of incubation. Conventional tube method results were equally comparable, but reactions were significantly less intense, except for anti-c (p = 0.406). Accuracy was 100 percent for all selected methods. After the implementation of the 5-minute IAT-XM protocol, the C:T ratio fell from 2.74 to 1.29 (p < 0.001). IAT-XM can have its incubation time reduced to 5 minutes with the use of LISS-albumin enhancement. We suggest this strategy should be used to quickly prepare RBC units for surgical patients, keeping transfusion safety without compromising blood supplies.

United States housing, 2012

Treesearch

Delton Alderman

2013-01-01

Provides current and historical information on housing market in the United States. Information includes trends for housing permits and starts, housing completions for single and multifamily units, and sales and construction. This report will be updated annually.

Expanding primary care capacity by reducing waste and improving the efficiency of care.

PubMed

Shipman, Scott A; Sinsky, Christine A

2013-11-01

Most solutions proposed for the looming shortage of primary care physicians entail strategies that fall into one of three categories: train more, lose fewer, or find someone else. A fourth strategy deserves more attention: waste less. This article examines the remarkable inefficiency and waste in primary care today and highlights practices that have addressed these problems. For example, delegating certain administrative tasks such as managing task lists in the electronic health record can give physicians more time to see additional patients. Flow managers who guide physicians from task to task throughout the clinical day have been shown to improve physicians' efficiency and capacity. Even something as simple as placing a printer in every exam room can save each physician twenty minutes per day. Modest but systemwide improvements could yield dramatic gains in physician capacity while potentially reducing physician burnout and its implications for the quality of care. If widely adopted, small efforts to empower nonphysicians, reengineer workflows, exploit technology, and update policies to eliminate wasted effort could yield the capacity for millions of additional patient visits per year in the United States.

Redefining Myocardial Infarction: What Is New In The ESC/ACCF/AHA/WHF Third Universal Definition Of Myocardial Infarction?

PubMed Central

Alam, Mahboob; Virani, Salim S.; Bozkurt, Biykem

2013-01-01

Myocardial infarction (MI) is a major cause of mortality and morbidity worldwide. Each year, an estimated 785,000 persons will have a new MI in the United States alone, and approximately every minute an American will succumb to one.1 In addition, MI has major psychological and legal implications for patients and the society and is an important outcome measure in research studies. The prevalence of MI provides useful data regarding the burden of coronary artery disease and offers insight into health care planning, policy, and resource allocation. The importance of accurately and reproducibly defining MI is therefore self-evident. The Third Universal Definition of Myocardial Infarction (MI) expert consensus document was published in October 2012 by the global Myocardial Infarction Task Force.2 This landmark document was cosponsored by multiple cardiovascular societies and included both updated definitions and a modified classification of MI that have important clinical, epidemiological, and research implications. We hereby present a critical overview of this important document and summarize its key recommendations. PMID:24066201

Redefining myocardial infarction: what is new in the ESC/ACCF/AHA/WHF Third Universal Definition of myocardial infarction?

PubMed

Jneid, Hani; Alam, Mahboob; Virani, Salim S; Bozkurt, Biykem

2013-01-01

Myocardial infarction (MI) is a major cause of mortality and morbidity worldwide. Each year, an estimated 785,000 persons will have a new MI in the United States alone, and approximately every minute an American will succumb to one.1 In addition, MI has major psychological and legal implications for patients and the society and is an important outcome measure in research studies. The prevalence of MI provides useful data regarding the burden of coronary artery disease and offers insight into health care planning, policy, and resource allocation. The importance of accurately and reproducibly defining MI is therefore self-evident. The Third Universal Definition of Myocardial Infarction (MI) expert consensus document was published in October 2012 by the global Myocardial Infarction Task Force.2 This landmark document was cosponsored by multiple cardiovascular societies and included both updated definitions and a modified classification of MI that have important clinical, epidemiological, and research implications. We hereby present a critical overview of this important document and summarize its key recommendations.

Update: cholera--Western Hemisphere, and recommendations for treatment of cholera.

PubMed

1991-08-16

Epidemic cholera appeared in Peru in January 1991 and subsequently spread to Ecuador, Colombia, Chile, Brazil, Mexico, and Guatemala. Cholera can be a severe, life-threatening illness but is highly preventable and easily treated; however, few health-care practitioners in the United States have experience identifying and treating cholera. This report provides an update on cholera in the Western Hemisphere and provides recommendations on the clinical diagnosis and treatment of cholera in the United States.

Optimal Dose and Method of Administration of Intravenous Insulin in the Management of Emergency Hyperkalemia: A Systematic Review.

PubMed

Harel, Ziv; Kamel, Kamel S

2016-01-01

Hyperkalemia is a common electrolyte disorder that can result in fatal cardiac arrhythmias. Despite the importance of insulin as a lifesaving intervention in the treatment of hyperkalemia in an emergency setting, there is no consensus on the dose or the method (bolus or infusion) of its administration. Our aim was to review data in the literature to determine the optimal dose and route of administration of insulin in the management of emergency hyperkalemia. We searched several databases from their date of inception through February 2015 for eligible articles published in any language. We included any study that reported on the use of insulin in the management of hyperkalemia. We identified eleven studies. In seven studies, 10 units of regular insulin was administered (bolus in five studies, infusion in two studies), in one study 12 units of regular insulin was infused over 30 minutes, and in three studies 20 units of regular insulin was infused over 60 minutes. The majority of included studies were biased. There was no statistically significant difference in mean decrease in serum potassium (K+) concentration at 60 minutes between studies in which insulin was administered as an infusion of 20 units over 60 minutes and studies in which 10 units of insulin was administered as a bolus (0.79±0.25 mmol/L versus 0.78±0.25 mmol/L, P = 0.98) or studies in which 10 units of insulin was administered as an infusion (0.79±0.25 mmol/L versus 0.39±0.09 mmol/L, P = 0.1). Almost one fifth of the study population experienced an episode of hypoglycemia. The limited data available in the literature shows no statistically significant difference between the different regimens of insulin used to acutely lower serum K+ concentration. Accordingly, 10 units of short acting insulin given intravenously may be used in cases of hyperkalemia. Alternatively, 20 units of short acting insulin may be given as a continuous intravenous infusion over 60 minutes in patients with severe hyperkalemia (i.e., serum K+ concentration > 6.5 mmol/L) and those with marked EKG changes related to hyperkalemia (e.g., prolonged PR interval, wide QRS complex) as an alternative to 10 units of short acting insulin. Because the risk of hypoglycemia is increased with using large insulin doses, sufficient glucose (60 grams with the administration of 20 units of insulin and 50 grams with the administration of 10 units) should be given to prevent hypoglycemia, and plasma glucose should be frequently monitored.

Earthquakes in the Central United States, 1699-2010

USGS Publications Warehouse

Dart, Richard L.; Volpi, Christina M.

2010-01-01

This publication is an update of an earlier report, U.S. Geological Survey (USGS) Geologic Investigation I-2812 by Wheeler and others (2003), titled ?Earthquakes in the Central United States-1699-2002.? Like the original poster, the center of the updated poster is a map showing the pattern of earthquake locations in the most seismically active part of the central United States. Arrayed around the map are short explanatory texts and graphics, which describe the distribution of historical earthquakes and the effects of the most notable of them. The updated poster contains additional, post 2002, earthquake data. These are 38 earthquakes covering the time interval from January 2003 to June 2010, including the Mount Carmel, Illinois, earthquake of 2008. The USGS Preliminary Determination of Epicenters (PDE) was the source of these additional data. Like the I-2812 poster, this poster was prepared for a nontechnical audience and designed to inform the general public as to the widespread occurrence of felt and damaging earthquakes in the Central United States. Accordingly, the poster should not be used to assess earthquake hazard in small areas or at individual locations.

40 CFR 60.56b - Standards for air curtain incinerators.

Code of Federal Regulations, 2010 CFR

2010-07-01

... fuel feed stream composed of 100 percent yard waste and no other municipal solid waste materials shall...-minute average) is permitted during startup periods during the first 30 minutes of operation of the unit...

SCB thermite igniter studies

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bickes, R.W. Jr.; Wackerbarth, D.E.; Mohler, J.H.

1996-12-31

The authors report on recent studies comparing the ignition threshold of temperature cycled, SCB thermite devices with units that were not submitted to temperature cycling. Aluminum/copper-oxide thermite was pressed into units at two densities, 45% of theoretical maximum density (TMD) or 47% of TMD. Half of each of the density sets underwent three thermal cycles; each cycle consisted of 2 hours at 74 C and 2 hours at {minus}54 C, with a 5 minute maximum transfer time between temperatures. The temperature cycled units were brought to ambient temperature before the threshold testing. Both the density and the thermal cycling affectedmore » the all-fire voltage. Using a 5.34 {micro}F CDU (capacitor discharge unit) firing set, the all-fire voltage for the units that were not temperature cycled increased with density from 32.99 V (45% TMD) to 39.32 V (47% TMD). The all-fire voltages for the thermally cycled units were 34.42 V (45% TMD) and 58.1 V (47% TMD). They also report on no-fire levels at ambient temperature for two component designs; the 5 minute no-fire levels were greater than 1.2 A. Units were also subjected to tests in which 1 W of RF power was injected into the bridges at 10 MHz for 5 minutes. The units survived and fired normally afterwards. Finally, units were subjected to pin-to-pin electrostatic discharge (ESD) tests. None of the units fired upon application of the ESD pulse, and all of the tested units fired normally afterwards.« less

76 FR 52650 - Federal Energy Regulatory Commission Combined Notice of Filings #1

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-23

... Depreciation Rate Update) to be effective 1/1/2012. Filed Date: 08/11/2011. Accession Number: 20110811-5114...)(iii: JEA Scherer Unit 4 TSA Amendment Filing (SEGCO Depreciation Rate Update) to be effective 1/1/2012...

DOE Office of Scientific and Technical Information (OSTI.GOV)

Singer, Brett C.; Less, Brennan D.; Delp, William W.

To inform efforts to improve combustion appliance testing in residential energy efficiency programs, we studied the frequency of coincident fan use and depressurization-induced downdrafting and spillage from atmospherically vented (i.e., natural draft) wall furnaces in airtight apartments. Indoor environmental conditions, heating appliance operation, use of exhaust fans, and cooking with stovetop or oven were monitored for approximately three weeks each in 16 apartment units in two buildings in Northern California. Apartments also were assessed using standard combustion appliance safety test methods and enhanced protocols. Monitoring occurred in February and March of 2016, with heating demand corresponding to 7.3 ± 0.5more » heating degree-days at a 65ºF reference temperature. Most of the furnaces spilled combustion products when the apartments were depressurized in the “worst-case” challenge condition of all exhaust fans operating at their highest settings and all windows closed. Many also spilled under less challenging conditions (e.g., with kitchen exhaust fan on low and bathroom fan operating). On average, bathroom exhaust fans were operated 3.9% of monitored minutes (13.5% max), and cooking (burner or kitchen fan operation) occurred 4.6% of minutes (max 13.3%). Event lengths averaged 17 minutes (max 540) and 34 minutes (max 324), respectively. Their coincident operation averaged 0.34% of minutes (max 2.0%), with average event length of 13 minutes (max 92 minutes). This suggests that the operation of apartment units at or near the currently used worst-case challenge condition is quite rare. Wall furnace burners operated an average of 2.8% of minutes (max of 8.9%), with average burner cycle length of 14 minutes (max 162). Coincident bath fan use, cooking and wall furnace operation was very rare, occurring only a handful of times across all apartments. The highest rate was 0.075% of monitored minutes in one apartment, and the longest event length was 12 minutes. Exhaust fan operation in this study may have been more frequent than typical as participants were asked to use an exhaust fan whenever cooking or bathing. Consistent with the low levels of coincident operation, unambiguous spillage occurred in only 4 apartments and the longest event was 5 minutes. The frequency of partial spillage is unknown, owing to a lack of a clear signal from monitored parameters. Downdrafting during exhaust fan use occurred in all 13 of the apartments with relevant data, and 9 of these units had 10 or more events. Exhaust fans also sometimes led to weakened draft, even if downdrafting did not occur. Each unambiguous spillage event identified in the study was immediately preceded by downdrafting. The observed occurrence of downdrafting and spillage may have been impacted in those apartments with the most severe drafting problems (i.e., appliances spilled combustion pollutants under ‘natural’ test conditions), because occupants in these units were instructed to open windows whenever using the kitchen exhaust fan.« less

Discovery of a Detached, Eclipsing 40 Minute Period Double White Dwarf Binary and a Friend: Implications for He+CO White Dwarf Mergers

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brown, Warren R.; Kilic, Mukremin; Kosakowski, Alekzander

We report the discovery of two detached double white dwarf (WD) binaries, SDSS J082239.546+304857.19 and SDSS J104336.275+055149.90, with orbital periods of 40 and 46 minutes, respectively. The 40 minute system is eclipsing; it is composed of a 0.30 M {sub ⊙} and a 0.52 M {sub ⊙} WD. The 46 minute system is a likely LISA verification binary. The short 20 ± 2 Myr and ∼34 Myr gravitational-wave merger times of the two binaries imply that many more such systems have formed and merged over the age of the Milky Way. We update the estimated Milky Way He+CO WD binarymore » merger rate and affirm our previously published result: He+CO WD binaries merge at a rate at least 40 times greater than the formation rate of stable mass-transfer AM CVn binaries, and so the majority must have unstable mass-transfer. The implication is that spin–orbit coupling in He+CO WD mergers is weak, or perhaps nova-like outbursts drive He+CO WDs into merger, as proposed by Shen.« less

A SWOT Analysis of the Updated National HIV/AIDS Strategy for the U.S., 2015-2020.

PubMed

Holtgrave, David R; Greenwald, Robert

2016-01-01

In July 2015, President Barack Obama released an updated National HIV/AIDS Strategy (NHAS) for the United States to guide HIV efforts through the year 2020. A federal action plan to accompany the updated NHAS will be released in December 2015. In this editorial, we offer a strengths, weaknesses, opportunities and threats analysis with the aim of increasing discussion of ways to truly fulfill the promise of the updated NHAS and to address barriers that may thwart it from achieving its full potential.

Update: Influenza Activity in the United States During the 2016-17 Season and Composition of the 2017-18 Influenza Vaccine.

PubMed

Blanton, Lenee; Alabi, Noreen; Mustaquim, Desiree; Taylor, Calli; Kniss, Krista; Kramer, Natalie; Budd, Alicia; Garg, Shikha; Cummings, Charisse N; Chung, Jessie; Flannery, Brendan; Fry, Alicia M; Sessions, Wendy; Garten, Rebecca; Xu, Xiyan; Elal, Anwar Isa Abd; Gubareva, Larisa; Barnes, John; Dugan, Vivien; Wentworth, David E; Burns, Erin; Katz, Jacqueline; Jernigan, Daniel; Brammer, Lynnette

2017-06-30

During the 2016-17 influenza season (October 2, 2016-May 20, 2017) in the United States, influenza activity* was moderate. Activity remained low through November, increased during December, and peaked in February nationally, although there were regional differences in the timing of influenza activity. Influenza A(H3N2) viruses predominated through mid-March and were predominant overall for the season, but influenza B viruses were most commonly reported from late March through May. This report summarizes influenza activity in the United States during October 2, 2016-May 20, 2017 † and updates the previous summary (1).

New Method for Updating Mean Time Between Failure for ISS Orbital Replaceable Units Consultation Report

NASA Technical Reports Server (NTRS)

Parsons, Vickie S.

2009-01-01

A request to conduct a peer review of the International Space Station (ISS) proposal to use Bayesian methodology for updating Mean Time Between Failure (MTBF) for ISS Orbital Replaceable Units (ORU) was submitted to the NASA Engineering and Safety Center (NESC) on September 20, 2005. The results were requested by October 20, 2005 in order to be available during the process of reworking the current ISS flight manifest. The results are included in this report.

Updates of ARI Databases for Tracking Army and College Fund (ACF), Montgomery GI Bill (MGIB) Usage for 2012-2013, and Post-9/11 GI Bill Benefit Usage for 2015

DTIC Science & Technology

2017-01-02

Research Note 2017-03 Updates of ARI Databases for Tracking Army and College Fund (ACF), Montgomery GI Bill (MGIB) Usage for 2012-2013...and Post-9/11 GI Bill Benefit Usage for 2015 Winnie Young Human Resources Research Organization Personnel...Assessment Research Unit Tonia Heffner, Chief January 2017 United States Army Research Institute for the Behavioral and Social Sciences

Update: Influenza Activity - United States, October 2, 2016-February 4, 2017.

PubMed

Blanton, Lenee; Mustaquim, Desiree; Alabi, Noreen; Kniss, Krista; Kramer, Natalie; Budd, Alicia; Garg, Shikha; Cummings, Charisse N; Fry, Alicia M; Bresee, Joseph; Sessions, Wendy; Garten, Rebecca; Xu, Xiyan; Elal, Anwar Isa Abd; Gubareva, Larisa; Barnes, John; Wentworth, David E; Burns, Erin; Katz, Jacqueline; Jernigan, Daniel; Brammer, Lynnette

2017-02-17

This report summarizes U.S. influenza activity* during October 2, 2016-February 4, 2017, † and updates the previous summary (1). Influenza activity in the United States began to increase in mid-December, remained elevated through February 4, 2017, and is expected to continue for several more weeks. To date, influenza A (H3N2) viruses have predominated overall, but influenza A (H1N1)pdm09 and influenza B viruses have also been identified.

[How do Norwegian dermatologists keep themselves professionally updated?].

PubMed

Gjersvik, P J; Nylenna, M; Aasland, O G

2001-12-10

We have explored continuing medical education among Norwegian dermatologists, especially their use of medical journals and the Internet. In April 2001, a questionnaire was sent to 170 dermatologists, including junior doctors in specialist training. 129 questionnaires (76%) were returned, of which 16 were excluded from the analysis. Mean time used per week reading articles in medical journals was 149 minutes (95% confidence interval (CI) 129-168 minutes). 90% of the respondents had Internet access at work and/or at home. Hospital consultants used the Internet for medical purposes for significantly more time per week than doctors in private practice (146 minutes (CI 98-195 minutes) versus 72 minutes (CI 52-93 minutes)). More hospital doctors had difficulties in getting or taking time off to attend courses and congresses (p < 0.01) and with financial costs (p < 0.001) than those in private practice. Most dermatologists found the paper version of journals (88%) and courses and congresses (79%) to be important for their continuing medical education, while fewer found medical databases on the Internet (57%) and the Internet version of journals (35%) to be so. In a logistic regression model, fewer private practitioners than hospital doctors (p = 0.011) and more female than male doctors (p = 0.014) had a feeling of insufficiency in regard to the increasing amount of medical information. The Internet has become part of the professional life of most Norwegian dermatologists, but has so far not replaced traditional forms of continuing medical education.

Predictive spatial modeling of narcotic crop growth patterns

USGS Publications Warehouse

Waltz, Frederick A.; Moore, D.G.

1986-01-01

Spatial models for predicting the geographic distribution of marijuana crops have been developed and are being evaluated for use in law enforcement programs. The models are based on growing condition preferences and on psychological inferences regarding grower behavior. Experiences of local law officials were used to derive the initial model, which was updated and improved as data from crop finds were archived and statistically analyzed. The predictive models are changed as crop locations are moved in response to the pressures of law enforcement. The models use spatial data in a raster geographic information system. The spatial data are derived from the U.S. Geological Survey's US GeoData, standard 7.5-minute topographic quadrangle maps, interpretations of aerial photographs, and thematic maps. Updating of cultural patterns, canopy closure, and other dynamic features is conducted through interpretation of aerial photographs registered to the 7.5-minute quadrangle base. The model is used to numerically weight various data layers that have been processed using spread functions, edge definition, and categorization. The building of the spatial data base, model development, model application, product generation, and use are collectively referred to as the Area Reduction Program (ARP). The goal of ARP is to provide law enforcement officials with tactical maps that show the most likely locations for narcotic crops.

Guideline on terminology and definitions of updating clinical guidelines: The Updating Glossary.

PubMed

Martínez García, Laura; Pardo-Hernández, Hector; Sanabria, Andrea Juliana; Alonso-Coello, Pablo; Penman, Katrina; McFarlane, Emma

2018-03-01

The Guidelines International Network (G-I-N) Updating Guidelines Working Group launched an initiative to develop a glossary (the Updating Glossary) with domains, terms, definitions, and synonyms related to updating of clinical guidelines (CGs). The steering committee developed an initial list of domains, terms, definitions, and synonyms through brainstorming and discussion. The panel members participated in three rounds of feedback to discuss, refine, and clarify the proposed terms, definitions, and synonyms. Finally, the panel members were surveyed to assess their level of agreement regarding the glossary. Eighteen terms were identified and defined: (1) continuous updating, (2) decision to update, (3) fixed updating, (4) full updating, (5) impact of the new evidence, (6) partial updating, (7) prioritization process, (8) reporting process, (9) signal for an update, (10) surveillance process, (11) time of validity, (12) timeframe, (13) tools and resources, (14) up to date, (15) update cycle, (16) update unit, (17) updated version, and (18) updating strategy. Consensus was reached for all terms, definitions, and synonyms (median agreement scores ≥ 6); except for one term. The G-I-N Updating Guidelines Working Group assembled the Updating Glossary to facilitate and improve the knowledge exchange among CGs developers, researchers, and users. Copyright © 2017 Elsevier Inc. All rights reserved.

Use of indexing to update United States annual timber harvest by state

Treesearch

James Howard; Enrique Quevedo; Andrew Kramp

2009-01-01

This report provides an index method that can be used to update recent estimates of timber harvest by state to a common current year and to make 5-year projections. The Forest Service Forest Inventory and Analysis (FIA) program makes estimates of harvest for each state in differing years. The purpose of this updating method is to bring each state-level estimate up to a...

Surface Disinfectants for Burn Units Evaluated by a New Double Method, Using Microorganisms Recently Isolated From Patients, on a Surface Germ-Carrier Model.

PubMed

Herruzo, Rafael; Vizcaino, Maria Jose; Herruzo, Irene; Sanchez, Manuel

Assessment methods of surface disinfection based on international standards (Environmental Protection Agency, European Norms, etc) do not correspond to hospital reality. New evaluation methods of surfaces disinfection are proposed to choose the most suitable disinfectant to act against clinically relevant microorganisms detected on the surfaces of burn units. 1) "Immediate effect": 6 products were compared using a glass germ-carrier and 20 recently isolated microorganisms from different patients in the intensive care units. Disinfectants were applied with microfiber cloths. Log10 reductions were calculated for colony forming units produced after 15 minutes of disinfectant application. 2) "Residual effect": the glass germ-carriers were previously impregnated with one of the studied disinfectants. After a 30-minute wait period, they were then contaminated with 1 microorganism (from the 20 above-mentioned). After 15 minutes, the disinfectant was inhibited and the log10 reduction of colony forming units was assessed. The immediate effect (disinfection and microorganism dragging and transferring from the surface to the cloth) produced complete elimination of the inoculums for all products used except one (a diluted quaternary ammonium). The average residual effect found on the 20 microorganisms was moderate: 2 to 3 log10 colony forming unit reduction with chlorine dioxide or 0.5% chlorhexidine (and lower with the other products), obtaining surfaces refractory to recontamination, at least, during 30 minutes. Two tests should be performed before advising surface disinfectant: 1) direct effect and 2) residual efficacy. These characteristics should be considered when a new surface disinfectant is chosen. Chlorine dioxide has a similar or better direct effect than sodium hypochlorite and a similar residual effect than chlorhexidine.

Functional Dissociation of Latency-Variable, Stimulus- and Response-Locked Target P3 Sub-components in Task-Switching

PubMed Central

Brydges, Christopher R.; Barceló, Francisco

2018-01-01

Cognitive control warrants efficient task performance in dynamic and changing environments through adjustments in executive attention, stimulus and response selection. The well-known P300 component of the human event-related potential (ERP) has long been proposed to index “context-updating”—critical for cognitive control—in simple target detection tasks. However, task switching ERP studies have revealed both target P3 (300–350 ms) and later sustained P3-like potentials (400–1,200 ms) to first targets ensuing transition cues, although it remains unclear whether these target P3-like potentials also reflect context updating operations. To address this question, we applied novel single-trial EEG analyses—residue iteration decomposition (RIDE)—in order to disentangle target P3 sub-components in a sample of 22 young adults while they either repeated or switched (updated) task rules. The rationale was to revise the context updating hypothesis of P300 elicitation in the light of new evidence suggesting that “the context” consists of not only the sensory units of stimulation, but also associated motor units, and intermediate low- and high-order sensorimotor units, all of which may need to be dynamically updated on a trial by trial basis. The results showed functionally distinct target P3-like potentials in stimulus-locked, response-locked, and intermediate RIDE component clusters overlying parietal and frontal regions, implying multiple functionally distinct, though temporarily overlapping context updating operations. These findings support a reformulated version of the context updating hypothesis, and reveal a rich family of distinct target P3-like sub-components during the reactive control of target detection in task-switching, plausibly indexing the complex and dynamic workings of frontoparietal cortical networks subserving cognitive control. PMID:29515383

United States housing, first quarter 2013

Treesearch

Delton Alderman

2014-01-01

Provides current and historical information on housing market in the United States. Information includes trends for housing permits and starts, housing under construction, and housing completions for single and multifamily units, and sales and construction. This report will be updated regularly.

The first meeting of the Advisory Committee on the Future of the US Space Program (C-FUSSP)

NASA Technical Reports Server (NTRS)

1990-01-01

These are minutes of the Advisory Committee on the Future of the U.S. Space Program (C-FUSSP). From September 13-15, 1990, presentations were made by the major leaders at NASA as well as industry leaders. The presentations draw on previous studies of the future of NASA space programs. Allowance was made for plenty of questions. The minutes reflect the views of governmental units such as the National Space Council, the NASA Administrators Office, Office of Space Science and Applications, Office of Space Flight, Office of Space Operations, Office of Aeronautics, Exploration, and Technology as well as other pertinent units and outside organizations. Members of the committee are listed at the conclusion of the minutes.

75 FR 3443 - Sunshine Act Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-21

... COMMISSION ON CIVIL RIGHTS Sunshine Act Notice AGENCY: United States Commission on Civil Rights... Recommendations for The Impact of Illegal Immigration on the Wages and Employment Opportunities of Black Workers Report. Update on Status of Title IX Project. Update on Status of 2010 Enforcement Report. III. State...

75 FR 17898 - Sunshine Act Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-08

... COMMISSION ON CIVIL RIGHTS Sunshine Act Notice AGENCY: United States Commission on Civil Rights... Discussion of Staff Level Meeting with EEOC re: its Compliance with Request for Documents Related to Civil...: Diversity Discussion of Timetable for Briefing Reports Update on National Civil Rights Conference Update on...

75 FR 70124 - Product List Update

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-17

...- 2) The Strategic Bilateral Agreement Between United States Postal Service and Koninklijke TNT Post BV and TNT Postl pakketservice Benelux BV, collectively ``TNT Post'' and China Post Group-United...

Seismic source characterization for the 2014 update of the U.S. National Seismic Hazard Model

USGS Publications Warehouse

Moschetti, Morgan P.; Powers, Peter; Petersen, Mark D.; Boyd, Oliver; Chen, Rui; Field, Edward H.; Frankel, Arthur; Haller, Kathleen; Harmsen, Stephen; Mueller, Charles S.; Wheeler, Russell; Zeng, Yuehua

2015-01-01

We present the updated seismic source characterization (SSC) for the 2014 update of the National Seismic Hazard Model (NSHM) for the conterminous United States. Construction of the seismic source models employs the methodology that was developed for the 1996 NSHM but includes new and updated data, data types, source models, and source parameters that reflect the current state of knowledge of earthquake occurrence and state of practice for seismic hazard analyses. We review the SSC parameterization and describe the methods used to estimate earthquake rates, magnitudes, locations, and geometries for all seismic source models, with an emphasis on new source model components. We highlight the effects that two new model components—incorporation of slip rates from combined geodetic-geologic inversions and the incorporation of adaptively smoothed seismicity models—have on probabilistic ground motions, because these sources span multiple regions of the conterminous United States and provide important additional epistemic uncertainty for the 2014 NSHM.

Evolution of MPCV Service Module Propulsion and GNC Interface Requirements

NASA Technical Reports Server (NTRS)

Hickman, Heather K.; Dickens, Kevin W.; Madsen, Jennifer M.; Gutkowski, Jeffrey P.; Ierardo, Nicola; Jaeger, Markus; Lux, Johannes; Freundenberger, John L.; Paisley, Jonathan

2014-01-01

The Orion Multi-Purpose Crew Vehicle Service Module Propulsion Subsystem provides propulsion for the integrated Crew and Service Module. Updates in the exploration architecture between Constellation and MPCV as well as NASA's partnership with the European Space Agency have resulted in design changes to the SM Propulsion Subsystem and updates to the Propulsion interface requirements with Guidance Navigation and Control. This paper focuses on the Propulsion and GNC interface requirement updates between the Constellation Service Module and the European Service Module and how the requirement updates were driven or supported by architecture updates and the desired use of hardware with heritage to United States and European spacecraft for the Exploration Missions, EM-1 and EM-2.

77 FR 75377 - Product List Update

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-20

... Bilateral Agreement Between United States Postal Service and Koninklijke TNT Post BV and TNT Postl pakketservice Benelux BV, collectively ``TNT Post'' and China Post Group-United States Postal Service Letter...

76 FR 1357 - Product List Update

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-10

... Bilateral Agreement Between United States Postal Service and Koninklijke TNT Post BV and TNT Postl pakketservice Benelux BV, collectively ``TNT Post'' and China Post Group--United States Postal Service Letter...

Flu Symptoms & Complications

MedlinePlus

... Travelers Flu Activity & Surveillance CDC's WHO Collaborating Center Situation Update: Summary of Weekly FluView Overview of Influenza Surveillance in the United States Current United States Flu Activity Map Weekly U.S. Influenza ...

Testing the Feasibility of Skype and FaceTime Updates With Parents in the Neonatal Intensive Care Unit.

PubMed

Epstein, Elizabeth Gingell; Sherman, Jessica; Blackman, Amy; Sinkin, Robert A

2015-07-01

Effective provider-parent relationships are essential during critical illness when treatment decisions are complex, the environment is crowded and unfamiliar, and outcomes are uncertain. To evaluate the feasibility of daily Skype or FaceTime updates with parents of patients in the neonatal intensive care unit (NICU) and to assess the intervention's potential for improving parent-provider relationships. A pre/post mixed-methods approach was used. NICU parent participants received daily Skype or FaceTime updates for 5 days and completed demographic and feasibility surveys. Parents also completed Penticuff's Parents' Understanding survey before and after the intervention. Nurses and physicians completed feasibility surveys after each update. Twenty-six parents were enrolled and 15 completed the study. More than 90% of providers and parents perceived the intervention to be reliable and easy to use, and about 80% of parents and providers rated video and audio quality as either excellent or good. Frozen screens and missed updates due to scheduling problems were challenges. Two of the 4 subscores on the Parents' Understanding survey improved significantly. Qualitative data favor the intervention as meaningful for parents. Real-time videoconferencing via Skype or FaceTime is feasible for providing updates for parents when they cannot be present in the NICU and can be used to include parents in bedside rounds. Videoconferencing updates may improve relationships between parents and the health care team. ©2015 American Association of Critical-Care Nurses.

FPGA Implementation of Generalized Hebbian Algorithm for Texture Classification

PubMed Central

Lin, Shiow-Jyu; Hwang, Wen-Jyi; Lee, Wei-Hao

2012-01-01

This paper presents a novel hardware architecture for principal component analysis. The architecture is based on the Generalized Hebbian Algorithm (GHA) because of its simplicity and effectiveness. The architecture is separated into three portions: the weight vector updating unit, the principal computation unit and the memory unit. In the weight vector updating unit, the computation of different synaptic weight vectors shares the same circuit for reducing the area costs. To show the effectiveness of the circuit, a texture classification system based on the proposed architecture is physically implemented by Field Programmable Gate Array (FPGA). It is embedded in a System-On-Programmable-Chip (SOPC) platform for performance measurement. Experimental results show that the proposed architecture is an efficient design for attaining both high speed performance and low area costs. PMID:22778640

Optimal Dose and Method of Administration of Intravenous Insulin in the Management of Emergency Hyperkalemia: A Systematic Review

PubMed Central

Harel, Ziv; Kamel, Kamel S.

2016-01-01

Background and Objectives Hyperkalemia is a common electrolyte disorder that can result in fatal cardiac arrhythmias. Despite the importance of insulin as a lifesaving intervention in the treatment of hyperkalemia in an emergency setting, there is no consensus on the dose or the method (bolus or infusion) of its administration. Our aim was to review data in the literature to determine the optimal dose and route of administration of insulin in the management of emergency hyperkalemia. Design, Setting, Participants, & Measurements We searched several databases from their date of inception through February 2015 for eligible articles published in any language. We included any study that reported on the use of insulin in the management of hyperkalemia. Results We identified eleven studies. In seven studies, 10 units of regular insulin was administered (bolus in five studies, infusion in two studies), in one study 12 units of regular insulin was infused over 30 minutes, and in three studies 20 units of regular insulin was infused over 60 minutes. The majority of included studies were biased. There was no statistically significant difference in mean decrease in serum potassium (K+) concentration at 60 minutes between studies in which insulin was administered as an infusion of 20 units over 60 minutes and studies in which 10 units of insulin was administered as a bolus (0.79±0.25 mmol/L versus 0.78±0.25 mmol/L, P = 0.98) or studies in which 10 units of insulin was administered as an infusion (0.79±0.25 mmol/L versus 0.39±0.09 mmol/L, P = 0.1). Almost one fifth of the study population experienced an episode of hypoglycemia. Conclusion The limited data available in the literature shows no statistically significant difference between the different regimens of insulin used to acutely lower serum K+ concentration. Accordingly, 10 units of short acting insulin given intravenously may be used in cases of hyperkalemia. Alternatively, 20 units of short acting insulin may be given as a continuous intravenous infusion over 60 minutes in patients with severe hyperkalemia (i.e., serum K+ concentration > 6.5 mmol/L) and those with marked EKG changes related to hyperkalemia (e.g., prolonged PR interval, wide QRS complex) as an alternative to 10 units of short acting insulin. Because the risk of hypoglycemia is increased with using large insulin doses, sufficient glucose (60 grams with the administration of 20 units of insulin and 50 grams with the administration of 10 units) should be given to prevent hypoglycemia, and plasma glucose should be frequently monitored. PMID:27148740

Case Report: Improved Homonymous Hemianopia with Hyperbaric Oxygen Therapy

DTIC Science & Technology

2017-06-29

given. At that time, we will need the date (month, day and year) along with the location of your presentation. It is important to update this information...stroke. Any recovery of a complete homonymous hemianopia typically occurs within the first 10 days after the ischemic event and improvement after 10-12...fasciitis and pressor-induced ischemia. On the day of admission the patient experienced cardiac arrest for approximately 15 minutes and was subsequently

Full-wave Moment Tensor and Tomographic Inversions Based on 3D Strain Green Tensor

DTIC Science & Technology

2010-01-31

propagation in three-dimensional (3D) earth, linearizes the inverse problem by iteratively updating the earth model , and provides an accurate way to...self-consistent FD-SGT databases constructed from finite-difference simulations of wave propagation in full-wave tomographic models can be used to...determine the moment tensors within minutes after a seismic event, making it possible for real time monitoring using 3D models . 15. SUBJECT TERMS

75 FR 51332 - Eleventh Meeting: RTCA Special Committee 209: In Joint Session With EUROCAE WG-49: ATCRBS/Mode S...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-19

... of the Minutes of Meeting 10 (SC209-WP11-02) Review of the Status of Open Action Items AI-10-11--Review of Documents for P5 Pulse Position Differences (WP11-03) AI-10-03--Issues Related to Zeroing Registers 08 16 & 20 16 (WP11-04) AI-10-02--Register 60 16 Maximum Update Interval Changes (WP11-05) AI-10...

78 FR 61446 - Schedule of Charges Outside the United States

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-03

... Aviation Safety Inspectors outside the United States. The advisory circular has been updated in accordance... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration [AC 187-1G] Schedule of Charges Outside the United States AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of...

75 FR 65401 - Schedule of Charges Outside the United States

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-22

... Aviation Safety Inspectors outside the United States. The advisory circular has been updated in accordance... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration [AC 187-1D] Schedule of Charges Outside the United States AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of...

Applied Meteorology Unit (AMU) Quarterly Report - Fourth Quarter FY-09

NASA Technical Reports Server (NTRS)

Bauman, William; Crawford, Winifred; Barrett, Joe; Watson, Leela; Wheeler, Mark

2009-01-01

This report summarizes the Applied Meteorology Unit (AMU) activities for the fourth quarter of Fiscal Year 2009 (July - September 2009). Tasks reports include: (1) Peak Wind Tool for User Launch Commit Criteria (LCC), (2) Objective Lightning Probability Tool. Phase III, (3) Peak Wind Tool for General Forecasting. Phase II, (4) Update and Maintain Advanced Regional Prediction System (ARPS) Data Analysis System (ADAS), (5) Verify MesoNAM Performance (6) develop a Graphical User Interface to update selected parameters for the Hybrid Single-Particle Lagrangian Integrated Trajectory (HYSPLlT)

Update: Influenza Activity - United States, October 1, 2017-February 3, 2018.

PubMed

Budd, Alicia P; Wentworth, David E; Blanton, Lenee; Elal, Anwar Isa Abd; Alabi, Noreen; Barnes, John; Brammer, Lynnette; Burns, Erin; Cummings, Charisse N; Davis, Todd; Flannery, Brendan; Fry, Alicia M; Garg, Shikha; Garten, Rebecca; Gubareva, Larisa; Jang, Yunho; Kniss, Krista; Kramer, Natalie; Lindstrom, Stephen; Mustaquim, Desiree; O'Halloran, Alissa; Olsen, Sonja J; Sessions, Wendy; Taylor, Calli; Xu, Xiyan; Dugan, Vivien G; Katz, Jacqueline; Jernigan, Daniel

2018-02-16

Influenza activity in the United States began to increase in early November 2017 and rose sharply from December through February 3, 2018; elevated influenza activity is expected to continue for several more weeks. Influenza A viruses have been most commonly identified, with influenza A(H3N2) viruses predominating, but influenza A(H1N1)pdm09 and influenza B viruses were also reported. This report summarizes U.S. influenza activity* during October 1, 2017-February 3, 2018, † and updates the previous summary (1).

HCV Health Policy Developments in Response to the National Viral Hepatitis Action Plan: A Brief Update.

PubMed

Guo, Yuqi; Sims, Omar T

2017-02-17

Hepatitis C virus (HCV) kills 366,000 people worldwide and 17,000 people in the United States each year. In 2011, the U.S. Department of Health and Human Services (HHS) published a national viral hepatitis action plan to control and combat HCV in the United States. This article provides a brief update of HCV health policy developments that have emerged since publication of HHS's national viral hepatitis action plan and concludes with a discussion of the public health impact of these recent HCV health policy developments.

Elevations and distances in the United States

USGS Publications Warehouse

,

1991-01-01

The information in this booklet was compiled to answer inquiries received by the U.S. Geological Survey from students; teachers; writers; editors; publishers of encyclopedias, almanacs, and other reference books; and people in many other fields of work. The elevations of features and distances between points in the United States were determined from surveys and topographic maps of the U.S. Geological Survey or obtained from other sources. In most cases, the elevations were determined from surveys and from 1:24,000- and 1:25,000-scale, 7.5-minute topographic quadrangle maps. In Alaska, information was taken from 1:63,360-scale, 15-minute topographic quadrangle maps. In a few cases, data were obtained from older, 1:62,500-scale, 15-minute maps; these maps are being replaced with larger-scale 7.5-minute coverage. Further information about U.S. Geological Survey products can be obtained from: U.S. Geological Survey, Earth Science Information Center, 507 National Center, Reston, VA 22092 or phone 703-860-6045.

Impact of an EMR-Based Daily Patient Update Letter on Communication and Parent Engagement in a Neonatal Intensive Care Unit

PubMed Central

Palma, Jonathan P.; Keller, Heather; Godin, Margie; Wayman, Karen; Cohen, Ronald S.; Rhine, William D.; Longhurst, Christopher A.

2013-01-01

Summary Objective To evaluate the impact of using electronic medical record (EMR) data in the form of a daily patient update letter on communication and parent engagement in a level II neonatal intensive care unit (NICU). Study Design Parents of babies in a level II NICU were surveyed before and after the introduction of an EMR-generated daily patient update letter, Your Baby’s Daily Update (YBDU). Results Following the introduction of the EMR-generated daily patient update letter, 89% of families reported using YBDU as an information source; 83% of these families found it “very useful”, and 96% of them responded that they “always” liked receiving it. Rates of receiving information from the attending physician were not statistically significantly different pre- and post-implementation, 81% and 78%, respectively (p = 1). Though there was no statistically significant improvement in parents’ knowledge of individual items regarding the care of their babies, a trend towards statistical significance existed for several items (p <.1), and parents reported feeling more competent to manage information related to the health status of their babies (p =.039). Conclusion Implementation of an EMR-generated daily patient update letter is feasible, resulted in a trend towards improved communication, and improved at least one aspect of parent engagement—perceived competence to manage information in the NICU. PMID:23730532

78 FR 68501 - International Standards on the Transport of Dangerous Goods

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-14

... include: Review of Working papers Working Group updates Regulatory Cooperation Council (RCC) Update... sessions, can be found on the United Nations Economic Commission for Europe (UNECE) Transport Division Web... its decisions on Working Papers. The Working Papers for the 26th session of the UNSCEGHS are located...

76 FR 7518 - Outer Continental Shelf Air Regulations Consistency Update for Alaska

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-10

... ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 55 [EPA-R10-OAR-2011-0045; FRL-9265-3] Outer Continental Shelf Air Regulations Consistency Update for Alaska AGENCY: Environmental Protection Agency (``EPA... Greaves, Federal and Delegated Air Programs Unit, U.S. Environmental Protection Agency, Region 10, 1200...

Curriculum Bank for Individualized Electronic Instruction. Final Report.

ERIC Educational Resources Information Center

Williamson, Bert; Pedersen, Joe F.

Objectives of this project were to update and convert to disk storage appropriate handout materials for courses for the electronic technology open classroom. Project activities were an ERIC search for computer-managed instructional materials; updating of the course outline, lesson outlines, information handouts, and unit tests; and storage of the…

AN UPDATE ON SOME ARSENIC PROGRAMS AT THE US EPA

EPA Science Inventory

An Update on Some Arsenic Projects at the United States

Environmental Protection Agency*

Charles O. Abernathy1, Michael Beringer2, Rebecca L Calderon3,

Timothy McMahon4 and Erik Winchester3

Offices of Science and Technology1, Solid Waste...

United States Department of Education Update, December 2005

ERIC Educational Resources Information Center

Linton, John

2005-01-01

In this column, Linton presents updates on congressional action in the House of Representatives on "The Second Chance Act," the anticipated Institute for Higher Education Policy report, and the reauthorization of the "Higher Education Act." He also highlights a resource being provided through the Office of Elementary and…

Decreasing Postanesthesia Care Unit to Floor Transfer Times to Facilitate Short Stay Total Joint Replacements.

PubMed

Sibia, Udai S; Grover, Jennifer; Turcotte, Justin J; Seanger, Michelle L; England, Kimberly A; King, Jennifer L; King, Paul J

2018-04-01

We describe a process for studying and improving baseline postanesthesia care unit (PACU)-to-floor transfer times after total joint replacements. Quality improvement project using lean methodology. Phase I of the investigational process involved collection of baseline data. Phase II involved developing targeted solutions to improve throughput. Phase III involved measured project sustainability. Phase I investigations revealed that patients spent an additional 62 minutes waiting in the PACU after being designated ready for transfer. Five to 16 telephone calls were needed between the PACU and the unit to facilitate each patient transfer. The most common reason for delay was unavailability of the unit nurse who was attending to another patient (58%). Phase II interventions resulted in transfer times decreasing to 13 minutes (79% reduction, P < .001). Phase III recorded sustained transfer times at 30 minutes, a net 52% reduction (P < .001) from baseline. Lean methodology resulted in the immediate decrease of PACU-to-floor transfer times by 79%, with a 52% sustained improvement. Our methods can also be used to improve efficiencies of care at other institutions. Copyright © 2016 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

Rapid presumptive identification of the Mycobacterium tuberculosis-bovis complex by radiometric determination of heat stable urease

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gandy, J.H.; Pruden, E.L.; Cox, F.R.

1983-12-01

Simple and rapid Bactec methodologies for the determination of neat (unaltered) and heat stable urease activity of mycobacteria are presented. Clinical isolates (63) and stock cultures (32)--consisting of: M. tuberculosis (19), M. bovis (5), M. kansasii (15), M. marinum (4), M. simiae (3), M. scrofulaceum (16), M. gordonae (6), M. szulgai (6), M. flavescens (1), M. gastri (1), M. intracellulare (6), M. fortuitum-chelonei complex (12), and M. smegmatis (1)--were tested for neat urease activity by Bactec radiometry. Mycobacterial isolates (50-100 mg wet weight) were incubated at 35 degrees C for 30 minutes with microCi14C-urea. Urease-positive mycobacteria gave Bactec growth indexmore » (GI) values greater than 100 units, whereas urease-negative species gave values less than 10 GI units. Eighty-three isolates possessing neat urease activity were heated at 80 degrees C for 30 minutes followed by incubation at 35 degrees C for 30 minutes with 1 microCi14C-urea. Mycobacterium tuberculosis-bovis complex demonstrated heat-stable urease activity (GI more than 130 units) and could be distinguished from mycobacteria other than tuberculosis (MOTT), which gave GI values equal to or less than 40 units.« less

A Real-time 3D Visualization of Global MHD Simulation for Space Weather Forecasting

NASA Astrophysics Data System (ADS)

Murata, K.; Matsuoka, D.; Kubo, T.; Shimazu, H.; Tanaka, T.; Fujita, S.; Watari, S.; Miyachi, H.; Yamamoto, K.; Kimura, E.; Ishikura, S.

2006-12-01

Recently, many satellites for communication networks and scientific observation are launched in the vicinity of the Earth (geo-space). The electromagnetic (EM) environments around the spacecraft are always influenced by the solar wind blowing from the Sun and induced electromagnetic fields. They occasionally cause various troubles or damages, such as electrification and interference, to the spacecraft. It is important to forecast the geo-space EM environment as well as the ground weather forecasting. Owing to the recent remarkable progresses of super-computer technologies, numerical simulations have become powerful research methods in the solar-terrestrial physics. For the necessity of space weather forecasting, NICT (National Institute of Information and Communications Technology) has developed a real-time global MHD simulation system of solar wind-magnetosphere-ionosphere couplings, which has been performed on a super-computer SX-6. The real-time solar wind parameters from the ACE spacecraft at every one minute are adopted as boundary conditions for the simulation. Simulation results (2-D plots) are updated every 1 minute on a NICT website. However, 3D visualization of simulation results is indispensable to forecast space weather more accurately. In the present study, we develop a real-time 3D webcite for the global MHD simulations. The 3-D visualization results of simulation results are updated every 20 minutes in the following three formats: (1)Streamlines of magnetic field lines, (2)Isosurface of temperature in the magnetosphere and (3)Isoline of conductivity and orthogonal plane of potential in the ionosphere. For the present study, we developed a 3-D viewer application working on Internet Explorer browser (ActiveX) is implemented, which was developed on the AVS/Express. Numerical data are saved in the HDF5 format data files every 1 minute. Users can easily search, retrieve and plot past simulation results (3D visualization data and numerical data) by using the STARS (Solar-terrestrial data Analysis and Reference System). The STARS is a data analysis system for satellite and ground-based observation data for solar-terrestrial physics.

New version of 1 km global river flood hazard maps for the next generation of Aqueduct Global Flood Analyzer

NASA Astrophysics Data System (ADS)

Sutanudjaja, Edwin; van Beek, Rens; Winsemius, Hessel; Ward, Philip; Bierkens, Marc

2017-04-01

The Aqueduct Global Flood Analyzer, launched in 2015, is an open-access and free-of-charge web-based interactive platform which assesses and visualises current and future projections of river flood impacts across the globe. One of the key components in the Analyzer is a set of river flood inundation hazard maps derived from the global hydrological model simulation of PCR-GLOBWB. For the current version of the Analyzer, accessible on http://floods.wri.org/#/, the early generation of PCR-GLOBWB 1.0 was used and simulated at 30 arc-minute ( 50 km at the equator) resolution. In this presentation, we will show the new version of these hazard maps. This new version is based on the latest version of PCR-GLOBWB 2.0 (https://github.com/UU-Hydro/PCR-GLOBWB_model, Sutanudjaja et al., 2016, doi:10.5281/zenodo.60764) simulated at 5 arc-minute ( 10 km at the equator) resolution. The model simulates daily hydrological and water resource fluxes and storages, including the simulation of overbank volume that ends up on the floodplain (if flooding occurs). The simulation was performed for the present day situation (from 1960) and future climate projections (until 2099) using the climate forcing created in the ISI-MIP project. From the simulated flood inundation volume time series, we then extract annual maxima for each cell, and fit these maxima to a Gumbel extreme value distribution. This allows us to derive flood volume maps of any hazard magnitude (ranging from 2-year to 1000-year flood events) and for any time period (e.g. 1960-1999, 2010-2049, 2030-2069, and 2060-2099). The derived flood volumes (at 5 arc-minute resolution) are then spread over the high resolution terrain model using an updated GLOFRIS downscaling module (Winsemius et al., 2013, doi:10.5194/hess-17-1871-2013). The updated version performs a volume spreading sequentially from more upstream basins to downstream basins, hence enabling a better inclusion of smaller streams, and takes into account spreading of water over diverging deltaic regions. This results in a set of high resolution hazard maps of flood inundation depth at 30 arc-second ( 1 km at the equator) resolution. Together with many other updates and new features, the resulting flood hazard maps will be used in the next generation of the Aqueduct Global Flood Analyzer.

Transfer after Working Memory Updating Training

PubMed Central

Waris, Otto; Soveri, Anna; Laine, Matti

2015-01-01

During the past decade, working memory training has attracted much interest. However, the training outcomes have varied between studies and methodological problems have hampered the interpretation of results. The current study examined transfer after working memory updating training by employing an extensive battery of pre-post cognitive measures with a focus on near transfer. Thirty-one healthy Finnish young adults were randomized into either a working memory training group or an active control group. The working memory training group practiced with three working memory tasks, while the control group trained with three commercial computer games with a low working memory load. The participants trained thrice a week for five weeks, with one training session lasting about 45 minutes. Compared to the control group, the working memory training group showed strongest transfer to an n-back task, followed by working memory updating, which in turn was followed by active working memory capacity. Our results support the view that working memory training produces near transfer effects, and that the degree of transfer depends on the cognitive overlap between the training and transfer measures. PMID:26406319

Transfer after Working Memory Updating Training.

PubMed

Waris, Otto; Soveri, Anna; Laine, Matti

2015-01-01

During the past decade, working memory training has attracted much interest. However, the training outcomes have varied between studies and methodological problems have hampered the interpretation of results. The current study examined transfer after working memory updating training by employing an extensive battery of pre-post cognitive measures with a focus on near transfer. Thirty-one healthy Finnish young adults were randomized into either a working memory training group or an active control group. The working memory training group practiced with three working memory tasks, while the control group trained with three commercial computer games with a low working memory load. The participants trained thrice a week for five weeks, with one training session lasting about 45 minutes. Compared to the control group, the working memory training group showed strongest transfer to an n-back task, followed by working memory updating, which in turn was followed by active working memory capacity. Our results support the view that working memory training produces near transfer effects, and that the degree of transfer depends on the cognitive overlap between the training and transfer measures.

Spectroradiometric measurements on sunbeds

NASA Astrophysics Data System (ADS)

Moseley, Harry; Davidson, Marion; Ferguson, James

1999-02-01

A survey was carried out on sunbeds in the city of Perth, Scotland (56N) and the surrounding area. UV radiation measurements were carried out using a calibrated double- grating spectroradiometer in 38 of the total 41 tanning units in the area. Data were analyzed using the SCUP-h action spectrum which is an estimate of the sensitivity of human skin to cancer induction from UV radiation of different wavelengths. Results showed that high power stand-up tanning units carry approximately the same cancer risk, minute for minute, as sunbathing in Southern Europe in summer.

77 FR 56811 - United States Travel and Tourism Advisory Board; Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-14

... DEPARTMENT OF COMMERCE International Trade Administration United States Travel and Tourism... the United States Travel and Tourism Advisory Board (Board). The Board will meet to present updates on... implementation of the National Travel and Tourism Strategy and the progress on implementing the President's...

The Nevada Study on The Holocaust.

ERIC Educational Resources Information Center

Crawford, Barbara; Metcalf, Sandra

This study series on the Holocaust consists of four units designed for middle school/junior high and senior high students in United States and world history classes. The units may be self-contained or integrated into previous units of study. A 45-minute color video "Nevada Study on The Holocaust" accompanies this guide. The middle school…

Media Unit. ArtsEdge Curricula, Lessons and Activities.

ERIC Educational Resources Information Center

Robertson, Helen

This "mini" curriculum unit introduces primary children (grades K-3) to the concept of images presented through the media, primarily advertising through print and on television. The unit is divided into three approximately 45-minute lessons. In the unit's first lesson, students will discuss why they like the particular toy they have…

Short and Sweet: Technology Shrinks the Lecture

ERIC Educational Resources Information Center

Young, Jeffrey R.

2008-01-01

Many professors who have ventured into online education are finding that shorter, modular clips are a more successful teaching approach than traditional 50-minute lectures. The author cites educators from several institutions who have adapted smaller, 15-20 minute instructional units originally developed for online courses, to their face-to-face…

78 FR 58286 - Proposed Information Collection; Comment Request; Western Region Vessel Monitoring System and Pre...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-23

... Collection; Comment Request; Western Region Vessel Monitoring System and Pre-Trip Reporting Requirements... information or new problems in the fisheries. Vessel Monitoring System (VMS) units will facilitate enforcement... monitoring system (VMS) activation reports, 15 minutes; pre-trip reports, 5 minutes. Estimated Burden Hours...

Updated US and Canadian Normalization Factors for TRACI 2.1

EPA Science Inventory

The objectives of this study is to update the normalization factors (NFs) of U.S.EPA’s TRACI 2.1 LCIA method (Bare, 2012) for the United States (US) and US-Canadian (US-CA) regions. This is done for the reference year 2008. This was deemed necessary to maintain the representative...

United States Department of Education Update, December 2004

ERIC Educational Resources Information Center

Linton, John

2004-01-01

In this update, Linton reports on Congressional filing of a number of bills that involve the topic of prisoner reentry. In addition, he presents a key section of Attorney General John Ashcroft's address (Cleveland, Ohio, September 2004) on prisoner reentry. In this speech, Ashcroft called for a concerted effort to managing a balanced approach:…

77 FR 58359 - TRICARE, Formerly Known as the Civilian Health and Medical Program of the Uniformed Services...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-20

... Medical Program of the Uniformed Services; Calendar Year 2013 TRICARE Young Adult Program Premium Update... Young Adult Premiums for Calendar Year 2013. SUMMARY: This notice provides the updated TRICARE Young... to implement the TRICARE Young Adult (TYA) program as required by Title 10, United States Code...

75 FR 64351 - The Economic Effects of Significant U.S. Import Restraints: Seventh Update; Special Topic: Global...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-19

.... Import Restraints: Seventh Update; Special Topic: Global Supply Chains AGENCY: United States... effects analysis similar to that included in prior reports, include an overview of global supply chains... firm supplying the information. By order of the Commission. Issued: October 14, 2010. William R. Bishop...

75 FR 36294 - Correspondence With the United States Patent and Trademark Office

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-25

... the Solicitor). The Office is also updating the physical location address for the Public Search Room... Solicitor, by specifically adding the Office of the Solicitor as the addressee. Public Search Room: The physical address for the Public Search Room is being updated to reflect that it is located at the Office's...

76 FR 61074 - Reports and Updates on Arctic Research Programs and Projects; Meetings

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-03

... UNITED STATES ARCTIC RESEARCH COMMISSION Reports and Updates on Arctic Research Programs and Projects; Meetings Notice is hereby given that the US Arctic Research Commission will hold its 96th meeting... about topics of interest related to research activities in the Arctic. 96th Meeting Schedule: Wed., Oct...

Certified School Nurse Perspectives on State-Mandated Hearing Screens

ERIC Educational Resources Information Center

Sekhar, Deepa L.; Beiler, Jessica S.; Schaefer, Eric W.; Henning, Antoinette; Dillon, Judith F.; Czarnecki, Beth; Zalewski, Thomas R.

2016-01-01

Background: Approximately 15% of children in the United States 6-19 years of age have hearing loss. Even mild, unilateral hearing loss may adversely affect educational success. In 2014, the Pennsylvania Department of Health (PA DOH) began updating the 2001 regulations on state-mandated school hearing screens. To inform the updates, a needs…

Administration Time for the First Dose of Antimicrobials in Episodes of Fever and Neutropenia in Children With Cancer.

PubMed

De la Maza, Verónica; Simian, Daniela; Castro, Magdalena; Torres, Juan Pablo; Lucero, Yudeth; Sepúlveda, Fanny; Mazquiaran, Soraya; Salazar, Carolina; Segovia, Lorena; Santolaya, Maria Elena

2015-10-01

Early administration of antimicrobial (AM) is relevant in children with cancer, fever and neutropenia (FN). The recommendation is to administer the first dose of AM within the first hour of hospital admission. Our aims were to determine the time from the moment that a child with FN is admitted to the hospital until they receive their first dose of AM and to determine the association with clinical outcomes. This prospective, multicenter study evaluated the time elapsed from the admission to the first dose of AM, comparing this variable by admitting hospital and presentation location (Emergency Department/Oncology Units) and evaluating the clinical outcomes by the following variables: days of fever, days of hospitalization, hypotension, transfer to intensive care unit, sepsis and mortality. A total of 226 children with 388 episodes of FN were enrolled from 5 hospitals (July 2012-April 2014). The median time between hospital admission and administration of the first dose of AM was 132 minutes (interquartile range: 60-246 minutes). The median time to AM administration was significantly different between hospitals (70 vs. 200 minutes, P < 0.0001) and between presentation locations (Emergency Department vs. Oncology Units, median: 200 vs. 100 minutes, P < 0.0001). Twenty-five percentage of children received AM within 1 hour of admission. The administration of AM after 60 minutes was not associated with worse outcomes. Time to AM administration was longer than the recommendation. The findings described provide an opportunity to identify gaps and implement programs aimed at improving the equity and excellence of care in children with cancer and FN.

Impact of around-the-clock in-house cardiology fellow coverage on door-to-balloon time in an academic medical center.

PubMed

Kohan, Luke C; Nagarajan, Vijaiganesh; Millard, Michael A; Loguidice, Michael J; Fauber, Nancy M; Keeley, Ellen C

2017-01-01

To assess if a change in our cardiology fellowship program impacted our ST elevation myocardial infarction (STEMI) program. Fellows covering the cardiac care unit were spending excessive hours in the hospital while on call, resulting in increased duty hours violations. A night float fellow system was started on July 1, 2012, allowing the cardiac care unit fellow to sign out to a night float fellow at 5:30 pm. The night float fellow remained in-house until the morning. We performed a retrospective study assessing symptom onset to arrival, arterial access to first device, and door-to-balloon (D2B) times, in consecutive STEMI patients presenting to our emergency department before and after initiation of the night float fellow system. From 2009 to 2013, 208 STEMI patients presented to our emergency department and underwent primary percutaneous coronary intervention. There was no difference in symptom onset to arrival (150±102 minutes vs 154±122 minutes, p =0.758), arterial access to first device (12±8 minutes vs 11±7 minutes, p =0.230), or D2B times (50±32 minutes vs 52±34 minutes, p =0.681) during regular working hours. However, there was a significant decrease in D2B times seen during off-hours (72±33 minutes vs 49±15 minutes, p =0.007). There was no difference in in-hospital mortality (11% vs 8%, p =0.484) or need for intra-aortic balloon pump placement (7% vs 8%, p =0.793). In academic medical centers, in-house cardiology fellow coverage during off-hours may expedite care of STEMI patients.

75 FR 65558 - Final Supplemental Environmental Impact Statement, Single Nuclear Unit at the Bellefonte Plant...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-25

... TENNESSEE VALLEY AUTHORITY Final Supplemental Environmental Impact Statement, Single Nuclear Unit... Environmental Impact Statement for a Single Nuclear Unit at the Bellefonte Plant Site (final SEIS) on September... the ROD. TVA prepared the final SEIS to update the extensive environmental information and analyses...

78 FR 2946 - United States Standards for Grades of Frozen Vegetables

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-15

... these proposed revisions are: frozen asparagus, frozen lima beans, frozen speckled butter beans, frozen... document. United States Standards for Grades of Frozen Lima Beans Update address for AMS. Change ``U.S... obtain color standards for frozen lima beans. United States Standards for Grades of Frozen Mixed...

Distributive Education: Secondary, Course Outline. Revised 1972.

ERIC Educational Resources Information Center

Washington State Coordinating Council for Occupational Education, Olympia.

The document is a revision of earlier units, updated to include behavioral or performance objectives. Divided into 22 units of instruction, the course outline for distributive education presents suggested length of time for each part of a unit, prerequisites, a description of the part, objectives, sources, outline for the section, activities,…

Intrauterine device insertion in the postpartum period: a systematic review.

PubMed

Sonalkar, Sarita; Kapp, Nathalie

2015-02-01

Given new research on postpartum placement of levonorgestrel and copper intrauterine devices (IUDs), our objective was to update a prior systematic review of the safety and expulsion rates of postpartum IUDs. We searched MEDLINE, CENTRAL, LILACS, POPLINE, Web of Science, and ClinicalTrials.gov databases for articles between the database inception until July 2013. We included studies that compared IUD insertion time intervals and routes during the postpartum period. We used standard abstract forms and the United States Preventive Services Task Force grading system to summarise and assess the quality of the evidence. We included 18 articles. New evidence suggests that a levonorgestrel releasing-intrauterine system (LNG-IUS) insertion within 48 hours of delivery is safe. Postplacental insertion and insertion between 10 minutes and 48 hours after delivery result in higher expulsion rates than insertion 4 to 6 weeks postpartum, or non-postpartum insertion. Insertion at the time of caesarean section is associated with lower expulsion rates than postplacental insertion at the time of vaginal delivery. This review supports the evidence that insertion of an intrauterine contraceptive within the first 48 hours of vaginal or caesarean delivery is safe. Expulsion rates should be further studied in larger randomised controlled trials.

Explaining direct care resource use of nursing home residents: findings from time studies in four states.

PubMed

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

2007-04-01

To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. Primary data were collected on 5,314 nursing home residents in 156 nursing units in 105 facilities from four states (CO, IN, MN, MS) from 1998 to 2004. Study Design. Nurses and other direct care staff recorded resident-specific and other time caring for all residents on sampled nursing units. Care time was linked to resident data from the Minimum Data Set assessment instrument. Major variables were: RUG-III group (34-group), other health and functional conditions, licensed and other professional minutes per day, unlicensed minutes per day, and direct care RU (wage-weighted minutes). Resident- and unit-level relationships were examined through hierarchical linear modeling. Time study data were recorded with hand-held computers, verified for accuracy by project staff at the data collection sites and then merged into resident and unit-level data sets. Resident care time and RU varied between and within nursing units. RUG-III group was related to RU; variables such as length of stay and unit percentage of high acuity residents also were significantly related. Case-mix indices (CMIs) constructed from study data displayed much less variation across RUG-III groups than CMIs from earlier time studies. Results from earlier time studies may not be representative of care patterns of Medicaid and private pay residents. New RUG-III CMIs should be developed to better reflect the relative costs of caring for these residents.

Pancreatic enzymes prepared in bicarbonate solution for administration through enteral feeding tubes.

PubMed

Boullata, Angela M; Boullata, Joseph I

2015-07-15

The dissolution and physicochemical effects of preparing delayed-release pancrelipase in a sodium bicarbonate solution before administration via an enteral feeding tube were studied. Several doses of four delayed-release pancrelipase products (Creon, Pancreaze, Ultresa, Zenpep) were studied. The intact contents of pancrelipase capsules was added to 20 mL of 8.4% sodium bicarbonate solution to dissolve the enteric coating and liberate the enzymes into solution. In addition to visual observation, the pH, relative particle count, and osmolality of each admixture were assessed immediately and 5, 10, 20, and 30 minutes after admixture preparation. The only dose of Creon that was completely dissolved at 30 minutes was the 24,000 lipase unit dose. None of the doses of Pancreaze and only the lowest dose (23,000 lipase units) of Ultresa were completely dissolved at 30 minutes. However, Zenpep doses of 20,000 and 40,000 lipase units were completely dissolved 30 minutes after preparation. Higher doses of each pancrelipase product did not completely dissolve. The baseline pH of the solvent decreased slightly at the first few time points after pancrelipase was added. The relative particle count increased over time and with increasing doses. The osmolality of the mixtures varied by pancrelipase product. The dissolution of enteric coated granules in sodium bicarbonate varied with the pancrelipase product and dose. Zenpep 40,000 lipase units was found to most efficiently dissolve in sodium bicarbonate, possibly due to the consistent size of the product's granules and visibly thinner and uniform enteric coating. Copyright © 2015 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

Progress on Updating the 1961-1990 National Solar Radiation Database

NASA Technical Reports Server (NTRS)

Renne, D.; Wilcox, S.; Marion, B.; George, R.; Myers, D.

2003-01-01

The 1961-1990 National Solar Radiation Data Base (NSRDB) provides a 30-year climate summary and solar characterization of 239 locations throughout the United States. Over the past several years, the National Renewable Energy Laboratory (NREL) has received numerous inquiries from a range of constituents as to whether an update of the database to include the 1990s will be developed. However, there are formidable challenges to creating an update of the serially complete station-specific database for the 1971-2000 period. During the 1990s, the National Weather Service changed its observational procedures from a human-based to an automated system, resulting in the loss of important input variables to the model used to complete the 1961-1990 NSRDB. As a result, alternative techniques are required for an update that covers the 1990s. This paper examines several alternative approaches for creating this update and describes preliminary NREL plans for implementing the update.

The Updating of Geospatial Base Data

NASA Astrophysics Data System (ADS)

Alrajhi, Muhamad N.; Konecny, Gottfried

2018-04-01

Topopographic mapping issues concern the area coverage at different scales and their age. The age of the map is determined by the system of updating. The United Nations (UNGGIM) have attempted to track the global map coverage at various scale ranges, which has greatly improved in recent decades. However the poor state of updating of base maps is still a global problem. In Saudi Arabia large scale mapping is carried out for all urban, suburban and rural areas by aerial surveys. Updating is carried out by remapping every 5 to 10 years. Due to the rapid urban development this is not satisfactory, but faster update methods are forseen by use of high resolution satellite imagery and the improvement of object oriented geodatabase structures, which will permit to utilize various survey technologies to update the photogrammetry established geodatabases. The longterm goal is to create an geodata infrastructure, which exists in Great Britain or Germany.

Thermal energy storage evaluation and life testing

NASA Astrophysics Data System (ADS)

Richter, R.

1983-01-01

Two thermal energy storage (TES) units which were built under a previous contract were tested with a Hi-Cap Vuilleumier cryogenic cooler in the facility of the Hughes Aircraft Corporation. The objective of the program was the evaluation of the behavior of the TES units as well as the determination of the temperature history of the three cold stages of the Vuilleumier cryogenic cooler during cyclic charging and discharging of the TES units. The test results have confirmed that thermal energy storage can provide the necessary thermal power to the hot cylinders of the Vuilleumier cryogenic cooler at the required operating temperatures. Thereby the continuous cooling capability of the cooler during an eclipse when no electrical power is available is being assured. The cold stage temperature amplitudes during a complete charge discharge cycle of the TES units were only about 10% of the amplitudes which were observed when the Hi-Cap Vuilleumier cryogenic cooler was operating without thermal energy storage backup in a simulated orbit of 54 minutes sun exposure and 18 minutes eclipse time. The themal conductivity of the molten thermal energy storage salt was apparently only a fraction of the thermal conductivity which had been assumed for the prediction of the upper heater temperatures. A redesign of the heater temperatures below 1480 degrees F which is now required for full charging of the TES units within 54 minutes with the present heater design.

Key science issues in the central and eastern United States for the next version of the USGS National Seismic Hazard Maps

USGS Publications Warehouse

Peterson, M.D.; Mueller, C.S.

2011-01-01

The USGS National Seismic Hazard Maps are updated about every six years by incorporating newly vetted science on earthquakes and ground motions. The 2008 hazard maps for the central and eastern United States region (CEUS) were updated by using revised New Madrid and Charleston source models, an updated seismicity catalog and an estimate of magnitude uncertainties, a distribution of maximum magnitudes, and several new ground-motion prediction equations. The new models resulted in significant ground-motion changes at 5 Hz and 1 Hz spectral acceleration with 5% damping compared to the 2002 version of the hazard maps. The 2008 maps have now been incorporated into the 2009 NEHRP Recommended Provisions, the 2010 ASCE-7 Standard, and the 2012 International Building Code. The USGS is now planning the next update of the seismic hazard maps, which will be provided to the code committees in December 2013. Science issues that will be considered for introduction into the CEUS maps include: 1) updated recurrence models for New Madrid sources, including new geodetic models and magnitude estimates; 2) new earthquake sources and techniques considered in the 2010 model developed by the nuclear industry; 3) new NGA-East ground-motion models (currently under development); and 4) updated earthquake catalogs. We will hold a regional workshop in late 2011 or early 2012 to discuss these and other issues that will affect the seismic hazard evaluation in the CEUS.

Does warming the breasts affect the amount of breastmilk production?

PubMed

Yiğit, Feride; Çiğdem, Zerrin; Temizsoy, Ebru; Cingi, Melek Ersoy; Korel, Özlem; Yıldırım, Egemen; Ovalı, Fahri

2012-12-01

Increasing the amount of breastmilk is vital for both the nursing mother and child. Warming up breasts before using electrical pumps to pump out breastmilk may help to increase the amount of breastmilk, especially in the mothers of babies who are being nursed in the neonatal intensive care unit. Thirty-nine mothers whose babies had been admitted to the neonatal intensive care unit were analyzed. A breast compress that was warmed up in a microwave oven for 1 minute at 180 W was applied to one of the breasts for 20 minutes, and both breasts were sucked by an electrical breast pump for 15 minutes. The amount of breastmilk after each procedure was recorded. The amount of breastmilk that was obtained from warmed breasts was significantly higher than that obtained from nonwarmed breasts (maximum, 47.02 ± 23.01 mL vs. 33.15 ± 19.98 mL) (p=0.000). Warming up breasts by a breast compress is easy and affordable, and this procedure increases the amount of breastmilk, thus facilitating infant nutrition and recovery especially in the neonatal intensive care unit.

An Approach to Stable Gradient-Descent Adaptation of Higher Order Neural Units.

PubMed

Bukovsky, Ivo; Homma, Noriyasu

2017-09-01

Stability evaluation of a weight-update system of higher order neural units (HONUs) with polynomial aggregation of neural inputs (also known as classes of polynomial neural networks) for adaptation of both feedforward and recurrent HONUs by a gradient descent method is introduced. An essential core of the approach is based on the spectral radius of a weight-update system, and it allows stability monitoring and its maintenance at every adaptation step individually. Assuring the stability of the weight-update system (at every single adaptation step) naturally results in the adaptation stability of the whole neural architecture that adapts to the target data. As an aside, the used approach highlights the fact that the weight optimization of HONU is a linear problem, so the proposed approach can be generally extended to any neural architecture that is linear in its adaptable parameters.

Seismic hazard in the Nation's breadbasket

USGS Publications Warehouse

Boyd, Oliver; Haller, Kathleen; Luco, Nicolas; Moschetti, Morgan P.; Mueller, Charles; Petersen, Mark D.; Rezaeian, Sanaz; Rubinstein, Justin L.

2015-01-01

The USGS National Seismic Hazard Maps were updated in 2014 and included several important changes for the central United States (CUS). Background seismicity sources were improved using a new moment-magnitude-based catalog; a new adaptive, nearest-neighbor smoothing kernel was implemented; and maximum magnitudes for background sources were updated. Areal source zones developed by the Central and Eastern United States Seismic Source Characterization for Nuclear Facilities project were simplified and adopted. The weighting scheme for ground motion models was updated, giving more weight to models with a faster attenuation with distance compared to the previous maps. Overall, hazard changes (2% probability of exceedance in 50 years, across a range of ground-motion frequencies) were smaller than 10% in most of the CUS relative to the 2008 USGS maps despite new ground motion models and their assigned logic tree weights that reduced the probabilistic ground motions by 5–20%.

Minute Pirate Bug (Orius Insidiosus Say) populations on transgenic and non-transgenic maize using different sampling techniques

USDA-ARS?s Scientific Manuscript database

Field experiments were conducted to evaluate the populations of minute pirate bug [Orius insidiosus (Say)] using visual, sticky cards, and destructive sampling techniques in transgenic and non-transgenic maize in three locations in Nebraska (Mead, Clay Center, and Concord), United States of America,...

12 CFR 407.6 - Transcripts, recordings and minutes of closed meetings.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 4 2011-01-01 2011-01-01 false Transcripts, recordings and minutes of closed meetings. 407.6 Section 407.6 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES REGULATIONS... meetings. Eximbank will maintain a complete transcript or electronic recording of the proceedings of every...

The ideal oxygen/nitrous oxide fresh gas flow sequence with the Anesthesia Delivery Unit machine.

PubMed

Hendrickx, Jan F A; Cardinael, Sara; Carette, Rik; Lemmens, Hendrikus J M; De Wolf, Andre M

2007-06-01

To determine whether early reduction of oxygen and nitrous oxide fresh gas flow from 6 L/min to 0.7 L/min could be accomplished while maintaining end-expired nitrous oxide concentration > or =50% with an Anesthesia Delivery Unit anesthesia machine. Prospective, randomized clinical study. Large teaching hospital in Belgium. 53 ASA physical status I and II patients requiring general endotracheal anesthesia and controlled mechanical ventilation. Patients were randomly assigned to one of 4 groups depending on the duration of high oxygen/nitrous oxide fresh gas flow (two and 4 L/min, respectively) before lowering total fresh gas flow to 0.7 L/min (0.3 and 0.4 L/min oxygen and nitrous oxide, respectively): one, two, three, or 5 minutes (1-minute group, 2-minute group, 3-minute group, and 5-minute group), with n = 10, 12, 13, and 8, respectively. The course of the end-expired nitrous oxide concentration and bellows volume deficit at end-expiration was compared among the 4 groups during the first 30 minutes. At the end of the high-flow period the end-expired nitrous oxide concentration was 35.6 +/- 6.2%, 48.4 +/- 4.8%, 53.7 +/- 8.7%, and 57.3 +/- 1.6% in the 4 groups, respectively. Thereafter, the end-expired nitrous oxide concentration decreased to a nadir of 36.1 +/- 4.5%, 45.4 +/- 3.8%, 50.9 +/- 6.1%, and 55.4 +/- 2.8% after three, 4, 6, and 8 minutes after flows were lowered in the 1- to 5-minute groups, respectively. A decrease in bellows volume was observed in most patients, but was most pronounced in the 2-minute group. The bellows volume deficit gradually faded within 15 to 20 minutes in all 4 groups. A 3-minute high-flow period (oxygen and nitrous oxide fresh gas flow of 2 and 4 L/min, respectively) suffices to attain and maintain end-expired nitrous oxide concentration > or =50% and ensures an adequate bellows volume during the ensuing low-flow period.

East Texas, 2011 forest inventory and analysis factsheet

Treesearch

Jason A. Cooper; James W. Bentley

2012-01-01

This science update summarizes the findings of the annual inventory conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas Forest Service of the forest resource attributes in east Texas. The 254 counties of Texas are consolidated into 7 FIA survey units—southeast (unit 1), northeast (unit 2), north central (unit 3), south (...

78 FR 75376 - Entergy Operations, Inc.; Combined License Application for River Bend Unit 3, Exemption From the...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-11

....; Combined License Application for River Bend Unit 3, Exemption From the Requirements To Update a Final... Feliciana Parish. The NRC accepted for docketing the River Bend Station Unit 3 (RBS3) COL application on... the requirements of 10 CFR 50.71(e)(3)(iii) pertaining to the River Bend Station Unit 3 COL...

United States Department of Education Update

ERIC Educational Resources Information Center

Linton, John

2008-01-01

In this update, the author notes the passage of the "Second Chance Act" by Congress--signed into law by the President on April 9, 2008. Programs created in law may or may not be immediately funded and implemented. The criminal justice community will be watching the appropriation process with interest to learn what Second Chance programs will be…

The 2005 RPA timber assessment update.

Treesearch

Richard W. Haynes; Darius M. Adams; Ralph J. Alig; Peter J. Ince; John R. Mills; Xiaoping. Zhou

2007-01-01

This update reports changes in the Nation's timber resource since the Analysis of the Timber Situation in the United States was completed in 2003. Prospective trends in demands for and supplies of timber, and the factors that affect these trends are examined. These trends include changes in the U.S. economy, increased salvage of British Columbia beetle-killed...

A Systems Approach to Costing in the Blood Bank

PubMed Central

Delon, Gerald L.; Smalley, Harold E.

1969-01-01

A macroscopic approach to departmental cost finding is combined with a microscopic approach to the weighting of laboratory tests in a mathematical model which, when incorporated into a relative unit value format, yields unit costs for such tests under a wide variety of operational conditions. The task of updating such costs to reflect changing conditions can be facilitated by a computer program incorporating the capability of pricing the various tests to achieve any desired profit or loss or to break even. Among other potential uses of such a technique, the effects on unit cost per test caused by increasing or decreasing the number of technicians or the volume of tests can be systematically examined, and pricing can be updated each year as hospital costs change. PMID:5799486

75 FR 74674 - Updates to Vessel Inspection Fees

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-01

... Certificate of Inspection and foreign tankships and mobile offshore drilling units required to maintain a... offshore drilling units trading in U.S. ports. Subpart 2.10 also sets forth fees for inspections conducted...: Length not greater than 200 feet 1,435 More than 200 feet 2,550 Mobile Offshore Drilling Units (MODUs...

Source Units Developed as Part of an Internship Program in Agriculture/Agribusiness.

ERIC Educational Resources Information Center

Mannebach, Alfred J., Ed.

This guide includes 12 source units of instruction developed by teachers of vocational agriculture who participated in an internship program in agriculture/agribusiness, which was designed to up-date the knowledge and skills of teachers of vocational agriculture in their areas of teaching specialization and to develop source units of instruction…

Early resuscitation intensity as a surrogate for bleeding severity and early mortality in the PRospective, Observational, Multicenter, Major Trauma Transfusion (PROMMTT) Study

PubMed Central

Rahbar, Elaheh; Fox, Erin E.; del Junco, Deborah J.; Harvin, John A.; Holcomb, John B.; Wade, Charles E.; Schreiber, Martin A.; Rahbar, Mohammad H.; Bulger, Eileen M.; Phelan, Herb A.; Brasel, Karen J.; Alarcon, Louis H.; Myers, John G.; Cohen, Mitchell J.; Muskat, Peter; Cotton, Bryan A.

2013-01-01

Background The classic definition of MT, ≥10 units red blood cells (RBCs) in 24 hours, has never been demonstrated as a valid surrogate for severe hemorrhage and can introduce survival bias. In addition, the definition fails to capture other products that the clinician may have immediately available during the initial resuscitation. Assuming that units of resuscitative fluids reflect patient illness, our objective was to identify a rate of resuscitation intensity (RI) that could serve as an early surrogate of sickness for patients with substantial bleeding post-injury. Methods Adult patients surviving at least 30 minutes post-admission and receiving ≥1 RBC within 6 hours of admission from ten US Level 1 trauma centers were enrolled in the PRospective Observational Multicenter Major Trauma Transfusion study. Total fluid units were calculated as the sum of the number of crystalloid units (1 L=1 unit), colloids (0.5 L=1 unit) and blood products (1 RBC=1 unit, 1 plasma=1 unit, 6 pack platelets=1 unit). Univariable and multivariable logistic regressions were used to evaluate associations between RI and 6-hour mortality, adjusting for age, center, penetrating injury, weighted Revised Trauma Score, and Injury Severity Score. Results 1096 eligible patients received resuscitative fluids within 30 minutes, including 620 transfused with blood products. Despite varying products utilized, the total fluid RI was similar across all sites (3.2±2.5 units). Patients who received ≥4 units of any resuscitative fluid had a 6-hour mortality rate of 14.4% vs. 4.5% in patients who received <4 units. The adjusted odds ratio of 6-hour mortality for patients receiving ≥4 units within 30 minutes was 2.1 (95% Confidence Interval: 1.2–3.5). Conclusions Resuscitation with ≥4 units of any fluid was significantly associated with 6-hour mortality. This study suggests that early RI regardless of fluid type can be used as a surrogate for sickness and mortality in severely bleeding patients. Level of Evidence PROMMTT is a prospective observational study, Level II. PMID:23778506

Improvement for enhancing effectiveness of universal power system (UPS) continuous testing process

NASA Astrophysics Data System (ADS)

Sriratana, Lerdlekha

2018-01-01

This experiment aims to enhance the effectiveness of the Universal Power System (UPS) continuous testing process of the Electrical and Electronic Institute by applying work scheduling and time study methods. Initially, the standard time of testing process has not been considered that results of unaccurate testing target and also time wasting has been observed. As monitoring and reducing waste time for improving the efficiency of testing process, Yamazumi chart and job scheduling theory (North West Corner Rule) were applied to develop new work process. After the improvements, the overall efficiency of the process possibly increased from 52.8% to 65.6% or 12.7%. Moreover, the waste time could reduce from 828.3 minutes to 653.6 minutes or 21%, while testing units per batch could increase from 3 to 4 units. Therefore, the number of testing units would increase from 12 units up to 20 units per month that also contribute to increase of net income of UPS testing process by 72%.

Use and Outcomes of Kidneys from Donation after Circulatory Death Donors in the United States.

PubMed

Gill, John; Rose, Caren; Lesage, Julie; Joffres, Yayuk; Gill, Jagbir; O'Connor, Kevin

2017-12-01

Donation after circulatory death (DCD) donors are an important source of kidneys for transplantation, but DCD donor transplantation is less common in the United States than in other countries. In this study of national data obtained between 2008 and 2015, recovery of DCD kidneys varied substantially among the country's 58 donor service areas, and 25% of DCD kidneys were recovered in only four donor service areas. Overall, 20% of recovered DCD kidneys were discarded, varying from 3% to 33% among donor service areas. Compared with kidneys from neurologically brain dead (NBD) donors, DCD kidneys had a higher adjusted odds ratio of discard that varied from 1.25 (95% confidence interval [95% CI], 1.16 to 1.34) in kidneys with total donor warm ischemic time (WIT) of 10-26 minutes to 2.67 (95% CI, 2.34 to 3.04) in kidneys with total donor WIT >48 minutes. Among the 12,831 DCD kidneys transplanted, kidneys with WIT≤48 minutes had survival similar to that of NBD kidneys. DCD kidneys with WIT>48 minutes had a higher risk of allograft failure (hazard ratio, 1.23; 95% CI, 1.07 to 1.41), but this risk was limited to kidneys with cold ischemia time (CIT) >12 hours. We conclude that donor service area-level variation in the recovery and discard of DCD kidneys is large. Additional national data collection is needed to understand the potential to increase DCD donor transplantation in the United States. Strategies to minimize cold ischemic injury may safely allow increased use of DCD kidneys with WIT>48 minutes. Copyright © 2017 by the American Society of Nephrology.

First Update of the Criteria for Certification of Chest Pain Units in Germany: Facelift or New Model?

PubMed

Breuckmann, Frank; Rassaf, Tienush

2016-03-01

In an effort to provide a systematic and specific standard-of-care for patients with acute chest pain, the German Cardiac Society introduced criteria for certification of specialized chest pain units (CPUs) in 2008, which have been replaced by a recent update published in 2015. We reviewed the development of CPU establishment in Germany during the past 7 years and compared and commented the current update of the certification criteria. As of October 2015, 228 CPUs in Germany have been successfully certified by the German Cardiac Society; 300 CPUs are needed for full coverage closing gaps in rural regions. Current changes of the criteria mainly affect guideline-adherent adaptions of diagnostic work-ups, therapeutic strategies, risk stratification, in-hospital timing and education, and quality measures, whereas the overall structure remained unchanged. Benchmarking by participation within the German CPU registry is encouraged. Even though the history is short, the concept of certified CPUs in Germany is accepted and successful underlined by its recent implementation in national and international guidelines. First registry data demonstrated a high standard of quality-of-care. The current update provides rational adaptions to new guidelines and developments without raising the level for successful certifications. A periodic release of fast-track updates with shorter time frames and an increase of minimum requirements should be considered.

Explaining Direct Care Resource Use of Nursing Home Residents: Findings from Time Studies in Four States

PubMed Central

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

2007-01-01

Objective To explain variation in direct care resource use (RU) of nursing home residents based on the Resource Utilization Groups III (RUG-III) classification system and other resident- and unit-level explanatory variables. Data Sources/Study Setting Primary data were collected on 5,314 nursing home residents in 156 nursing units in 105 facilities from four states (CO, IN, MN, MS) from 1998 to 2004. Study Design Nurses and other direct care staff recorded resident-specific and other time caring for all residents on sampled nursing units. Care time was linked to resident data from the Minimum Data Set assessment instrument. Major variables were: RUG-III group (34-group), other health and functional conditions, licensed and other professional minutes per day, unlicensed minutes per day, and direct care RU (wage-weighted minutes). Resident- and unit-level relationships were examined through hierarchical linear modeling. Data Collection/Extraction Methods Time study data were recorded with hand-held computers, verified for accuracy by project staff at the data collection sites and then merged into resident and unit-level data sets. Principal Findings Resident care time and RU varied between and within nursing units. RUG-III group was related to RU; variables such as length of stay and unit percentage of high acuity residents also were significantly related. Case-mix indices (CMIs) constructed from study data displayed much less variation across RUG-III groups than CMIs from earlier time studies. Conclusions Results from earlier time studies may not be representative of care patterns of Medicaid and private pay residents. New RUG-III CMIs should be developed to better reflect the relative costs of caring for these residents. PMID:17362220

78 FR 27857 - United States Standards for Wheat

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-13

... DEPARTMENT OF AGRICULTURE Grain Inspection, Packers and Stockyards Administration 7 CFR Part 810... INFORMATION: Background The United States Grain Standards Act (USGSA) authorizes the Secretary of Agriculture...-2007 Census of Agriculture-updated), handlers, processors, and merchandisers are the primary users of...

Discovery of a Detached, Eclipsing 40 Minute Period Double White Dwarf Binary and a Friend: Implications for He+CO White Dwarf Mergers

NASA Astrophysics Data System (ADS)

Brown, Warren R.; Kilic, Mukremin; Kosakowski, Alekzander; Gianninas, A.

2017-09-01

We report the discovery of two detached double white dwarf (WD) binaries, SDSS J082239.546+304857.19 and SDSS J104336.275+055149.90, with orbital periods of 40 and 46 minutes, respectively. The 40 minute system is eclipsing; it is composed of a 0.30 M ⊙ and a 0.52 M ⊙ WD. The 46 minute system is a likely LISA verification binary. The short 20 ± 2 Myr and ˜34 Myr gravitational-wave merger times of the two binaries imply that many more such systems have formed and merged over the age of the Milky Way. We update the estimated Milky Way He+CO WD binary merger rate and affirm our previously published result: He+CO WD binaries merge at a rate at least 40 times greater than the formation rate of stable mass-transfer AM CVn binaries, and so the majority must have unstable mass-transfer. The implication is that spin-orbit coupling in He+CO WD mergers is weak, or perhaps nova-like outbursts drive He+CO WDs into merger, as proposed by Shen. Based on observations obtained at the MMT Observatory, a joint facility of the Smithsonian Institution and the University of Arizona, and on observations obtained with the Apache Point Observatory 3.5 m telescope, which is owned and operated by the Astrophysical Research Consortium.

MEMS Stirling Cooler Development Update

NASA Technical Reports Server (NTRS)

Moran, Matthew E.; Wesolek, Danielle

2003-01-01

This presentation provides an update on the effort to build and test a prototype unit of the patented MEMS Stirling cooler concept. A micro-scale regenerator has been fabricated by Polar Thermal Technologies and is currently being integrated into a Stirling cycle simulator at Johns Hopkins University Applied Physics Laboratory. A discussion of the analysis, design, assembly, and test plans for the prototype will be presented.

U.S. Foundation Funding for Change in South Africa: An Update. South African Information Exchange Working Paper Number 10.

ERIC Educational Resources Information Center

Micou, Ann M.

The South African Information Exchange (SAIE) has published an update of 35 existing organizations who are engaged in funding initiatives for specific areas of South African and United States educational exchange programs. One list is alphabetical by such program categories as: academic exchange, academic support, adult education, advocacy,…

Preliminary results from a method to update timber resource statistics in North Carolina

Treesearch

Glenn P. Catts; Noel D. Cost; Raymond L. Czaplewski; Paul W. Snook

1987-01-01

Forest Inventory and Analysis units of the USDA Forest Service produce timber resource statistics every 8 to 10 years. Midcycle surveys are often performed to update inventory estimates. This requires timely identification of forest lands. There are several kinds of remotely sensed data that are suitable for this purpose. Medium scale color infrared aerial photography...

Delayed Slater determinant update algorithms for high efficiency quantum Monte Carlo.

PubMed

McDaniel, T; D'Azevedo, E F; Li, Y W; Wong, K; Kent, P R C

2017-11-07

Within ab initio Quantum Monte Carlo simulations, the leading numerical cost for large systems is the computation of the values of the Slater determinants in the trial wavefunction. Each Monte Carlo step requires finding the determinant of a dense matrix. This is most commonly iteratively evaluated using a rank-1 Sherman-Morrison updating scheme to avoid repeated explicit calculation of the inverse. The overall computational cost is, therefore, formally cubic in the number of electrons or matrix size. To improve the numerical efficiency of this procedure, we propose a novel multiple rank delayed update scheme. This strategy enables probability evaluation with an application of accepted moves to the matrices delayed until after a predetermined number of moves, K. The accepted events are then applied to the matrices en bloc with enhanced arithmetic intensity and computational efficiency via matrix-matrix operations instead of matrix-vector operations. This procedure does not change the underlying Monte Carlo sampling or its statistical efficiency. For calculations on large systems and algorithms such as diffusion Monte Carlo, where the acceptance ratio is high, order of magnitude improvements in the update time can be obtained on both multi-core central processing units and graphical processing units.

Delayed Slater determinant update algorithms for high efficiency quantum Monte Carlo

NASA Astrophysics Data System (ADS)

McDaniel, T.; D'Azevedo, E. F.; Li, Y. W.; Wong, K.; Kent, P. R. C.

2017-11-01

Within ab initio Quantum Monte Carlo simulations, the leading numerical cost for large systems is the computation of the values of the Slater determinants in the trial wavefunction. Each Monte Carlo step requires finding the determinant of a dense matrix. This is most commonly iteratively evaluated using a rank-1 Sherman-Morrison updating scheme to avoid repeated explicit calculation of the inverse. The overall computational cost is, therefore, formally cubic in the number of electrons or matrix size. To improve the numerical efficiency of this procedure, we propose a novel multiple rank delayed update scheme. This strategy enables probability evaluation with an application of accepted moves to the matrices delayed until after a predetermined number of moves, K. The accepted events are then applied to the matrices en bloc with enhanced arithmetic intensity and computational efficiency via matrix-matrix operations instead of matrix-vector operations. This procedure does not change the underlying Monte Carlo sampling or its statistical efficiency. For calculations on large systems and algorithms such as diffusion Monte Carlo, where the acceptance ratio is high, order of magnitude improvements in the update time can be obtained on both multi-core central processing units and graphical processing units.

Decision Making. Level Two/Three. Career Guidance.

ERIC Educational Resources Information Center

Cooper, Irene; And Others

Materials contained in this career guidance unit are designed to provide the seven-, eight-, or nine-year-old student with a framework of logical steps for decision making and problem solving. The seventeen activities included in the unit vary in length from thirty to sixty minutes; the entire unit requires approximately ten hours of instructional…

Multileaf collimator-based linear accelerator radiosurgery: five-year efficiency analysis.

PubMed

Lawson, Joshua D; Fox, Tim; Waller, Anthony F; Davis, Lawrence; Crocker, Ian

2009-03-01

In 1989, Emory University initiated a linear accelerator (linac) radiosurgery program using circular collimators. In 2001, the program converted to a multileaf collimator. Since then, the treatment parameters of each patient have been stored in the record-and-verify system. Three major changes have occurred in the radiosurgery program in the past 6 years: in 2002, treatment was changed from static conformal beams to dynamic conformal arc (DCA) therapy, and all patients were imaged before treatment. Beginning in 2005, a linac was used, with the opportunity to treat at higher dose rates (600-1,000 monitor units/min). The aim of this study was to analyze the time required to deliver radiosurgery and the factors affecting treatment delivery. Benchmark data are provided for centers contemplating initiating linac radiosurgery programs. Custom software was developed to mine the record-and-verify system database and automatically perform a chart review on patients who underwent stereotactic radiosurgery from March 2001 to October 2006. The software extracted 510 patients who underwent stereotactic radiosurgery, and the following information was recorded for each patient: treatment technique, treatment time (from initiation of imaging, if done, to completion of therapy), number of isocenters, number of fields, total monitor units, and dose rate. Of the 510 patients, 395 were treated with DCA therapy and 115 with static conformal beams. The average number of isocenters treated was 1.06 (range, 1-4). The average times to deliver treatment were 24.1 minutes for patients who underwent DCA therapy and 19.3 minutes for those treated with static conformal beams, reflecting the lack of imaging in the latter patients. Eighty percent of patients were treated in <30 minutes. For the patients who underwent DCA therapy, the times required to treat 1, 2, 3, and 4 isocenters were 23.9, 24.8, 33.1, and 37.8 minutes, respectively. Average beam-on time for these patients was 11.4 minutes. There has been no significant reduction in treatment delivery with the use of 1,000 monitor units/min, reflecting the fact that beam-on time is not the major determinant of overall treatment time. Multileaf collimator-based linac radiosurgery can be delivered efficiently in <30 minutes in the vast majority of patients. Given the limited treatment room utilization required for stereotactic radiosurgery treatments, this study calls into question the need for a dedicated radiosurgery unit for even busy treatment centers.

Oklahoma, 2011 - forest inventory and analysis factsheet

Treesearch

Jason A. Cooper

2013-01-01

This science update summarizes the findings of the statewide annual inventory of the forest resource attributes in Oklahoma conducted by the Southern Forest Inventory and Analysis (FIA) program in cooperation with the Oklahoma Forestry Services. The 77 counties of Oklahoma are consolidated into seven FIA survey units— southeast (unit 1), northeast (unit 2), north...

Revising and Updating the Plant Science Components of the Connecticut Vocational Agriculture Curriculum.

ERIC Educational Resources Information Center

Connecticut Univ., Storrs. Dept. of Educational Leadership.

This curriculum guide provides the plant science components of the vocational agriculture curriculum for Regional Vocational Agriculture Centers. The curriculum is divided into exploratory units for students in the 9th and 10th grades and specialized units for students in grades 11 and 12. The five exploratory units are: agricultural pest control;…

Texas, 2008 forest inventory and analysis factsheet

Treesearch

James Bentley

2011-01-01

This science update summarizes the findings of the first statewide annual inventory conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas Forest Service of the forest resource attributes in Texas. The 254 counties of Texas are consolidated into seven FIA survey units—southeast (unit 1), the northeast (unit 2), the north...

2006 Update of Business Downtime Costs

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hinrichs, Mr. Doug; Goggin, Mr. Michael

2007-01-01

The objective of this paper is to assess the downtime cost of power outages to businesses in the commercial and industrial sectors, updating and improving upon studies that have already been published on this subject. The goal is to produce a study that, relative to existing studies, (1) applies to a wider set of business types (2) reflects more current downtime costs, (3) accounts for the time duration factor of power outages, and (4) includes data on the costs imposed by real outages in a well-defined market. This study examines power outage costs in 11 commercial subsectors and 5 industrialmore » subsectors, using data on downtime costs that was collected in the 1990's. This study also assesses power outage costs for power outages of 20 minutes, 1 hour, and 4 hours duration. Finally, this study incorporates data on the costs of real power outages for two business subsectors. However, the current limited state of data availability on the topic of downtime costs means there is room to improve upon this study. Useful next steps would be to generate more recent data on downtime costs, data that covers outages shorter than 20 minutes duration and longer than 4 hours duration, and more data that is based on the costs caused by real-world outages. Nevertheless, with the limited data that is currently available, this study is able to generate a clear and detailed picture of the downtime costs that are faced by different types of businesses.« less

ARS labs update to California Cotton Ginners and Growers

USDA-ARS?s Scientific Manuscript database

There are four USDA-ARS labs involved in cotton harvesting, processing & fiber quality research; The Southwestern Cotton Ginning Research Laboratory (Mesilla Park, NM); The Cotton Production and Processing Unit (Lubbock, TX); The Cotton Ginning Research Unit (Stoneville, MS); and The Cotton Structur...

STS-31: APU Controller Removal

NASA Technical Reports Server (NTRS)

1990-01-01

The launch April 10 of the STS-31 was scrubbed at T-4 minutes due to a faulty valve in auxiliary power unit (APU) number one. The auxiliary power unit is a hydrazine-fueled, turbine-driven power unit that generates mechanical shaft power to drive a hydraulic pump that produces pressure for the orbiter's hydraulic system. This video shows the removal of the STS-31's auxiliary power unit (APU).

Incidence and Outcomes of Cardiopulmonary Resuscitation in Pediatric Intensive Care Units

PubMed Central

Berg, Robert A.; Nadkarni, Vinay M.; Clark, Amy E.; Moler, Frank; Meert, Kathleen; Harrison, Rick E.; Newth, Christopher J. L.; Sutton, Robert M.; Wessel, David L.; Berger, John T.; Carcillo, Joseph; Dalton, Heidi; Heidemann, Sabrina; Shanley, Thomas P.; Zuppa, Athena F.; Doctor, Allan; Tamburro, Robert F.; Jenkins, Tammara L.; Dean, J. Michael; Holubkov, Richard; Pollack, Murray M.

2015-01-01

Objective To determine the incidence of cardiopulmonary resuscitation (CPR) in pediatric intensive care units (PICU) and subsequent outcomes. Design, Setting, and Patients Multi-center prospective observational study of children 30 minutes, p30 minutes of CPR. Conclusions These data establish that contemporary PICU CPR, including long durations of CPR, results in high rates of survival to hospital discharge (45%) and favorable neurologic outcomes among survivors (89%). Rates of survival with favorable neurologic outcomes were similar among cardiac and non-cardiac patients. The rigorous prospective, observational study design avoided the limitations of missing data and potential selection biases inherent in registry and administrative data. PMID:26646466

Updated preparedness and response framework for influenza pandemics.

PubMed

Holloway, Rachel; Rasmussen, Sonja A; Zaza, Stephanie; Cox, Nancy J; Jernigan, Daniel B

2014-09-26

The complexities of planning for and responding to the emergence of novel influenza viruses emphasize the need for systematic frameworks to describe the progression of the event; weigh the risk of emergence and potential public health impact; evaluate transmissibility, antiviral resistance, and severity; and make decisions about interventions. On the basis of experience from recent influenza responses, CDC has updated its framework to describe influenza pandemic progression using six intervals (two prepandemic and four pandemic intervals) and eight domains. This updated framework can be used for influenza pandemic planning and serves as recommendations for risk assessment, decision-making, and action in the United States. The updated framework replaces the U.S. federal government stages from the 2006 implementation plan for the National Strategy for Pandemic Influenza (US Homeland Security Council. National strategy for pandemic influenza: implementation plan. Washington, DC: US Homeland Security Council; 2006. Available at http://www.flu.gov/planning-preparedness/federal/pandemic-influenza-implementation.pdf). The six intervals of the updated framework are as follows: 1) investigation of cases of novel influenza, 2) recognition of increased potential for ongoing transmission, 3) initiation of a pandemic wave, 4) acceleration of a pandemic wave, 5) deceleration of a pandemic wave, and 6) preparation for future pandemic waves. The following eight domains are used to organize response efforts within each interval: incident management, surveillance and epidemiology, laboratory, community mitigation, medical care and countermeasures, vaccine, risk communications, and state/local coordination. Compared with the previous U.S. government stages, this updated framework provides greater detail and clarity regarding the potential timing of key decisions and actions aimed at slowing the spread and mitigating the impact of an emerging pandemic. Use of this updated framework is anticipated to improve pandemic preparedness and response in the United States. Activities and decisions during a response are event-specific. These intervals serve as a reference for public health decision-making by federal, state, and local health authorities in the United States during an influenza pandemic and are not meant to be prescriptive or comprehensive. This framework incorporates information from newly developed tools for pandemic planning and response, including the Influenza Risk Assessment Tool and the Pandemic Severity Assessment Framework, and has been aligned with the pandemic phases restructured in 2013 by the World Health Organization.

An efficient decoding for low density parity check codes

NASA Astrophysics Data System (ADS)

Zhao, Ling; Zhang, Xiaolin; Zhu, Manjie

2009-12-01

Low density parity check (LDPC) codes are a class of forward-error-correction codes. They are among the best-known codes capable of achieving low bit error rates (BER) approaching Shannon's capacity limit. Recently, LDPC codes have been adopted by the European Digital Video Broadcasting (DVB-S2) standard, and have also been proposed for the emerging IEEE 802.16 fixed and mobile broadband wireless-access standard. The consultative committee for space data system (CCSDS) has also recommended using LDPC codes in the deep space communications and near-earth communications. It is obvious that LDPC codes will be widely used in wired and wireless communication, magnetic recording, optical networking, DVB, and other fields in the near future. Efficient hardware implementation of LDPC codes is of great interest since LDPC codes are being considered for a wide range of applications. This paper presents an efficient partially parallel decoder architecture suited for quasi-cyclic (QC) LDPC codes using Belief propagation algorithm for decoding. Algorithmic transformation and architectural level optimization are incorporated to reduce the critical path. First, analyze the check matrix of LDPC code, to find out the relationship between the row weight and the column weight. And then, the sharing level of the check node updating units (CNU) and the variable node updating units (VNU) are determined according to the relationship. After that, rearrange the CNU and the VNU, and divide them into several smaller parts, with the help of some assistant logic circuit, these smaller parts can be grouped into CNU during the check node update processing and grouped into VNU during the variable node update processing. These smaller parts are called node update kernel units (NKU) and the assistant logic circuit are called node update auxiliary unit (NAU). With NAUs' help, the two steps of iteration operation are completed by NKUs, which brings in great hardware resource reduction. Meanwhile, efficient techniques have been developed to reduce the computation delay of the node processing units and to minimize hardware overhead for parallel processing. This method may be applied not only to regular LDPC codes, but also to the irregular ones. Based on the proposed architectures, a (7493, 6096) irregular QC-LDPC code decoder is described using verilog hardware design language and implemented on Altera field programmable gate array (FPGA) StratixII EP2S130. The implementation results show that over 20% of logic core size can be saved than conventional partially parallel decoder architectures without any performance degradation. If the decoding clock is 100MHz, the proposed decoder can achieve a maximum (source data) decoding throughput of 133 Mb/s at 18 iterations.

Walking Distance Estimation Using Walking Canes with Inertial Sensors

PubMed Central

Suh, Young Soo

2018-01-01

A walking distance estimation algorithm for cane users is proposed using an inertial sensor unit attached to various positions on the cane. A standard inertial navigation algorithm using an indirect Kalman filter was applied to update the velocity and position of the cane during movement. For quadripod canes, a standard zero-velocity measurement-updating method is proposed. For standard canes, a velocity-updating method based on an inverted pendulum model is proposed. The proposed algorithms were verified by three walking experiments with two different types of canes and different positions of the sensor module. PMID:29342971

Biological control of mile-a-minute weed, Polygonum perfoliatum: first release of the Chinese weevil, Rhinoncomimus latipes

Treesearch

Judith Hough-Goldstein

2007-01-01

Mile-a-minute weed (Polygonum perfoliatum L.) is an annual vine indigenous to parts of Asia, introduced into the eastern United States in the 1930s and now established throughout much of the Northeast. Infestations can cause failure of tree regeneration and may reduce native plant species in natural areas. A Chinese weevil, Rhinoncomimus...

Emergency management of patients with ST-segment elevation myocardial infarction in Eastern Austria: a descriptive quality control study.

PubMed

Trimmel, Helmut; Bayer, Thomas; Schreiber, Wolfgang; Voelckel, Wolfgang G; Fiedler, Lukas

2018-05-09

Myocardial infarction is a time-critical condition and its outcome is determined by appropriate emergency care. Thus we assessed the efficacy of a supra-regional ST-segment elevation myocardial infarction (STEMI) network in Easternern Austria. The Eastern Austrian STEMI network serves a population of approx. 766.000 inhabitants within a region of 4186 km 2 . Established in 2007, it now comprises 20 pre-hospital emergency medical service (EMS) units (10 of these physician-staffed), 4 hospitals and 3 cardiac intervention centres. Treatment guidelines were updated in 2012 and documentation within a web-based STEMI registry became mandatory. For this retrospective qualitative control study, data from February 2012-April 2015 was assessed. A total of 416 STEMI cases were documented, and 99% were identified by EMS within 6 (4.0-8.0) minutes after arrival. Median time loss between onset of pain and EMS call was 54 (20-135) minutes; response, pre-hospital and door-to-balloon times were 14 (10-20), 46 (37-59) and 45 (32-66) minutes, respectively. When general practitioners were involved, time between onset of pain and balloon inflation significantly increased from 180 (135-254) to 218 (155-348) minutes (p < .001). A pre-hospital time < 30 min was achieved in 25.8% of all patients during the day vs. 11.6% during the night (p < .001). Three hundred forty-five patients (83%) were subjected to primary percutaneous coronary intervention (PPCI), and 6.5% were thrombolysed by EMS. Pre-hospital complication rate was 18% (witnessed cardiac arrest 7%, threatening arrhythmias 6%, cardiogenic shock 5%). Twenty-four hours and hospital mortality rate were 1.2 and 2.8%, respectively. Optimal patient care and subsequently outcome of STEMI is strongly determined by a short patient-decision time to call EMS and by the first medical contact to balloon time (FMCBT). Supra-regional networks are key in order to increase the efficacy and efficiency of health care. The goal of 120 min FMCBT was achieved in 78% of our patients immediately managed by EMS, thus indicating room for improvement. In conclusion, results from the Eastern Austrian STEMI network shed light on the necessity of increasing patient awareness in order to minimize any time loss derived by delayed EMS calls. Involvement of family physicians resulted in prolonged FMCBT. A stronger utilization of rescue helicopters could further improve the efficacy of this supra-regional network. Nevertheless PPCI rates, time intervals and outcome rates compare well with international benchmarks.

Documentation for the 2008 Update of the United States National Seismic Hazard Maps

USGS Publications Warehouse

Petersen, Mark D.; Frankel, Arthur D.; Harmsen, Stephen C.; Mueller, Charles S.; Haller, Kathleen M.; Wheeler, Russell L.; Wesson, Robert L.; Zeng, Yuehua; Boyd, Oliver S.; Perkins, David M.; Luco, Nicolas; Field, Edward H.; Wills, Chris J.; Rukstales, Kenneth S.

2008-01-01

The 2008 U.S. Geological Survey (USGS) National Seismic Hazard Maps display earthquake ground motions for various probability levels across the United States and are applied in seismic provisions of building codes, insurance rate structures, risk assessments, and other public policy. This update of the maps incorporates new findings on earthquake ground shaking, faults, seismicity, and geodesy. The resulting maps are derived from seismic hazard curves calculated on a grid of sites across the United States that describe the frequency of exceeding a set of ground motions. The USGS National Seismic Hazard Mapping Project developed these maps by incorporating information on potential earthquakes and associated ground shaking obtained from interaction in science and engineering workshops involving hundreds of participants, review by several science organizations and State surveys, and advice from two expert panels. The National Seismic Hazard Maps represent our assessment of the 'best available science' in earthquake hazards estimation for the United States (maps of Alaska and Hawaii as well as further information on hazard across the United States are available on our Web site at http://earthquake.usgs.gov/research/hazmaps/).

The prevalence of leisure time sedentary behaviour and physical activity in adolescent boys: an ecological momentary assessment approach.

PubMed

Gorely, Trish; Biddle, Stuart J H; Marshall, Simon J; Cameron, Noel

2009-01-01

To use ecological momentary assessment to describe how adolescent boys in the United Kingdom spend their leisure time. Design. Cross-sectional, stratified, random sample from secondary schools in 15 regions within the United Kingdom. The data are from a larger study of adolescent lifestyles (Project STIL). A total of 561 boys with a mean age of 14.6 years (range 12.7-16.7 years). The majority were white-European (86.5%). Television viewing occupied the most leisure time on both weekdays (131 minutes) and weekend (202.5 minutes) days. On weekdays the five most time consuming sedentary activities (television viewing, homework, motorised travel, playing computer/video games and shopping/hanging out) occupied on average 272.2 minutes. On weekend days, the five most time consuming sedentary activities (television viewing, shopping/hanging out, motorised travel, sitting and talking and playing computer/video games) occupied 405.5 minutes. In total, 54 minutes were occupied by active transport or sports and exercise per weekday and 81 minutes per weekend day. Only a minority watched more than 4 hours of TV per day (8.9% on weekdays and 33.8% on weekend days). Differences were noted in the means and prevalence between weekend and weekdays, reflecting the greater discretionary time available at the weekend. Adolescent boys engage in a variety of sedentary and active free time behaviours. It appears prudent to encourage adolescents to adopt overall healthy lifestyles by considering the combination of both active and sedentary pursuits an individual engages in and by moving beyond a focus on any one single behaviour.

Forest Resources of the United States, 2012: a technical document supporting the Forest Service 2010 update of the RPA Assessment

Treesearch

Sonja N. Oswalt; W. Brad Smith; Patrick D. Miles; Scott A. Pugh

2014-01-01

Forest resource statistics from the 2010 Resources Planning Act (RPA) Assessment were updated to provide current information on the Nation's forests as a baseline for the 2015 national assessment. Resource tables present estimates of forest area, volume, mortality, growth, removals, and timber products output in various ways, such as by ownership, region, or State...

78 FR 28594 - Advisory Committee Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-15

... draft competitiveness report, and Ex-Im Bank economic impact policy update. Public Participation: The... EXPORT-IMPORT BANK OF THE UNITED STATES Advisory Committee Meeting ACTION: Notice of Open Meeting of the Advisory Committee of the Export- Import Bank of the United States (Ex-Im Bank). Time and...

A multinational population survey of intravaginal ejaculation latency time.

PubMed

Waldinger, Marcel D; Quinn, Paul; Dilleen, Maria; Mundayat, Rajiv; Schweitzer, Dave H; Boolell, Mitradev

2005-07-01

Intravaginal ejaculation latency time (IELT), defined as the time between the start of vaginal intromission and the start of intravaginal ejaculation, is increasingly used in clinical trials to assess the amount of selective serotonin reuptake inhibitor-induced ejaculation delay in men with premature ejaculation. Prospectively, stopwatch assessment of IELTs has superior accuracy compared with retrospective questionnaire and spontaneous reported latency. However, the IELT distribution in the general male population has not been previously assessed. To determine the stopwatch assessed-IELT distribution in large random male cohorts of different countries. A total of 500 couples were recruited from five countries: the Netherlands, United Kingdom, Spain, Turkey, and the United States. Enrolled men were aged 18 years or older, had a stable heterosexual relationship for at least 6 months, with regular sexual intercourse. The surveyed population were not included or excluded by their ejaculatory status and comorbidities. This survey was performed on a "normal" general population. Sexual events and stopwatch-timed IELTs during a 4-week period were recorded, as well as circumcision status and condom use. The IELT, circumcision status, and condom use. The distribution of the IELT in all the five countries was positively skewed, with a median IELT of 5.4 minutes (range, 0.55-44.1 minutes). The median IELT decreased significantly with age, from 6.5 minutes in the 18-30 years group, to 4.3 minutes in the group older than 51 years (P<0.0001). The median IELT varied between countries, with the median value for Turkey being the lowest, i.e., 3.7 minutes (0.9-30.4 minutes), which was significantly different from each of the other countries. Comparison of circumcised (N=98) and not-circumcised (N=261) men in countries excluding Turkey resulted in median IELT values of 6.7 minutes (0.7-44.1 minutes) in circumcised compared with 6.0 minutes (0.5-37.4 minutes) in not-circumcised men (not significant). The median IELT value was not affected by condom use. The IELT distribution is positively skewed. The overall median value was 5.4 minutes but with differences between countries. For all five countries, median IELT values were independent of condom usage. In countries excluding Turkey, the median IELT values were independent of circumcision status.

DOE Office of Scientific and Technical Information (OSTI.GOV)

McMurray, L. and W. Templin-Branner

Training Manual updated for United Negro College Fund Special Programs Corporation/National Library of Medicine - HBCU ACCESS Project for Alcorn State University, Natchez, Mississippi, November 12, 2010

An updated cause specific mortality study of petroleum refinery workers.

PubMed Central

Dagg, T G; Satin, K P; Bailey, W J; Wong, O; Harmon, L L; Swencicki, R E

1992-01-01

An update of a cohort study of 14,074 employees at the Richmond and El Segundo refineries of Chevron USA in California was conducted to further examine mortality patterns. The update added six years of follow up (1981-6) and 941 deaths. As in the previous study, mortality from all causes (standard mortality ratio (SMR) = 73) was significantly lower among men compared with the general United States population. Significant deficits were also found for all cancers combined (SMR = 81), several site specific cancers, and most non-malignant causes of death. Mortality from suicide was increased relative to the United States as a whole. Based on a comparison with California rates, however, men had fewer deaths from suicide than expected. Standard mortality ratios were raised for several other causes of death, but only leukaemia and lymphoreticulosarcoma exhibited a pattern suggestive of an occupational relation. The increase appeared to be confined to those hired before 1949, and in the case of lymphoreticulosarcoma, to Richmond workers. PMID:1554618

76 FR 54536 - Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-01

... UNITED STATES INSTITUTE OF PEACE Meeting AGENCY: United States Institute of Peace. Date/Time... Peace Act, Public Law 98-525. Agenda: September 22, 2011 Board Meeting; Approval of Minutes of the One Hundred Fortieth Meeting (June 23-24, 2011) of the Board of Directors; Chairman's Report; President's...

East Texas, 2012—Forest Inventory and Analysis Factsheet

Treesearch

Thomas J. Brandeis; Jason A. Cooper; James W. Bentley

2014-01-01

This science update summarizes the findings of the statewide annual inventory of the forest resource attributes in Texas conducted by the Southern Forest Inventory and Analysis (FIA) Program in cooperation with the Texas A&M Forest Service. The 254 counties of Texas are consolidated into seven FIA survey units—southeast (unit 1), northeast (unit 2), north central (...

Direct potable reuse microbial risk assessment methodology: Sensitivity analysis and application to State log credit allocations.

PubMed

Soller, Jeffrey A; Eftim, Sorina E; Nappier, Sharon P

2018-01-01

Understanding pathogen risks is a critically important consideration in the design of water treatment, particularly for potable reuse projects. As an extension to our published microbial risk assessment methodology to estimate infection risks associated with Direct Potable Reuse (DPR) treatment train unit process combinations, herein, we (1) provide an updated compilation of pathogen density data in raw wastewater and dose-response models; (2) conduct a series of sensitivity analyses to consider potential risk implications using updated data; (3) evaluate the risks associated with log credit allocations in the United States; and (4) identify reference pathogen reductions needed to consistently meet currently applied benchmark risk levels. Sensitivity analyses illustrated changes in cumulative annual risks estimates, the significance of which depends on the pathogen group driving the risk for a given treatment train. For example, updates to norovirus (NoV) raw wastewater values and use of a NoV dose-response approach, capturing the full range of uncertainty, increased risks associated with one of the treatment trains evaluated, but not the other. Additionally, compared to traditional log-credit allocation approaches, our results indicate that the risk methodology provides more nuanced information about how consistently public health benchmarks are achieved. Our results indicate that viruses need to be reduced by 14 logs or more to consistently achieve currently applied benchmark levels of protection associated with DPR. The refined methodology, updated model inputs, and log credit allocation comparisons will be useful to regulators considering DPR projects and design engineers as they consider which unit treatment processes should be employed for particular projects. Published by Elsevier Ltd.

Nickel-hydrogen CPV battery update

NASA Technical Reports Server (NTRS)

Jones, Kenneth R.; Zagrodnik, Jeffrey P.

1993-01-01

The multicell common pressure vessel (CPV) nickel hydrogen battery manufactured by Johnson Controls Battery Group, Inc. has completed full flight qualification, including random vibration at 19.5 g for two minutes in each axis, electrical characterization in a thermal vacuum chamber, and mass-spectroscopy vessel leak detection. A first launch is scheduled for late in 1992 or early 1993 by the Naval Research Laboratory (NRL). Specifics of the launch date are not available at this time due to the classified nature of the program. Release of orbital data for the battery is anticipated following the launch.

Future-year ozone prediction for the United States using updated models and inputs.

PubMed

Collet, Susan; Kidokoro, Toru; Karamchandani, Prakash; Shah, Tejas; Jung, Jaegun

2017-08-01

The relationship between emission reductions and changes in ozone can be studied using photochemical grid models. These models are updated with new information as it becomes available. The primary objective of this study was to update the previous Collet et al. studies by using the most up-to-date (at the time the study was done) modeling emission tools, inventories, and meteorology available to conduct ozone source attribution and sensitivity studies. Results show future-year, 2030, design values for 8-hr ozone concentrations were lower than base-year values, 2011. The ozone source attribution results for selected cities showed that boundary conditions were the dominant contributors to ozone concentrations at the western U.S. locations, and were important for many of the eastern U.S. Point sources were generally more important in the eastern United States than in the western United States. The contributions of on-road mobile emissions were less than 5 ppb at a majority of the cities selected for analysis. The higher-order decoupled direct method (HDDM) results showed that in most of the locations selected for analysis, NOx emission reductions were more effective than VOC emission reductions in reducing ozone levels. The source attribution results from this study provide useful information on the important source categories and provide some initial guidance on future emission reduction strategies. The relationship between emission reductions and changes in ozone can be studied using photochemical grid models, which are updated with new available information. This study was to update the previous Collet et al. studies by using the most current, at the time the study was done, models and inventory to conduct ozone source attribution and sensitivity studies. The source attribution results from this study provide useful information on the important source categories and provide some initial guidance on future emission reduction strategies.

Aspects of Tactical Biological Defense

DTIC Science & Technology

1994-06-03

physical proof of Soviet emplcyment of mycotoxins in those countries had been obtained. 30 Biochemical casualties in Laos, Kampuchea and Afghanistan...detection capability. The current system planned for use is the XM-21 Remote Sensing Chemical Agent Alarm (RSCAAL). It uses infrared sensors to detect...Micrometer(s). min. Minute(s). MS. Mans spectroscopy /mass spectrometer. NBC, Nuclear, biological and chemical. pfu. Plaque forming units--the number of

Is 30-second update fast enough for convection-resolving data assimilation?

NASA Astrophysics Data System (ADS)

Miyoshi, Takemasa; Ruiz, Juan; Lien, Guo-Yuan; Teramura, Toshiki; Kondo, Keiichi; Maejima, Yasumitsu; Honda, Takumi; Otsuka, Shigenori

2017-04-01

For local severe weather forecasting at 100-m resolution with 30-minute lead time, we have been working on the "Big Data Assimilation" (BDA) effort for super-rapid 30-second cycle of an ensemble Kalman filter. We have presented two papers with the concept and case studies (Miyoshi et al. 2016, BAMS; Proceedings of the IEEE). We focus on the non-Gaussian PDF in this study. We were hoping that we could assume the Gaussian error distribution in 30-second forecasts before strong nonlinear dynamics distort the error distribution for rapidly-changing convective storms. However, using 1000 ensemble members, the reduced-resolution version of the BDA system at 1-km grid spacing with 30-second updates showed ubiquity of highly non-Gaussian PDF. Although our results so far with multiple case studies were quite successful, this gives us a doubt about our Gaussian assumption even if the data assimilation interval is short enough compared with the system's chaotic time scale. We therefore pose a question if the 30-second update is fast enough for convection-resolving data assimilation under the Gaussian assumption. To answer this question, we aim to gain combined knowledge from BDA case studies, 1000-member experiments, 30-second breeding experiments, and toy-model experiments with dense and frequent observations. In this presentation, we will show the most up-to-date results of the BDA research, and will discuss about the question if the 30-second update is fast enough for convective-scale data assimilation.

Operating room discharge after deep neuromuscular block reversed with sugammadex compared with shallow block reversed with neostigmine: a randomized controlled trial.

PubMed

Putz, Laurie; Dransart, Christophe; Jamart, Jacques; Marotta, Maria-Laura; Delnooz, Geraldine; Dubois, Philippe E

2016-12-01

To determine if reversing a deep or moderate block with sugammadex, compared with a shallow block reversed with neostigmine, reduces the time to operating room discharge after surgery and the time spent in the postanesthesia care unit. A randomized controlled trial. Monocentric study performed from February 2011 until May 2012. One hundred consenting women with American Society of Anesthesiologists grade I or II were randomized into 2 groups. Laparoscopic hysterectomy was performed under desflurane general anesthesia. For the neostigmine (N) group, 0.45 mg · kg -1 rocuronium was followed by spontaneous recovery. A 5-mg rescue bolus was administered only if surgical evaluation was unacceptable. At the end of surgery, 50 μg · kg -1 neostigmine with glycopyrrolate was administered. For the sugammadex (S) group, a higher intubating rocuronium dose (0.6 mg · kg -1 ) was followed by 5-mg boluses each time the train-of-four count exceeded 2. Sugammadex (2-4 mg · kg -1 ) was administered to reverse the block. All patients were extubated after obtaining a train-of-four ratio of 0.9. The duration between the end of surgery and operating room discharge and the time spent in the postanesthesia care unit. The time till operating room discharge was shorter and more predictable in group S (9.15±4.28 minutes vs 13.87±11.43 minutes in group N; P=.005). The maximal duration in group S was 22 minutes, compared with 72 minutes in group N. The time spent in the postanesthesia care unit was not significantly different (group S: 47.75±31.77 minutes and group N: 53.43±40.57 minutes; P=.543). Maintaining a deep neuromuscular block during laparoscopic hysterectomy reversed at the end of the procedure with sugammadex enabled a faster and more predictable time till operating room discharge than did the classical combination of a shallower block reversed with neostigmine. Copyright © 2016 Elsevier Inc. All rights reserved.

A New U.S. Carbon Cycle Science Plan

NASA Astrophysics Data System (ADS)

Michalak, A. M.; Jackson, R.; Marland, G.; Sabine, C.

2009-05-01

The report "A U.S. carbon cycle science plan" (J. L. Sarmiento and S. C. Wofsy, U.S. Global Change Res. Program, Washington, D. C., 1999) outlined research priorities and promoted coordinated carbon cycle research across federal agencies in the United States for nearly a decade. Building on this framework and subsequent reports (http://www.carboncyclescience.gov/docs.php), a working group comprised of 27 scientists was formed in 2008 under the United States Carbon Cycle Science Program to review the 1999 Science Plan, and to develop an updated strategy for carbon cycle research for the period from 2010 to 2020. This comprehensive review is being conducted with wide input from the research and stakeholder communities. The recommendations of the Carbon Cycle Science Working Group (CCSWG) will go to U.S. agency managers who have collective responsibility for setting national carbon cycle science priorities and for sponsoring much of the carbon cycle research in the United States. This presentation will provide an update on the ongoing planning process, will outline the steps that the CCSWG is undertaking in building consensus towards an updated U.S. Carbon Cycle Science Plan, and will seek input on the best ways in which to coordinate efforts with ongoing and upcoming research in Canada and Mexico, as well as with ongoing work globally.

Implementation of NGA-West2 ground motion models in the 2014 U.S. National Seismic Hazard Maps

USGS Publications Warehouse

Rezaeian, Sanaz; Petersen, Mark D.; Moschetti, Morgan P.; Powers, Peter; Harmsen, Stephen C.; Frankel, Arthur D.

2014-01-01

The U.S. National Seismic Hazard Maps (NSHMs) have been an important component of seismic design regulations in the United States for the past several decades. These maps present earthquake ground shaking intensities at specified probabilities of being exceeded over a 50-year time period. The previous version of the NSHMs was developed in 2008; during 2012 and 2013, scientists at the U.S. Geological Survey have been updating the maps based on their assessment of the “best available science,” resulting in the 2014 NSHMs. The update includes modifications to the seismic source models and the ground motion models (GMMs) for sites across the conterminous United States. This paper focuses on updates in the Western United States (WUS) due to the use of new GMMs for shallow crustal earthquakes in active tectonic regions developed by the Next Generation Attenuation (NGA-West2) project. Individual GMMs, their weighted combination, and their impact on the hazard maps relative to 2008 are discussed. In general, the combined effects of lower medians and increased standard deviations in the new GMMs have caused only small changes, within 5–20%, in the probabilistic ground motions for most sites across the WUS compared to the 2008 NSHMs.

An Update to the Budget and Economic Outlook: 2014 to 2024

DTIC Science & Technology

2014-08-01

shares of gross domestic income (GDI). In principle , GDI equals GDP because each dollar of production yields a dollar of income; in practice, they...Projected Actual Percentage of GDP Percentage of the Population 1999 20092004 CONGRESS OF THE UNITED STATES CONGRESSIONAL BUDGET OFFICE CBO An Update to...the collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data

Plasma potassium concentration and content changes after banana ingestion in exercised men.

PubMed

Miller, Kevin C

2012-01-01

Individuals prone to exercise-associated muscle cramps (EAMCs) are instructed to eat bananas because of their high potassium (K(+)) concentration and carbohydrate content and the perception that K(+) imbalances and fatigue contribute to the genesis of EAMCs. No data exist about the effect of bananas on plasma K(+) concentration ([K(+)](p)) or plasma glucose concentration ([glucose](p)) after exercise in the heat. To determine whether ingesting 0, 1, or 2 servings of bananas after 60 minutes of moderate to vigorous exercise in the heat alters [K(+)](p) or [glucose](p) and whether changes in [K(+)](p) result from hypotonic fluid effluxes or K(+) ion changes. Crossover study. Laboratory. Nine euhydrated men (age = 27 ± 4 years, height = 180.3 ± 8.4 cm, mass = 84.9 ± 26.1 kg, urine specific gravity ≤ 1.006) without EAMCs volunteered. On 3 separate days, participants completed 60 minutes of moderate to vigorous cycling (temperature = 36.4°C ± 1.1°C, relative humidity = 19.4% ± 2.5%) and then ate 0 g (0 servings), 150 g (1 serving), or 300 g (2 servings) of bananas. Blood samples were collected at 3, 5, 15, 30, and 60 minutes postingestion. The [K(+)](p), changes in plasma K(+) content, plasma volume changes, and [glucose](p). The [K(+)](p) differed between conditions at 60 minutes; 2 servings (4.6 ± 0.3 mmol/L [conventional unit = 4.6 ± 0.3 mEq/L]) was greater than 1 serving (4.5 ± 0.2 mmol/L [conventional unit = 4.5 ± 0.2 mEq/L]) and 0 servings (4.4 ± 0.3 mmol/L [conventional unit = 4.4 ± 0.3 mEq/L]) (P < .05). The [K(+)](p) was greater at 60 minutes than at 3 and 5 minutes in the 1-serving condition and was greater at 30 and 60 minutes than at 3 and 5 minutes in the 2-servings condition (P < .05). Percentage change in K(+) content was greater only at 30 and 60 minutes postingestion than at baseline in the 2-servings condition (4.4% ± 3.7% and 5.8% ± 2.3% increase, respectively) (P < .05). The plasma volume changes among conditions were unremarkable. The [glucose](p) was greater in the 2-servings condition than in all other conditions at 15, 30, and 60 minutes (P < .05). The effect of banana ingestion on EAMCs is unknown; however, these data suggested bananas are unlikely to relieve EAMCs by increasing extracellular [K(+)] or [glucose](p). The increases in [K(+)](p) were marginal and within normal clinical values. The changes in [K(+)](p), plasma K(+) content, and [glucose](p) do not occur quickly enough to treat acute EAMCs, especially if they develop near the end of competition.

Unit The World of the Soil, First Trial Materials, Inspection Set, [Australian Science Education Project].

ERIC Educational Resources Information Center

Australian Council for Educational Research, Hawthorn.

The Australian Science Education project is producing materials designed for use in grades 7 - 10 of Australian schools. This is the first trial version of a unit expected to take about 20 40-minute periods to complete. Included are a teacher's guide to the unit, four pupil booklets ("Looking at Soils,""Things to do With…

A review of statistical updating methods for clinical prediction models.

PubMed

Su, Ting-Li; Jaki, Thomas; Hickey, Graeme L; Buchan, Iain; Sperrin, Matthew

2018-01-01

A clinical prediction model is a tool for predicting healthcare outcomes, usually within a specific population and context. A common approach is to develop a new clinical prediction model for each population and context; however, this wastes potentially useful historical information. A better approach is to update or incorporate the existing clinical prediction models already developed for use in similar contexts or populations. In addition, clinical prediction models commonly become miscalibrated over time, and need replacing or updating. In this article, we review a range of approaches for re-using and updating clinical prediction models; these fall in into three main categories: simple coefficient updating, combining multiple previous clinical prediction models in a meta-model and dynamic updating of models. We evaluated the performance (discrimination and calibration) of the different strategies using data on mortality following cardiac surgery in the United Kingdom: We found that no single strategy performed sufficiently well to be used to the exclusion of the others. In conclusion, useful tools exist for updating existing clinical prediction models to a new population or context, and these should be implemented rather than developing a new clinical prediction model from scratch, using a breadth of complementary statistical methods.

Investigating the complex viral community of the turkey gut: an update from the laboratory and the field

USDA-ARS?s Scientific Manuscript database

Periodic monitoring of poultry flocks in the United States via molecular diagnostic methods has revealed a number of potential enteric viral pathogens in continuous circulation in turkeys and chickens. Recently, numerous enteric samples collected from turkey flocks in the southeastern United States ...

Energy Drinks. Prevention Update

ERIC Educational Resources Information Center

Higher Education Center for Alcohol, Drug Abuse, and Violence Prevention, 2010

2010-01-01

High-caffeine soft drinks have existed in the United States since at least the 1980s beginning with Jolt Cola. Energy drinks, which have caffeine as their primary "energy" component, began being marketed as a separate beverage category in the United States in 1997 with the introduction of the Austrian import Red Bull. Energy drink…

78 FR 45907 - United States Standards for Grades of Frozen Vegetables

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-30

... standards covered by these revisions are: frozen asparagus, frozen lima beans, frozen speckled butter beans..., lima beans, speckled butter beans, cooked squash, summer squash, etc., and not other vegetables. AMS... document. United States Standards for Grades of Frozen Lima Beans Update address for AMS. Change ``U.S...

An Update on Asset Management Plans in the United Kingdom.

ERIC Educational Resources Information Center

Patel, Mukund

1999-01-01

Describes a current project in the United Kingdom designed to improve school buildings. The use of Asset Management Plans (AMPs) in providing the means through which likely future needs are assessed, criteria for prioritization are set, and informed decisions on local spending are made are examined. (GR)

Impact of Smartphone Applications on Timing of Endovascular Therapy for Ischemic Stroke: A Preliminary Study.

PubMed

Alotaibi, Naif M; Sarzetto, Francesca; Guha, Daipayan; Lu, Michael; Bodo, Andre; Gupta, Shaurya; Dyer, Erin; Howard, Peter; da Costa, Leodante; Swartz, Richard H; Boyle, Karl; Nathens, Avery B; Yang, Victor X D

2017-11-01

The metrics of imaging-to-puncture and imaging-to-reperfusion were recently found to be associated with the clinical outcomes of endovascular thrombectomy for acute ischemic stroke. However, measures for improving workflow within hospitals to achieve better timing results are largely unexplored for endovascular therapy. The aim of this study was to examine our experience with a novel smartphone application developed in house to improve our timing metrics for endovascular treatment. We developed an encrypted smartphone application connecting all stroke team members to expedite conversations and to provide synchronized real-time updates on the time window from stroke onset to imaging and to puncture. The effects of the application on the timing of endovascular therapy were evaluated with a secondary analysis of our single-center cohort. Our primary outcome was imaging-to-puncture time. We assessed the outcomes with nonparametric tests of statistical significance. Forty-five patients met our criteria for analysis among 66 consecutive patients with acute ischemic stroke who received endovascular therapy at our institution. After the implementation of the smartphone application, imaging-to-puncture time was significantly reduced (preapplication median time, 127 minutes; postapplication time, 69 minutes; P < 0.001). Puncture-to-reperfusion time was not affected by the application use (42 minutes vs. 36 minutes). The use of smartphone applications may reduce treatment times for endovascular therapy in acute ischemic stroke. Further studies are needed to confirm our findings. Copyright © 2017. Published by Elsevier Inc.

United States pulpwood receipts : softwood and hardwood, roundwood and residues, 1950-1996

Treesearch

C. Denise Ingram; Peter J. Ince; Ryan L. Mehlberg

1999-01-01

This report shows pulpwood receipts at wood pulp mills in the United States for the period 1950 to 1996. It is an update of the General Technical Report FPL1GTR173, bUnited States Pulpwood Receipts: Softwood and Hardwood, Roundwood and Residues, 195011989,c published in 1993. This report continues as a compilation of published and estimated data based on information...

Emergency medical kit for commercial airlines: an update.

PubMed

Thibeault, Claude

2002-06-01

As expected, the issue of medical kits for commercial airlines continues to attract attention, especially in light of the recent United States regulation on the subject. As promised in its first recommendation in 1998, the Air Transport Medicine (ATM) Committee has continued to monitor medical kit usage as well as pharmaceutical scientific developments and wishes to propose an update to its 1998 recommendation. Lists of contents are provided for emergency medical kits of two types: 1) those without defibrillator/monitor or monitor; and 2) those with defibrillator/monitor or monitor alone. Follow up and updates on this issue will be an ongoing task of the ATM Committee.

Smart Location Database - Service

EPA Pesticide Factsheets

The Smart Location Database (SLD) summarizes over 80 demographic, built environment, transit service, and destination accessibility attributes for every census block group in the United States. Future updates to the SLD will include additional attributes which summarize the relative location efficiency of a block group when compared to other block groups within the same metropolitan region. EPA also plans to periodically update attributes and add new attributes to reflect latest available data. A log of SLD updates is included in the SLD User Guide. See the user guide for a full description of data sources, data currency, and known limitations: https://edg.epa.gov/data/Public/OP/SLD/SLD_userguide.pdf

Smart Location Database - Download

EPA Pesticide Factsheets

The Smart Location Database (SLD) summarizes over 80 demographic, built environment, transit service, and destination accessibility attributes for every census block group in the United States. Future updates to the SLD will include additional attributes which summarize the relative location efficiency of a block group when compared to other block groups within the same metropolitan region. EPA also plans to periodically update attributes and add new attributes to reflect latest available data. A log of SLD updates is included in the SLD User Guide. See the user guide for a full description of data sources, data currency, and known limitations: https://edg.epa.gov/data/Public/OP/SLD/SLD_userguide.pdf

Real-Time Adaptive Color Segmentation by Neural Networks

NASA Technical Reports Server (NTRS)

Duong, Tuan A.

2004-01-01

Artificial neural networks that would utilize the cascade error projection (CEP) algorithm have been proposed as means of autonomous, real-time, adaptive color segmentation of images that change with time. In the original intended application, such a neural network would be used to analyze digitized color video images of terrain on a remote planet as viewed from an uninhabited spacecraft approaching the planet. During descent toward the surface of the planet, information on the segmentation of the images into differently colored areas would be updated adaptively in real time to capture changes in contrast, brightness, and resolution, all in an effort to identify a safe and scientifically productive landing site and provide control feedback to steer the spacecraft toward that site. Potential terrestrial applications include monitoring images of crops to detect insect invasions and monitoring of buildings and other facilities to detect intruders. The CEP algorithm is reliable and is well suited to implementation in very-large-scale integrated (VLSI) circuitry. It was chosen over other neural-network learning algorithms because it is better suited to realtime learning: It provides a self-evolving neural-network structure, requires fewer iterations to converge and is more tolerant to low resolution (that is, fewer bits) in the quantization of neural-network synaptic weights. Consequently, a CEP neural network learns relatively quickly, and the circuitry needed to implement it is relatively simple. Like other neural networks, a CEP neural network includes an input layer, hidden units, and output units (see figure). As in other neural networks, a CEP network is presented with a succession of input training patterns, giving rise to a set of outputs that are compared with the desired outputs. Also as in other neural networks, the synaptic weights are updated iteratively in an effort to bring the outputs closer to target values. A distinctive feature of the CEP neural network and algorithm is that each update of synaptic weights takes place in conjunction with the addition of another hidden unit, which then remains in place as still other hidden units are added on subsequent iterations. For a given training pattern, the synaptic weight between (1) the inputs and the previously added hidden units and (2) the newly added hidden unit is updated by an amount proportional to the partial derivative of a quadratic error function with respect to the synaptic weight. The synaptic weight between the newly added hidden unit and each output unit is given by a more complex function that involves the errors between the outputs and their target values, the transfer functions (hyperbolic tangents) of the neural units, and the derivatives of the transfer functions.

Determination of minimum suction level necessary for field dental units.

PubMed

Charlton, David G

2010-04-01

A significant problem with most field dental units is that their suction is too weak to effectively remove debris from the mouth. The purpose of this study was to determine the minimum clinically acceptable suction level for routine dentistry. A vacuum pump was connected to a high-volume dental evacuation line in a simulated clinical setting and different suction airflow rates were evaluated by nine evaluator dentists for their capability to effectively remove amalgam debris and water. Airflow levels were rated as "clinically acceptable" or "clinically unacceptable" by each evaluator. Data were analyzed using a chi2 test for trend. Analysis indicated a significant linear trend between airflow and ratings (p < 0.0001). The first airflow level considered by all evaluators as producing clinically acceptable suction was 4.5 standard cubic feet per minute (0.127 standard cubic meters per minute). This value should be the minimum level required for all military field dental units.

Common Risk Criteria Standards for National Test Ranges

DTIC Science & Technology

2016-08-01

mitigation is a national policy goal. The most recent National Space Policy of the United States (dated June 28, 2010) states that “the United States will...pursue the following goals in its national space programs …strengthening measures to mitigate orbital debris.”5 While DoD Directive (DoDD) 3100.106... United States of America. National Space Policy of the United States of America. 28 June, 2010. May be superseded by update. Retrieved 7 April 2016

Improving the timeliness of procedures in a pediatric endoscopy suite.

PubMed

Tomer, Gitit; Choi, Steven; Montalvo, Andrea; Sutton, Sheila; Thompson, John; Rivas, Yolanda

2014-02-01

Pediatric endoscopic procedures are essential in the evaluation and treatment of gastrointestinal diseases in children. Although pediatric endoscopists are greatly interested in increasing efficiency and through-put in pediatric endoscopy units, there is scarcely any literature on this critical process. The goal of this study was to improve the timeliness of pediatric endoscopy procedures at Children's Hospital at Montefiore. In June 2010, a pediatric endoscopy quality improvement initiative was formed at Children's Hospital at Montefiore. We identified patient-, equipment-, and physician-related causes for case delays. Pareto charts, cause and effect diagrams, process flow mapping, and statistical process control charts were used for analysis. From June 2010 to December 2012, we were able to significantly decrease the first case endoscopy delay from an average of 17 to 10 minutes (P < .001), second case delay from 39 to 25 minutes (P = .01), third case delay from 61 to 45 minutes (P = .05), and fourth case delay from 79 to 51 minutes (P = .05). Total delay time decreased from 196 to 131 minutes, resulting in a reduction of 65 minutes (P = .02). From June 2010 to August 2011 (preintervention period), an average of 36% of first endoscopy cases started within 5 minutes, 51% within 10 minutes, and 61% within 15 minutes of the scheduled time. From September 2011 to December 2012 (postintervention period), the percentage of cases starting within 5 minutes, 10 minutes, and 15 minutes increased to 47% (P = .07), 61% (P = .04), and 79% (P = .01), respectively. Applying quality improvement methods and tools helped improve pediatric endoscopy timeliness and significantly decreased total delays.

Energy expenditure estimates during school physical education: Potential vs. reality?

PubMed

Kahan, David; McKenzie, Thomas L

2017-02-01

Schools are salient locations for addressing the high prevalence of overweight and obesity. Most US states require some physical education (PE) and the energy expended during PE has potential to positively affect energy balance. We previously used 2012 data to examine state policies for PE to calculate estimated student energy expenditure (EEE) under potential (i.e., recommendations followed) and existing conditions. Since then, data have been updated on both state policies and the conduct of PE. Based on updated data, we used PE frequency, duration, and intensity, student mass, and class size to calculate EEE for the delivery of PE under (a) national professional recommendations, (b) 2016 state policies, and (c) school-reported conditions. Although increased from four years ago, only 22 states currently have policies mandating specific PE minutes. EEE over 10years shows the enormous impact PE could have on energy balance. For the average recommended-size PE class, resultant annual EEE based on professional recommendations for min/week far exceeded those based on average state (n=22) policy for min/week by 44.5% for elementary, 62.7% for middle, and 59.5% for high schools. Since 2012 more states adopted policies for PE minutes than dropped them, however, EEE over 10years showed a net loss of 1200kcal/student. With no overall recent improvements in state PE policy and professional recommendations currently not being met, PE remains an underutilized public health resource for EEE. Strong policies, coupled with enhanced accountability of PE teachers and administrators, are needed to ensure PE exists in schools. Copyright © 2016 Elsevier Inc. All rights reserved.

The delay in transfer between the emergency department and the critical care unit for patients with an acute cardiac event--in hospital factors.

PubMed

Grech, C; Pannell, D; Smith-Sparrow, T

2001-11-01

The Lyell McEwin Health Service (LMHS) is a major public hospital located in the northern suburbs of Adelaide, a region where the death rate from ischaemic heart disease (IHD) is higher than the expected death rate in the population. A retrospective case note study conducted at this hospital investigated the duration that patients with unstable angina pectoris (UA) or acute myocardial infarction (AMI) spent in the emergency department (ED) before admission to the critical care unit (CCU) and the factors that contributed to delays of greater than 70 minutes. All patients admitted to the LMHS over an 18 month period with a discharge diagnosis related group (DRG) for AMI and UA were included in the study. A total of 667 case notes were examined; 403 of these cases met the inclusion criteria for the study. The mean duration between arrival in the ED and subsequent admission to the CCU was found to be 161 minutes. DRG was a major factor in the length of time spent in the ED. The mean duration for patients with AMI was 124 minutes, whilst for UA the duration was 190 minutes (difference = 66 minutes, p<0.001). Other factors that were significant were gender (females = mean duration 29 minutes > males, p=0.015), and mode of transport to the ED (arrival by ambulance mean duration 30 minutes < private transport, Recommendations arising from this study included that a system be established to enable the rapid assessment of all patients suspected of suffering AMI and UA, inclusive of their expeditious transfer to the CCU. In addition, a staff development programme was proposed to ensure medical and nursing staff became aware of a bias in this hospital toward transferring male patients in a shorter timeframe than females with the same DRG.

The Ins and Outs of Relief Casting.

ERIC Educational Resources Information Center

Greene, Yvonne

2000-01-01

Describes a unit on clay casting that introduces students to relief sculpture. The unit takes three 45 to 50 minute class periods three weeks apart. Discusses each class session in detail: (1) creating the casting; (2) turning out and rinsing the casting; and (3) enriching the surface with color. (CMK)

Permanent nerve damage from inferior alveolar nerve blocks: a current update.

PubMed

Pogrel, M Anthony

2012-10-01

Permanent nerve involvement has been reported following inferior alveolar nerve blocks. This study provides an update on cases reported to one unit in the preceding six years. Lidocaine was associated with 25 percent of cases, articaine with 33 percent of cases, and prilocaine with 34 percent of cases. It does appear that inferior alveolar nerve blocks can cause permanent nerve damage with any local anesthetic, but the incidences may vary.

3D ultrasound computer tomography: update from a clinical study

NASA Astrophysics Data System (ADS)

Hopp, T.; Zapf, M.; Kretzek, E.; Henrich, J.; Tukalo, A.; Gemmeke, H.; Kaiser, C.; Knaudt, J.; Ruiter, N. V.

2016-04-01

Ultrasound Computer Tomography (USCT) is a promising new imaging method for breast cancer diagnosis. We developed a 3D USCT system and tested it in a pilot study with encouraging results: 3D USCT was able to depict two carcinomas, which were present in contrast enhanced MRI volumes serving as ground truth. To overcome severe differences in the breast shape, an image registration was applied. We analyzed the correlation between average sound speed in the breast and the breast density estimated from segmented MRIs and found a positive correlation with R=0.70. Based on the results of the pilot study we now carry out a successive clinical study with 200 patients. For this we integrated our reconstruction methods and image post-processing into a comprehensive workflow. It includes a dedicated DICOM viewer for interactive assessment of fused USCT images. A new preview mode now allows intuitive and faster patient positioning. We updated the USCT system to decrease the data acquisition time by approximately factor two and to increase the penetration depth of the breast into the USCT aperture by 1 cm. Furthermore the compute-intensive reflectivity reconstruction was considerably accelerated, now allowing a sub-millimeter volume reconstruction in approximately 16 minutes. The updates made it possible to successfully image first patients in our ongoing clinical study.

Efficiency of performing pulmonary procedures in a shared endoscopy unit: procedure time, turnaround time, delays, and procedure waiting time.

PubMed

Verma, Akash; Lee, Mui Yok; Wang, Chunhong; Hussein, Nurmalah B M; Selvi, Kalai; Tee, Augustine

2014-04-01

The purpose of this study was to assess the efficiency of performing pulmonary procedures in the endoscopy unit in a large teaching hospital. A prospective study from May 20 to July 19, 2013, was designed. The main outcome measures were procedure delays and their reasons, duration of procedural steps starting from patient's arrival to endoscopy unit, turnaround time, total case durations, and procedure wait time. A total of 65 procedures were observed. The most common procedure was BAL (61%) followed by TBLB (31%). Overall procedures for 35 (53.8%) of 65 patients were delayed by ≥ 30 minutes, 21/35 (60%) because of "spillover" of the gastrointestinal and surgical cases into the time block of pulmonary procedure. Time elapsed between end of pulmonary procedure and start of the next procedure was ≥ 30 minutes in 8/51 (16%) of cases. In 18/51 (35%) patients there was no next case in the room after completion of the pulmonary procedure. The average idle time of the room after the end of pulmonary procedure and start of next case or end of shift at 5:00 PM if no next case was 58 ± 53 minutes. In 17/51 (33%) patients the room's idle time was >60 minutes. A total of 52.3% of patients had the wait time >2 days and 11% had it ≥ 6 days, reason in 15/21 (71%) being unavailability of the slot. Most pulmonary procedures were delayed due to spillover of the gastrointestinal and surgical cases into the block time allocated to pulmonary procedures. The most common reason for difficulty encountered in scheduling the pulmonary procedure was slot unavailability. This caused increased procedure waiting time. The strategies to reduce procedure delays and turnaround times, along with improved scheduling methods, may have a favorable impact on the volume of procedures performed in the unit thereby optimizing the existing resources.

78 FR 47859 - Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-06

...This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward an IRF's ``60 percent rule'' compliance calculation to determine ``presumptive compliance,'' update the IRF facility-level adjustment factors using an enhanced estimation methodology, revise sections of the Inpatient Rehabilitation Facility-Patient Assessment Instrument, revise requirements for acute care hospitals that have IRF units, clarify the IRF regulation text regarding limitation of review, update references to previously changed sections in the regulations text, and revise and update quality measures and reporting requirements under the IRF quality reporting program.

2017 State of Wind Development in the United States by Region

DOE Office of Scientific and Technical Information (OSTI.GOV)

Oteri, Frank A; Baranowski, Ruth E; Baring-Gould, Edward I

This document summarizes the status and drivers for U.S. wind energy development during 2017. Regional Resource Center (RRC) leaders provided a report of wind energy development in their regions, which was combined with findings from National Renewable Energy Laboratory (NREL) researchers to provide an account of the state of the regions, as well as updates on developments in individual states. NREL researchers and state partners added updates for all states that are not directly supported by an RRC. Accounts for each region include updates on renewable portfolio standards, workforce development, manufacturing and economic development, and individual state updates for installedmore » wind capacity, ongoing policy developments, planned projects and their status, transmission progress reports, etc. This report also highlights the efforts of the RRCs to engage stakeholders in their individual regions.« less

Medicare program; inpatient rehabilitation facility prospective payment system for federal fiscal year 2014. Final rule.

PubMed

2013-08-06

This final rule updates the prospective payment rates for inpatient rehabilitation facilities (IRFs) for federal fiscal year (FY) 2014 (for discharges occurring on or after October 1, 2013 and on or before September 30, 2014) as required by the statute. This final rule also revised the list of diagnosis codes that may be counted toward an IRF's "60 percent rule'' compliance calculation to determine "presumptive compliance,'' update the IRF facility-level adjustment factors using an enhanced estimation methodology, revise sections of the Inpatient Rehabilitation Facility-Patient Assessment Instrument, revise requirements for acute care hospitals that have IRF units, clarify the IRF regulation text regarding limitation of review, update references to previously changed sections in the regulations text, and revise and update quality measures and reporting requirements under the IRF quality reporting program.

Electronic Ambient-Temperature Recorder

NASA Technical Reports Server (NTRS)

Russell, Larry; Barrows, William

1995-01-01

Electronic temperature-recording unit stores data in internal memory for later readout. Records temperatures from minus 40 degrees to plus 60 degrees C at intervals ranging from 1.875 to 15 minutes. With all four data channels operating at 1.875-minute intervals, recorder stores at least 10 days' data. For only one channel at 15-minute intervals, capacity extends to up to 342 days' data. Developed for recording temperatures of instruments and life-science experiments on satellites, space shuttle, and high-altitude aircraft. Adaptable to such terrestrial uses as recording temperatures of perishable goods during transportation and of other systems or processes over long times. Can be placed directly in environment to monitor.

A Kid Like Me across the Sea: A Look into the World of a German Child. Social Studies, Grades Kindergarten-Grade 3. Update 2002.

ERIC Educational Resources Information Center

Blankenship, Glen

This instructional unit about Germany is designed for primary students and may be integrated into the existing curriculum or used as a stand-alone unit. Each lesson begins with an outline for teaching that includes instructional objectives, a list of needed materials, and a sequenced list of procedures for implementing the lesson. The unit is…

Natural Gas Processing Plants in the United States: 2010 Update

EIA Publications

2011-01-01

This special report presents an analysis of natural gas processing plants in the United States as of 2009 and highlights characteristics of this segment of the industry. The purpose of the paper is to examine the role of natural gas processing plants in the natural gas supply chain and to provide an overview and summary of processing plant characteristics in the United States, such as locations, capacities, and operations.

An Emerging Technology Curriculum. Education for Technology Employment Project. Final Report.

ERIC Educational Resources Information Center

Harms, Dan; And Others

Individualized, competency-based curriculum materials were developed for a course on Principles of Technology, Units 1-6. New and updated curriculum materials in Drafting and Electronics and the Principles of Technology units were pilot tested in area vocational center settings in Illinois. A computer maintenance program was also developed but not…

National Offshore Wind Strategy: Facilitating the Development of the Offshore Wind Industry in the United States

DOE Office of Scientific and Technical Information (OSTI.GOV)

Patrick Gilman; Maurer, Ben; Feinberg, Luke

2016-09-01

The U.S. Department of Energy, through its Wind Energy Technologies Office, and U.S. Department of the Interior, through its Bureau of Ocean Energy Management, have jointly produced this updated national strategy to facilitate the responsible development of offshore wind energy in the United States.

Updating Social Studies in West Virginia: Illustrative Teaching Units.

ERIC Educational Resources Information Center

West Virginia State Dept. of Education, Charleston.

These teaching guides, which grew out of the activities of a curriculum practicum in West Virginia, attempt to build learning around key human relations concepts and readily available data. There are eleven, independent units on wide-ranging topics within the social studies, among them: The American Indian, Religion and Law in America, Man's…

Academic Assets: University Fundraising--An Update

ERIC Educational Resources Information Center

Sutton Trust, 2014

2014-01-01

This report compares the fundraising activities of universities in the United Kingdom and the United States--continuing on from two previous Sutton Trust reports published in 2003 and 2006--and looks at the extent of fundraising and the size of endowment funds held by individual universities on both sides of the Atlantic. Key findings in this…

An Update from the United Nations

ERIC Educational Resources Information Center

Staley, Lynn

2005-01-01

On September 8, 9, and 10, the United Nations (UN) Department of Information (DPI) partnered with the non-governmental organizations (NGOs) to sponsor the 57th Annual DPI/NGO Conference in New York City. In his welcoming remarks, Kofi Annan, Secretary-General of the UN, highlighted the theme of the conference, "Millennium Development Goals (MDGs):…

76 FR 47540 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-05

....S. Census Bureau. Title: 2011 Government Units Survey. OMB Control Number: 0607-0930. Form Number(s... Government Units Survey will be used to update the universe list of public sector entities for the 2012... questions on the form, and return the form. The directory survey for the 2007 Census of Governments, form G...

Progress and Directions in Professional Credentialing for Health Education in the United States

ERIC Educational Resources Information Center

Cottrell, Randall R.; Auld, M. Elaine; Birch, David A.; Taub, Alyson; King, Laura Rasar; Allegrante, John P.

2012-01-01

This article provides an update on initiatives in individual certification and accreditation of academic programs in public/community health education and school health education in the United States. Although we provide some historical context, the focus primarily addresses credentialing efforts that have evolved since the Galway Consensus…

Forest Resources of the United States, 1997, METRIC UNITS.

Treesearch

W. Brad Smith; John S. Vissage; Davie R. Darr; Raymond M. Sheffield

2002-01-01

Forest resource statistics from the 1987 Forest Resources Planning Act (RPA) Asessment were updated to 1997 to provide current information on the Nation's forests. Resource tables present estimates in metric measure of forest area, volume, mortality, growth, removals, and timber products output in various ways, such as by ownership, region, or State.

The Inventory of Sources of Dioxin in the United States (External Review Draft 2005)

EPA Science Inventory

Background

The purpose of The Inventory of Sources of Dioxin in the United States (2005 External Review Draft) is to present the most current inventory of sources and environmental releases of dioxi...

Revising and Updating the Agricultural Mechanics Components of the Connecticut Vocational Agriculture Curriculum.

ERIC Educational Resources Information Center

EASTCONN Regional Educational Services Center, North Windham, CT.

This curriculum guide contains 28 competency-based units of study for use in high school agricultural mechanics courses, especially in Connecticut. The 10 exploratory units, suitable for grades 9-10, cover the following topics: beginning welding; cold metal and soldering; electricity; plumbing; power tools; shop safety, mathematics, painting and…

An Update on the Status of Anatomical Sciences Education in United States Medical Schools

ERIC Educational Resources Information Center

Drake, Richard L.; McBride, Jennifer M.; Pawlina, Wojciech

2014-01-01

Curricular changes continue at United States medical schools and directors of gross anatomy, microscopic anatomy, neuroscience/neuroanatomy, and embryology courses continue to adjust and modify their offerings. Developing and supplying data related to current trends in anatomical sciences education is important if informed decisions are going to…

Child Care Centers Sponsored by Employers and Labor Unions in the United States.

ERIC Educational Resources Information Center

Perry, Kathryn Senn

To gather information helpful to employers and labor representatives considering support for employee child care services, a survey of 305 employer-sponsored child care centers throughout the United States was conducted in 1978. This report presents, and in some sections updates, findings of the survey. Responses indicate that successful…

Improving emergency medical dispatching with emphasis on mass-casualty incidents.

PubMed

Kleinoscheg, Gabriel; Burgsteiner, Harald; Bernroider, Martin; Kiechle, Günter; Obermayer, Maria

2014-01-01

Dispatching ambulances is a demanding and stressful task for dispatchers. This is especially true in case of mass-casualty incidents. Therefore, the aim of this work was to investigate if and to what extent the dispatch operation of the Red Cross Salzburg can be optimized on such occasions with a computerized system. The basic problem of a dynamic multi-vehicle Dial-a-Ride Problem with time windows was enhanced according to the requirements of the Red Cross Salzburg. The general objective was to minimize the total mileage covered by ambulances and the waiting time of patients. Furthermore, in case of emergencies suitable adaptions to a plan should be carried out automatically. Consequently, the problem is solved by using the Adaptive Large Neighborhood Search. Evaluation results indicate that the system outperforms a human dispatcher by between 2.5% and 36% within 1 minute of runtime concerning total costs. Moreover, the system's response time in case that a plan has to be updated is less than 1 minute on average.

USGS US topo maps for Alaska

USGS Publications Warehouse

Anderson, Becci; Fuller, Tracy

2014-01-01

In July 2013, the USGS National Geospatial Program began producing new topographic maps for Alaska, providing a new map series for the state known as US Topo. Prior to the start of US Topo map production in Alaska, the most detailed statewide USGS topographic maps were 15-minute 1:63,360-scale maps, with their original production often dating back nearly fifty years. The new 7.5-minute digital maps are created at 1:25,000 map scale, and show greatly increased topographic detail when compared to the older maps. The map scale and data specifications were selected based on significant outreach to various map user groups in Alaska. This multi-year mapping initiative will vastly enhance the base topographic maps for Alaska and is possible because of improvements to key digital map datasets in the state. The new maps and data are beneficial in high priority applications such as safety, planning, research and resource management. New mapping will support science applications throughout the state and provide updated maps for parks, recreation lands and villages.

Simulation and analyses of the aeroassist flight experiment attitude update method

NASA Technical Reports Server (NTRS)

Carpenter, J. R.

1991-01-01

A method which will be used to update the alignment of the Aeroassist Flight Experiment's Inertial Measuring Unit is simulated and analyzed. This method, the Star Line Maneuver, uses measurements from the Space Shuttle Orbiter star trackers along with an extended Kalman filter to estimate a correction to the attitude quaternion maintained by an Inertial Measuring Unit in the Orbiter's payload bay. This quaternion is corrupted by on-orbit bending of the Orbiter payload bay with respect to the Orbiter navigation base, which is incorporated into the payload quaternion when it is initialized via a direct transfer of the Orbiter attitude state. The method of updating this quaternion is examined through verification of baseline cases and Monte Carlo analysis using a simplified simulation, The simulation uses nominal state dynamics and measurement models from the Kalman filter as its real world models, and is programmed on Microvax minicomputer using Matlab, and interactive matrix analysis tool. Results are presented which confirm and augment previous performance studies, thereby enhancing confidence in the Star Line Maneuver design methodology.

Documentation for the 2014 update of the United States national seismic hazard maps

USGS Publications Warehouse

Petersen, Mark D.; Moschetti, Morgan P.; Powers, Peter M.; Mueller, Charles S.; Haller, Kathleen M.; Frankel, Arthur D.; Zeng, Yuehua; Rezaeian, Sanaz; Harmsen, Stephen C.; Boyd, Oliver S.; Field, Edward; Chen, Rui; Rukstales, Kenneth S.; Luco, Nico; Wheeler, Russell L.; Williams, Robert A.; Olsen, Anna H.

2014-01-01

The national seismic hazard maps for the conterminous United States have been updated to account for new methods, models, and data that have been obtained since the 2008 maps were released (Petersen and others, 2008). The input models are improved from those implemented in 2008 by using new ground motion models that have incorporated about twice as many earthquake strong ground shaking data and by incorporating many additional scientific studies that indicate broader ranges of earthquake source and ground motion models. These time-independent maps are shown for 2-percent and 10-percent probability of exceedance in 50 years for peak horizontal ground acceleration as well as 5-hertz and 1-hertz spectral accelerations with 5-percent damping on a uniform firm rock site condition (760 meters per second shear wave velocity in the upper 30 m, VS30). In this report, the 2014 updated maps are compared with the 2008 version of the maps and indicate changes of plus or minus 20 percent over wide areas, with larger changes locally, caused by the modifications to the seismic source and ground motion inputs.

Revision of Primary Series Maps

USGS Publications Warehouse

,

2000-01-01

In 1992, the U.S. Geological Survey (USGS) completed a 50-year effort to provide primary series map coverage of the United States. Many of these maps now need to be updated to reflect the construction of new roads and highways and other changes that have taken place over time. The USGS has formulated a graphic revision plan to help keep the primary series maps current. Primary series maps include 1:20,000-scale quadrangles of Puerto Rico, 1:24,000- or 1:25,000-scale quadrangles of the conterminous United States, Hawaii, and U.S. Territories, and 1:63,360-scale quadrangles of Alaska. The revision of primary series maps from new collection sources is accomplished using a variety of processes. The raster revision process combines the scanned content of paper maps with raster updating technologies. The vector revision process involves the automated plotting of updated vector files. Traditional processes use analog stereoplotters and manual scribing instruments on specially coated map separates. The ability to select from or combine these processes increases the efficiency of the National Mapping Division map revision program.

Ada Integrated Environment III Computer Program Development Specification. Volume III. Ada Optimizing Compiler.

DTIC Science & Technology

1981-12-01

file.library-unit{.subunit).SYMAP Statement Map: library-file. library-unit.subunit).SMAP Type Map: 1 ibrary.fi le. 1 ibrary-unit{.subunit). TMAP The library...generator SYMAP Symbol Map code generator SMAP Updated Statement Map code generator TMAP Type Map code generator A.3.5 The PUNIT Command The P UNIT...Core.Stmtmap) NAME Tmap (Core.Typemap) END Example A-3 Compiler Command Stream for the Code Generator Texas Instruments A-5 Ada Optimizing Compiler

Centrifugal contactor operations for UREX process flowsheet. An update

DOE Office of Scientific and Technical Information (OSTI.GOV)

Pereira, Candido; Vandegrift, George F.

2014-08-01

The uranium extraction (UREX) process separates uranium, technetium, and a fraction of the iodine from the other components of the irradiated fuel in nitric acid solution. In May 2012, the time, material, and footprint requirements for treatment of 260 L batches of a solution containing 130 g-U/L were evaluated for two commercial annular centrifugal contactors from CINC Industries. These calculated values were based on the expected volume and concentration of fuel arising from treatment of a single target solution vessel (TSV). The general conclusions of that report were that a CINC V-2 contactor would occupy a footprint of 3.2 mmore » 2 (0.25 m x 15 m) if each stage required twice the nominal footprint of an individual stage, and approximately 1,131 minutes or nearly 19 hours is required to process all of the feed solution. A CINC V-5 would require approximately 9.9 m 2 (0.4 m x 25 m) of floor space but would require only 182 minutes or ~ 3 hours to process the spent target solution. Subsequent comparison with the Modular Caustic Side Solvent Extraction Unit (MCU) at Savannah River Site (SRS) in October 2013 suggested that a more compact arrangement is feasible, and the linear dimension for the CINC V-5 may be reduced to about 8 m; a comparable reduction for the CINC V-2 yields a length of 5 m. That report also described an intermediate-scale (10 cm) contactor design developed by Argonne in the early 1980s that would better align with the SHINE operations as they stood in May 2012. In this report, we revisit the previous evaluation of contactor operations after discussions with CINC Industries and analysis of the SHINE process flow diagrams for the cleanup of the TSV, which were not available at the time of the first assessment.« less

Fast Updating National Geo-Spatial Databases with High Resolution Imagery: China's Methodology and Experience

NASA Astrophysics Data System (ADS)

Chen, J.; Wang, D.; Zhao, R. L.; Zhang, H.; Liao, A.; Jiu, J.

2014-04-01

Geospatial databases are irreplaceable national treasure of immense importance. Their up-to-dateness referring to its consistency with respect to the real world plays a critical role in its value and applications. The continuous updating of map databases at 1:50,000 scales is a massive and difficult task for larger countries of the size of more than several million's kilometer squares. This paper presents the research and technological development to support the national map updating at 1:50,000 scales in China, including the development of updating models and methods, production tools and systems for large-scale and rapid updating, as well as the design and implementation of the continuous updating workflow. The use of many data sources and the integration of these data to form a high accuracy, quality checked product were required. It had in turn required up to date techniques of image matching, semantic integration, generalization, data base management and conflict resolution. Design and develop specific software tools and packages to support the large-scale updating production with high resolution imagery and large-scale data generalization, such as map generalization, GIS-supported change interpretation from imagery, DEM interpolation, image matching-based orthophoto generation, data control at different levels. A national 1:50,000 databases updating strategy and its production workflow were designed, including a full coverage updating pattern characterized by all element topographic data modeling, change detection in all related areas, and whole process data quality controlling, a series of technical production specifications, and a network of updating production units in different geographic places in the country.

Evaluating an approach to improving the adoption rate of wireless drug library updates for smart pumps.

PubMed

Poppe, Lindsey B; Eckel, Stephen F

2011-01-15

An academic medical center's approach to improving the adoption rate of wireless drug library updates for smart pumps was evaluated. A multidisciplinary team composed of pharmacy, nursing, medical engineering, materials management, and patient equipment personnel at an academic medical center collaborated to update the drug libraries of more than 1800 smart pumps via a wireless control system. Two pilot tests were completed to identify and resolve issues before the live wireless update was attempted. The second pilot test, a passive approach, produced an adoption rate of 42% of 1804 pumps at the end of one week and a rate of 56% on day 10. The goal of 80% was not achieved until day 22. The change to an active multidisciplinary process three months later produced an adoption rate of 80% for 1869 pumps on day 10, resulting in a 45.4% increase in the adoption rate between the two trials on day 10 (p < 0.001). Communication regarding the updates was disseminated via e-mail to the entire organization, with fliers posted on all patient care units, and verbally during staff meetings. Patient equipment personnel manually tagged each pump with a blue zip tie after verifying the update to easily identify which pumps had been updated. Areas for improvement include increasing communication to the staff detailing when the update will occur and changing the day of the week the update is performed. A multidisciplinary team actively engaged in the updating of wireless i.v. smart pump drug libraries reduced the amount of time required to reach a goal adoption rate of 80%.

Cardiovascular Update: Risk, Guidelines, and Recommendations.

PubMed

Pearson, Tamera

2015-09-01

This article provides an update of the current status of cardiovascular disease (CVD) in the United States, including a brief review of the underlying pathophysiology and epidemiology. This article presents a discussion of the latest American Heart Association guidelines that introduce the concept of promoting ideal cardiovascular health, defined by seven identified metrics. Specific CVD risk factors and utilization of the 10-year CVD event prediction calculator are discussed. In addition, current management recommendations of health-related conditions that increase risk for CVD, such as hypertension and hypercholesterolemia, are provided. Finally, a discussion of detailed evidence-based lifestyle recommendations to promote cardiovascular health and reduce CVD risks concludes the update. © 2015 The Author(s).

CNA’s Integrated Ship Database, Fourth Quarter 2011 Update

DTIC Science & Technology

2012-09-01

CNA’s Integrated Ship Database Fourth Quarter 2011 Update Gregory N. Suess, Lynette A . McClain, and Rhea Stone CNA Interactive Software DIS-2012-U...194) during a replenishment at sea (RAS).” Navy.mil Official Website of the United States Navy, last accessed May 24, 2012, at http://www.navy.mil...that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if

Surgical problems and complex procedures: issues for operative time in robotic totally endoscopic coronary artery bypass grafting.

PubMed

Wiedemann, Dominik; Bonaros, Nikolaos; Schachner, Thomas; Weidinger, Felix; Lehr, Eric J; Vesely, Mark; Bonatti, Johannes

2012-03-01

Robotically assisted totally endoscopic coronary artery bypass grafting (TECAB) is a viable option for closed chest coronary surgery, but it requires learning curves and longer operative times. This study evaluated the effect of extended operation times on the outcome of patients undergoing TECAB. From 2001 to 2009, 325 patients underwent TECAB with the da Vinci telemanipulation system. Correlations between operative times and preoperative, intraoperative, and early postoperative parameters were investigated. Receiver operating characteristic analysis was used to define the threshold of the procedure duration above which intensive care unit stay and ventilation time were prolonged. Demographic data, intraoperative and postoperative parameters, and survival data were compared. Patients with prolonged operative times more often underwent multivessel revascularization (P < .001) and beating-heart TECAB (P =.023). Other preoperative parameters were not associated with longer operative times. Incidences of technical difficulties and conversions (P < .001) were higher among patients with longer operative times. Prolonged intensive care unit stay, mechanical ventilation, hospital stay, and with requirement of blood products were associated with longer operative times. Receiver operating characteristic analysis showed operative times >445 minutes and >478 minutes to predict prolonged (>48 hours) intensive care unit stay and mechanical ventilation, respectively. Patients with procedures >478 minutes had longer hospital stays and higher perioperative morbidity and mortality. Kaplan-Meier analysis revealed decreased survival among patients with operative times >478 minutes. Multivessel revascularization and conversions lead to prolonged operative times in totally endoscopic coronary artery bypass grafting. Longer operative times significantly influence early postoperative and midterm outcomes. Copyright © 2012 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

Astronaut Bruce McCandless tests astronaut maneuvering unit

NASA Image and Video Library

1973-08-16

S72-30704 (1972) --- Astronaut Bruce McCandless II, backup pilot for Skylab 2, tests the balance and control of an astronaut maneuvering unit (AMU) test model at Martin Marietta Corporation's Denver division. The jet-powered backpack can fly for 30 minutes and can be worn over normal clothing or spacesuit. Photo credit: NASA

Common Issues in World Regions. Teacher's Guide.

ERIC Educational Resources Information Center

Grewar, Melinda, Ed.

This teacher's guide is designed to supplement eight 30-minute video programs each of which presents two cases studies that explore an issue from Northern American (United States and Canada) and Western European perspectives. The series of programs is intended to strengthen what junior and senior high school students in the United States and…

The use of portable intraoperative computed tomography scanning for real-time image guidance: a pilot cadaver study.

PubMed

Das, Subinoy; Maeso, Patricia A; Figueroa, Ramon E; Senior, Brent A; Delgaudio, John M; Sillers, Michael J; Schlosser, Rod J; Kountakis, Stilianos E

2008-01-01

This study was performed to assess the feasibility of using intraoperative computed tomography (CT) to provide real-time updates to image guidance systems (IGSs) during surgery. The xCAT ENT portable intraoperative CT scanner (Xoran Technologies, Ann Arbor, MI) was used to acquire scans before, midway, and at the end of six cadaver dissections during the Southern States Rhinology Course, Augusta, GA, in October 2006. These scans were used to recalibrate three different IGSs used during the dissection. Time measurements were recorded and dosimetry was obtained from the cornea, sphenoid sinus (near the optic chiasm), and from the operative field during acquisition of the images. IGS accuracy was determined at the skull base and lamina papyracea. Surgeons were interviewed on benefits of real-time updates to the IGS after completion of dissections. The xCAT ENT scanner was compatible with all three IGS platforms. The average time to update the IGS was 13 minutes. Radiation doses to the cornea were 620 mrad per scan, and optic chiasm was 800 mrad/scan. The accuracy at the anterior skull base improved from 1.58 to 0.62 mm (p=0.026). The accuracy at the posterior skull base improved from 1.46 to 0.71 mm (p=0.014). The accuracy at the lamina was not significantly changed. Intraoperative portable CT scanning with real-time IGS updates is feasible and likely would add little additional time. Accuracy is improved at the skull base. Prospective studies on actual patients are warranted.

KSC 50-MHz Doppler Radar Wind Profiler (DRWP) Operational Acceptance Test (OAT) Report

NASA Technical Reports Server (NTRS)

Barbre, Robert E.

2015-01-01

This report documents analysis results of the Kennedy Space Center updated 50-MHz Doppler Radar Wind Profiler (DRWP) Operational Acceptance Test (OAT). This test was designed to demonstrate that the new DRWP operates in a similar manner to the previous DRWP for use as a situational awareness asset for mission operations at the Eastern Range to identify rapid changes in the wind environment that weather balloons cannot depict. Data examination and two analyses showed that the updated DRWP meets the specifications in the OAT test plan and performs at least as well as the previous DRWP. Data examination verified that the DRWP provides complete profiles every five minutes from 1.8-19.5 km in vertical increments of 150 m. Analysis of 5,426 wind component reports from 49 concurrent DRWP and balloon profiles presented root mean square (RMS) wind component differences around 2.0 m/s. The DRWP's effective vertical resolution (EVR) was found to be 300 m for both the westerly and southerly wind component, which the best EVR possible given the DRWP's vertical sampling interval. A third analysis quantified the sensitivity to rejecting data that do not have adequate signal by assessing the number of first-guess propagations at each altitude. This report documents the data, quality control procedures, methodology, and results of each analysis. It also shows that analysis of the updated DRWP produced results that were at least as good as the previous DRWP with proper rationale. The report recommends acceptance of the updated DRWP for situational awareness usage as per the OAT's intent.

Documentation of the dynamic parameter, water-use, stream and lake flow routing, and two summary output modules and updates to surface-depression storage simulation and initial conditions specification options with the Precipitation-Runoff Modeling System (PRMS)

USGS Publications Warehouse

Regan, R. Steve; LaFontaine, Jacob H.

2017-10-05

This report documents seven enhancements to the U.S. Geological Survey (USGS) Precipitation-Runoff Modeling System (PRMS) hydrologic simulation code: two time-series input options, two new output options, and three updates of existing capabilities. The enhancements are (1) new dynamic parameter module, (2) new water-use module, (3) new Hydrologic Response Unit (HRU) summary output module, (4) new basin variables summary output module, (5) new stream and lake flow routing module, (6) update to surface-depression storage and flow simulation, and (7) update to the initial-conditions specification. This report relies heavily upon U.S. Geological Survey Techniques and Methods, book 6, chapter B7, which documents PRMS version 4 (PRMS-IV). A brief description of PRMS is included in this report.

Persistent Socioeconomic and Political Dilemmas to the Implementation of the 1989 United Nations' Convention on the Rights of the Child in Sub-Saharan Africa

ERIC Educational Resources Information Center

Mulinge, Munyae M.

2010-01-01

Objective: The aim of this article is to revisit the subject of the implementation of the 1989 United Nations Convention on the Rights of the Child in Africa. Specifically, the article is an update to a previous article titled "Implementing the 1989 United Nations' Convention on the Rights of the Child in sub-Saharan Africa: The Overlooked…

Heart Disease and Stroke Statistics—2011 Update

PubMed Central

Roger, Véronique L.; Go, Alan S.; Lloyd-Jones, Donald M.; Adams, Robert J.; Berry, Jarett D.; Brown, Todd M.; Carnethon, Mercedes R.; Dai, Shifan; de Simone, Giovanni; Ford, Earl S.; Fox, Caroline S.; Fullerton, Heather J.; Gillespie, Cathleen; Greenlund, Kurt J.; Hailpern, Susan M.; Heit, John A.; Ho, P. Michael; Howard, Virginia J.; Kissela, Brett M.; Kittner, Steven J.; Lackland, Daniel T.; Lichtman, Judith H.; Lisabeth, Lynda D.; Makuc, Diane M.; Marcus, Gregory M.; Marelli, Ariane; Matchar, David B.; McDermott, Mary M.; Meigs, James B.; Moy, Claudia S.; Mozaffarian, Dariush; Mussolino, Michael E.; Nichol, Graham; Paynter, Nina P.; Rosamond, Wayne D.; Sorlie, Paul D.; Stafford, Randall S.; Turan, Tanya N.; Turner, Melanie B.; Wong, Nathan D.; Wylie-Rosett, Judith

2015-01-01

Summary Each year, the American Heart Association (AHA), in conjunction with the Centers for Disease Control and Prevention, the National Institutes of Health, and other government agencies, brings together the most up-to-date statistics on heart disease, stroke, other vascular diseases, and their risk factors and presents them in its Heart Disease and Stroke Statistical Update. The Statistical Update is a valuable resource for researchers, clinicians, healthcare policy makers, media professionals, the lay public, and many others who seek the best national data available on disease morbidity and mortality and the risks, quality of care, medical procedures and operations, and costs associated with the management of these diseases in a single document. Indeed, since 1999, the Statistical Update has been cited more than 8700 times in the literature (including citations of all annual versions). In 2009 alone, the various Statistical Updates were cited ≈1600 times (data from ISI Web of Science). In recent years, the Statistical Update has undergone some major changes with the addition of new chapters and major updates across multiple areas. For this year’s edition, the Statistics Committee, which produces the document for the AHA, updated all of the current chapters with the most recent nationally representative data and inclusion of relevant articles from the literature over the past year and added a new chapter detailing how family history and genetics play a role in cardiovascular disease (CVD) risk. Also, the 2011 Statistical Update is a major source for monitoring both cardiovascular health and disease in the population, with a focus on progress toward achievement of the AHA’s 2020 Impact Goals. Below are a few highlights from this year’s Update. Death Rates From CVD Have Declined, Yet the Burden of Disease Remains High The 2007 overall death rate from CVD (International Classification of Diseases 10, I00–I99) was 251.2 per 100 000. The rates were 294.0 per 100 000 for white males, 405.9 per 100 000 for black males, 205.7 per 100 000 for white females, and 286.1 per 100 000 for black females. From 1997 to 2007, the death rate from CVD declined 27.8%. Mortality data for 2007 show that CVD (I00–I99; Q20–Q28) accounted for 33.6% (813 804) of all 2 243 712 deaths in 2007, or 1 of every 2.9 deaths in the United States. On the basis of 2007 mortality rate data, more than 2200 Americans die of CVD each day, an average of 1 death every 39 seconds. More than 150 000 Americans killed by CVD (I00–I99) in 2007 were <65 years of age. In 2007, nearly 33% of deaths due to CVD occurred before the age of 75 years, which is well before the average life expectancy of 77.9 years. Coronary heart disease caused ≈1 of every 6 deaths in the United States in 2007. Coronary heart disease mortality in 2007 was 406 351. Each year, an estimated 785 000 Americans will have a new coronary attack, and ≈470 000 will have a recurrent attack. It is estimated that an additional 195 000 silent first myocardial infarctions occur each year. Approximately every 25 seconds, an American will have a coronary event, and approximately every minute, someone will die of one. Each year, ≈795 000 people experience a new or recurrent stroke. Approximately 610 000 of these are first attacks, and 185 000 are recurrent attacks. Mortality data from 2007 indicate that stroke accounted for ≈1 of every 18 deaths in the United States. On average, every 40 seconds, someone in the United States has a stroke. From 1997 to 2007, the stroke death rate fell 44.8%, and the actual number of stroke deaths declined 14.7%. In 2007, 1 in 9 death certificates (277 193 deaths) in the United States mentioned heart failure. Prevalence and Control of Traditional Risk Factors Remains an Issue for Many Americans Data from the National Health and Nutrition Examination Survey (NHANES) 2005–2008 indicate that 33.5% of US adults ≥20 years of age have hypertension (Table 7-1). This amounts to an estimated 76 400 000 US adults with hypertension. The prevalence of hypertension is nearly equal between men and women. African American adults have among the highest rates of hypertension in the world, at 44%. Among hypertensive adults, ≈80% are aware of their condition, 71% are using antihypertensive medication, and only 48% of those aware that they have hypertension have their condition controlled. Despite 4 decades of progress, in 2008, among Americans ≥18 years of age, 23.1% of men and 18.3% of women continued to be cigarette smokers. In 2009, 19.5% of students in grades 9 through 12 reported current tobacco use. The percentage of the nonsmoking population with detectable serum cotinine (indicating exposure to secondhand smoke) was 46.4% in 1999 to 2004, with declines occurring, and was highest for those 4 to 11 years of age (60.5%) and those 12 to 19 years of age (55.4%). An estimated 33 600 000 adults ≥20 years of age have total serum cholesterol levels ≥240 mg/dL, with a prevalence of 15.0% (Table 13-1). In 2008, an estimated 18 300 000 Americans had diagnosed diabetes mellitus, representing 8.0% of the adult population. An additional 7 100 000 had undiagnosed diabetes mellitus, and 36.8% had prediabetes, with abnormal fasting glucose levels. African Americans, Mexican Americans, Hispanic/Latino individuals, and other ethnic minorities bear a strikingly disproportionate burden of diabetes mellitus in the United States (Table 16-1). The 2011 Update Expands Data Coverage of the Obesity Epidemic and Its Antecedents and Consequences The estimated prevalence of overweight and obesity in US adults (≥20 years of age) is 149 300 000, which represents 67.3% of this group in 2008. Fully 33.7% of US adults are obese (body mass index ≥30 kg/m2). Men and women of all race/ethnic groups in the population are affected by the epidemic of overweight and obesity (Table 15-1). Among children 2 to 19 years of age, 31.9% are overweight and obese (which represents 23 500 000 children), and 16.3% are obese (12 000 000 children). Mexican American boys and girls and African American girls are disproportionately affected. Over the past 3 decades, the prevalence of obesity in children 6 to 11 years of age has increased from ≈4% to more than 20%. Obesity (body mass index ≥30 kg/m2) is associated with marked excess mortality in the US population. Even more notable is the excess morbidity associated with overweight and obesity in terms of risk factor development and incidence of diabetes mellitus, CVD end points (including coronary heart disease, stroke, and heart failure), and numerous other health conditions, including asthma, cancer, degenerative joint disease, and many others. The prevalence of diabetes mellitus is increasing dramatically over time, in parallel with the increases in prevalence of overweight and obesity. On the basis of NHANES 2003–2006 data, the age-adjusted prevalence of metabolic syndrome, a cluster of major cardiovascular risk factors related to overweight/obesity and insulin resistance, is 34% (35.1% among men and 32.6% among women). The proportion of youth (≤18 years of age) who report engaging in no regular physical activity is high, and the proportion increases with age. In 2007, among adolescents in grades 9 through 12, 29.9% of girls and 17.0% of boys reported that they had not engaged in 60 minutes of moderate-to-vigorous physical activity, defined as any activity that increased heart rate or breathing rate, even once in the previous 7 days, despite recommendations that children engage in such activity ≥5 days per week. Thirty-six percent of adults reported engaging in no vigorous activity (activity that causes heavy sweating and a large increase in breathing or heart rate). Data from NHANES indicate that between 1971 and 2004, average total energy consumption among US adults increased by 22% in women (from 1542 to 1886 kcal/d) and by 10% in men (from 2450 to 2693 kcal/d; see Chart 19-1). The increases in calories consumed during this time period are attributable primarily to greater average carbohydrate intake, in particular, of starches, refined grains, and sugars. Other specific changes related to increased caloric intake in the United States include larger portion sizes, greater food quantity and calories per meal, and increased consumption of sugar-sweetened beverages, snacks, commercially prepared (especially fast food) meals, and higher energy-density foods. The 2011 Update Provides Critical Data Regarding Cardiovascular Quality of Care, Procedure Utilization, and Costs In light of the current national focus on healthcare utilization, costs, and quality, it is critical to monitor and understand the magnitude of healthcare delivery and costs, as well as the quality of healthcare delivery, related to CVDs. The Update provides these critical data in several sections. Quality-of-Care Metrics for CVDs Chapter 20 reviews many metrics related to the quality of care delivered to patients with CVDs, as well as healthcare disparities. In particular, quality data are available from the AHA’s “Get With The Guidelines” programs for coronary artery disease and heart failure and the American Stroke Association/ AHA’s “Get With the Guidelines” program for acute stroke. Similar data from the Veterans Healthcare Administration, national Medicare and Medicaid data and National Cardiovascular Data Registry Acute Coronary Treatment and Intervention Outcomes Network - “Get With The Guidelines” Registry data are also reviewed. These data show impressive adherence with guideline recommendations for many, but not all, metrics of quality of care for these hospitalized patients. Data are also reviewed on screening for cardiovascular risk factor levels and control. Cardiovascular Procedure Utilization and Costs Chapter 21 provides data on trends and current usage of cardiovascular surgical and invasive procedures. For example, the total number of inpatient cardiovascular operations and procedures increased 27%, from 5 382 000 in 1997 to 6 846 000 in 2007 (National Heart, Lung, and Blood Institute computation based on National Center for Health Statistics annual data). Chapter 22 reviews current estimates of direct and indirect healthcare costs related to CVDs, stroke, and related conditions using Medical Expenditure Panel Survey data. The total direct and indirect cost of CVD and stroke in the United States for 2007 is estimated to be $286 billion. This figure includes health expenditures (direct costs, which include the cost of physicians and other professionals, hospital services, prescribed medications, home health care, and other medical durables) and lost productivity resulting from mortality (indirect costs). By comparison, in 2008, the estimated cost of all cancer and benign neoplasms was $228 billion ($93 billion in direct costs, $19 billion in morbidity indirect costs, and $116 billion in mortality indirect costs). CVD costs more than any other diagnostic group. The AHA, through its Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States to provide the most current data available in the Statistics Update. The 2007 mortality data have been released. More information can be found at the National Center for Health Statistics Web site, http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_01.pdf. Finally, it must be noted that this annual Statistical Update is the product of an entire year’s worth of effort by dedicated professionals, volunteer physicians and scientists, and outstanding AHA staff members, without whom publication of this valuable resource would be impossible. Their contributions are gratefully acknowledged. Véronique L. Roger, MD, MPH, FAHAMelanie B. Turner, MPHOn behalf of the American Heart Association Heart Disease and Stroke Statistics Writing Group Note: Population data used in the compilation of NHANES prevalence estimates is for the latest year of the NHANES survey being used. Extrapolations for NHANES prevalence estimates are based on the census resident population for 2008 because this is the most recent year of NHANES data used in the Statistical Update. PMID:21160056

The portrayal of men and women in television advertisements: an updated review of 30 studies published since 2000.

PubMed

Furnham, Adrian; Paltzer, Stephanie

2010-06-01

In 1999, Furnham and Mak published a review of 14 content-analytic studies of sex roles stereotyping in television commercials. All these studies were based on the McArthur and Resko (1975) content categories. This paper updates that review considering 30 studies in over 20 countries published between 2000 and 2008. Studies were from Australasia, Austria, Bulgaria, Ghana, Hong Kong, Japan, Kenya, Korea, Malaysia, Mauritius, New Zealand, Poland, Russia, Serbia, Singapore, South Africa, Spain, Saudi Arabia, Sweden, Taiwan, Thailand, Turkey, the United Kingdom and the United States. They examined over 8,000 advertisements. National and cultural differences in gender stereotypes are also considered in the light of this data. The popularity of, and the problems associated with, the research paradigm are considered.

Time-driven activity-based costing.

PubMed

Kaplan, Robert S; Anderson, Steven R

2004-11-01

In the classroom, activity-based costing (ABC) looks like a great way to manage a company's limited resources. But executives who have tried to implement ABC in their organizations on any significant scale have often abandoned the attempt in the face of rising costs and employee irritation. They should try again, because a new approach sidesteps the difficulties associated with large-scale ABC implementation. In the revised model, managers estimate the resource demands imposed by each transaction, product, or customer, rather than relying on time-consuming and costly employee surveys. This method is simpler since it requires, for each group of resources, estimates of only two parameters: how much it costs per time unit to supply resources to the business's activities (the total overhead expenditure of a department divided by the total number of minutes of employee time available) and how much time it takes to carry out one unit of each kind of activity (as estimated or observed by the manager). This approach also overcomes a serious technical problem associated with employee surveys: the fact that, when asked to estimate time spent on activities, employees invariably report percentages that add up to 100. Under the new system, managers take into account time that is idle or unused. Armed with the data, managers then construct time equations, a new feature that enables the model to reflect the complexity of real-world operations by showing how specific order, customer, and activity characteristics cause processing times to vary. This Tool Kit uses concrete examples to demonstrate how managers can obtain meaningful cost and profitability information, quickly and inexpensively. Rather than endlessly updating and maintaining ABC data,they can now spend their time addressing the deficiencies the model reveals: inefficient processes, unprofitable products and customers, and excess capacity.

Tampa Electric Company Polk Power Station IGCC project: Project status

DOE Office of Scientific and Technical Information (OSTI.GOV)

McDaniel, J.E.; Carlson, M.R.; Hurd, R.

1997-12-31

The Tampa Electric Company Polk Power Station is a nominal 250 MW (net) Integrated Gasification Combined Cycle (IGCC) power plant located to the southeast of Tampa, Florida in Polk County, Florida. This project is being partially funded under the Department of Energy`s Clean Coal Technology Program pursuant to a Round II award. The Polk Power Station uses oxygen-blown, entrained-flow IGCC technology licensed from Texaco Development Corporation to demonstrate significant reductions of SO{sub 2} and NO{sub x} emissions when compared to existing and future conventional coal-fired power plants. In addition, this project demonstrates the technical feasibility of commercial scale IGCC andmore » Hot Gas Clean Up (HGCU) technology. The Polk Power Station achieved ``first fire`` of the gasification system on schedule in mid-July, 1996. Since that time, significant advances have occurred in the operation of the entire IGCC train. This paper addresses the operating experiences which occurred in the start-up and shakedown phase of the plant. Also, with the plant being declared in commercial operation as of September 30, 1996, the paper discusses the challenges encountered in the early phases of commercial operation. Finally, the future plans for improving the reliability and efficiency of the Unit in the first quarter of 1997 and beyond, as well as plans for future alternate fuel test burns, are detailed. The presentation features an up-to-the-minute update on actual performance parameters achieved by the Polk Power Station. These parameters include overall Unit capacity, heat rate, and availability. In addition, the current status of the start-up activities for the HGCU portion of the plant is discussed.« less

78 FR 45989 - Vogtle Electric Generating Station, Units 3 and 4; Southern Nuclear Operating Company; Change to...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-30

... Generating Station, Units 3 and 4; Southern Nuclear Operating Company; Change to the Primary Sampling System.... The amendment requests to modify the Primary Sampling System (PSS) design, including changes to Tier 1....13-1 ``Primary Sampling System,'' and Subsection 2.3.13, ``Primary Sampling System'' of the Updated...

78 FR 45987 - Vogtle Electric Generating Station, Units 3 and 4; Southern Nuclear Operating Company; Change to...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-30

... Generating Station, Units 3 and 4; Southern Nuclear Operating Company; Change to the Primary Sampling System.... The amendment requests to modify the Primary Sampling System (PSS) design, including changes to Tier 1....13-1 ``Primary Sampling System,'' and Subsection 2.3.13, ``Primary Sampling System'' of the Updated...

USDA-ARS Knipling-Bushland U.S. Livestock Insects Research Laboratory Tick & Biting Fly Research Unit scientific update

USDA-ARS?s Scientific Manuscript database

Ticks and biting flies cause tremendous economic damage to the U.S. livestock industry while also being a health concern to humans. Research on their biology and control is done at the Knipling-Bushland U.S. Livestock Insects Research Laboratory, Tick and Biting Fly Research Unit with scientists loc...

2016 Offshore Wind Energy Resource Assessment for the United States

DOE Office of Scientific and Technical Information (OSTI.GOV)

Musial, Walt; Heimiller, Donna; Beiter, Philipp

2016-09-01

This report, the 2016 Offshore Wind Energy Resource Assessment for the United States, was developed by the National Renewable Energy Laboratory, and updates a previous national resource assessment study, and refines and reaffirms that the available wind resource is sufficient for offshore wind to be a large-scale contributor to the nation's electric energy supply.

Sub-Saharan Africa and the United States. United States Department of State Discussion Paper.

ERIC Educational Resources Information Center

Cook, Philip R., Jr.

Intended to provide background for study and discussion, this publication gives updated information on development in sub-Saharan Africa and provides a basis for understanding U.S. policy toward this vital region. The strengths, problems, politics, natural resources, and language and ethnolinguistic groups of this area of the world and the…

Forests of east Texas, 2016

Treesearch

Kerry Dooley

2018-01-01

This resource update provides an overview of forest resources in east Texas based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station (SRS) in cooperation with Texas A&M Forest Service. The 254 counties of Texas are consolidated into seven FIA survey units—Southeast (unit 1),...

Advancement of a soil parameters geodatabase for the modeling assessment of conservation practice outcomes in the United States

USDA-ARS?s Scientific Manuscript database

US-ModSoilParms-TEMPLE is a database composed of a set of geographic databases functionally storing soil-spatial units and soil hydraulic, physical, and chemical parameters for three agriculture management simulation models, SWAT, APEX, and ALMANAC. This paper introduces the updated US-ModSoilParms-...

77 FR 57088 - Agency Information Collection Activities; Proposed Collection; Public Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-17

... States, and to continue planning for future emergencies that are national in scope, detailed information... the Surgeon General. MRC Unit Leaders are asked to update this information on the MRC Web site at... Total burden respondents respondent per response hours MRC Unit Leader 1,000 6 1.0 6,000 Keith A. Tucker...

Forests of east Texas, 2015

Treesearch

Kerry J.W. Dooley

2017-01-01

This resource update provides an overview of forest resources in east Texas based on an inventory conducted by the U.S. Forest Service, Forest Inventory and Analysis (FIA) program at the Southern Research Station (SRS) in cooperation with Texas A&M Forest Service. The 254 counties of Texas are consolidated into seven FIA survey units—Southeast (unit 1),...

Improvements in door-to-balloon time in the United States, 2005 to 2010.

PubMed

Krumholz, Harlan M; Herrin, Jeph; Miller, Lauren E; Drye, Elizabeth E; Ling, Shari M; Han, Lein F; Rapp, Michael T; Bradley, Elizabeth H; Nallamothu, Brahmajee K; Nsa, Wato; Bratzler, Dale W; Curtis, Jeptha P

2011-08-30

Registry studies have suggested improvements in door-to-balloon times, but a national assessment of the trends in door-to-balloon times is lacking. Moreover, we do not know whether improvements in door-to-balloon times were shared equally among patient and hospital groups. This analysis includes all patients reported by hospitals to the Centers for Medicare & Medicaid Services for inclusion in the time to percutaneous coronary intervention (acute myocardial infarction-8) inpatient measure from January 1, 2005, through September 30, 2010. For each calendar year, we summarized the characteristics of patients reported for the measure, including the number and percentage in each group, the median time to primary percutaneous coronary intervention, and the percentage with time to primary percutaneous coronary intervention within 75 minutes and within 90 minutes. Door-to-balloon time declined from a median of 96 minutes in the year ending December 31, 2005, to a median of 64 minutes in the 3 quarters ending September 30, 2010. There were corresponding increases in the percentage of patients who had times <90 minutes (44.2% to 91.4%) and <75 minutes (27.3% to 70.4%). The declines in median times were greatest among groups that had the highest median times during the first period: patients >75 years of age (median decline, 38 minutes), women (35 minutes), and blacks (42 minutes). National progress has been achieved in the timeliness of treatment of patients with ST-segment-elevation myocardial infarction who undergo primary percutaneous coronary intervention.

76 FR 9648 - Product List Update

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-22

... States Postal Service and Koninklijke TNT Post BV and TNT Postl pakketservice Benelux BV, collectively ``TNT Post'' and China Post Group-United States Postal Service Letter Post Bilateral Agreement (MC2010...

Performance and Preference with Various VDT (Video Display Terminal) Phosphors

DTIC Science & Technology

1987-04-24

Unit M\\100.001-1302. was submitted for review on 13 March 1987, approved for publication on 24 April 1987, and has been designated as Naval Submarine... designed to investigate reading fatigue, Nordqvist et al. (1986) had their subjects read texts for 15 minutes, followed by 5 minutes of performance tests...Doc, Ophthalmol. 3: 138-163. Tu-lis, T.S. (1981). An evaluation of alphanumeric, graphic , and color information displays. -_pman Factors 23: 541-550

National Hydropower Plant Dataset, Version 1 (Update FY18Q2)

DOE Data Explorer

Samu, Nicole; Kao, Shih-Chieh; O'Connor, Patrick; Johnson, Megan; Uria-Martinez, Rocio; McManamay, Ryan

2016-09-30

The National Hydropower Plant Dataset, Version 1, Update FY18Q2, includes geospatial point-level locations and key characteristics of existing hydropower plants in the United States that are currently online. These data are a subset extracted from NHAAP’s Existing Hydropower Assets (EHA) dataset, which is a cornerstone of NHAAP’s EHA effort that has supported multiple U.S. hydropower R&D research initiatives related to market acceleration, environmental impact reduction, technology-to-market activities, and climate change impact assessment.

Nurses' Perceived Skills and Attitudes About Updated Safety Concepts: Impact on Medication Administration Errors and Practices.

PubMed

Armstrong, Gail E; Dietrich, Mary; Norman, Linda; Barnsteiner, Jane; Mion, Lorraine

Approximately a quarter of medication errors in the hospital occur at the administration phase, which is solely under the purview of the bedside nurse. The purpose of this study was to assess bedside nurses' perceived skills and attitudes about updated safety concepts and examine their impact on medication administration errors and adherence to safe medication administration practices. Findings support the premise that medication administration errors result from an interplay among system-, unit-, and nurse-level factors.

Convective Weather Avoidance with Uncertain Weather Forecasts

NASA Technical Reports Server (NTRS)

Karahan, Sinan; Windhorst, Robert D.

2009-01-01

Convective weather events have a disruptive impact on air traffic both in terminal area and in en-route airspaces. In order to make sure that the national air transportation system is safe and efficient, it is essential to respond to convective weather events effectively. Traffic flow control initiatives in response to convective weather include ground delay, airborne delay, miles-in-trail restrictions as well as tactical and strategic rerouting. The rerouting initiatives can potentially increase traffic density and complexity in regions neighboring the convective weather activity. There is a need to perform rerouting in an intelligent and efficient way such that the disruptive effects of rerouting are minimized. An important area of research is to study the interaction of in-flight rerouting with traffic congestion or complexity and developing methods that quantitatively measure this interaction. Furthermore, it is necessary to find rerouting solutions that account for uncertainties in weather forecasts. These are important steps toward managing complexity during rerouting operations, and the paper is motivated by these research questions. An automated system is developed for rerouting air traffic in order to avoid convective weather regions during the 20- minute - 2-hour time horizon. Such a system is envisioned to work in concert with separation assurance (0 - 20-minute time horizon), and longer term air traffic management (2-hours and beyond) to provide a more comprehensive solution to complexity and safety management. In this study, weather is dynamic and uncertain; it is represented as regions of airspace that pilots are likely to avoid. Algorithms are implemented in an air traffic simulation environment to support the research study. The algorithms used are deterministic but periodically revise reroutes to account for weather forecast updates. In contrast to previous studies, in this study convective weather is represented as regions of airspace that pilots are likely to avoid. The automated system periodically updates forecasts and reassesses rerouting decisions in order to account for changing weather predictions. The main objectives are to reroute flights to avoid convective weather regions and determine the resulting complexity due to rerouting. The eventual goal is to control and reduce complexity while rerouting flights during the 20 minute - 2 hour planning period. A three-hour simulation is conducted using 4800 flights in the national airspace. The study compares several metrics against a baseline scenario using the same traffic and weather but with rerouting disabled. The results show that rerouting can have a negative impact on congestion in some sectors, as expected. The rerouting system provides accurate measurements of the resulting complexity in the congested sectors. Furthermore, although rerouting is performed only in the 20-minute - 2-hour range, it results in a 30% reduction in encounters with nowcast weather polygons (100% being the ideal for perfectly predictable and accurate weather). In the simulations, rerouting was performed for the 20-minute - 2-hour flight time horizon, and for the en-route segment of air traffic. The implementation uses CWAM, a set of polygons that represent probabilities of pilot deviation around weather. The algorithms were implemented in a software-based air traffic simulation system. Initial results of the system's performance and effectiveness were encouraging. Simulation results showed that when flights were rerouted in the 20-minute - 2-hour flight time horizon of air traffic, there were fewer weather encounters in the first 20 minutes than for flights that were not rerouted. Some preliminary results were also obtained that showed that rerouting will also increase complexity. More simulations will be conducted in order to report conclusive results on the effects of rerouting on complexity. Thus, the use of the 20-minute - 2-hour flight time horizon weather avoidance teniques performed in the simulation is expected to provide benefits for short-term weather avoidance.

Alcohol Facts and Statistics

MedlinePlus

... preventable causes of death in the United States: Comparative risk assessment of dietary, lifestyle, and metabolic risk ... Follow Get Updates Donations Share Join a Clinical Study Alcohol Treatment Navigator Site Map Accessibility Privacy FOIA ...

Exercising Your Rights: Eliminating Sex Bias in Physical Education.

ERIC Educational Resources Information Center

Campbell, Patricia B.; Katrin, Susan E.

A module on sex stereotyping and its effect on physical education is described. This unit is a part of a series of instructional modules on sex-role stereotyping in education. Designed to be used independently or to supplement an existing instructional unit, the module is composed of a 25-minute tape, five transparency masters, three handouts, and…

Teaching Writers through a Unit of Study Approach

ERIC Educational Resources Information Center

Morgan, Denise N.

2012-01-01

Writing needs to be taught, not assigned, but teaching writing well within a 43-minute period is a daunting task. This article describes how three 8th-grade teachers implemented a unit of study approach to teaching memoir writing in their language arts classes. Teacher and student decision making are highlighted in this inquiry process. ["Teaching…

Career Education Program: Geneva Area City Schools. [Grade 9 Unit: Leisure Work].

ERIC Educational Resources Information Center

Geneva Area City Schools, OH.

The curriculum unit was used in a two-week pilot program on leisure industries. The class met five periods per week for forty minutes per period. Behavioral objectives specify that students will be able: (1) to define leisure, vacation, rest, relaxation, avocation, secondary career, service industry, and leisure or recreation industry; (2) to…

Teaching Guide on International Terrorism: Definitions, Causes, and Responses.

ERIC Educational Resources Information Center

United States Inst. of Peace, Washington, DC.

Dealing with terrorism has become the centerpiece of United States foreign policy today. Yet terrorism--its definition, causes, and methods of dealing with it--has rarely been dealt with in high school courses. The United States Institute of Peace has developed this 3-lesson plan (for 45-minute class periods) teaching guide, aimed at grades 11 and…

NASA work unit system file maintenance manual

NASA Technical Reports Server (NTRS)

1972-01-01

The NASA Work Unit System is a management information system for research tasks (i.e., work units) performed under NASA grants and contracts. It supplies profiles on research efforts and statistics on fund distribution. The file maintenance operator can add, delete and change records at a remote terminal or can submit punched cards to the computer room for batch update. The system is designed for file maintenance by a person with little or no knowledge of data processing techniques.

LANDFIRE 2010—Updates to the national dataset to support improved fire and natural resource management

USGS Publications Warehouse

Nelson, Kurtis J.; Long, Donald G.; Connot, Joel A.

2016-02-29

The Landscape Fire and Resource Management Planning Tools (LANDFIRE) 2010 data release provides updated and enhanced vegetation, fuel, and fire regime layers consistently across the United States. The data represent landscape conditions from approximately 2010 and are the latest release in a series of planned updates to maintain currency of LANDFIRE data products. Enhancements to the data products included refinement of urban areas by incorporating the National Land Cover Database 2006 land cover product, refinement of agricultural lands by integrating the National Agriculture Statistics Service 2011 cropland data layer, and improved wetlands delineations using the National Land Cover Database 2006 land cover and the U.S. Fish and Wildlife Service National Wetlands Inventory data. Disturbance layers were generated for years 2008 through 2010 using remotely sensed imagery, polygons representing disturbance events submitted by local organizations, and fire mapping program data such as the Monitoring Trends in Burn Severity perimeters produced by the U.S. Geological Survey and the U.S. Forest Service. Existing vegetation data were updated to account for transitions in disturbed areas and to account for vegetation growth and succession in undisturbed areas. Surface and canopy fuel data were computed from the updated vegetation type, cover, and height and occasionally from potential vegetation. Historical fire frequency and succession classes were also updated. Revised topographic layers were created based on updated elevation data from the National Elevation Dataset. The LANDFIRE program also released a new Web site offering updated content, enhanced usability, and more efficient navigation.

NEEDS v.5.15 User Guide

EPA Pesticide Factsheets

View a user guide for the the updated National Electric Energy Data System (NEEDS), the database used to construct the model plants that represent existing and planned/committed units in EPA modeling applications.

Antibacterial activity of standard and N-doped titanium dioxide-coated endotracheal tubes: an in vitro study

PubMed Central

Caratto, Valentina; Ball, Lorenzo; Sanguineti, Elisa; Insorsi, Angelo; Firpo, Iacopo; Alberti, Stefano; Ferretti, Maurizio; Pelosi, Paolo

2017-01-01

Objective The aim of this study was to assess the antibacterial activity against Staphylococcus aureus and Pseudomonas aeruginosa of two nanoparticle endotracheal tube coatings with visible light-induced photocatalysis. Methods Two types of titanium dioxide nanoparticles were tested: standard anatase (TiO2) and N-doped TiO2 (N-TiO2). Nanoparticles were placed on the internal surface of a segment of commercial endotracheal tubes, which were loaded on a cellulose acetate filter; control endotracheal tubes were left without a nanoparticle coating. A bacterial inoculum of 150 colony forming units was placed in the endotracheal tubes and then exposed to a fluorescent light source (3700 lux, 300-700 nm wavelength) for 5, 10, 20, 40, 60 and 80 minutes. Colony forming units were counted after 24 hours of incubation at 37°C. Bacterial inactivation was calculated as the percentage reduction of bacterial growth compared to endotracheal tubes not exposed to light. Results In the absence of light, no relevant antibacterial activity was shown against neither strain. For P. aeruginosa, both coatings had a higher bacterial inactivation than controls at any time point (p < 0.001), and no difference was observed between TiO2 and N-TiO2. For S. aureus, inactivation was higher than for controls starting at 5 minutes for N-TiO2 (p = 0.018) and 10 minutes for TiO2 (p = 0.014); inactivation with N-TiO2 was higher than that with TiO2 at 20 minutes (p < 0.001), 40 minutes (p < 0.001) and 60 minutes (p < 0.001). Conclusions Nanosized commercial and N-doped TiO2 inhibit bacterial growth under visible fluorescent light. N-TiO2 has higher antibacterial activity against S. aureus compared to TiO2. PMID:28444073

Emergency department physician activation of the catheterization laboratory and immediate transfer to an immediately available catheterization laboratory reduce door-to-balloon time in ST-elevation myocardial infarction.

PubMed

Khot, Umesh N; Johnson, Michele L; Ramsey, Curtis; Khot, Monica B; Todd, Randall; Shaikh, Saeed R; Berg, William J

2007-07-03

Consensus guidelines and hospital quality-of-care programs recommend that ST-elevation myocardial infarction patients achieve a door-to-balloon time of < or = 90 minutes. However, there are limited prospective data on specific measures to significantly reduce door-to-balloon time. We prospectively determined the impact on median door-to-balloon time of a protocol mandating (1) emergency department physician activation of the catheterization laboratory and (2) immediate transfer of the patient to an immediately available catheterization laboratory by an in-house transfer team consisting of an emergency department nurse, a critical care unit nurse, and a chest pain unit nurse. We collected door-to-balloon time for 60 consecutive ST-elevation myocardial infarction patients undergoing emergency percutaneous intervention within 24 hours of presentation from October 1, 2004, through August 31, 2005, and compared this group with 86 consecutive ST-elevation myocardial infarction patients from September 1, 2005, through June 26, 2006, after protocol implementation. Median door-to-balloon time decreased overall (113.5 versus 75.5 minutes; P<0.0001), during regular hours (83.5 versus 64.5 minutes; P=0.005), during off-hours (123.5 versus 77.5 minutes; P<0.0001), and with transfer from an outside affiliated emergency department (147 versus 85 minutes; P=0.0006). Treatment within 90 minutes increased from 28% to 71% (P<0.0001). Mean infarct size decreased (peak creatinine kinase, 2623+/-3329 versus 1517+/-1556 IU/L; P=0.0089), as did hospital length of stay (5+/-7 versus 3+/-2 days; P=0.0097) and total hospital costs per admission ($26,826+/-29,497 versus $18,280+/-8943; P=0.0125). Emergency department physician activation of the catheterization laboratory and immediate transfer of the patient to an immediately available catheterization laboratory reduce door-to-balloon time, leading to a reduction in myocardial infarct size, hospital length of stay, and total hospital costs.

76 FR 49494 - Privacy Act of 1974; Department of Homeland Security United States Coast Guard DHS/USCG-027...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-10

... DEPARTMENT OF HOMELAND SECURITY Office of the Secretary [Docket No. DHS-2011-0062] Privacy Act of 1974; Department of Homeland Security United States Coast Guard DHS/USCG-027 Recruiting Files System of... accordance with the Privacy Act of 1974 the Department of Homeland Security proposes to update and reissue an...

Fourth Amendment Update: The Supreme Court and Strip Searches--"Safford Unified School District No. 1 v Redding"

ERIC Educational Resources Information Center

Russo, Charles J.

2008-01-01

In light of the dramatic increase in the presence of weapons, violence, drugs, and other contraband in schools, school officials in the United States and England face significant challenges as they seek to maintain safe and orderly learning environments. Almost twenty five years after the United States Supreme Court's 1985 ruling in "New…

Research update on soybean Phomopsis seed decay and its primarily causal pathogen Phomopsis longicolla

USDA-ARS?s Scientific Manuscript database

Phomopsis seed decay (PSD) of soybean is the major cause of poor seed quality in the United States, especially in the mid-southern United States. In 2009, due to the prevalence of hot and humid environments from pod fill to harvest, PSD caused over 0.33 MMT losses in 16 states. To identify new sourc...

Geographical, socioeconomic, and ecological determinants of exotic plant naturalization in the United States: insights and updates from improved data

Treesearch

Qinfeng Guo; Marcel Rejmanek; Jun Wen

2012-01-01

Previous studies on alien species establishment in the United States and around the world have drastically improved our understanding of the patterns of species naturalization, biological invasions, and underlying mechanisms. Meanwhile, relevant new data have been added and the data quality has significantly increased along with the consistency of related concepts and...

Completion of the 2011 National Land Cover Database for the Conterminous United States – Representing a Decade of Land Cover Change Information

EPA Science Inventory

The National Land Cover Database (NLCD) provides nationwide data on land cover and land cover change at the native 30-m spatial resolution of the Landsat Thematic Mapper (TM). The database is designed to provide five-year cyclical updating of United States land cover and associat...

A Current Analysis of the Treatment of Japanese Americans and Internment in United States History Textbooks

ERIC Educational Resources Information Center

Hawkins, Jeffrey M.; Buckendorf, Michael

2010-01-01

A content analysis of ten United States history textbooks (2005-2008) was conducted by the researchers to determine the current depiction of Japanese Americans and internment during the World War II era. This study updates and expands upon the textbooks used in prior research by Romanowski (1995), Harada (2000), and Ogawa (2004) that had numerous…

Suicide Prevention Training: Policies for Health Care Professionals Across the United States as of October 2017.

PubMed

Graves, Janessa M; Mackelprang, Jessica L; Van Natta, Sara E; Holliday, Carrie

2018-06-01

To identify and compare state policies for suicide prevention training among health care professionals across the United States and benchmark state plan updates against national recommendations set by the surgeon general and the National Action Alliance for Suicide Prevention in 2012. We searched state legislation databases to identify policies, which we described and characterized by date of adoption, target audience, and duration and frequency of the training. We used descriptive statistics to summarize state-by-state variation in suicide education policies. In the United States, as of October 9, 2017, 10 (20%) states had passed legislation mandating health care professionals complete suicide prevention training, and 7 (14%) had policies encouraging training. The content and scope of policies varied substantially. Most states (n = 43) had a state suicide prevention plan that had been revised since 2012, but 7 lacked an updated plan. Considerable variation in suicide prevention training for health care professionals exists across the United States. There is a need for consistent polices in suicide prevention training across the nation to better equip health care providers to address the needs of patients who may be at risk for suicide.

Modular reweighting software for statistical mechanical analysis of biased equilibrium data

NASA Astrophysics Data System (ADS)

Sindhikara, Daniel J.

2012-07-01

Here a simple, useful, modular approach and software suite designed for statistical reweighting and analysis of equilibrium ensembles is presented. Statistical reweighting is useful and sometimes necessary for analysis of equilibrium enhanced sampling methods, such as umbrella sampling or replica exchange, and also in experimental cases where biasing factors are explicitly known. Essentially, statistical reweighting allows extrapolation of data from one or more equilibrium ensembles to another. Here, the fundamental separable steps of statistical reweighting are broken up into modules - allowing for application to the general case and avoiding the black-box nature of some “all-inclusive” reweighting programs. Additionally, the programs included are, by-design, written with little dependencies. The compilers required are either pre-installed on most systems, or freely available for download with minimal trouble. Examples of the use of this suite applied to umbrella sampling and replica exchange molecular dynamics simulations will be shown along with advice on how to apply it in the general case. New version program summaryProgram title: Modular reweighting version 2 Catalogue identifier: AEJH_v2_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/AEJH_v2_0.html Program obtainable from: CPC Program Library, Queen's University, Belfast, N. Ireland Licensing provisions: GNU General Public License, version 3 No. of lines in distributed program, including test data, etc.: 179 118 No. of bytes in distributed program, including test data, etc.: 8 518 178 Distribution format: tar.gz Programming language: C++, Python 2.6+, Perl 5+ Computer: Any Operating system: Any RAM: 50-500 MB Supplementary material: An updated version of the original manuscript (Comput. Phys. Commun. 182 (2011) 2227) is available Classification: 4.13 Catalogue identifier of previous version: AEJH_v1_0 Journal reference of previous version: Comput. Phys. Commun. 182 (2011) 2227 Does the new version supersede the previous version?: Yes Nature of problem: While equilibrium reweighting is ubiquitous, there are no public programs available to perform the reweighting in the general case. Further, specific programs often suffer from many library dependencies and numerical instability. Solution method: This package is written in a modular format that allows for easy applicability of reweighting in the general case. Modules are small, numerically stable, and require minimal libraries. Reasons for new version: Some minor bugs, some upgrades needed, error analysis added. analyzeweight.py/analyzeweight.py2 has been replaced by “multihist.py”. This new program performs all the functions of its predecessor while being versatile enough to handle other types of histograms and probability analysis. “bootstrap.py” was added. This script performs basic bootstrap resampling allowing for error analysis of data. “avg_dev_distribution.py” was added. This program computes the averages and standard deviations of multiple distributions, making error analysis (e.g. from bootstrap resampling) easier to visualize. WRE.cpp was slightly modified purely for cosmetic reasons. The manual was updated for clarity and to reflect version updates. Examples were removed from the manual in favor of online tutorials (packaged examples remain). Examples were updated to reflect the new format. An additional example is included to demonstrate error analysis. Running time: Preprocessing scripts 1-5 minutes, WHAM engine <1 minute, postprocess script ∼1-5 minutes.

Updated CDC Recommendations for Using Artemether-Lumefantrine for the Treatment of Uncomplicated Malaria in Pregnant Women in the United States.

PubMed

Ballard, Sarah-Blythe; Salinger, Allison; Arguin, Paul M; Desai, Meghna; Tan, Kathrine R

2018-04-13

Malaria infection during pregnancy is associated with an increased risk for maternal and fetal complications. In the United States, treatment options for uncomplicated, chloroquine-resistant Plasmodium falciparum and P. vivax malaria in pregnant women are limited to mefloquine or quinine plus clindamycin (1). However, limited availability of quinine and increasing resistance to mefloquine restrict these options. Strong evidence now demonstrates that artemether-lumefantrine (AL) (Coartem) is effective and safe in the treatment of malaria in pregnancy. The World Health Organization (WHO) has endorsed artemisinin-based combination therapies (ACTs), such as AL, for treatment of uncomplicated malaria during the second and third trimesters of pregnancy and is currently considering whether to add ACTs, including AL, as an option for malaria treatment during the first trimester (2,3). This policy note reviews the evidence and updates CDC recommendations to include AL as a treatment option for uncomplicated malaria during the second and third trimesters of pregnancy and during the first trimester of pregnancy when other treatment options are unavailable. These updated recommendations reflect current evidence and are consistent with WHO treatment guidelines.

Cordless Instruments

NASA Technical Reports Server (NTRS)

1981-01-01

Black & Decker's new cordless lightweight battery powered precision instruments, adapted from NASA's Apollo Lunar Landing program, have been designed to give surgeons optimum freedom and versatility in the operating room. Orthopedic instrument line includes a drill, a driver/reamer and a sagittal saw. All provide up to 20 minutes on a single charge. Power pack is the instrument's handle which is removable for recharging. Microprocessor controlled recharging unit can recharge two power packs together in 30 minutes. Instruments can be gas sterilized, steam-sterilized in an autoclave or immersed for easy cleaning.

Update Money Management Units in Terms of New Legislation.

ERIC Educational Resources Information Center

Manzer, John P.

1981-01-01

Provides basic business teachers with a current analysis of the rapidly changing topic of financial institutions and related functions. Elements discussed include recent financial legislation and students' money management decisions. (CT)

Transit research and industry news update : January-February 2010.

DOT National Transportation Integrated Search

2010-02-01

SPECIAL : Statement of The Honorable Ray LaHood, Secretary of Transportation Before the Committee on Appropriations Subcommittee on Transportation, Housing and Urban Development and Related Agencies, United States House of Representatives ..............

78 FR 60266 - Board of Visitors, United States Military Academy (USMA)

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-01

... Academy issues. 6. Agenda: The Academy leadership will provide the Board updates on the following: New... academic department, and an athletic coach for inappropriate behavior. 7. Public's Accessibility to the...

DOE Office of Scientific and Technical Information (OSTI.GOV)

McMurray, L.; R. Foster; and R. Womble

Training update with Environmental a health focus. Training conducted as part of the United Negro College Fund Special Programs Corporation/National Library of Medicine - HBCU ACCESS Project at the University of the District of Columbia, Washington, DC on November 2, 2010.

"Blueprint version 2.0": updating public health surveillance for the 21st century.

PubMed

Smith, Perry F; Hadler, James L; Stanbury, Martha; Rolfs, Robert T; Hopkins, Richard S

2013-01-01

Rapid changes to the United States public health system challenge the current strategic approach to surveillance. During 2011, the Council of State and Territorial Epidemiologists convened national experts to reassess public health surveillance in the United States and update surveillance strategies that were published in a 1996 report and endorsed by the Council of State and Territorial Epidemiologists. Although surveillance goals, historical influences, and most methods have not changed, surveillance is being transformed by 3 influences: public health information and preparedness as national security issues; new information technologies; and health care reform. Each offers opportunities for surveillance, but each also presents challenges that public health epidemiologists can best meet by rigorously applying surveillance evaluation concepts, engaging in national standardization activities driven by electronic technologies and health care reform, and ensuring an adequately trained epidemiology workforce.

New breeding objectives and selection indices for the Australian dairy industry.

PubMed

Byrne, T J; Santos, B F S; Amer, P R; Martin-Collado, D; Pryce, J E; Axford, M

2016-10-01

This study comprises an update of the economic values for dairy traits for the Australian industry and the formulation of updated selection indices. An economic model, which calculates partial economic values for each trait individually, was developed to determine the economic implications of selective dairy breeding, based on the effect of trait changes on the profit of commercial dairy farms in Australia. Selection indices were developed from economic values, which were transformed into base economic weights by including the discounted genetic expressions coefficients. Economic weights (in Australian dollars) were 1.79, 6.92, -0.10, -5.44, 8.84, 7.68, 1.07, 4.86, 1.91, 3.51, 4.90, 0.31, 2.03, 2.00, and 0.59, for milk fat (kg), milk protein (kg), milk volume (L), body weight (kg), survival (%), residual survival (%), somatic cell count (cells/mL), fertility (%), mammary system [Australian Breeding Value (ABV) unit], temperament (ABV unit), milking speed (ABV unit), udder depth (%), overall type (%), fore udder attachment (%), and pin set (%), respectively. The updated economic weights presented in this study constituted the basis of the definition for 3 new indices. These indices were developed from combination of bioeconomic principles, patterns of farmer preferences for trait improvements, and desired gains approaches. The 3 indices, Balanced Performance Index, Health Weighted Index, and Type Weighted Index, have been released to the industry. Copyright © 2016 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

Health care-associated infections in Iran: A national update for the year 2015.

PubMed

Eshrati, Babak; Masoumi Asl, Hossein; Afhami, Shirin; Pezeshki, Zahra; Seifi, Arash

2018-06-01

A national surveillance system for health care-associated infections (HAIs) in Iran is relatively new, and an update on incidence and mortality rates can aid clinicians and stakeholders in development of new guidelines and imperative modifications to be made. Data were extracted from the national HAIs surveillance software for more than 7 million hospitalizations during 2015. Data regarding age, gender, deaths, ward of admission, and microbiologic findings were collected and analyzed. From 491 hospitals, 7,018,393 hospitalizations were reported during 2015; 82,950 patients had been diagnosed with at least 1 HAI, 6,355 of whom died (crude fatality rate, 7.7). Men comprised 51.4% of the patients. The incidence rate was calculated to be 1.18. Urinary tract infections and pneumonia were the most commonly reported infections (27.9% and 23.8%) and 33% of patients were older than age 65 years. Intensive care units had the highest incidence rates, followed by burn units with incidence rates close to 9. Highest percentages of deaths were reported among patients with an HAI in the intensive care unit (20.6%) and those with pneumonia (39.6%). Although the underreporting of HAIs hinders accurate calculation of incidence, the present study provides a general update. The results can help in modification of national guidelines and appropriate choice of antimicrobial agents in the management of HAIs. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

The Road to Tempel (Artist's Concept)

NASA Technical Reports Server (NTRS)

2005-01-01

[figure removed for brevity, see original site] Quick Time Movie for PIA02106 The Road to Tempel

This animation chronicles the travels of NASA's Deep Impact spacecraft, from its launch in January of 2005 to its dramatic impact 172 days later with comet Tempel 1. The times listed below were updated on July 2, 2005, and differ from those referred to in the animation.

The final phase of the mission, called the encounter phase, includes two targeting maneuvers, the last of which occurs at 5:07 p.m. Pacific time (8:07 p.m. Eastern time), July 2. Six hours later, the spacecraft releases an impactor into the path of the charging comet. Twelve minutes later, the remaining craft, called the flyby, steers itself away from the comet's path. The free impactor then autonomously fine-tunes its trajectory, with the goal of hitting the sunlit side of Tempel 1. Impact is scheduled to occur at 10:52 p.m. Pacific time, July 3 (1:52 a.m. Eastern time, July 4).

The flyby spacecraft will watch the collision from the sidelines, snapping pictures up to 13 minutes after impact. At that point, the craft stops taking images and enters a protective mode, in which its shields block dust from the comet's inner coma. Fifty-nine minutes after impact, the flyby turns around for one last photo opportunity.

Use of Advanced Tsunami Hazard Assessment Techniques and Tsunami Source Characterizations in U.S. and International Nuclear Regulatory Activities

NASA Astrophysics Data System (ADS)

Kammerer, A. M.; Godoy, A. R.

2009-12-01

In response to the 2004 Indian Ocean Tsunami, as well as the anticipation of the submission of license applications for new nuclear facilities, the United States Nuclear Regulatory Commission (US NRC) initiated a long-term research program to improve understanding of tsunami hazard levels for nuclear power plants and other coastal facilities in the United States. To undertake this effort, the US NRC organized a collaborative research program jointly undertaken with researchers at the United States Geological Survey (USGS) and the National Oceanic and Atmospheric Administration (NOAA) for the purpose of assessing tsunami hazard on the Atlantic and Gulf Coasts of the United States. This study identified and modeled both seismic and landslide tsunamigenic sources in the near- and far-field. The results from this work are now being used directly as the basis for the review of tsunami hazard at potential nuclear plant sites. This application once again shows the importance that the earth sciences can play in addressing issues of importance to society. Because the Indian Ocean Tsunami was a global event, a number of cooperative international activities have also been initiated within the nuclear community. The results of US efforts are being incorporated into updated regulatory guidance for both the U.S. Nuclear Regulatory Commission and the United Nation’s International Atomic Energy Agency (IAEA). Coordinated efforts are underway to integrate state-of-the art tsunami warning tools developed by NOAA into NRC and IAEA activities. The goal of the warning systems project is to develop automated protocols that allow scientists at these agencies to have up-to-the minute user-specific information in hand shortly after a potential tsunami has been identified by the US Tsunami Warning System. Lastly, USGS and NOAA scientists are assisting the NRC and IAEA in a special Extra-Budgetary Program (IAEA EBP) on tsunami being coordinated by the IAEA’s International Seismic Safety Center. This IAEA EBP is focused on sharing lessons learned, tsunami hazard assessment techniques, and numerical tools among UN Member States. The complete body of basic and applied research undertaken in these many projects represents the combined effort of a diverse group of marine geologists, geophysicists, geotechnical engineers, seismologists and hydrodynamic modelers at multiple organizations.

[Six-minute walk test in children with neuromuscular disease.

PubMed

Cruz-Anleu, Israel Didier; Baños-Mejía, Benjamín Omar; Galicia-Amor, Susana

2013-01-01

Background: neuromuscular diseases affect the motor unit. When they evolve, respiratory complications are common; the six-minute walk test plays an important role in the assessment of functional capacity. Methods: prospective, transversal, descriptive and observational study. We studied seven children with a variety of neuromuscular diseases and spontaneous ambulation. We tested their lung function, and administered a six-minute walk test and a test of respiratory muscle strength to these children. Results: the age was 9.8 ± 2.4 years. All patients were males. Forced vital capacity decreased in three patients (42.8 %), forced expiratory volume during the first second (2.04 ± 1.4 L) and peak expiratory flow (4.33 ± 3.3 L/s) were normal. The maximum strength of respiratory muscles was less than 60 % of predicted values. The distance covered in the six-minute walk test was lower when compared with healthy controls (29.9 %). Conclusions: the six-minute walk test can be a useful tool in early stages of this disease, since it is easy to perform and well tolerated by the patients.

Improvements in Door-to-Balloon Time in the United States: 2005-2010 Krumholz: Trends in D2B Time: 2005-2010

PubMed Central

Krumholz, Harlan M.; Herrin, Jeph; Miller, Lauren E.; Drye, Elizabeth E.; Ling, Shari M.; Han, Lein F.; Rapp, Michael T.; Bradley, Elizabeth H.; Nallamothu, Brahmajee K.; Nsa, Wato; Bratzler, Dale W.; Curtis, Jeptha P.

2012-01-01

Background Registry studies have suggested improvements in door-to-balloon times, but a national assessment of the trends in door-to-balloon times is lacking. Moreover, we do not know if improvements in door-to-balloon times were shared equally among patient and hospital groups. Methods and Results This analysis includes all patients reported by hospitals to the Centers for Medicare & Medicaid Services for inclusion in the time to percutaneous coronary intervention acute myocardial infarction-8 (AMI-8) inpatient measure from January 1, 2005 through September 30, 2010. For each calendar year, we summarized the characteristics of patients reported for the measure including the number and percentage in each group as well as the median time to primary percutaneous coronary intervention, and the percentage with time to primary percutaneous coronary intervention within 75 minutes and within 90 minutes. Door-to-balloon time declined from a median of 96 minutes in the year ending December 31, 2005 to a median of 64 minutes in the three quarters ending September 30, 2010. There were corresponding increases in the percentage of patients who had times <90 minutes (44.2% to 91.4%) and <75 minutes (27.3% to 70.4%). The declines in median times were greatest among groups that had the highest median times during the first period: Patients >75 years of age (median decline 38 minutes); women (35 minutes); and African Americans (42 minutes). Conclusion National progress has been achieved in the treatment of patients with ST-segment elevation myocardial infarction who undergo primary percutaneous coronary intervention. PMID:21859971

Changes in Acceleration and Deceleration Capacity Throughout Professional Soccer Match-Play.

PubMed

Russell, Mark; Sparkes, William; Northeast, Jonny; Cook, Christian J; Love, Tom D; Bracken, Richard M; Kilduff, Liam P

2016-10-01

Russell, M, Sparkes, W, Northeast, J, Cook, CJ, Love, TD, Bracken, RM, and Kilduff, LP. Changes in acceleration and deceleration capacity throughout professional soccer match-play. J Strength Cond Res 30(10): 2839-2844, 2016-As the acceleration and deceleration demands of soccer are currently not well understood, this study aimed to profile markers of acceleration and deceleration capacity during professional soccer match-play. This within-player observational study required reserve team players from a Premier League club to wear 10-Hz Global Positioning System units throughout competitive matches played in the 2013-14 competitive season. Data are presented for players who completed 4 or more games during the season (n = 11), and variables are presented according to six 15-minute intervals (I1-6: 00:00-14:59 minutes, 15:00-29:59 minutes, 30:00-44:59 minutes, 45:00-59:59 minutes, 60:00-74:59 minutes, and 75:00-89:59 minutes, respectively). During I6, the distance covered (total, per minute, and at high intensity), number of sprints, accelerations (total and high intensity), decelerations (total and high intensity), and impacts were reduced compared with I1 (all p ≤ 0.05). The number of high-intensity impacts remained unchanged throughout match-play (p > 0.05). These findings indicate that high-intensity actions and markers of acceleration and deceleration capacity are reduced in the last 15 minutes of the normal duration of match-play. Such information can be used to increase the specificity of training programs designed for soccer players while also giving further insight in to the effects of 90 minutes of soccer-specific exercise. Interventions that seek to maintain the acceleration and deceleration capacity of players throughout the full duration of a soccer match warrant investigation.

RCRA, superfund and EPCRA hotline training module. Introduction to: Land disposal units (40 cfr parts 264/265, subparts k, l, m, n) updated July 1996

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1996-07-01

The module provides an overview of the requirements for landfills, surface impoundments, waste piles, and land treatment units. It summarizes the differences between interim status (Part 265) and permitted (Part 264) standards for land disposal units. It defines `surface impoundment` and distinguishes surface impoundments from tanks and describes surface impoundment retrofitting and retrofitting variance procedures. It explains the connection between land disposal standards, post-closure, and groundwater monitoring.

A Descriptive Comparison of Some Governance Characteristics in Selected Higher Education Institutions, U.S. and U.K.

ERIC Educational Resources Information Center

O'Reilly, Robert C.

A study was conducted to examine current concepts and procedures of community college governance in the United States and the United Kingdom. Agendas and minutes of board meetings were analyzed and interviews were conducted with administrators and board members at four institutions, one rural and one urban from each country. The participating…

Weekly Checks Improve Real-Time Prehospital ECG Transmission in Suspected STEMI.

PubMed

D'Arcy, Nicole T; Bosson, Nichole; Kaji, Amy H; Bui, Quang T; French, William J; Thomas, Joseph L; Elizarraraz, Yvonne; Gonzalez, Natalia; Garcia, Jose; Niemann, James T

2018-06-01

IntroductionField identification of ST-elevation myocardial infarction (STEMI) and advanced hospital notification decreases first-medical-contact-to-balloon (FMC2B) time. A recent study in this system found that electrocardiogram (ECG) transmission following a STEMI alert was frequently unsuccessful.HypothesisInstituting weekly test ECG transmissions from paramedic units to the hospital would increase successful transmission of ECGs and decrease FMC2B and door-to-balloon (D2B) times. This was a natural experiment of consecutive patients with field-identified STEMI transported to a single percutaneous coronary intervention (PCI)-capable hospital in a regional STEMI system before and after implementation of scheduled test ECG transmissions. In November 2014, paramedic units began weekly test transmissions. The mobile intensive care nurse (MICN) confirmed the transmission, or if not received, contacted the paramedic unit and the department's nurse educator to identify and resolve the problem. Per system-wide protocol, paramedics transmit all ECGs with interpretation of STEMI. Receiving hospitals submit patient data to a single registry as part of ongoing system quality improvement. The frequency of successful ECG transmission and time to intervention (FMC2B and D2B times) in the 18 months following implementation was compared to the 10 months prior. Post-implementation, the time the ECG transmission was received was also collected to determine the transmission gap time (time from ECG acquisition to ECG transmission received) and the advanced notification time (time from ECG transmission received to patient arrival). There were 388 patients with field ECG interpretations of STEMI, 131 pre-intervention and 257 post-intervention. The frequency of successful transmission post-intervention was 73% compared to 64% prior; risk difference (RD)=9%; 95% CI, 1-18%. In the post-intervention period, the median FMC2B time was 79 minutes (inter-quartile range [IQR]=68-102) versus 86 minutes (IQR=71-108) pre-intervention (P=.3) and the median D2B time was 59 minutes (IQR=44-74) versus 60 minutes (IQR=53-88) pre-intervention (P=.2). The median transmission gap was three minutes (IQR=1-8) and median advanced notification time was 16 minutes (IQR=10-25). Implementation of weekly test ECG transmissions was associated with improvement in successful real-time transmissions from field to hospital, which provided a median advanced notification time of 16 minutes, but no decrease in FMC2B or D2B times. D'ArcyNT, BossonN, KajiAH, BuiQT, FrenchWJ, ThomasJL, ElizarrarazY, GonzalezN, GarciaJ, NiemannJT. Weekly checks improve real-time prehospital ECG transmission in suspected STEMI. Prehosp Disaster Med. 2018;33(3):245-249.

Online guideline assist in intensive care medicine--is the login-authentication a sufficient trigger for reminders?

PubMed

Röhrig, Rainer; Meister, Markus; Michel-Backofen, Achim; Sedlmayr, Martin; Uphus, Dirk; Katzer, Christian; Rose, Thomas

2006-01-01

Rising cost pressure due to the implementation of the DRG-System and quality assurance lead to an increased use of therapy standards and standard operating procedures (SOPs) in intensive care medicine. The intention of the German Scientific Society supported project "OLGA" (Online Guideline Assist) is to develop a prototype of a knowledge based system supporting physicians of an intensive care unit in recognizing the indication for and selecting a specific guideline or SOP. While the response of the prototype on user entries can be displayed as a signal on the used workstation itself, the location and time for a reminder of scheduled or missed procedures or reactions to imported information is a difficult issue. One possible approach to this task is the display of non acknowledged reminders or recommendations while logging on to a system. The objective of this study is to analyse user behaviour of the physicians working on the surgical intensive care unit to decide whether the login authentication is a sufficient trigger for clinical reminding. The surgical intensive care unit examined in this study comprises 14 beds. Medical care is provided by physicians working in shifts 24 hours a day, 7 days a week, with two anaesthetists at a time and an additional senior consultant during daytime. The entire documentation (examinations, medication, orders, care) is performed using the patient data management system ICUData. The authentication process of the physicians was logged and analysed. Throughout the observation period from December 13th 2005 to January 11th 2006 3563 physician logins were counted in total. The mean span between logins was in 11.3 minutes (SD 14.4), the median 7 minutes. The 75% centile was 14 minutes, the 95% centile 38 min. Intervals greater than 60 minutes occurred in 75%, and greater than 90 minutes in 25% of the days. It seems reasonable that reminders sent during authentication are able to enforce workflow compliance. It is possible to send notifications caused by external events to the physician depending on the importance of the event. Serious events with high urgency should be reliably passed using wireless pager or handheld technology. It seems that after the implementation of the prototype guideline assist further investigation is needed to monitor changes in authentication behaviour and reactions to the guideline advisory. This is also required to investigate the influence of unit's size, medical specialty and actual ward workload.

Cardiopulmonary resuscitation update.

PubMed

Reynolds, Joshua C; Bond, Michael C; Shaikh, Sanober

2012-02-01

Cardiopulmonary resuscitation (CPR) is vital therapy in cardiac arrest care by lay and trained rescuers. Chest compressions are the key component of CPR. Ventilation and airway management should be secondary to high-quality and continuous chest compressions in patients receiving CPR. Only after the patient has had return of spontaneous circulation or completed a cycle of CPR with defibrillation (if appropriate) should attempts at securing an advanced airway be made. Even then, interruptions of chest compressions should be minimized to maintain cardiocerebral perfusion and increase survival. Finally, the ventilation rate should be no more than 8 to 10 breaths per minute. Copyright © 2012 Elsevier Inc. All rights reserved.

HPV-QUEST: A highly customized system for automated HPV sequence analysis capable of processing Next Generation sequencing data set.

PubMed

Yin, Li; Yao, Jiqiang; Gardner, Brent P; Chang, Kaifen; Yu, Fahong; Goodenow, Maureen M

2012-01-01

Next Generation sequencing (NGS) applied to human papilloma viruses (HPV) can provide sensitive methods to investigate the molecular epidemiology of multiple type HPV infection. Currently a genotyping system with a comprehensive collection of updated HPV reference sequences and a capacity to handle NGS data sets is lacking. HPV-QUEST was developed as an automated and rapid HPV genotyping system. The web-based HPV-QUEST subtyping algorithm was developed using HTML, PHP, Perl scripting language, and MYSQL as the database backend. HPV-QUEST includes a database of annotated HPV reference sequences with updated nomenclature covering 5 genuses, 14 species and 150 mucosal and cutaneous types to genotype blasted query sequences. HPV-QUEST processes up to 10 megabases of sequences within 1 to 2 minutes. Results are reported in html, text and excel formats and display e-value, blast score, and local and coverage identities; provide genus, species, type, infection site and risk for the best matched reference HPV sequence; and produce results ready for additional analyses.

Visual Target Tracking on the Mars Exploration Rovers

NASA Technical Reports Server (NTRS)

Kim, Won S.; Biesiadecki, Jeffrey J.; Ali, Khaled S.

2008-01-01

Visual Target Tracking (VTT) has been implemented in the new Mars Exploration Rover (MER) Flight Software (FSW) R9.2 release, which is now running on both Spirit and Opportunity rovers. Applying the normalized cross-correlation (NCC) algorithm with template image magnification and roll compensation on MER Navcam images, VTT tracks the target and enables the rover to approach the target within a few cm over a 10 m traverse. Each VTT update takes 1/2 to 1 minute on the rovers, 2-3 times faster than one Visual Odometry (Visodom) update. VTT is a key element to achieve a target approach and instrument placement over a 10-m run in a single sol in contrast to the original baseline of 3 sols. VTT has been integrated into the MER FSW so that it can operate with any combination of blind driving, Autonomous Navigation (Autonav) with hazard avoidance, and Visodom. VTT can either guide the rover towards the target or simply image the target as the rover drives by. Three recent VTT operational checkouts on Opportunity were all successful, tracking the selected target reliably within a few pixels.

Effect of topical ophthalmic epinastine and olopatadine on tear volume in mice.

PubMed

Villareal, Arturo L; Farley, William; Pflugfelder, Stephen C

2006-12-01

To investigate the effects of topical epinastine and olopatadine on tear volume by using a mouse model. Eighty-five C57BL6 mice (170 eyes) were treated twice daily with topical ophthalmic epinastine 0.05%, olopatadine 0.1%, or atropine 1% or served as untreated controls. A thread-wetting assay was used to measure tear volume at baseline and 15, 45, 90, 120, and 240 minutes after the last instillation of the drug on days 2 and 4 of treatment. After 2 days of treatment, epinastine-treated mice showed greater mean tear volumes than olopatadine-treated mice did at 15, 45, 90, and 240 minutes, with statistical significance at 15 and 45 minutes (P<0.001). Olopatadine significantly reduced tear volume versus untreated controls at 15 and 45 minutes (P<0.001). After 4 days, tear volumes with epinastine treatment exceeded those with olopatadine treatment at all time points, with statistical significance at 45 minutes (P<0.05). Atropine rendered tears undetectable at 15, 45, and 90 minutes; tear volume returned to baseline levels at 240 minutes. Topical epinastine did not inhibit tear secretion, whereas olopatadine caused a significant decrease in tear volume. Because of its neutral impact on the lacrimal functional unit, epinastine may be an especially good choice for the treatment of allergic conjunctivitis in patients with dry eye disease or in those who are at risk for developing dry eye.

75 FR 3901 - Board of Visitors, United States Military Academy (USMA)

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-25

... Organizational Meeting of the USMA Board of Visitors (BoV). Members of the Board will be provided updates on..., Technology, Engineering & Math (STEM) Center of Excellence, Energy Costs and Initiatives, Wastewater...

39 CFR 3050.21 - Content of the Postal Service's section 3652 report.

Code of Federal Regulations, 2010 CFR

2010-07-01

... speed of delivery and the reliability of delivery; (e) For each market dominant workshare discount... unit costs and price elasticities, shall be updated using fiscal year values; and (5) Analyze the...

Advanced public transportation systems deployment in the United States : year 2002 update

DOT National Transportation Integrated Search

2003-06-01

This report documents work performed under the Federal Transit Administration's Advanced Public Transportation Systems (APTS) Program, a program structured to undertake research and development of innovative applications of advanced navigation, infor...

Advanced public transportation systems deployment in the United States : year 2000 update

DOT National Transportation Integrated Search

2002-05-01

This report documents work performed under the Federal Transit Administration's Advanced Public Transportation Systems (APTS) Program, a program structured to undertake research and development of innovative applications of advanced navigation, infor...

Advanced public transportation systems deployment in the United States : year 2004 update

DOT National Transportation Integrated Search

2005-06-01

This report documents work performed under the Federal Transit Administration's Advanced Public Transportation Systems (APTS) Program, a program structured to undertake research and development of innovative applications of advanced navigation, infor...

Advanced Public Transportation Systems Deployment in the United States, Year 2000, Update

DOT National Transportation Integrated Search

2002-05-01

This report documents work performed under the Federal Transit Administration's Advanced Public Transportation Systems (APTS) Program, a program structured to undertake research and development of innovative applications of advanced navigation, infor...

Ailanthus, tree-of-heaven update, a northeast regional biological control project

Treesearch

Scott M. Salom; Loke T. Kok; Nathan Herrick; Tom McAvoy; Donald Davis; Mark Schall; Matt Kasson; Du Yu-Zhou; Ji Hailong; He Xiao; Richard Reardon

2009-01-01

The tree-of-heaven (TOH), Ailanthus altissima (Mill.) Swingle (Sapindales: Simaroubaceae), is an invasive weed tree distributed throughout most of the continental United States. It is a hardy pioneer species that...

Advanced Public Transportation Systems Deployment in the United States. Update, January 1999

DOT National Transportation Integrated Search

1999-01-01

This report documents work performed under FTA's Advanced Public Transportation Systems (APTS) Program, a program structured to undertake research and development of innovative applications of advanced navigation, information, and communication techn...

Advanced public transportation systems deployment in the United States : update, January 1999

DOT National Transportation Integrated Search

1999-01-01

This report documents work performed under FTA's Advanced Public Transportation Systems (APTS) Program, a program structured to undertake research and development of innovative applications of advances navigation, information, and communication techn...

High School Equivalency Assessment and Recognition in the United States: An Eyewitness Account

ERIC Educational Resources Information Center

McLendon, Lennox

2017-01-01

This chapter on high school equivalency describes recent events involved in updating the adult education high school equivalency assessment services and the entrance of additional assessments into the field.

Utilization of case presentations in medical microbiology to enhance relevance of basic science for medical students.

PubMed

Chamberlain, Neal R; Stuart, Melissa K; Singh, Vineet K; Sargentini, Neil J

2012-01-01

Small-group case presentation exercises (CPs) were created to increase course relevance for medical students taking Medical Microbiology (MM) and Infectious Diseases (ID) METHODS: Each student received a unique paper case and had 10 minutes to review patient history, physical exam data, and laboratory data. Students then had three minutes to orally present their case and defend why they ruled in or out each of the answer choices provided, followed by an additional three minutes to answer questions. Exam scores differed significantly between students who received the traditional lecture-laboratory curriculum (Group I) and students who participated in the CPs (Group II). In MM, median unit exam and final exam scores for Group I students were 84.4% and 77.8%, compared to 86.0% and 82.2% for Group II students (P<0.018; P<0.001; Mann-Whitney Rank Sum Test). Median unit and final ID exam scores for Group I students were 84.0% and 80.0%, compared to 88.0% and 86.7% for Group II students (P<0.001; P<0.001). Students felt that the CPs improved their critical thinking and presentation skills and helped to prepare them as future physicians.

Database for the geologic map of the Chelan 30-minute by 60-minute quadrangle, Washington (I-1661)

USGS Publications Warehouse

Tabor, R.W.; Frizzell, V.A.; Whetten, J.T.; Waitt, R.B.; Swanson, D.A.; Byerly, G.R.; Booth, D.B.; Hetherington, M.J.; Zartman, R.E.

2006-01-01

This digital map database has been prepared by R. W. Tabor from the published Geologic map of the Chelan 30-Minute Quadrangle, Washington. Together with the accompanying text files as PDF, it provides information on the geologic structure and stratigraphy of the area covered. The database delineates map units that are identified by general age and lithology following the stratigraphic nomenclature of the U.S. Geological Survey. The authors mapped most of the bedrock geology at 1:100,000 scale, but compiled Quaternary units at 1:24,000 scale. The Quaternary contacts and structural data have been much simplified for the 1:100,000-scale map and database. The spatial resolution (scale) of the database is 1:100,000 or smaller. This database depicts the distribution of geologic materials and structures at a regional (1:100,000) scale. The report is intended to provide geologic information for the regional study of materials properties, earthquake shaking, landslide potential, mineral hazards, seismic velocity, and earthquake faults. In addition, the report contains information and interpretations about the regional geologic history and framework. However, the regional scale of this report does not provide sufficient detail for site development purposes.

Arrival Metering Precision Study

NASA Technical Reports Server (NTRS)

Prevot, Thomas; Mercer, Joey; Homola, Jeffrey; Hunt, Sarah; Gomez, Ashley; Bienert, Nancy; Omar, Faisal; Kraut, Joshua; Brasil, Connie; Wu, Minghong, G.

2015-01-01

This paper describes the background, method and results of the Arrival Metering Precision Study (AMPS) conducted in the Airspace Operations Laboratory at NASA Ames Research Center in May 2014. The simulation study measured delivery accuracy, flight efficiency, controller workload, and acceptability of time-based metering operations to a meter fix at the terminal area boundary for different resolution levels of metering delay times displayed to the air traffic controllers and different levels of airspeed information made available to the Time-Based Flow Management (TBFM) system computing the delay. The results show that the resolution of the delay countdown timer (DCT) on the controllers display has a significant impact on the delivery accuracy at the meter fix. Using the 10 seconds rounded and 1 minute rounded DCT resolutions resulted in more accurate delivery than 1 minute truncated and were preferred by the controllers. Using the speeds the controllers entered into the fourth line of the data tag to update the delay computation in TBFM in high and low altitude sectors increased air traffic control efficiency and reduced fuel burn for arriving aircraft during time based metering.

A brief review of the estimated economic burden of sexually transmitted diseases in the United States: inflation-adjusted updates of previously published cost studies.

PubMed

Chesson, Harrell W; Gift, Thomas L; Owusu-Edusei, Kwame; Tao, Guoyu; Johnson, Ana P; Kent, Charlotte K

2011-10-01

We conducted a literature review of studies of the economic burden of sexually transmitted diseases in the United States. The annual direct medical cost of sexually transmitted diseases (including human immunodeficiency virus) has been estimated to be $16.9 billion (range: $13.9-$23.0 billion) in 2010 US dollars.

Wildlife resource trends in the United States: A technical document supporting the 2000 RPA Assessment

Treesearch

Curtis H. Flather; Stephen J. Brady; Michael S. Knowles

1999-01-01

This report documents trends in wildlife resources for the nation as required by the Renewable Resources Planning Act (RPA) of 1974. The report focuses on recent historical trends in wildlife as one indicator of ecosystem health across the United States and updates wildlife trends presented in previous RPA Assessments. The report also shows short- and long-term...

Accelerating Malware Detection via a Graphics Processing Unit

DTIC Science & Technology

2010-09-01

Processing Unit . . . . . . . . . . . . . . . . . . 4 PE Portable Executable . . . . . . . . . . . . . . . . . . . . . 4 COFF Common Object File Format...operating systems for the future [Szo05]. The PE format is an updated version of the common object file format ( COFF ) [Mic06]. Microsoft released a new...NAs02]. These alerts can be costly in terms of time and resources for individuals and organizations to investigate each misidentified file [YWL07] [Vak10

75 FR 13344 - Revised Meeting Time for Citizens Coinage Advisory Committee March 2010 Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-19

... DEPARTMENT OF THE TREASURY United States Mint Revised Meeting Time for Citizens Coinage Advisory...: March 23, 2010. Time: 2:30 p.m. to 5 p.m. Location: 8th Floor Boardroom, United States Mint, 801 9th... call 202-354-7502 for the latest update on meeting time and room location. In accordance with 31 U.S.C...

Iraq: Recent Developments in Reconstruction Assistance

DTIC Science & Technology

2005-01-27

Developments in Reconstruction Assistance Summary Large-scale reconstruction assistance programs are being undertaken by the United States following the war...in grant aid and as much as $13.3 billion in possible loans. On June 28, 2004, the entity implementing assistance programs , the Coalition Provisional... programs are being undertaken by the United States in Iraq. This report describes recent developments in this assistance effort. The report will be updated

Accommodating non-market values in evaluation of wildfire management in the United States: Challenges and opportunities

Treesearch

Tyron J. Venn; David E. Calkin

2011-01-01

Forests in the United States generate many non-market benefits for society that can be enhanced and diminished by wildfire and wildfire management. The Federal Wildland Fire Management Policy (1995, updated 2001), and subsequent Guidance to the Implementation of that policy provided in 2009, require fire management priorities be set on the basis of values to be...

Diabetes mellitus and cardiovascular risk: Update of the recommendations of the Diabetes and Cardiovascular Disease working group of the Spanish Diabetes Society (SED, 2018).

PubMed

Arrieta, Francisco; Iglesias, Pedro; Pedro-Botet, Juan; Becerra, Antonio; Ortega, Emilio; Obaya, Juan Carlos; Nubiola, Andreu; Maldonado, Gonzalo Fernando; Campos, Maria Del Mar; Petrecca, Romina; Pardo, José Luis; Sánchez-Margalet, Víctor; Alemán, José Juan; Navarro, Jorge; Duran, Santiago; Tébar, Francisco Javier; Aguilar, Manuel; Escobar, Fernando

2018-05-10

This document is an update to the clinical practice recommendations for the management of cardiovascular risk factors in diabetes mellitus. The consensus is made by members of the Cardiovascular Risk Group of the Spanish Diabetes Society. We have proposed and updated interventions on lifestyle, pharmacological treatment indicated to achieve therapeutic objectives according to the levels of HbA1c, degree of obesity, hypertension, hyperlipidemia, heart failure, platelet antiagregation, renal insufficiency, and diabetes in the elderly, as well as new biomarkers of interest in the evaluation of cardiovascular risk in individuals with diabetes mellitus. The work is an update of the interventions and therapeutic objectives in addition, it is noted the need for the inclusion of specialists in Endocrinology, Metabolism and Nutrition in Cardiac Rehabilitation Units for the control and monitoring of this population. Copyright © 2018 Sociedad Española de Arteriosclerosis. Publicado por Elsevier España, S.L.U. All rights reserved.

Quasi-Newton parallel geometry optimization methods

NASA Astrophysics Data System (ADS)

Burger, Steven K.; Ayers, Paul W.

2010-07-01

Algorithms for parallel unconstrained minimization of molecular systems are examined. The overall framework of minimization is the same except for the choice of directions for updating the quasi-Newton Hessian. Ideally these directions are chosen so the updated Hessian gives steps that are same as using the Newton method. Three approaches to determine the directions for updating are presented: the straightforward approach of simply cycling through the Cartesian unit vectors (finite difference), a concurrent set of minimizations, and the Lanczos method. We show the importance of using preconditioning and a multiple secant update in these approaches. For the Lanczos algorithm, an initial set of directions is required to start the method, and a number of possibilities are explored. To test the methods we used the standard 50-dimensional analytic Rosenbrock function. Results are also reported for the histidine dipeptide, the isoleucine tripeptide, and cyclic adenosine monophosphate. All of these systems show a significant speed-up with the number of processors up to about eight processors.

Island Watershed Activity.

ERIC Educational Resources Information Center

Benson, Rod

2003-01-01

Describes a 90-minute "Island Watershed" activity to help earth science students understand the concept of the water cycle. Introduces a surface waters unit appropriate for students in grades 7-10. Includes watershed project guidelines. (Author/KHR)

Developing a Digital Medicine System in Psychiatry: Ingestion Detection Rate and Latency Period.

PubMed

Profit, Deborah; Rohatagi, Shashank; Zhao, Cathy; Hatch, Ainslie; Docherty, John P; Peters-Strickland, Timothy S

2016-09-01

A digital medicine system (DMS) has been developed to measure and report adherence to an atypical antipsychotic, aripiprazole, in psychiatric patients. The DMS consists of 3 components: ingestible sensor embedded in a medication tablet, wearable sensor, and secure mobile and cloud-based applications. An umbrella study protocol was designed to rapidly assess the technical performance and safety of the DMS in multiple substudies to guide the technology development. Two sequential substudies enrolled 30 and 29 healthy volunteers between March-April 2014 and February-March 2015, respectively, to assess detection accuracy of the ingestible sensor by the DMS and the latency period between ingestion and detection of the ingestion by the wearable sensor or the cloud-based server. The first substudy identified areas for improvement using early versions of the wearable sensor and the mobile application. The second substudy tested updated versions of the components and showed an overall ingestion detection rate of 96.6%. Mean latency times for the signal transmission were 1.1-1.3 minutes (from ingestion to the wearable sensor detection) and 6.2-10.3 minutes (from the wearable sensor detection to the server detection). Half of transmissions were completed in < 2 minutes, and ~90% of ingestions were registered by the smartphone within 30 minutes of ingestion. No serious adverse events, discontinuations, or clinically significant laboratory/vital signs findings were reported. The DMS implementing modified versions of the smartphone application and the wearable sensor has the technical capability to detect and report tablet ingestion with high accuracy and acceptable latency time. ClinicalTrials.gov identifier: NCT02091882. © Copyright 2016 Physicians Postgraduate Press, Inc.

[Technical recommendations and best practice guidelines for May-Grünwald-Giemsa staining: literature review and insights from the quality assurance].

PubMed

Piaton, Eric; Fabre, Monique; Goubin-Versini, Isabelle; Bretz-Grenier, Marie-Françoise; Courtade-Saïdi, Monique; Vincent, Serge; Belleannée, Geneviève; Thivolet, Françoise; Boutonnat, Jean; Debaque, Hervé; Fleury-Feith, Jocelyne; Vielh, Philippe; Cochand-Priollet, Béatrix; Egelé, Caroline; Bellocq, Jean-Pierre; Michiels, Jean-François

2015-08-01

May-Grünwald-Giemsa (MGG) stain is a Romanowsky-type, polychromatic stain as those of Giemsa, Leishman and Wright. Apart being the reference method of haematology, it has become a routine stain of diagnostic cytopathology for the study of air-dried preparations (lymph node imprints, centrifuged body fluids and fine needle aspirations). In the context of their actions of promoting the principles of quality assurance in cytopathology, the French Association for Quality Assurance in Anatomic and Cytologic Pathology (AFAQAP) and the French Society of Clinical Cytology (SFCC) conducted a proficiency test on MGG stain in 2013. Results from the test, together with the review of literature data allow pre-analytical and analytical steps of MGG stain to be updated. Recommendations include rapid air-drying of cell preparations/imprints, fixation using either methanol or May-Grünwald alone for 3-10minutes, two-step staining: 50% May-Grünwald in buffer pH 6.8 v/v for 3-5minutes, followed by 10% buffered Giemsa solution for 10-30minutes, and running water for 1-3minutes. Quality evaluation must be performed on red blood cells (RBCs) and leukocytes, not on tumour cells. Under correct pH conditions, RBCs must appear pink-orange (acidophilic) or buff-coloured, neither green nor blue. Leukocyte cytoplasm must be almost transparent, with clearly delineated granules. However, staining may vary somewhat and testing is recommended for automated methods (slide stainers) which remain the standard for reproducibility. Though MGG stain remains the reference stain, Diff-Quik(®) stain can be used for the rapid evaluation of cell samples. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Map and tabulation of quaternary mass movements along the United States-Canadian Atlantic continental slope from 32 degrees 00 minutes to 47 degrees 00 minutes N. latitude

USGS Publications Warehouse

Booth, J.S.; O'Leary, Dennis W.; Popenoe, Peter; Robb, James M.; McGregor, B.A.

1988-01-01

Since the initial report on the Grand Banks Slump off southern Newfoundland (Heezen and Ewing, 1952), a large body of data on submarine mass movement along the Atlantic continental margin of the United States and Canada has been published.  These data were compiled to provide this distribution map (sheet 1) and tabulation (sheet 2) of "principal facts" on mass movement of the northwest Atlantic Continental Slope.  Although we prepared this inventory to facilitate our study of Quaternary mass movement along the U.S. Continental Slope, we judged the compilation to be large enough and detailed enough to be published as a generally useful data source and compendium.  Sheet 3 shows examples of mass movement styles.

Safety, dose, and timing of reteplase in treating occluded central venous catheters in children with cancer.

PubMed

Terrill, Kelly R; Lemons, Richard S; Goldsby, Robert E

2003-11-01

Recombinant tissue plasminogen activator, alteplase, began to be commonly used to restore the patency of occluded central venous catheters (CVCs) as urokinase production was halted in the late 1990s. However, alteplase often requires an extended dwell time to restore patency to occluded CVCs. In adults, reteplase, a newer thrombolytic agent, has been reported to restore patency to CVCs in 30 minutes. The authors prospectively evaluated the safety and efficacy of reteplase in restoring patency to occluded CVCs in children with cancer. This was a dose escalation trial. The dose of reteplase was initiated at 0.1 units and increased by increments of 0.1 units to a maximum dose of 0.4 units. Each dose was tested on at least three participants. Time to patency after reteplase administration was recorded by nurses caring for the patients. Attempts to access the line occurred every 15 minutes for 1 hour. CVCs that remained occluded after 1 hour were treated with alteplase. Reteplase was administered to 15 clotted CVCs. Twelve of the 15 were cleared with an average dwell time of 38 minutes. The time to patency did not appear to correlate with the dose. No adverse events were reported. Reteplase can restore patency to occluded CVCs in a pediatric population. Reteplase appears to have comparable efficacy with alteplase, but reteplase may require shorter dwell times. A prospective, randomized, clinical trial is warranted to determine whether reteplase is as effective as alteplase in restoring patency to occluded CVCs.

Evaluating Methods of Updating Training Data in Long-Term Genomewide Selection

PubMed Central

Neyhart, Jeffrey L.; Tiede, Tyler; Lorenz, Aaron J.; Smith, Kevin P.

2017-01-01

Genomewide selection is hailed for its ability to facilitate greater genetic gains per unit time. Over breeding cycles, the requisite linkage disequilibrium (LD) between quantitative trait loci and markers is expected to change as a result of recombination, selection, and drift, leading to a decay in prediction accuracy. Previous research has identified the need to update the training population using data that may capture new LD generated over breeding cycles; however, optimal methods of updating have not been explored. In a barley (Hordeum vulgare L.) breeding simulation experiment, we examined prediction accuracy and response to selection when updating the training population each cycle with the best predicted lines, the worst predicted lines, both the best and worst predicted lines, random lines, criterion-selected lines, or no lines. In the short term, we found that updating with the best predicted lines or the best and worst predicted lines resulted in high prediction accuracy and genetic gain, but in the long term, all methods (besides not updating) performed similarly. We also examined the impact of including all data in the training population or only the most recent data. Though patterns among update methods were similar, using a smaller but more recent training population provided a slight advantage in prediction accuracy and genetic gain. In an actual breeding program, a breeder might desire to gather phenotypic data on lines predicted to be the best, perhaps to evaluate possible cultivars. Therefore, our results suggest that an optimal method of updating the training population is also very practical. PMID:28315831

[Google Flu Trends--the initial application of big data in public health].

PubMed

Zou, Xiaohui; Zhu, Wenfei; Yang, Lei; Shu, Yuelong

2015-06-01

Google Flu Trends (GFT) was the first application of big data in the public health field. GFT was open online in 2009 and attracted worldwide attention immediately. However, GFT failed catching the 2009 pandemic H1N1 and kept overestimating the intensity of influenza-like illness in the 2012-2014 season in the United States. GFT model has been updated for three times since 2009, making its prediction bias controlled. Here, we summarized the mechanism GFT worked, the strategy GFT used to update, and its influence on public health.

Update on obstructive sleep apnea and its relation to COPD

PubMed Central

Mieczkowski, Brian; Ezzie, Michael E

2014-01-01

Chronic obstructive pulmonary disease (COPD) is a common and preventable lung disease that affects millions of people in the United States. Sleep disorders including obstructive sleep apnea (OSA) are also common. It is not surprising that many people with COPD also suffer from OSA. This relationship, however, puts people at risk for more nocturnal desaturations and potential complications related to this, including pulmonary hypertension and heart rhythm disturbances. This update focuses on the physiology of sleep disturbances in COPD as well as the clinical implications of OSA in COPD. PMID:24748786

The elusive HIV vaccine: an update on the politics, propaganda and scientific barriers in the search for a safe and effective HIV vaccine.

PubMed

Allen, D

1999-01-01

An update is provided on the barriers confronting the development of an effective HIV vaccine. These issues include political and organizational problems, inadequate research funding, pharmaceutical company reluctance to do vaccine research, and the scientific and testing complexities that must be overcome. Two preventive vaccines (Wyeth-Ayerst DNA and AIDSVAX), and two treatment vaccines (Wyeth-Ayerst DNA and Remune) currently in human trials in the United States are described, along with the rationale behind them.

Engineering Test and Evaluation During High G. Volume III, Anti-G Suits.

DTIC Science & Technology

1978-06-01

items are: 3 inservice units from USAF and IJSN; an RAF unit; and 2 experimental units (lower body full pressure, and capstan). The study of the capstan...inspections are performed by life-support techni- cians whose training and expertise best enable them to evaluate the anti-G suit condition. The TEHG...of testing in one minute." At some installations this test has been waived by USAF Air Training Command (ATC) to "l psig drop from 5 psig in 20 sec

Wireless fetal heart rate monitoring in inpatient full-term pregnant women: testing functionality and acceptability.

PubMed

Boatin, Adeline A; Wylie, Blair; Goldfarb, Ilona; Azevedo, Robin; Pittel, Elena; Ng, Courtney; Haberer, Jessica

2015-01-01

We tested functionality and acceptability of a wireless fetal monitoring prototype technology in pregnant women in an inpatient labor unit in the United States. Women with full-term singleton pregnancies and no evidence of active labor were asked to wear the prototype technology for 30 minutes. We assessed functionality by evaluating the ability to successfully monitor the fetal heartbeat for 30 minutes, transmit this data to Cloud storage and view the data on a web portal. Three obstetricians also rated fetal cardiotocographs on ease of readability. We assessed acceptability by administering closed and open-ended questions on perceived utility and likeability to pregnant women and clinicians interacting with the prototype technology. Thirty-two women were enrolled, 28 of whom (87.5%) successfully completed 30 minutes of fetal monitoring including transmission of cardiotocographs to the web portal. Four sessions though completed, were not successfully uploaded to the Cloud storage. Six non-study clinicians interacted with the prototype technology. The primary technical problem observed was a delay in data transmission between the prototype and the web portal, which ranged from 2 to 209 minutes. Delays were ascribed to Wi-Fi connectivity problems. Recorded cardiotocographs received a mean score of 4.2/5 (± 1.0) on ease of readability with an interclass correlation of 0.81(95%CI 0.45, 0.96). Both pregnant women and clinicians found the prototype technology likable (81.3% and 66.7% respectively), useful (96.9% and 66.7% respectively), and would either use it again or recommend its use to another pregnant woman (77.4% and 66.7% respectively). In this pilot study we found that this wireless fetal monitoring prototype technology has potential for use in a United States inpatient setting but would benefit from some technology changes. We found it to be acceptable to both pregnant women and clinicians. Further research is needed to assess feasibility of using this technology in busy inpatient settings.

An Updated Performance Assessment For A New Low-Level Radioactive Waste Disposal Facility In West Texas - 12192

DOE Office of Scientific and Technical Information (OSTI.GOV)

Dornsife, William P.; Kirk, J. Scott; Shaw, Chris G.

2012-07-01

This Performance Assessment (PA) submittal is an update to the original PA that was developed to support the licensing of the Waste Control Specialists LLC Low-Level Radioactive Waste (LLRW) disposal facility. This update includes both the Compact Waste Facility (CWF) and the Federal Waste Facility (FWF), in accordance with Radioactive Material License (RML) No. R04100, License Condition (LC) 87. While many of the baseline assumptions supporting the initial license application PA were incorporated in this update, a new transport code, GoldSim, and new deterministic groundwater flow codes, including HYDRUS and MODFLOWSURFACT{sup TM}, were employed to demonstrate compliance with the performancemore » objectives codified in the regulations and RML No. R04100, LC 87. A revised source term, provided by the Texas Commission on Environmental Quality staff, was used to match the initial 15 year license term. This updated PA clearly confirms and demonstrates the robustness of the characteristics of the site's geology and the advanced engineering design of the disposal units. Based on the simulations from fate and transport models, the radiation doses to members of the general public and site workers predicted in the initial and updated PA were a small fraction of the criterion doses of 0.25 mSv and 50 mSv, respectively. In a comparison between the results of the updated PA against the one developed in support of the initial license, both clearly demonstrated the robustness of the characteristics of the site's geology and engineering design of the disposal units. Based on the simulations from fate and transport models, the radiation doses to members of the general public predicted in the initial and updated PA were a fraction of the allowable 25 mrem/yr (0.25 m sievert/yr) dose standard for tens-of-thousands of years into the future. Draft Texas guidance on performance assessment (TCEQ, 2004) recommends a period of analysis equal to 1,000 years or until peak doses from the more mobile radionuclides occur. The EPA National Emissions Standards for Hazardous Air Pollutants limits radionuclide doses through the air pathway to 10 mrem/yr. Gaseous radionuclide doses from the CWF and the FWF, due to decomposition gases, are a small fraction of the dose limit. The radon flux from the CWF and FWF were compared to the flux limit of 20 pCi/m{sup 2}-s from 40 CFR 192. Because of the thick cover system, the calculated radon flux was a very small fraction of the limit. (authors)« less

Technology for Large-Scale Translation of Clinical Practice Guidelines: A Pilot Study of the Performance of a Hybrid Human and Computer-Assisted Approach.

PubMed

Van de Velde, Stijn; Macken, Lieve; Vanneste, Koen; Goossens, Martine; Vanschoenbeek, Jan; Aertgeerts, Bert; Vanopstal, Klaar; Vander Stichele, Robert; Buysschaert, Joost

2015-10-09

The construction of EBMPracticeNet, a national electronic point-of-care information platform in Belgium, began in 2011 to optimize quality of care by promoting evidence-based decision making. The project involved, among other tasks, the translation of 940 EBM Guidelines of Duodecim Medical Publications from English into Dutch and French. Considering the scale of the translation process, it was decided to make use of computer-aided translation performed by certificated translators with limited expertise in medical translation. Our consortium used a hybrid approach, involving a human translator supported by a translation memory (using SDL Trados Studio), terminology recognition (using SDL MultiTerm terminology databases) from medical terminology databases, and support from online machine translation. This resulted in a validated translation memory, which is now in use for the translation of new and updated guidelines. The objective of this experiment was to evaluate the performance of the hybrid human and computer-assisted approach in comparison with translation unsupported by translation memory and terminology recognition. A comparison was also made with the translation efficiency of an expert medical translator. We conducted a pilot study in which two sets of 30 new and 30 updated guidelines were randomized to one of three groups. Comparable guidelines were translated (1) by certificated junior translators without medical specialization using the hybrid method, (2) by an experienced medical translator without this support, and (3) by the same junior translators without the support of the validated translation memory. A medical proofreader who was blinded for the translation procedure, evaluated the translated guidelines for acceptability and adequacy. Translation speed was measured by recording translation and post-editing time. The human translation edit rate was calculated as a metric to evaluate the quality of the translation. A further evaluation was made of translation acceptability and adequacy. The average number of words per guideline was 1195 and the mean total translation time was 100.2 minutes/1000 words. No meaningful differences were found in the translation speed for new guidelines. The translation of updated guidelines was 59 minutes/1000 words faster (95% CI 2-115; P=.044) in the computer-aided group. Revisions due to terminology accounted for one third of the overall revisions by the medical proofreader. Use of the hybrid human and computer-aided translation by a non-expert translator makes the translation of updates of clinical practice guidelines faster and cheaper because of the benefits of translation memory. For the translation of new guidelines, there was no apparent benefit in comparison with the efficiency of translation unsupported by translation memory (whether by an expert or non-expert translator).

Technology for Large-Scale Translation of Clinical Practice Guidelines: A Pilot Study of the Performance of a Hybrid Human and Computer-Assisted Approach

PubMed Central

2015-01-01

Background The construction of EBMPracticeNet, a national electronic point-of-care information platform in Belgium, began in 2011 to optimize quality of care by promoting evidence-based decision making. The project involved, among other tasks, the translation of 940 EBM Guidelines of Duodecim Medical Publications from English into Dutch and French. Considering the scale of the translation process, it was decided to make use of computer-aided translation performed by certificated translators with limited expertise in medical translation. Our consortium used a hybrid approach, involving a human translator supported by a translation memory (using SDL Trados Studio), terminology recognition (using SDL MultiTerm terminology databases) from medical terminology databases, and support from online machine translation. This resulted in a validated translation memory, which is now in use for the translation of new and updated guidelines. Objective The objective of this experiment was to evaluate the performance of the hybrid human and computer-assisted approach in comparison with translation unsupported by translation memory and terminology recognition. A comparison was also made with the translation efficiency of an expert medical translator. Methods We conducted a pilot study in which two sets of 30 new and 30 updated guidelines were randomized to one of three groups. Comparable guidelines were translated (1) by certificated junior translators without medical specialization using the hybrid method, (2) by an experienced medical translator without this support, and (3) by the same junior translators without the support of the validated translation memory. A medical proofreader who was blinded for the translation procedure, evaluated the translated guidelines for acceptability and adequacy. Translation speed was measured by recording translation and post-editing time. The human translation edit rate was calculated as a metric to evaluate the quality of the translation. A further evaluation was made of translation acceptability and adequacy. Results The average number of words per guideline was 1195 and the mean total translation time was 100.2 minutes/1000 words. No meaningful differences were found in the translation speed for new guidelines. The translation of updated guidelines was 59 minutes/1000 words faster (95% CI 2-115; P=.044) in the computer-aided group. Revisions due to terminology accounted for one third of the overall revisions by the medical proofreader. Conclusions Use of the hybrid human and computer-aided translation by a non-expert translator makes the translation of updates of clinical practice guidelines faster and cheaper because of the benefits of translation memory. For the translation of new guidelines, there was no apparent benefit in comparison with the efficiency of translation unsupported by translation memory (whether by an expert or non-expert translator). PMID:26453372

March 2017 MOVES Model Review Work Group Meeting Materials

EPA Pesticide Factsheets

MOVES Model Review Work Group meeting on March 201 included plans for updating running exhaust criteria pollutant emission rates for heavy-duty diesel vehicles, emission rates for extended idle and auxiliary power units, onroad vehicle population.

Home - National Site for the Regional IPM Centers

Science.gov Websites

Western Region United States Department of Agriculture - National Institute of Food and Agriculture . Regional IPM Centers are sponsored by the USDA National Institute of Food and Agriculture. Last update: May

IPM Databases - National Site for the Regional IPM Centers

Science.gov Websites

Pesticide Information United States Department of Agriculture - National Institute of Food and Agriculture . Regional IPM Centers are sponsored by the USDA National Institute of Food and Agriculture. Last update

40 CFR 60.56a - Standards for municipal waste combustor operating practices.

Code of Federal Regulations, 2010 CFR

2010-07-01

... large MWC plant shall develop and update on a yearly basis a sitespecific operating manual that shall... standards under this subpart; (2) Description of basic combustion theory applicable to an MWC unit; (3...

Data reduction procedures for traffic signal systems performance measures.

DOT National Transportation Integrated Search

2011-01-01

Traffic signal systems represent a substantial component of the highway transportation network in the United States. It is challenging for most agencies to find engineering resources to properly update signal policies and timing plans to accommodate ...

77 FR 14006 - Board of Visitors, United States Military Academy (USMA)

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-08

... Organizational Meeting of the USMA Board of Visitors (BoV). Members of the Board will be provided updates on... Harassment/Assault Response and Prevention, Supporting US Army Strategies, and the DAIG Cemetery Inspection...

Update on the Epidemiology and Prevention of HIV/AIDS in the United States

PubMed Central

Castel, Amanda D.; Magnus, Manya; Greenberg, Alan E.

2015-01-01

This update on the epidemiology and prevention of HIV in the United States is intended to provide contextual background that will help inform an understanding of recent developments in the domestic HIV epidemic. We describe the epidemiology of HIV disease in the US and the HIV continuum of care based on data collected primarily through HIV surveillance systems led by the Centers for Disease Control and Prevention including HIV incidence, prevalence, comorbidities and death. Populations and geographic regions disparately impacted by HIV are also highlighted. The HIV prevention armamentarium is also described including behavioral approaches to prevention, the emerging availability of biomedical prevention interventions such as pre-exposure prophylaxis, and structural and population-level interventions including treatment as prevention. Finally gaps in our understanding of the epidemic are underscored and suggestions for future epidemiologic research are proposed. PMID:25960941

Regulatory, policy and quality update for venous thromboembolism and stroke in United States hospitals.

PubMed

Mahan, Charles E

2012-10-01

Stroke and venous thromboembolism (VTE) have a large impact on the United States (US) healthcare system. It is estimated that up to 1.7million new and recurrent stroke and VTE events are occurring in the US on an annual basis with the combined cost approaching over $200billion per year. A significant amount of stroke and VTE are preventable from appropriate antithrombotic use in at-risk patients and the Center for Medicaid and Medicare Services, the Joint Commission, the National Quality Forum and other key quality and regulatory entities have prioritized minimizing the impact of morbidity, mortality and avoidable costs related to these diseases. This review provides a brief history, overview, and update for the development of quality measures, quality systems, and regulatory and policy changes as related to stroke and VTE within the US healthcare system. Copyright © 2012 Elsevier Ltd. All rights reserved.

Accelerated Leach Testing of GLASS: ALTGLASS Version 3.0

DOE Office of Scientific and Technical Information (OSTI.GOV)

Trivelpiece, Cory L.; Jantzen, Carol M.; Crawford, Charles L.

The Accelerated Leach Testing of GLASS (ALTGLASS) database is a collection of data from short- and long-term product consistency tests (PCT, ASTM C1285 A and B) on high level waste (HLW) as well as low activity waste (LAW) glasses. The database provides both U.S. and international researchers with an archive of experimental data for the purpose of studying, modeling, or validating existing models of nuclear waste glass corrosion. The ALTGLASS database is maintained and updated by researchers at the Savannah River National Laboratory (SRNL). This newest version, ALTGLASS Version 3.0, has been updated with an additional 503 rows of datamore » representing PCT results from corrosion experiments conducted in the United States by the Savannah River National Laboratory, Pacific Northwest National Laboratory, Argonne National Laboratory, and the Vitreous State Laboratory (SRNL, PNNL, ANL, VSL, respectively) as well as the National Nuclear Laboratory (NNL) in the United Kingdom.« less

Groundwater availability of the Denver Basin aquifer system, Colorado

USGS Publications Warehouse

Paschke, Suzanne

2011-01-01

The Denver Basin aquifer system is a critical water resource for growing municipal, industrial, and domestic uses along the semiarid Front Range urban corridor of Colorado. The confined bedrock aquifer system is located along the eastern edge of the Rocky Mountain Front Range where the mountains meet the Great Plains physiographic province. Continued population growth and the resulting need for additional water supplies in the Denver Basin and throughout the western United States emphasize the need to continually monitor and reassess the availability of groundwater resources. In 2004, the U.S. Geological Survey initiated large-scale regional studies to provide updated groundwater-availability assessments of important principal aquifers across the United States, including the Denver Basin. This study of the Denver Basin aquifer system evaluates the hydrologic effects of continued pumping and documents an updated groundwater flow model useful for appraisal of hydrologic conditions.

A Constrained and Versioned Data Model for TEAM Data

NASA Astrophysics Data System (ADS)

Andelman, S.; Baru, C.; Chandra, S.; Fegraus, E.; Lin, K.

2009-04-01

The objective of the Tropical Ecology Assessment and Monitoring Network (www.teamnetwork.org) is "To generate real time data for monitoring long-term trends in tropical biodiversity through a global network of TEAM sites (i.e. field stations in tropical forests), providing an early warning system on the status of biodiversity to effectively guide conservation action". To achieve this, the TEAM Network operates by collecting data via standardized protocols at TEAM Sites. The standardized TEAM protocols include the Climate, Vegetation and Terrestrial Vertebrate Protocols. Some sites also implement additional protocols. There are currently 7 TEAM Sites with plans to grow the network to 15 by June 30, 2009 and 50 TEAM Sites by the end of 2010. At each TEAM Site, data is gathered as defined by the protocols and according to a predefined sampling schedule. The TEAM data is organized and stored in a database based on the TEAM spatio-temporal data model. This data model is at the core of the TEAM Information System - it consumes and executes spatio-temporal queries, and analytical functions that are performed on TEAM data, and defines the object data types, relationships and operations that maintain database integrity. The TEAM data model contains object types including types for observation objects (e.g. bird, butterfly and trees), sampling unit, person, role, protocol, site and the relationship of these object types. Each observation data record is a set of attribute values of an observation object and is always associated with a sampling unit, an observation timestamp or time interval, a versioned protocol and data collectors. The operations on the TEAM data model can be classified as read operations, insert operations and update operations. Following are some typical operations: The operation get(site, protocol, [sampling unit block, sampling unit,] start time, end time) returns all data records using the specified protocol and collected at the specified site, block, sampling unit and time range. The operation insertSamplingUnit(sampling unit, site, protocol) saves a new sampling unit into the data model and links it with the site and protocol. The operation updateSampligUnit(sampling_unit_id, attribute, value) changes the attribute (e.g. latitude or longitude) of the sampling unit to the specified value. The operation insertData(observation record, site, protocol, sampling unit, timestamps, data collectors) saves a new observation record into the database and associates it with specified objects. The operation updateData(protocol, data_id, attribute, value) modifies the attribute of an existing observation record to the specified value. All the insert or update operations require: 1) authorization to ensure the user has necessary privileges to perform the operation; 2) timestamp validation to ensure the observation timestamps are in the designated time range specified in the sampling schedule; 3) data validation to check that the data records use correct taxonomy terms and data values. No authorization is performed for get operations, but under some specific condition, a username may be required for the purpose of authentication. Along with the validations above, the TEAM data model also supports human based data validation on observed data through the Data Review subsystem to ensure data quality. The data review is implemented by adding two attributes review_tag and review_comment to each observation data record. The attribute review_tag is used by a reviewer to specify the quality of data, and the attribute review_comment is for reviewers to give more information when a problem is identified. The review_tag attribute can be populated by either the system conducting QA/QC tests or by pre-specified scientific experts. The following is the review operation, which is actually a special case of the operation updateData: The operation updateReview(protocol, data_id, judgment, comment) sets the attribute review_tag and review_comment to the specified values. By systematically tracking every step, The TEAM data model can roll back to any previous state. This is achieved by introducing a historical data container for each editable object type. When the operation updateData is applied to an object to modify its attribute, the object will be tagged with the current timestamp and the name of the user who conducts the operation, the tagged object will then be moved into the historical data container, and finally a new object will be created with the new value for the specified attribute. The diagram illustrates the architecture of the TEAM data management system. A data collector can use the Data Ingestion subsystem to load new data records into the TEAM data model. The system establishes a first level of review (i.e. meets minimum data standards via QA/QC tests). Further review is done via experts and they can verify and provide their comments on data records through the Data Review subsystem. The data editor can then address data records based on the reviewer's comments. Users can use the Data Query and Download application to find data by sites, protocols and time ranges. The Data Query and Download system packages selected data with the data license and important metadata information into a single package and delivers it to the user.

Vertical Launch System Loadout Planner

DTIC Science & Technology

2015-03-01

United States Navy USS United States’ Ship VBA Visual Basic for Applications VLP VLS Loadout Planner VLS Vertical Launch System...with 32 gigabytes of random access memory and eight processors, General Algebraic Modeling System (GAMS) CPLEX version 24 (GAMS, 2015) solves this...problem in ten minutes to an integer tolerance of 10%. The GAMS interpreter and CPLEX solver require 75 Megabytes of random access memory for this

Doing the Groundwork: From Stopping Misbehavior to Teaching Skills. Reframing Discipline, Unit 1. [Teaching Video, Practice Video, Facilitator's Guide, and Viewer's Guide].

ERIC Educational Resources Information Center

1997

The first of three interactive staff development units on discipline in early childhood classrooms, this multi-media pack explores how to evaluate the attitudes teachers take into the classroom, and how to "reframe" those attitudes so teachers can effectively manage--rather than try to eliminate--conflict. The 25-minute teaching videotape examines…

A Progress Report on the Cooperative Development of a General Histology Program by Several Schools in Brazil and the United States.

ERIC Educational Resources Information Center

Harris, Norman O.; And Others

A programed course in general histology was completely developed by dental schools in the United States and Brazil. A group of international experts specified the course objectives, wrote and taped scripts for a series of 28 lectures of 50 minutes each, developed slides to accompany the lectures, prepared microphotographs and scripts to explain…

Application of total care time and payment per unit time model for physician reimbursement for common general surgery operations.

PubMed

Chatterjee, Abhishek; Holubar, Stefan D; Figy, Sean; Chen, Lilian; Montagne, Shirley A; Rosen, Joseph M; Desimone, Joseph P

2012-06-01

The relative value unit system relies on subjective measures of physician input in the care of patients. A payment per unit time model incorporates surgeon reimbursement to the total care time spent in the operating room, postoperative in-house, and clinic time to define payment per unit time. We aimed to compare common general surgery operations by using the total care time and payment per unit time method in order to demonstrate a more objective measurement for physician reimbursement. Average total physician payment per case was obtained for 5 outpatient operations and 4 inpatient operations in general surgery. Total care time was defined as the sum of operative time, 30 minutes per hospital day, and 30 minutes per office visit for each operation. Payment per unit time was calculated by dividing the physician reimbursement per case by the total care time. Total care time, physician payment per case, and payment per unit time for each type of operation demonstrated that an average payment per time spent for inpatient operations was $455.73 and slightly more at $467.51 for outpatient operations. Partial colectomy with primary anastomosis had the longest total care time (8.98 hours) and the least payment per unit time ($188.52). Laparoscopic gastric bypass had the highest payment per time ($707.30). The total care time and payment per unit time method can be used as an adjunct to compare reimbursement among different operations on an institutional level as well as on a national level. Although many operations have similar payment trends based on time spent by the surgeon, payment differences using this methodology are seen and may be in need of further review. Copyright © 2012 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

Creating a sustainable, interprofessional-team training program: initial results.

PubMed

Riggall, Virginia K; Smith, Charlene M

2015-01-01

The purpose of this program evaluation was to explore whether incorporating deliberate learning concepts, through the use of simulated patient scenarios to teach interprofessional collaboration skills to a healthcare team on one acute-care hospital unit, would improve the resuscitation response in the first 5 minutes on that unit. This was a pilot program evaluation utilizing a unit-based, clinical nurse specialist in the deployment of an interprofessional educational program involving simulation on an acute medical floor in a large tertiary-care hospital. Eighty-four staff members participated in 17 simulations. The sample included first-year internal-medicine residents, registered nurses, respiratory therapists, and patient care technicians. This was a program evaluation that used the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ) (Classroom slides: TeamSTEPPS essentials; http://www.ahrq.gov/professionals/education/curriculum-tools/teamstepps/instructor/essentials/slessentials.html#s3) during the presimulation/postsimulation sessions to assess the participants' perceptions of teamwork. Expected intervention behaviors were collected through observations of participants in the simulations and compared with the American Heart Association guidelines (Circulation 2010;122:S685-S670, S235-S337). Common perceptions of participants regarding the experience were obtained through open-ended evaluation questions. Fifty-three participants completed the pre- and post-T-TPQ. Mean scores in the leadership category of T-TPQ decreased significantly (P = .003) from the pretest (median, 2.167) to the T-TPQ posttest (median, 2.566). Only 35% of the groups administered a defibrillation during the ventricular fibrillation simulation scenario, and only 1 group delivered this shock within the American Heart Association's recommended time frame of 2 minutes (Circulation 2010;122:S235-S337). A single resuscitation simulation was not enough interventional dosage for staff to improve the resuscitation process. A longitudinal study should be conducted to determine the effectiveness of the program after staff members have repeated the program multiple times. A unit-based quality-improvement simulation training program could help improve the first-5-minute response and resuscitation skills of staff by increasing the frequency of unit-based training overseen by the unit's clinical nurse specialist.

Numerical simulation of groundwater flow at Puget Sound Naval Shipyard, Naval Base Kitsap, Bremerton, Washington

USGS Publications Warehouse

Jones, Joseph L.; Johnson, Kenneth H.; Frans, Lonna M.

2016-08-18

Information about groundwater-flow paths and locations where groundwater discharges at and near Puget Sound Naval Shipyard is necessary for understanding the potential migration of subsurface contaminants by groundwater at the shipyard. The design of some remediation alternatives would be aided by knowledge of whether groundwater flowing at specific locations beneath the shipyard will eventually discharge directly to Sinclair Inlet of Puget Sound, or if it will discharge to the drainage system of one of the six dry docks located in the shipyard. A 1997 numerical (finite difference) groundwater-flow model of the shipyard and surrounding area was constructed to help evaluate the potential for groundwater discharge to Puget Sound. That steady-state, multilayer numerical model with homogeneous hydraulic characteristics indicated that groundwater flowing beneath nearly all of the shipyard discharges to the dry-dock drainage systems, and only shallow groundwater flowing beneath the western end of the shipyard discharges directly to Sinclair Inlet.Updated information from a 2016 regional groundwater-flow model constructed for the greater Kitsap Peninsula was used to update the 1997 groundwater model of the Puget Sound Naval Shipyard. That information included a new interpretation of the hydrogeologic units underlying the area, as well as improved recharge estimates. Other updates to the 1997 model included finer discretization of the finite-difference model grid into more layers, rows, and columns, all with reduced dimensions. This updated Puget Sound Naval Shipyard model was calibrated to 2001–2005 measured water levels, and hydraulic characteristics of the model layers representing different hydrogeologic units were estimated with the aid of state-of-the-art parameter optimization techniques.The flow directions and discharge locations predicted by this updated model generally match the 1997 model despite refinements and other changes. In the updated model, most groundwater discharge recharged within the boundaries of the shipyard is to the dry docks; only at the western end of the shipyard does groundwater discharge directly to Puget Sound. Particle tracking for the existing long-term monitoring well network suggests that only a few wells intercept groundwater that originates as recharge within the shipyard boundary.

KSC-2012-4918

NASA Image and Video Library

2012-09-11

CAPE CANAVERAL, Fla. – A new 9/11 memorial was dedicated in front of Fire Station 1 at NASA’s Kennedy Space Center in Florida. Kennedy Fire and Rescue Services commemorated the 11th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Kennedy center-wide emergency units dispatched by Fire Control engaged in one-minute sirens, the new memorial was dedicated and the Honor Guard performed a flag-folding ceremony. Photo credit: NASA/Dimitri Gerondidakis

[Bacterial contamination of the indoor air in a transplant unit].

PubMed

Matoušková, Ivanka; Holý, Ondřej

2013-12-01

For one year (August 2010 to July 2011), microbial contamination of the indoor air in the Transplant Unit of the Haemato-Oncology Clinic, Olomouc University Hospital was monitored monthly. Twenty sampling sites were singled out and a total of 240 indoor air samples were collected. An MAS-100 air sampler (Merck, GER) was used, air flow rate of 100 liters per minute, 1 minute. The measured values of indoor air temperature were stable. The relative air humidity ranged from 17% to 68%. The highest average value of microbial air contamination was found in the "staff entry room" (1170 CFU/m3). The lowest microbial air contamination (150-250 CFU/m3) was measured in the patient isolation units. The most frequently isolated bacterial strains were coagulase-negative staphylococci (94.3%), followed by Micrococcus spp. (67%) and Bacillus subtilis (11%). It can be assumed that the -source of these airborne bacterial strains are both patients and medical staff. They are classified as -opportunistic pathogens and as such can cause hospital infections among haemato-oncology patients.

Quality Service Analysis and Improvement of Pharmacy Unit of XYZ Hospital Using Value Stream Analysis Methodology

NASA Astrophysics Data System (ADS)

Jonny; Nasution, Januar

2013-06-01

Value stream mapping is a tool which is needed to let the business leader of XYZ Hospital to see what is actually happening in its business process that have caused longer lead time for self-produced medicines in its pharmacy unit. This problem has triggered many complaints filed by patients. After deploying this tool, the team has come up with the fact that in processing the medicine, pharmacy unit does not have any storage and capsule packing tool and this condition has caused many wasting times in its process. Therefore, the team has proposed to the business leader to procure the required tools in order to shorten its process. This research has resulted in shortened lead time from 45 minutes to 30 minutes as required by the government through Indonesian health ministry with increased %VA (valued added activity) or Process Cycle Efficiency (PCE) from 66% to 68% (considered lean because it is upper than required 30%). This result has proved that the process effectiveness has been increase by the improvement.

USC/JPL GAIM: A Real-Time Global Ionospheric Data Assimilation Model

NASA Astrophysics Data System (ADS)

Mandrake, L.; Wilson, B. D.; Hajj, G.; Wang, C.; Pi, X. `; Iijima, B.

2004-12-01

We are in the midst of a revolution in ionospheric remote sensing driven by the illuminating powers of ground and space-based GPS receivers, new UV remote sensing satellites, and the advent of data assimilation techniques for space weather. The University of Southern Califronia (USC) and the Jet Propulsion Laboratory (JPL) have jointly developed a Global Assimilative Ionospheric Model (GAIM) to monitor space weather, study storm effects, and provide ionospheric calibration for DoD customers and NASA flight projects. GAIM is a physics-based 3D data assimilation model that uses both 4DVAR and Kalman filter techniques to solve for the ion & electron density state and key drivers such as equatorial electrodynamics, neutral winds, and production terms. GAIM accepts as input ground GPS TEC data from 900+ sites, occultation links from CHAMP, SAC-C, IOX, and the coming COSMIC constellation, UV limb and nadir scans from the TIMED and DMSP satellites, and in situ data from a variety of satellites (C/NOFS & DMSP). GAIM can ingest multiple data sources in real time, updates the 3D electron density grid every 5 minutes, and solves for improved drivers every 1-2 hours. GAIM density retrievals have been validated by comparisons to vertical TEC measurements from TOPEX & JASON, slant TEC measurements from independent GPS sites, density profiles from ionosondes & incoherent scatter radars, and alternative tomographic retrievals. Daily USC/JPL GAIM runs have been operational since March 2003 using 100-200 ground GPS sites as input and TOPEX/JASON and ionosondes for daily validation. A prototype real-time GAIM system has been running since May 2004. RT GAIM ingests TEC data from 77+ streaming GPS sites every 5 minutes, adds more TEC for better global coverage every hour from hourly GPS sites, and updates the ionospheric state every 5 minutes using the Kalman filter. We plan to add TEC links from COSMIC occultations and UV radiance data from the DMSP satellites, when they become available, to the daily and RT GAIM runs. Our presentation will include results from numerous validation case studies and one year of JASON validation statistics. Customers are currently evaluating the accuracy of USC/JPL GAIM "nowcasts" for ray tracing applications and trans-ionospheric path delay calibration.

The effect of laminar air flow and door openings on operating room contamination.

PubMed

Smith, Eric B; Raphael, Ibrahim J; Maltenfort, Mitchell G; Honsawek, Sittisak; Dolan, Kyle; Younkins, Elizabeth A

2013-10-01

We evaluate the association of laminar airflow (LAF) and OR traffic with intraoperative contamination rates. Two sterile basins were placed in each room during 81 cases, one inside and one outside the LAF. One Replicate Organism Detection and Counting (RODAC) plate from each basin was sent for culture at successive 30-minute intervals from incision time until wound closure. At successive 30-minute intervals more plates were contaminated outside than inside the LAF. A negative binomial model showed that the bacteria colony forming units (CFU) depended on whether there were any door openings (P=0.02) and the presence of LAF (P=0.003). LAF decreases CFU by 36.6%. LAF independently reduces the risk of contamination and microbial counts for surgeries lasting 90 minutes or less. © 2013.

Missed connections: Unintended consequences of updated cervical cancer screening guidelines on screening rates for sexually transmitted infections.

PubMed

Bogler, Tali; Farber, Allison; Stall, Nathan; Wijayasinghe, Sheila; Slater, Morgan; Guiang, Charlie; Glazier, Richard H

2015-10-01

To examine the effects of the updated 2012 cervical cancer screening guidelines on the rates of sexually transmitted infection (STI) screening in primary care. Retrospective chart review. Five academic family practice units at St Michael's Hospital in Toronto, Ont. Female patients, aged 19 to 25, who had at least 1 visit with a physician at 1 of the 5 academic family practice units during a 12-month period before (May 1, 2011, to April 30, 2012) or after (November 1, 2012, to October 31, 2013) the release of the updated guidelines. Number of women who received Papanicolaou tests or underwent STI screening; rates of STI screening performed during a Pap test or a periodic health examination; screening rates for HIV, syphilis, and hepatitis C; and the methods used for STI screening before and after the release of the updated guidelines. Results Before the release of the 2012 guidelines, 42 of 100 women had Pap tests and 40 of 100 women underwent STI screening. After the release of the guidelines, 17 of 100 women had Pap tests and 20 of 100 women received STI screening. Female patients were less likely to undergo STI screening under the 2012 guidelines compared with the 2005 guidelines (odds ratio 0.38, 95% CI 0.19 to 0.74; P = .003). Implementation of the 2012 cervical cancer screening guidelines was associated with lower rates of STI screening in the primary care setting. Primary care physicians should screen at-risk women for STIs at any clinically appropriate encounter and consider using noninvasive self-sampling methods.

Impact of electronic medical record integration of a handoff tool on sign-out in a newborn intensive care unit

PubMed Central

Palma, JP; Sharek, PJ; Longhurst, CA

2016-01-01

Objective To evaluate the impact of integrating a handoff tool into the electronic medical record (EMR) on sign-out accuracy, satisfaction and workflow in a neonatal intensive care unit (NICU). Study Design Prospective surveys of neonatal care providers in an academic children’s hospital 1 month before and 6 months following EMR integration of a standalone Microsoft Access neonatal handoff tool. Result Providers perceived sign-out information to be somewhat or very accurate at a rate of 78% with the standalone handoff tool and 91% with the EMR-integrated tool (P < 0.01). Before integration of neonatal sign-out into the EMR, 35% of providers were satisfied with the process of updating sign-out information and 71% were satisfied with the printed sign-out document; following EMR integration, 92% of providers were satisfied with the process of updating sign-out information (P < 0.01) and 98% were satisfied with the printed sign-out document (P < 0.01). Neonatal care providers reported spending a median of 11 to 15 min/day updating the standalone sign-out and 16 to 20 min/day updating the EMR-integrated sign-out (P = 0.026). The median percentage of total sign-out preparation time dedicated to transcribing information from the EMR was 25 to 49% before and <25% after EMR integration of the handoff tool (P < 0.01). Conclusion Integration of a NICU-specific handoff tool into an EMR resulted in improvements in perceived sign-out accuracy, provider satisfaction and at least one aspect of workflow. PMID:21273990

American Library Directory[TM], 2002-2003. Vol. 1: Libraries in the United States [and] Vol. 2: Libraries in Canada, Library Networks, Consortia & Schools, Organization Index, Personnel Index. 55th Edition.

ERIC Educational Resources Information Center

2002

The "American Library Directory[TM] 2002-2003," in two volumes, provides access to comparative data, additional resources, and sales prospects for the United States and Canadian library communities. Containing full profiles on public, academic, government, and special libraries, the totally updated 55th edition is organized by state and…

Cradle-to-gate life-cycle assessment of composite I-joists produced in the Pacific Northwest region of the United States

Treesearch

Richard D. Bergman; Sevda Alanya-Rosenbaum

2017-01-01

The goal of this study was to update life-cycle assessment (LCA) data associated with I-joist production in the Pacific Northwest (PNW) region of the United States from cradle-to-gate mill output. The authors collected primary mill data from I-joist production facilities per Consortium on Research for Renewable Industrial Materials (CORRIM) research guidelines....

Cradle-to-gate life cycle assessment of composite I-joists produced in the southeast region of the United States

Treesearch

Richard D. Bergman; Sevda Alanya-Rosenbaum

2017-01-01

The goal of this study was to update life-cycle assessment (LCA) data on I-joist production in the southeast (SE) region of the United States. The authors collected primary mill data from I-joist production facilities per Consortium on Research for Renewable Industrial Materials (CORRIM) research guidelines. Comparative assertions were not a goal of this study.

Travel trends in New England and the Northeast United States: updating post 9-11 trends

Treesearch

Rodney B. Warnick

2008-01-01

This paper examines the travel market trends in New England after September 11, 2001 (9- 11). Comparisons of travel to New England are also made with overall national domestic travel trends and vacation travel trends. The primary purpose is to examine the markets that travel to both the Northeast United States and New England1 regions to determine if and when the...

A Personal Inertial Navigation System Based on Multiple Distributed, Nine-Degrees-Of-Freedom, Inertial Measurement Units

DTIC Science & Technology

2016-12-01

based complementary filter developed at the Naval Postgraduate School, is developed. The performance of a consumer-grade nine-degrees-of-freedom IMU...measurement unit, complementary filter , gait phase detection, zero velocity update, MEMS, IMU, AHRS, GPS denied, distributed sensor, virtual sensor...algorithm and quaternion-based complementary filter developed at the Naval Postgraduate School, is developed. The performance of a consumer-grade nine

Effect of Environmental and Behavioral Interventions on Pain Intensity in Preterm Infants for Heel Prick Blood Sampling in the Neonatal Intensive Care Unit.

PubMed

Baharlooei, Fatemeh; Marofi, Maryam; Abdeyazdan, Zahra

2017-01-01

Recent researches suggest that preterm infants understand pain and stress. Because of the wide range of effects of pain on infants, the present study was conducted on the effect of environmental and behavioral interventions on pain due to heel-prick blood sampling in preterm infants. A clinical trial was conducted among 32 infants with gestational age of 32-37 weeks in the intervention and control groups. The effects of noise reduction by earplugs, light reduction by blindfolds, reduction of nursing manipulation, and creation of intrauterine position for neonates, 30 minutes before taking blood samples until 30 minutes after it, were measured during the intervention stage. Data were collected using the Neonatal Infant Pain Scale (NIPS) in 5 stages (before intervention, 2 minutes before sampling, during the sampling, and 5 minutes and 30 minutes after the sampling). The data were analyzed using analysis of variance (ANOVA) and paired t -test in SPSS software. The paired t -test results showed no significant differences between the control and intervention stages in terms of pain scores at base time ( P = 0.42) and 2 minutes before sampling ( P = 0.12). However, at the sampling time ( P = 0.0), and 5 minutes ( P = 0.001) and 30 minutes after the sampling ( P = 0.001), mean pain score in the intervention stage was significantly less than that in the control stage. Based on the findings, environmental and behavioral interventions reduced pain and facilitated heel-prick blood sampling in preterm infants.

Female Genital Mutilation/Cutting in the United States: Updated Estimates of Women and Girls at Risk, 2012

PubMed Central

Stupp, Paul; Okoroh, Ekwutosi; Besera, Ghenet; Goodman, David; Danel, Isabella

2016-01-01

Objectives In 1996, the U.S. Congress passed legislation making female genital mutilation/cutting (FGM/C) illegal in the United States. CDC published the first estimates of the number of women and girls at risk for FGM/C in 1997. Since 2012, various constituencies have again raised concerns about the practice in the United States. We updated an earlier estimate of the number of women and girls in the United States who were at risk for FGM/C or its consequences. Methods We estimated the number of women and girls who were at risk for undergoing FGM/C or its consequences in 2012 by applying country-specific prevalence of FGM/C to the estimated number of women and girls living in the United States who were born in that country or who lived with a parent born in that country. Results Approximately 513,000 women and girls in the United States were at risk for FGM/C or its consequences in 2012, which was more than three times higher than the earlier estimate, based on 1990 data. The increase in the number of women and girls younger than 18 years of age at risk for FGM/C was more than four times that of previous estimates. Conclusion The estimated increase was wholly a result of rapid growth in the number of immigrants from FGM/C-practicing countries living in the United States and not from increases in FGM/C prevalence in those countries. Scientifically valid information regarding whether women or their daughters have actually undergone FGM/C and related information that can contribute to efforts to prevent the practice in the United States and provide needed health services to women who have undergone FGM/C are needed. PMID:26957669

Female Genital Mutilation/Cutting in the United States: Updated Estimates of Women and Girls at Risk, 2012.

PubMed

Goldberg, Howard; Stupp, Paul; Okoroh, Ekwutosi; Besera, Ghenet; Goodman, David; Danel, Isabella

2016-01-01

In 1996, the U.S. Congress passed legislation making female genital mutilation/cutting (FGM/C) illegal in the United States. CDC published the first estimates of the number of women and girls at risk for FGM/C in 1997. Since 2012, various constituencies have again raised concerns about the practice in the United States. We updated an earlier estimate of the number of women and girls in the United States who were at risk for FGM/C or its consequences. We estimated the number of women and girls who were at risk for undergoing FGM/C or its consequences in 2012 by applying country-specific prevalence of FGM/C to the estimated number of women and girls living in the United States who were born in that country or who lived with a parent born in that country. Approximately 513,000 women and girls in the United States were at risk for FGM/C or its consequences in 2012, which was more than three times higher than the earlier estimate, based on 1990 data. The increase in the number of women and girls younger than 18 years of age at risk for FGM/C was more than four times that of previous estimates. The estimated increase was wholly a result of rapid growth in the number of immigrants from FGM/C-practicing countries living in the United States and not from increases in FGM/C prevalence in those countries. Scientifically valid information regarding whether women or their daughters have actually undergone FGM/C and related information that can contribute to efforts to prevent the practice in the United States and provide needed health services to women who have undergone FGM/C are needed.

Update to An Inventory of Sources and Environmental ...

EPA Pesticide Factsheets

In 2006, EPA published an inventory of sources and environmental releases of dioxin-like compounds in the United States. This draft report presents an update and revision to that dioxin source inventory. It also presents updated estimates of environmental releases of dioxin-like compounds to the air, water, land and products. The sources are grouped into five broad categories: combustion sources, metals smelting/refining, chemical manufacturing, natural sources, and environmental reservoirs. Estimates of annual releases to land, air, and water are presented for reference years 1987, 1995, and 2000. While the overall decreasing trend in emissions seen in the original report continues, the individual dioxin releases in this draft updated report are generally higher than the values reported in 2006. This is largely due to the inclusion (in all three years) of additional sources in the quantitative inventory that were not included in the 2006 report. The largest new source included in this draft updated inventory was forest fires. In the 2006 report, this was classified as preliminary and not included in the quantitative inventory. The top three air sources of dioxin emissions in 2000 were forest fires, backyard burning of trash, and medical waste incinerators. The Report Presents An Update To The Dioxin Source Inventory Published In 2006 (U.S. Epa, 2006). The Peer-Review Panel For The 2006 Document Provided Additional Comments After The Final Report Had

An overview of the regulation of influenza vaccines in the United States.

PubMed

Weir, Jerry P; Gruber, Marion F

2016-09-01

Influenza virus vaccines are unique among currently licensed viral vaccines. The vaccines designed to protect against seasonal influenza illness must be updated periodically in an effort to match the vaccine strain with currently circulating viruses, and the vaccine manufacturing timeline includes multiple, overlapping processes with a very limited amount of flexibility. In the United States (U.S.), over 150 million doses of seasonal trivalent and quadrivalent vaccine are produced annually, a mammoth effort, particularly in the context of a vaccine with components that usually change on a yearly basis. In addition, emergence of an influenza virus containing an HA subtype that has not recently circulated in humans is an ever present possibility. Recently, pandemic influenza vaccines have been licensed, and the pathways for licensure of pandemic vaccines and subsequent strain updating have been defined. Thus, there are formidable challenges for the regulation of currently licensed influenza vaccines, as well as for the regulation of influenza vaccines under development. This review describes the process of licensing influenza vaccines in the U.S., the process and steps involved in the annual updating of seasonal influenza vaccines, and some recent experiences and regulatory challenges faced in development and evaluation of novel influenza vaccines. © 2016 The Authors. Influenza and Other Respiratory Viruses Published by John Wiley & Sons Ltd.

December 2016 MOVES Model Review Work Group Meeting Materials

EPA Pesticide Factsheets

MOVES Model Review Work Group meeting on December 7th, 2016 included plans for updating running exhaust criteria pollutant emission rates for heavy-duty diesel vehicles, emission rates for extended idle and auxiliary power units, onroad vehicle population.

The Development of Wake Turbulence Recategorization in the United States

DOT National Transportation Integrated Search

2016-06-13

This paper describes the background information and provides a status update on a : specific aspect of the Federal Aviation Administration (FAA) wake turbulence program : known as RECAT (i.e., Recategorization). The fundamental premise of RECAT is th...

About the Centers - National Site for the Regional IPM Centers

Science.gov Websites

Stories Contact Us United States Department of Agriculture - National Institute of Food and Agriculture . Regional IPM Centers are sponsored by the USDA National Institute of Food and Agriculture. Last update

Food Sustainability - National Site for the Regional IPM Centers

Science.gov Websites

brochure; 280 KB pdf). United States Department of Agriculture - National Institute of Food and Agriculture . Regional IPM Centers are sponsored by the USDA National Institute of Food and Agriculture. Last update

What is IPM? - National Site for the Regional IPM Centers

Science.gov Websites

United States Department of Agriculture - National Institute of Food and Agriculture Website managed by are sponsored by the USDA National Institute of Food and Agriculture. Last update: March 21, 2016.

40 CFR 62.14105 - Requirements for municipal waste combustor operator training and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... operator of an affected facility must develop and update on a yearly basis a site-specific operating manual... subpart; (2) A description of basic combustion theory applicable to a municipal waste combustor unit; (3...

Intelligent transportation systems benefits and costs : 2003 update

DOT National Transportation Integrated Search

2003-03-01

The increasing demand for travel by highway and public transit in the United States is causing the transportation system to reach the limits of its existing capacity. Intelligent Transportation Systems (ITS) can help ease this strain through the appl...

3 CFR 9040 - Proclamation 9040 of October 11, 2013. National School Lunch Week, 2013

Code of Federal Regulations, 2014 CFR

2014-01-01

... affects 17 percent of all children and adolescents in the United States—triple the rate from just one... diabetes and heart disease. We updated nutritional standards for school meals, balancing calories and...

Extending aircraft performance modeling capabilities in the Aviation Environmental Design Tool (AEDT)

DOT National Transportation Integrated Search

2011-01-01

To support improved analysis of the environmental impacts of proposed global aircraft operational changes, the United States Federal Aviation Administration recently worked : with European academic partners to update the airport terminal area fuel co...

A fuel cell energy storage system concept for the Space Station Freedom Extravehicular Mobility Unit

NASA Technical Reports Server (NTRS)

Adlhart, Otto J.; Rosso, Matthew J., Jr.; Marmolejo, Jose

1989-01-01

An update is given on work to design and build a Fuel Cell Energy Storage System (FCESS) bench-tested unit for the Space Station Freedom Extravehicular Mobility Unit (EMU). Fueled by oxygen and hydride-stored hydrogen, the FCESS is being considered as an alternative to the EMU zinc-silver oxide battery. Superior cycle life and quick recharge are the main attributes of FCESS. The design and performance of a nonventing, 28 V, 34 Ahr system with 7 amp rating are discussed.

A fuel cell energy storage system concept for the Space Station Freedom Extravehicular Mobility Unit

NASA Astrophysics Data System (ADS)

Adlhart, Otto J.; Rosso, Matthew J., Jr.; Marmolejo, Jose

1989-03-01

An update is given on work to design and build a Fuel Cell Energy Storage System (FCESS) bench-tested unit for the Space Station Freedom Extravehicular Mobility Unit (EMU). Fueled by oxygen and hydride-stored hydrogen, the FCESS is being considered as an alternative to the EMU zinc-silver oxide battery. Superior cycle life and quick recharge are the main attributes of FCESS. The design and performance of a nonventing, 28 V, 34 Ahr system with 7 amp rating are discussed.

[Environmental noise levels in 2 intensive care units in a tertiary care centre].

PubMed

Ornelas-Aguirre, José Manuel; Zárate-Coronado, Olivia; Gaxiola-González, Fabiola; Neyoy-Sombra, Venigna

2017-04-03

The World Health Organisation (WHO) has established a maximum noise level of 40 decibels (dB) for an intensive care unit. The aim of this study was to compare the noise levels in 2 different intensive care units at a tertiary care centre. Using a cross-sectional design study, an analysis was made of the maximum noise level was within the intensive coronary care unit and intensive care unit using a digital meter. A measurement was made in 4 different points of each room, with 5minute intervals, for a period of 60minutes 7:30, 14:30, and 20:30. The means of the observations were compared with descriptive statistics and Mann-Whitney U. An analysis with Kruskal-Wallis test was performed to the mean noise level. The noise observed in the intensive care unit had a mean of 64.77±3.33dB (P=.08), which was similar to that in the intensive coronary care unit, with a mean of 60.20±1.58dB (P=.129). Around 25% or more of the measurements exceeded the level recommended by the WHO by up to 20 points. Noise levels measured in intensive care wards exceed the maximum recommended level for a hospital. It is necessary to design and implement actions for greater participation of health personnel in the reduction of environmental noise. Copyright © 2017 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.

Geologic map of the Morena Reservoir 7.5-minute quadrangle, San Diego County, California

USGS Publications Warehouse

Todd, Victoria R.

2016-06-01

IntroductionMapping in the Morena Reservoir 7.5-minute quadrangle began in 1980, when the Hauser Wilderness Area, which straddles the Morena Reservoir and Barrett Lake quadrangles, was mapped for the U.S. Forest Service. Mapping was completed in 1993–1994. The Morena Reservoir quadrangle contains part of a regional-scale Late Jurassic(?) to Early Cretaceous tectonic suture that coincides with the western limit of Jurassic metagranites in this part of the Peninsular Ranges batholith (PRB). This suture, and a nearly coincident map unit consisting of metamorphosed Cretaceous and Jurassic back-arc basinal volcanic and sedimentary rocks (unit KJvs), mark the boundary between western, predominantly metavolcanic rocks, and eastern, mainly metasedimentary, rocks. The suture is intruded and truncated by the western margin of middle to Late Cretaceous Granite Mountain and La Posta plutons of the eastern zone of the batholith.

Classification of Movement of People with Parkinsons Disease Using Wearable Inertial Movement Units and Machine Learning.

PubMed

Ireland, David; Wang, Ziwei; Lamont, Robyn; Liddle, Jacki

2016-01-01

In this work, inertial movement units were placed on people with Parkinsons disease (PwPD) who subsequently performed a standard test of walking endurance (six-minute walk test - 6MWT). Five devices were placed on each the limbs and small of the back. These devices captured the acceleration and rotational motion while the person walked as far as they can in six minutes. The wearable devices can objectively indicate the pattern and rhythmicity of limb and body movements. It is possible that this data, when subject to machine learning could provide additional objective measures that may support clinical observations related to the quality of movement. The aim of this work is two fold. First, to identify the most useful features of the captured signals; second, to identify the accuracy of using these features to predict the severity of PD as measured by standard clinical assessment.

Deflate decompressor

DOEpatents

Hamlet, Jason R [Albuquerque, NM; Robertson, Perry J [Albuquerque, NM; Pierson, Lyndon G [Albuquerque, NM; Olsberg, Ronald R [Albuquerque, NM

2012-02-28

A deflate decompressor includes at least one decompressor unit, a memory access controller, a feedback path, and an output buffer unit. The memory access controller is coupled to the decompressor unit via a data path and includes a data buffer to receive the data stream and temporarily buffer a first portion the data stream. The memory access controller transfers fixed length data units of the data stream from the data buffer to the decompressor unit with reference to a memory pointer pointing into the memory buffer. The feedback path couples the decompressor unit to the memory access controller to feed back decrement values to the memory access controller for updating the memory pointer. The decrement values each indicate a number of bits unused by the decompressor unit when decoding the fixed length data units. The output buffer unit buffers a second portion of the data stream after decompression.

Child mortality estimation 2013: an overview of updates in estimation methods by the United Nations Inter-agency Group for Child Mortality Estimation.

PubMed

Alkema, Leontine; New, Jin Rou; Pedersen, Jon; You, Danzhen

2014-01-01

In September 2013, the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME) published an update of the estimates of the under-five mortality rate (U5MR) and under-five deaths for all countries. Compared to the UN IGME estimates published in 2012, updated data inputs and a new method for estimating the U5MR were used. We summarize the new U5MR estimation method, which is a Bayesian B-spline Bias-reduction model, and highlight differences with the previously used method. Differences in UN IGME U5MR estimates as published in 2012 and those published in 2013 are presented and decomposed into differences due to the updated database and differences due to the new estimation method to explain and motivate changes in estimates. Compared to the previously used method, the new UN IGME estimation method is based on a different trend fitting method that can track (recent) changes in U5MR more closely. The new method provides U5MR estimates that account for data quality issues. Resulting differences in U5MR point estimates between the UN IGME 2012 and 2013 publications are small for the majority of countries but greater than 10 deaths per 1,000 live births for 33 countries in 2011 and 19 countries in 1990. These differences can be explained by the updated database used, the curve fitting method as well as accounting for data quality issues. Changes in the number of deaths were less than 10% on the global level and for the majority of MDG regions. The 2013 UN IGME estimates provide the most recent assessment of levels and trends in U5MR based on all available data and an improved estimation method that allows for closer-to-real-time monitoring of changes in the U5MR and takes account of data quality issues.

Child Mortality Estimation 2013: An Overview of Updates in Estimation Methods by the United Nations Inter-Agency Group for Child Mortality Estimation

PubMed Central

Alkema, Leontine; New, Jin Rou; Pedersen, Jon; You, Danzhen

2014-01-01

Background In September 2013, the United Nations Inter-agency Group for Child Mortality Estimation (UN IGME) published an update of the estimates of the under-five mortality rate (U5MR) and under-five deaths for all countries. Compared to the UN IGME estimates published in 2012, updated data inputs and a new method for estimating the U5MR were used. Methods We summarize the new U5MR estimation method, which is a Bayesian B-spline Bias-reduction model, and highlight differences with the previously used method. Differences in UN IGME U5MR estimates as published in 2012 and those published in 2013 are presented and decomposed into differences due to the updated database and differences due to the new estimation method to explain and motivate changes in estimates. Findings Compared to the previously used method, the new UN IGME estimation method is based on a different trend fitting method that can track (recent) changes in U5MR more closely. The new method provides U5MR estimates that account for data quality issues. Resulting differences in U5MR point estimates between the UN IGME 2012 and 2013 publications are small for the majority of countries but greater than 10 deaths per 1,000 live births for 33 countries in 2011 and 19 countries in 1990. These differences can be explained by the updated database used, the curve fitting method as well as accounting for data quality issues. Changes in the number of deaths were less than 10% on the global level and for the majority of MDG regions. Conclusions The 2013 UN IGME estimates provide the most recent assessment of levels and trends in U5MR based on all available data and an improved estimation method that allows for closer-to-real-time monitoring of changes in the U5MR and takes account of data quality issues. PMID:25013954

Updated greenhouse gas and criteria air pollutant emission factors and their probability distribution functions for electricity generating units

DOE Office of Scientific and Technical Information (OSTI.GOV)

Cai, H.; Wang, M.; Elgowainy, A.

Greenhouse gas (CO{sub 2}, CH{sub 4} and N{sub 2}O, hereinafter GHG) and criteria air pollutant (CO, NO{sub x}, VOC, PM{sub 10}, PM{sub 2.5} and SO{sub x}, hereinafter CAP) emission factors for various types of power plants burning various fuels with different technologies are important upstream parameters for estimating life-cycle emissions associated with alternative vehicle/fuel systems in the transportation sector, especially electric vehicles. The emission factors are typically expressed in grams of GHG or CAP per kWh of electricity generated by a specific power generation technology. This document describes our approach for updating and expanding GHG and CAP emission factors inmore » the GREET (Greenhouse Gases, Regulated Emissions, and Energy Use in Transportation) model developed at Argonne National Laboratory (see Wang 1999 and the GREET website at http://greet.es.anl.gov/main) for various power generation technologies. These GHG and CAP emissions are used to estimate the impact of electricity use by stationary and transportation applications on their fuel-cycle emissions. The electricity generation mixes and the fuel shares attributable to various combustion technologies at the national, regional and state levels are also updated in this document. The energy conversion efficiencies of electric generating units (EGUs) by fuel type and combustion technology are calculated on the basis of the lower heating values of each fuel, to be consistent with the basis used in GREET for transportation fuels. On the basis of the updated GHG and CAP emission factors and energy efficiencies of EGUs, the probability distribution functions (PDFs), which are functions that describe the relative likelihood for the emission factors and energy efficiencies as random variables to take on a given value by the integral of their own probability distributions, are updated using best-fit statistical curves to characterize the uncertainties associated with GHG and CAP emissions in life-cycle modeling with GREET.« less

Impact of mobility structure on optimization of small-world networks of mobile agents

NASA Astrophysics Data System (ADS)

Lee, Eun; Holme, Petter

2016-06-01

In ad hoc wireless networking, units are connected to each other rather than to a central, fixed, infrastructure. Constructing and maintaining such networks create several trade-off problems between robustness, communication speed, power consumption, etc., that bridges engineering, computer science and the physics of complex systems. In this work, we address the role of mobility patterns of the agents on the optimal tuning of a small-world type network construction method. By this method, the network is updated periodically and held static between the updates. We investigate the optimal updating times for different scenarios of the movement of agents (modeling, for example, the fat-tailed trip distances, and periodicities, of human travel). We find that these mobility patterns affect the power consumption in non-trivial ways and discuss how these effects can best be handled.

Apparatus for sensor failure detection and correction in a gas turbine engine control system

NASA Technical Reports Server (NTRS)

Spang, H. A., III; Wanger, R. P. (Inventor)

1981-01-01

A gas turbine engine control system maintains a selected level of engine performance despite the failure or abnormal operation of one or more engine parameter sensors. The control system employs a continuously updated engine model which simulates engine performance and generates signals representing real time estimates of the engine parameter sensor signals. The estimate signals are transmitted to a control computational unit which utilizes them in lieu of the actual engine parameter sensor signals to control the operation of the engine. The estimate signals are also compared with the corresponding actual engine parameter sensor signals and the resulting difference signals are utilized to update the engine model. If a particular difference signal exceeds specific tolerance limits, the difference signal is inhibited from updating the model and a sensor failure indication is provided to the engine operator.

Effects of transcutaneous electrical stimulation (1 pulse/sec) through custom-made disposable surface electrodes covering Omura's ST36 area of both legs on normal cell telomeres, oncogen C-fosAb2, integrin alpha5beta1, chlamydia trachomatis, etc. in breast cancer & alzheimer patients.

PubMed

Omura, Yoshiaki; Chen, Yemeng; Lermand, Olivia; Jones, Marilyn; Duvvi, Harsha; Shimotsuura, Yasuhiro

2010-01-01

Our previous study indicated that when extremely reduced normal cell (NC) telomeres in various cancer patients are increased over 500 ng BDORT units, abnormally high cancer cell telomeres and cancer-related markers such as Oncogen C-fosAb2 (Onco.)& Integrin alpha5beta1 (Integ.), & 8-OH-dG as well as bacterial & viral infections, mercury, asbestos, chromium, & beta-amyloid (1-42) markedly reduced due to improved circulation & excretion of these substances in urine. Since 1995, we have been using press-needle stimulation of Omura's ST36 with 200x press-release procedure 4x a day, with significant improvements in various cancer patients. In this study, Transcutaneous Electrical Stimulation (TES) at 60 pulses/min, which is close to patient's heart rate, was given between Omura's ST36 of both legs of the breast cancer & Alzheimer's patients. After about 10 minutes of TES, NC telomeres increased from 1 yg (= 10-24 g) to 500-525 ng; Integ. reduced from 85-75 ng to 0.5 ng & Chlamydia trachomatis (CT) reduced from 4500-3500 ng to 0.5 ng. An additional 10 minutes TES increased NC telomeres to 800-875 ng, while Integ. reduced to 0.5 yg & CT became less than 0.1 yg. After a total 30 minutes of TES, NC telomeres increased to 1000-1200ng BDORT units, with decreases in Integ. and Onco. to less than 0.1 yg. CT reduced to < 0.1 yg. About 24 hours later, NC telomeres were still 300 ng & both Integ. and Onco. were 2.5 ng. CT was approximately 20 ng. In Alzheimer patient, abnormally high beta-Amyloid (1-42) of 7-12 ng markedly reduced to within normal value of less than 1.5 ng by 20-30 min TES. Stimulation beyond 30 minutes gradually reduced NC telomeres. TES pulse rate of 4 pulses/sec for the same patient initially increased NC telomere up to 750-950 ng BDORT units within 20 minutes, but when stimulation continued more than 20 min, NC telomeres rapidly reduced to -150 ng in less than 10 min of TES with reduced beneficial effects.

Environmental Assessment: Installation Development at Vance Air Force Base, Oklahoma

DTIC Science & Technology

2007-04-01

intensity, frequency, and duration. Sound is created by acoustic energy, which produces minute pressure waves that travel through a medium, like...acoustic energy increases, the intensity or amplitude of these pressure waves increase, and the ear senses louder noise. The unit used to measure the...shale, siltstone, sandstone, limestone, and dolomite ranging in age from Cambrian-Ordovician through Permian. These sedimentary units rest upon the Pre

A Walk on the Wild Side: Adventures with Project Learning Tree. A Gifted Science Unit for Grades 1-5.

ERIC Educational Resources Information Center

Hestad, Marsha; Avellone, Kathy

This 9-week curriculum unit on trees is designed for gifted students in grades 1-5. The lessons are designed for 40-minute classes meeting two or three times a week and stress the development of creative thinking skills, creative problem solving and decision making skills, and critical and logical thinking skills. Each of the 12 lesson plans…

Connecting with Every Child: Key to Successful Discipline. Reframing Discipline, Unit 2. [Teaching Video, Practice Video, Facilitator's Guide, and Viewer's Guide].

ERIC Educational Resources Information Center

1997

The second of three interactive staff development units on discipline in early childhood classrooms, this multi-media pack explores the importance of the relationship between the teacher and child to discipline. The 25-minute teaching videotape notes the need to build a relationship with a child by interacting at times other than when the child is…

Decreased Stress Levels in Nurses: A Benefit of Quiet Time.

PubMed

Riemer, Heather C; Mates, Joanna; Ryan, Linda; Schleder, Bonnie J

2015-09-01

The benefits of quiet time, a therapeutic method of improving the health care environment, have been evaluated in patients, but only a few studies have examined the effects of quiet time on intensive care nurses. To evaluate the effects of implementing quiet time in a medical-surgical intensive care unit on levels of light, noise, and nurses' stress. Quiet time consisted of turning down the unit lights for a designated time. Levels of light, noise, and nurses' stress were measured. Nurses' stress levels were measured by using a 100-point visual analog scale; unit noise, by using a digital sound level meter (model 407736, Extech Instruments); and unit light, by using an illumination light meter (model 615, Huygen Corporation). Measurements were obtained 30 minutes before and 30 minutes, 1 hour, and 2 hours after implementation of quiet time. Analysis of variance and comparisons of means indicated that both light levels and nurses' stress levels were significantly decreased after quiet time (both P < .001). Noise levels were also decreased after quiet time, but the decrease was not significant (P = .08). Use of quiet time resulted in decreased light levels and decreased stress levels among nurses. Quiet time is an easily performed energy-saving intervention to promote a healthy work environment. ©2015 American Association of Critical-Care Nurses.

Decreasing laboratory turnaround time and patient wait time by implementing process improvement methodologies in an outpatient oncology infusion unit.

PubMed

Gjolaj, Lauren N; Gari, Gloria A; Olier-Pino, Angela I; Garcia, Juan D; Fernandez, Gustavo L

2014-11-01

Prolonged patient wait times in the outpatient oncology infusion unit indicated a need to streamline phlebotomy processes by using existing resources to decrease laboratory turnaround time and improve patient wait time. Using the DMAIC (define, measure, analyze, improve, control) method, a project to streamline phlebotomy processes within the outpatient oncology infusion unit in an academic Comprehensive Cancer Center known as the Comprehensive Treatment Unit (CTU) was completed. Laboratory turnaround time for patients who needed same-day lab and CTU services and wait time for all CTU patients was tracked for 9 weeks. During the pilot, the wait time from arrival to CTU to sitting in treatment area decreased by 17% for all patients treated in the CTU during the pilot. A total of 528 patients were seen at the CTU phlebotomy location, representing 16% of the total patients who received treatment in the CTU, with a mean turnaround time of 24 minutes compared with a baseline turnaround time of 51 minutes. Streamlining workflows and placing a phlebotomy station inside of the CTU decreased laboratory turnaround times by 53% for patients requiring same day lab and CTU services. The success of the pilot project prompted the team to make the station a permanent fixture. Copyright © 2014 by American Society of Clinical Oncology.

[Detection of palliative care needs in an acute care hospital unit. Pilot study].

PubMed

Rodríguez-Calero, Miguel Ángel; Julià-Mora, Joana María; Prieto-Alomar, Araceli

2016-01-01

Previous to wider prevalence studies, we designed the present pilot study to assess concordance and time invested in patient evaluations using a palliative care needs assessment tool. We also sought to estimate the prevalence of palliative care needs in an acute care hospital unit. A cross-sectional study was carried out, 4 researchers (2 doctors and 2 nurses) independently assessed all inpatients in an acute care hospital unit in Manacor Hospital, Mallorca (Spain), using the validated tool NECPAL CCOMS-ICO©, measuring time invested in every case. Another researcher revised clinical recordings to analise the sample profile. Every researcher assessed 29 patients, 15 men and 14 women, mean age 74,03 ± 10.25 years. 4-observer concordance was moderate (Kappa 0,5043), tuning out to be higher between nurses. Mean time per patient evaluation was 1.9 to 7.72 minutes, depending on researcher. Prevalence of palliative care needs was 23,28%. Moderate concordance lean us towards multidisciplinary shared assessments as a method for future research. Avarage of time invested in evaluations was less than 8 minutes, no previous publications were identified regarding this variable. More than 20% of inpatients of the acute care unit were in need of palliative care. Copyright © 2015 Elsevier España, S.L.U. All rights reserved.

Interpretation of Brain CT Scans in the Field by Critical Care Physicians in a Mobile Stroke Unit

PubMed Central

Zakariassen, Erik; Lindner, Thomas; Nome, Terje; Bache, Kristi G.; Røislien, Jo; Gleditsch, Jostein; Solyga, Volker; Russell, David; Lund, Christian G.

2017-01-01

ABSTRACT BACKGROUND AND PURPOSE In acute stroke, thromboembolism or spontaneous hemorrhage abruptly reduces blood flow to a part of the brain. To limit necrosis, rapid radiological identification of the pathological mechanism must be conducted to allow the initiation of targeted treatment. The aim of the Norwegian Acute Stroke Prehospital Project is to determine if anesthesiologists, trained in prehospital critical care, may accurately assess cerebral computed tomography (CT) scans in a mobile stroke unit (MSU). METHODS In this pilot study, 13 anesthesiologists assessed unselected acute stroke patients with a cerebral CT scan in an MSU. The scans were simultaneously available by teleradiology at the receiving hospital and the on‐call radiologist. CT scan interpretation was focused on the radiological diagnosis of acute stroke and contraindications for thrombolysis. The aim of this study was to find inter‐rater agreement between the pre‐ and in‐hospital radiological assessments. A neuroradiologist evaluated all CT scans retrospectively. Statistical analysis of inter‐rater agreement was analyzed with Cohen's kappa. RESULTS Fifty‐one cerebral CT scans from the MSU were included. Inter‐rater agreement between prehospital anesthesiologists and the in‐hospital on‐call radiologists was excellent in finding radiological selection for thrombolysis (kappa .87). Prehospital CT scans were conducted in median 10 minutes (7 and 14 minutes) in the MSU, and median 39 minutes (31 and 48 minutes) before arrival at the receiving hospital. CONCLUSION This pilot study shows that anesthesiologists trained in prehospital critical care may effectively assess cerebral CT scans in an MSU, and determine if there are radiological contraindications for thrombolysis. PMID:28766306

Effects of Natural Sounds on Pain: A Randomized Controlled Trial with Patients Receiving Mechanical Ventilation Support.

PubMed

Saadatmand, Vahid; Rejeh, Nahid; Heravi-Karimooi, Majideh; Tadrisi, Sayed Davood; Vaismoradi, Mojtaba; Jordan, Sue

2015-08-01

Nonpharmacologic pain management in patients receiving mechanical ventilation support in critical care units is under investigated. Natural sounds may help reduce the potentially harmful effects of anxiety and pain in hospitalized patients. The aim of this study was to examine the effect of pleasant, natural sounds on self-reported pain in patients receiving mechanical ventilation support, using a pragmatic parallel-arm, randomized controlled trial. The study was conducted in a general adult intensive care unit of a high-turnover teaching hospital, in Tehran, Iran. Between October 2011 and June 2012, we recruited 60 patients receiving mechanical ventilation support to the intervention (n = 30) and control arms (n = 30) of a pragmatic parallel-group, randomized controlled trial. Participants in both arms wore headphones for 90 minutes. Those in the intervention arm heard pleasant, natural sounds, whereas those in the control arm heard nothing. Outcome measures included the self-reported visual analog scale for pain at baseline; 30, 60, and 90 minutes into the intervention; and 30 minutes post-intervention. All patients approached agreed to participate. The trial arms were similar at baseline. Pain scores in the intervention arm fell and were significantly lower than in the control arm at each time point (p < .05). Administration of pleasant, natural sounds via headphones is a simple, safe, nonpharmacologic nursing intervention that may be used to allay pain for up to 120 minutes in patients receiving mechanical ventilation support. Copyright © 2015 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Visualization of the Eastern Renewable Generation Integration Study: Preprint

DOE Office of Scientific and Technical Information (OSTI.GOV)

Gruchalla, Kenny; Novacheck, Joshua; Bloom, Aaron

The Eastern Renewable Generation Integration Study (ERGIS), explores the operational impacts of the wide spread adoption of wind and solar photovoltaics (PV) resources in the U.S. Eastern Interconnection and Quebec Interconnection (collectively, EI). In order to understand some of the economic and reliability challenges of managing hundreds of gigawatts of wind and PV generation, we developed state of the art tools, data, and models for simulating power system operations using hourly unit commitment and 5-minute economic dispatch over an entire year. Using NREL's high-performance computing capabilities and new methodologies to model operations, we found that the EI, as simulated withmore » evolutionary change in 2026, could balance the variability and uncertainty of wind and PV at a 5-minute level under a variety of conditions. A large-scale display and a combination of multiple coordinated views and small multiples were used to visually analyze the four large highly multivariate scenarios with high spatial and temporal resolutions. state of the art tools, data, and models for simulating power system operations using hourly unit commitment and 5-minute economic dispatch over an entire year. Using NRELs high-performance computing capabilities and new methodologies to model operations, we found that the EI, as simulated with evolutionary change in 2026, could balance the variability and uncertainty of wind and PV at a 5-minute level under a variety of conditions. A large-scale display and a combination of multiple coordinated views and small multiples were used to visually analyze the four large highly multivariate scenarios with high spatial and temporal resolutions.« less

Orbital Debris Quarterly News, Volume 13, No. 3

NASA Technical Reports Server (NTRS)

Liou, J.-C. (Editor); Shoots, Debi (Editor)

2009-01-01

This issue of the Orbital Debris Quarterly contains articles on the congressional hearing that was held on orbital debris and space traffic; the update received by the United Nations Committee on the Peaceful Uses of Outer Space (COPUOS) on the collision of the Iridium 33 and Cosmos 2251 satellites; the micrometeoroid and orbital debris (MMOD) inspection of the Hubble Space Telescope Wide Field Planetary Camera; an analysis of the reentry survivability of the Global Precipitation Measurement (GPM) spacecraft; an update on recent major breakup fragments; and a graph showing the current debris environment in low Earth orbit.

White-nose syndrome in North American bats - U.S. Geological Survey updates

USGS Publications Warehouse

Lankau, Emily W.; Moede Rogall, Gail

2016-12-27

White-nose syndrome is a devastating wildlife disease that has killed millions of hibernating bats. This disease first appeared in New York during 2007 and has continued to spread at an alarming rate from the northeastern to the central United States and throughout eastern Canada. The disease is named for the fungus Pseudogymnoascus destructans, which often appears white when it infects the skin of the nose, ears, and wings of hibernating bats. This fact sheet provides updates on white-nose syndrome research and management efforts and highlights US Geological Survey scientists’ contributions to understanding and combating this disease.

India Solar Resource Data: Enhanced Data for Accelerated Deployment (Fact Sheet)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

Identifying potential locations for solar photovoltaic (PV) and concentrating solar power (CSP) projects requires an understanding of the underlying solar resource. Under a bilateral partnership between the United States and India - the U.S.-India Energy Dialogue - the National Renewable Energy Laboratory has updated Indian solar data and maps using data provided by the Ministry of New and Renewable Energy (MNRE) and the National Institute for Solar Energy (NISE). This fact sheet overviews the updated maps and data, which help identify high-quality solar energy projects. This can help accelerate the deployment of solar energy in India.

India Solar Resource Data: Enhanced Data for Accelerated Deployment

DOE Office of Scientific and Technical Information (OSTI.GOV)

None, None

Identifying potential locations for solar photovoltaic (PV) and concentrating solar power (CSP) projects requires an understanding of the underlying solar resource. Under a bilateral partnership between the United States and India - the U.S.-India Energy Dialogue - the National Renewable Energy Laboratory has updated Indian solar data and maps using data provided by the Ministry of New and Renewable Energy (MNRE) and the National Institute for Solar Energy (NISE). This fact sheet overviews the updated maps and data, which help identify high-quality solar energy projects. This can help accelerate the deployment of solar energy in India.

Science-based regulatory and policy considerations in nutrition.

PubMed

Schneeman, Barbara

2015-05-01

Scientific evidence is necessary for the development of effective and enforceable regulations and government policy. To use scientific information appropriately, a systematic approach is needed for review and evaluation of the evidence. Federal agencies in the United States have developed useful approaches for such a review and evaluation to develop nutrition labeling, including health claims, and for updating of the Dietary Guidelines for Americans. The WHO is using a systematic evaluation process to update its recommendations on diet and health. The results of such reviews also highlight research needs to address relevant gaps in our knowledge. © 2015 American Society for Nutrition.

Pylorus-preserving pancreaticoduodenectomy (pp Whipple) versus pancreaticoduodenectomy (classic Whipple) for surgical treatment of periampullary and pancreatic carcinoma.

PubMed

Hüttner, Felix J; Fitzmaurice, Christina; Schwarzer, Guido; Seiler, Christoph M; Antes, Gerd; Büchler, Markus W; Diener, Markus K

2016-02-16

Pancreatic cancer is the fourth-leading cause of cancer death for both, men and women. The standard treatment for resectable tumours consists of a classic Whipple (CW) operation or a pylorus-preserving pancreaticoduodenectomy (PPW). It is unclear which of these procedures is more favourable in terms of survival, postoperative mortality, complications, and quality of life. The objective of this systematic review was to compare the effectiveness of CW and PPW techniques for surgical treatment of cancer of the pancreatic head and the periampullary region. We conducted searches on 28 March 2006, 11 January 2011, 9 January 2014, and 18 August 2015 to identify all randomised controlled trials (RCTs), while applying no language restrictions. We searched the following electronic databases on 18 August 2015: the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Database of Systematic Reviews (CDSR) and the Database of Abstracts of Reviews of Effects (DARE) from the Cochrane Library (2015, Issue 8); MEDLINE (1946 to August 2015); and EMBASE (1980 to August 2015). We also searched abstracts from Digestive Disease Week and United European Gastroenterology Week (1995 to 2010); we did not update this part of the search for the 2014 and 2015 updates because the prior searches did not contribute any additional information. We identified two additional trials through the updated search in 2015. RCTs comparing CW versus PPW including participants with periampullary or pancreatic carcinoma. Two review authors independently extracted data from the included trials. We used a random-effects model for pooling data. We compared binary outcomes using odds ratios (ORs), pooled continuous outcomes using mean differences (MDs), and used hazard ratios (HRs) for meta-analysis of survival. Two review authors independently evaluated the methodological quality and risk of bias of included trials according to the standards of The Cochrane Collaboration. We included eight RCTs with a total of 512 participants. Our critical appraisal revealed vast heterogeneity with respect to methodological quality and outcome parameters. Postoperative mortality (OR 0.64, 95% confidence interval (CI) 0.26 to 1.54; P = 0.32), overall survival (HR 0.84, 95% CI 0.61 to 1.16; P = 0.29), and morbidity showed no significant differences, except of delayed gastric emptying, which significantly favoured CW (OR 3.03, 95% CI 1.05 to 8.70; P = 0.04). Furthermore, we noted that operating time (MD -45.22 minutes, 95% CI -74.67 to -15.78; P = 0.003), intraoperative blood loss (MD -0.32 L, 95% CI -0.62 to -0.03; P = 0.03), and red blood cell transfusion (MD -0.47 units, 95% CI -0.86 to -0.07; P = 0.02) were significantly reduced in the PPW group. All significant results were associated with low-quality evidence based on GRADE (Grades of Recommendation, Assessment, Development and Evaluation) criteria. Current evidence suggests no relevant differences in mortality, morbidity, and survival between the two operations. However, some perioperative outcome measures significantly favour the PPW procedure. Given obvious clinical and methodological heterogeneity, future high-quality RCTs of complex surgical interventions based on well-defined outcome parameters are required.

Devens 2008 Monitoring Update

EPA Science Inventory

This document presents results from site monitoring activities during calendar year 2008 at the EPA/ORD Red Cove Study Area relative to site characterization activities under Operable Units 01 (Shepley's Hill Landfill) and 11 (Plow Shop Pond) at the Fort Devens Superfund site. T...

Optimization of offsets and cycle length using high resolution signal event data.

DOT National Transportation Integrated Search

2011-01-01

Traffic signal systems represent a substantial component of the highway transportation network in the United States. It is challenging for most agencies to find engineering resources to properly update signal policies and timing plans to accommodate ...

Procurement procedures and specifications for performance measure capable traffic infrastructure data collection systems.

DOT National Transportation Integrated Search

2012-01-01

Traffic signal systems represent a substantial component of the highway transportation network in the United : States. It is challenging for most agencies to find engineering resources to properly update signal policies and : timing plans to accommod...

Reviewing, analyzing and updating marketing strategies to increase public transit ridership.

DOT National Transportation Integrated Search

2012-01-01

Ridership in the United States has been fluctuating over the last decade. With fuel prices : increasing, urban and suburban communities growing and global warming and environmental : impact getting special attention, it is important to increase our k...

Report Nation March 2015 QandA

Cancer.gov

This report provides a yearly update of cancer incidence (new cases) and mortality (death) rates, and trends in these rates in the United States. The special feature section of this year’s report highlights the incidence of breast cancer subtypes by race,

Biomass Data | Geospatial Data Science | NREL

Science.gov Websites

Biomass Data Biomass Data These datasets detail the biomass resources available in the United Coverage File Last Updated Metadata Biomethane Zip 72.2 MB 10/30/2014 Biomethane.xml Solid Biomass Zip 69.5

A microprocessor-based cardiotachometer

NASA Technical Reports Server (NTRS)

Donaldson, J. A.; Crosier, W. G.

1979-01-01

The development of a highly accurate and reliable cardiotachometer for measuring the heart rate of test subjects is discussed. It measures heart rate over the range of 30 to 250 beats/minute and gives instantaneous (beat to beat) updates on the system output so that occasional noise artifacts or ectopic beats could be more easily identified except that occasional missed beats caused by switching ECG leads should not cause a change in the output. The cardiotachometer uses an improved analog filter and R-wave detector and an Intel 8080A microprocessor to handle all of the logic and arithmetic necessary. By using the microprocessor, future hardware modifications could easily be made if functional changes were needed.

Database for the geologic map of the Sauk River 30-minute by 60-minute quadrangle, Washington (I-2592)

USGS Publications Warehouse

Tabor, R.W.; Booth, D.B.; Vance, J.A.; Ford, A.B.

2006-01-01

This digital map database has been prepared by R.W. Tabor from the published Geologic map of the Sauk River 30- by 60 Minute Quadrangle, Washington. Together with the accompanying text files as PDF, it provides information on the geologic structure and stratigraphy of the area covered. The database delineates map units that are identified by general age and lithology following the stratigraphic nomenclature of the U.S. Geological Survey. The authors mapped most of the bedrock geology at 1:100,000 scale, but compiled most Quaternary units at 1:24,000 scale. The Quaternary contacts and structural data have been much simplified for the 1:100,000-scale map and database. The spatial resolution (scale) of the database is 1:100,000 or smaller. This database depicts the distribution of geologic materials and structures at a regional (1:100,000) scale. The report is intended to provide geologic information for the regional study of materials properties, earthquake shaking, landslide potential, mineral hazards, seismic velocity, and earthquake faults. In addition, the report contains information and interpretations about the regional geologic history and framework. However, the regional scale of this report does not provide sufficient detail for site development purposes.

Socioeconomic status, occupational characteristics, and sleep duration in African/Caribbean immigrants and US White health care workers.

PubMed

Ertel, Karen A; Berkman, Lisa F; Buxton, Orfeu M

2011-04-01

o advance our understanding of the interplay of socioeconomic factors, occupational exposures, and race/ethnicity as they relate to sleep duration. We hypothesize that non Hispanic African/Caribbean immigrant employees in long term health care have shorter sleep duration than non Hispanic white employees, and that low education, low income, and occupational exposures including night work and job strain account for some of the African/Caribbean immigrant-white difference in sleep duration. Cross sectional Four extended care facilities in Massachusetts, United States 340 employees in extended care facilities Sleep duration was assessed with wrist actigraphy for a mean of 6.3 days. In multivariable regression modeling controlling for gender and age, African/Caribbean immigrants slept 64.4 fewer minutes (95% CI: -81.0, -47.9) per night than white participants; additional control for education and income reduced the racial gap to 50.9 minutes (-69.2, -32.5); additional control for the occupational factors of hours worked per week and working the night shift reduced the racial gap to 37.7 minutes (-57.8, -17.6). his study provides support for the hypothesis that socioeconomic and occupational characteristics explain some of the African/ Caribbean immigrant-white difference in sleep duration in the United States, especially among health care workers.

Novel infrastructure for sepsis biomarker research in critically ill neonates and children.

PubMed

Juskewitch, Justin E; Enders, Felicity T; Abraham, Roshini S; Huskins, W Charles

2013-02-01

Sepsis biomarker research requires an infrastructure to identify septic patients efficiently and to collect and store specimens properly. We developed a novel infrastructure to study biomarkers of sepsis in children. Patients in pediatric and neonatal intensive care units were enrolled prospectively; enrollment information was stored in a secure, remotely accessible database. Researchers were notified of electronic medical record (EMR) orders for blood cultures (a surrogate for a diagnostic evaluation of suspected sepsis) by a page triggered by the order. Staff confirmed patient enrollment and remotely submitted an EMR order for collection of study specimens simultaneous with the blood culture. Specimens were processed and stored by a mobile clinical research unit. Over 2 years, 2029 patients were admitted; 138 were enrolled. Staff received pages for 95% of blood cultures collected from enrolled patients. The median time between the blood culture order and collection was 34 minutes (range 9-241). Study specimens were collected simultaneously with 41 blood cultures. The median times between specimen collection and storage for flow cytometry and cytokine analysis were 33 minutes (range 0-82) and 52 minutes (range 28-98), respectively. This novel infrastructure facilitated prompt, proper collection and storage of specimens for sepsis biomarker analysis. © 2013 Wiley Periodicals, Inc.

Utilization of case presentations in medical microbiology to enhance relevance of basic science for medical students

PubMed Central

Chamberlain, Neal R.; Stuart, Melissa K.; Singh, Vineet K.; Sargentini, Neil J.

2012-01-01

Background Small-group case presentation exercises (CPs) were created to increase course relevance for medical students taking Medical Microbiology (MM) and Infectious Diseases (ID) Methods Each student received a unique paper case and had 10 minutes to review patient history, physical exam data, and laboratory data. Students then had three minutes to orally present their case and defend why they ruled in or out each of the answer choices provided, followed by an additional three minutes to answer questions. Results Exam scores differed significantly between students who received the traditional lecture-laboratory curriculum (Group I) and students who participated in the CPs (Group II). In MM, median unit exam and final exam scores for Group I students were 84.4% and 77.8%, compared to 86.0% and 82.2% for Group II students (P<0.018; P<0.001; Mann-Whitney Rank Sum Test). Median unit and final ID exam scores for Group I students were 84.0% and 80.0%, compared to 88.0% and 86.7% for Group II students (P<0.001; P<0.001). Conclusion Students felt that the CPs improved their critical thinking and presentation skills and helped to prepare them as future physicians. PMID:22435014

Pedestrians

DOT National Transportation Integrated Search

2008-01-01

In 2008, 4,378 pedestrians were killed in traffic crashes in the United States a decrease of 16 percent from the 5,228 pedestrians killed in 1998. On average, a pedestrian is killed in a traffic crash every 120 minutes and injured in a traffic cr...

Biomass production on the Olympic and Kitsap Peninsulas, Washington: updated logging residue ratios, slash pile volume-to-weight ratios, and supply curves for selected locations

Treesearch

Jason C. Cross; Eric C. Turnblom; Gregory J. Ettl

2013-01-01

Biomass residue produced by timber harvest operations is estimated for the Olympic and Kitsap Peninsulas, Washington. Scattered residues were sampled in 53 harvest units and piled residues were completely enumerated in 55 harvest units. Production is based on 2008 and 2009 data and is stratified by forest location, ownership type, harvest intensity, and harvest method...

Promoting Technology and Education: Turbo-Charging the School Buses on the Information Highway. Hearing before the Committee on the Judiciary. United States Senate, One Hundred Seventh Congress, First Session (March 13, 2001).

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on the Judiciary.

This Congressional hearing before the United States Senate Committee on the Judiciary presents testimony on the Technology Education and Copyright Harmonization Act, or the TEACH Act, introduced by Senator Orin Hatch (Utah) and Senator Patrick Leahy (Vermont). This legislation updates the education and distance learning provisions of the copyright…

Common and scientific names of aquatic invertebrates from the United States and Canada: Mollusks

USGS Publications Warehouse

Turgeon, D. D.; Quinn, J.F.; Bogan, A.E.; Coan, E. V.; Hochberg, F.G.; Lyons, W.G.; Mikkelsen, P. M.; Neves, R.J.; Roper, C. F. E.; Rosenberg, G.; Roth, B.; Scheltema, A.; Thompson, F.G.; Vecchione, M.; Williams, J.D.

1998-01-01

This edition of Common and Scientific Names of Invertebrates from the United States and Canada: Mollusks represents the efforts of 15 molluscan taxonomic specialists in compiling a comprehensive checklist of the mollusks found in North America and Canada and their vernacular names. Built upon the success of the first edition, the authors have updated the nomenclature to reflect recent phylogenetic analyses and have included more than 300 new species.

Do physiotherapy staff record treatment time accurately? An observational study.

PubMed

Bagley, Pam; Hudson, Mary; Green, John; Forster, Anne; Young, John

2009-09-01

To assess the reliability of duration of treatment time measured by physiotherapy staff in early-stage stroke patients. Comparison of physiotherapy staff's recording of treatment sessions and video recording. Rehabilitation stroke unit in a general hospital. Thirty-nine stroke patients without trunk control or who were unable to stand with an erect trunk without the support of two therapists recruited to a randomized trial evaluating the Oswestry Standing Frame. Twenty-six physiotherapy staff who were involved in patient treatment. Contemporaneous recording by physiotherapy staff of treatment time (in minutes) compared with video recording. Intraclass correlation with 95% confidence interval and the Bland and Altman method for assessing agreement by calculating the mean difference (standard deviation; 95% confidence interval), reliability coefficient and 95% limits of agreement for the differences between the measurements. The mean duration (standard deviation, SD) of treatment time recorded by physiotherapy staff was 32 (11) minutes compared with 25 (9) minutes as evidenced in the video recording. The mean difference (SD) was -6 (9) minutes (95% confidence interval (CI) -9 to -3). The reliability coefficient was 18 minutes and the 95% limits of agreement were -24 to 12 minutes. Intraclass correlation coefficient for agreement between the two methods was 0.50 (95% CI 0.12 to 0.73). Physiotherapy staff's recording of duration of treatment time was not reliable and was systematically greater than the video recording.

Determinants of 6-minute walk distance in patients with idiopathic pulmonary fibrosis undergoing lung transplant evaluation.

PubMed

Porteous, Mary K; Rivera-Lebron, Belinda N; Kreider, Maryl; Lee, James; Kawut, Steven M

2016-03-01

Little is known about the physiologic determinants of 6-minute walk distance in idiopathic pulmonary fibrosis. We investigated the demographic, pulmonary function, echocardiographic, and hemodynamic determinants of 6-minute walk distance in patients with idiopathic pulmonary fibrosis evaluated for lung transplantation. We performed a cross-sectional analysis of 130 patients with idiopathic pulmonary fibrosis who completed a lung transplantation evaluation at the Hospital of the University of Pennsylvania between 2005 and 2010. Multivariable linear regression analysis was used to generate an explanatory model for 6-minute walk distance. After adjustment for age, sex, race, height, and weight, the presence of right ventricular dilation was associated with a decrease of 50.9 m (95% confidence interval [CI], 8.4-93.3) in 6-minute walk distance ([Formula: see text]). For each 200-mL reduction in forced vital capacity, the walk distance decreased by 15.0 m (95% CI, 9.0-21.1; [Formula: see text]). For every increase of 1 Wood unit in pulmonary vascular resistance, the walk distance decreased by 17.3 m (95% CI, 5.1-29.5; [Formula: see text]). Six-minute walk distance in idiopathic pulmonary fibrosis depends in part on circulatory impairment and the degree of restrictive lung disease. Future trials that target right ventricular morphology, pulmonary vascular resistance, and forced vital capacity may potentially improve exercise capacity in patients with idiopathic pulmonary fibrosis.

A validation of ground ambulance pre-hospital times modeled using geographic information systems.

PubMed

Patel, Alka B; Waters, Nigel M; Blanchard, Ian E; Doig, Christopher J; Ghali, William A

2012-10-03

Evaluating geographic access to health services often requires determining the patient travel time to a specified service. For urgent care, many research studies have modeled patient pre-hospital time by ground emergency medical services (EMS) using geographic information systems (GIS). The purpose of this study was to determine if the modeling assumptions proposed through prior United States (US) studies are valid in a non-US context, and to use the resulting information to provide revised recommendations for modeling travel time using GIS in the absence of actual EMS trip data. The study sample contained all emergency adult patient trips within the Calgary area for 2006. Each record included four components of pre-hospital time (activation, response, on-scene and transport interval). The actual activation and on-scene intervals were compared with those used in published models. The transport interval was calculated within GIS using the Network Analyst extension of Esri ArcGIS 10.0 and the response interval was derived using previously established methods. These GIS derived transport and response intervals were compared with the actual times using descriptive methods. We used the information acquired through the analysis of the EMS trip data to create an updated model that could be used to estimate travel time in the absence of actual EMS trip records. There were 29,765 complete EMS records for scene locations inside the city and 529 outside. The actual median on-scene intervals were longer than the average previously reported by 7-8 minutes. Actual EMS pre-hospital times across our study area were significantly higher than the estimated times modeled using GIS and the original travel time assumptions. Our updated model, although still underestimating the total pre-hospital time, more accurately represents the true pre-hospital time in our study area. The widespread use of generalized EMS pre-hospital time assumptions based on US data may not be appropriate in a non-US context. The preference for researchers should be to use actual EMS trip records from the proposed research study area. In the absence of EMS trip data researchers should determine which modeling assumptions more accurately reflect the EMS protocols across their study area.

Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System--Update for Fiscal Year Beginning October 1, 2015 (FY 2016). Final rule.

PubMed

2015-08-05

This final rule updates the prospective payment rates for Medicare inpatient hospital services provided by inpatient psychiatric facilities (IPFs) (which are freestanding IPFs and psychiatric units of an acute care hospital or critical access hospital). These changes are applicable to IPF discharges occurring during fiscal year (FY) 2016 (October 1, 2015 through September 30, 2016). This final rule also implements: a new 2012-based IPF market basket; an updated IPF labor-related share; a transition to new Core Based Statistical Area (CBSA) designations in the FY 2016 IPF Prospective Payment System (PPS) wage index; a phase-out of the rural adjustment for IPF providers whose status changes from rural to urban as a result of the wage index CBSA changes; and new quality measures and reporting requirements under the IPF quality reporting program. This final rule also reminds IPFs of the October 1, 2015 implementation of the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM), and updates providers on the status of IPF PPS refinements.

The LANDFIRE Refresh strategy: updating the national dataset

USGS Publications Warehouse

Nelson, Kurtis J.; Connot, Joel A.; Peterson, Birgit E.; Martin, Charley

2013-01-01

The LANDFIRE Program provides comprehensive vegetation and fuel datasets for the entire United States. As with many large-scale ecological datasets, vegetation and landscape conditions must be updated periodically to account for disturbances, growth, and natural succession. The LANDFIRE Refresh effort was the first attempt to consistently update these products nationwide. It incorporated a combination of specific systematic improvements to the original LANDFIRE National data, remote sensing based disturbance detection methods, field collected disturbance information, vegetation growth and succession modeling, and vegetation transition processes. This resulted in the creation of two complete datasets for all 50 states: LANDFIRE Refresh 2001, which includes the systematic improvements, and LANDFIRE Refresh 2008, which includes the disturbance and succession updates to the vegetation and fuel data. The new datasets are comparable for studying landscape changes in vegetation type and structure over a decadal period, and provide the most recent characterization of fuel conditions across the country. The applicability of the new layers is discussed and the effects of using the new fuel datasets are demonstrated through a fire behavior modeling exercise using the 2011 Wallow Fire in eastern Arizona as an example.

The role of calling EMS versus using private transportation in improving the management of stroke in France.

PubMed

Gache, Kristel; Couralet, Melanie; Nitenberg, Gérard; Leleu, Henri; Minvielle, Etienne

2013-01-01

To compare the time from symptom onset to brain imaging between patients calling emergency medical services (EMS) and those using private means for transportation. We focused on symptom onset-to-brain imaging times of ≤2 hours and ≤3 hours 30 minutes, assuming a one-hour interval between imaging and thrombolysis. Other variables were the patient's age, gender, stroke type, National Institutes of Health Stroke Scale (NIHSS) score, presence of an on-site stroke unit, and period of symptom onset. Univariate analyses and a hierarchical linear regression model were used, as appropriate, and adjusted for these variables. A total of 1,105 stroke patients (28%) were included in the analyses, 40.6% of them transported by EMS. Patients using EMS were significantly older (72.8 vs. 70.5 years; p = 0.008), they had a higher NIHSS score (8 vs. 6.1; p = 0.0001), fewer were ischemic (85.1% vs. 90.6%; p = 0.005), and more of them reached hospitals with an on-site stroke unit (81.3% vs. 72.9%; p = 0.002). For the EMS-call patients, the median symptom onset-to-brain imaging time was significantly shorter (3 hours 21 minutes vs. 5 hours 57 minutes), and after adjustment, maximum delays of 2 hours and 3 hours 30 minutes were independently associated with EMS call: 28% vs. 18% (p = 0.015) and 66% vs. 45% (p < 0.0001) of patients, respectively, leading to an adjusted odds ratio of 2.77 (95% confidence interval, 2.007-3.828; p < 0.0001) for the threshold of 3 hours 30 minutes. The symptom onset-to-brain imaging time was significantly shorter in case of EMS transportation, but most patients did not reach the hospital in time to be eligible for thrombolysis. Efforts are still needed to reduce delays, especially public education and EMS activation. These efforts should be combined with new approaches for the quality management of stroke patients.

Shuttle landing facility cloud cover study: Climatological analysis and two tenths cloud cover rule evaluation

NASA Technical Reports Server (NTRS)

Atchison, Michael K.; Schumann, Robin; Taylor, Greg; Warburton, John; Wheeler, Mark; Yersavich, Ann

1993-01-01

The two-tenths cloud cover rule in effect for all End Of Mission (EOM) STS landings at the Kennedy Space Center (KSC) states: 'for scattered cloud layers below 10,000 feet, cloud cover must be observed to be less than or equal to 0.2 at the de-orbit burn go/no-go decision time (approximately 90 minutes before landing time)'. This rule was designed to protect against a ceiling (below 10,000 feet) developing unexpectedly within the next 90 minutes (i.e., after the de-orbit burn decision and before landing). The Applied Meteorological Unit (AMU) developed and analyzed a database of cloud cover amounts and weather conditions at the Shuttle Landing Facility for a five-year (1986-1990) period. The data indicate the best time to land the shuttle at KSC is during the summer while the worst time is during the winter. The analysis also shows the highest frequency of landing opportunities occurs for the 0100-0600 UTC and 1300-1600 UTC time periods. The worst time of the day to land a shuttle is near sunrise and during the afternoon. An evaluation of the two-tenths cloud cover rule for most data categorizations has shown that there is a significant difference in the proportions of weather violations one and two hours subsequent to initial conditions of 0.2 and 0.3 cloud cover. However, for May, Oct., 700 mb northerly wind category, 1500 UTC category, and 1600 UTC category there is some evidence that the 0.2 cloud cover rule may be overly conservative. This possibility requires further investigation. As a result of these analyses, the AMU developed nomograms to help the Spaceflight Meteorological Group (SMG) and the Cape Canaveral Forecast Facility (CCFF) forecast cloud cover for EOM and Return to Launch Site (RTLS) at KSC. Future work will include updating the two tenths database, further analysis of the data for several categorizations, and developing a proof of concept artificial neural network to provide forecast guidance of weather constraint violations for shuttle landings.

WE-G-BRA-02: SafetyNet: Automating Radiotherapy QA with An Event Driven Framework

DOE Office of Scientific and Technical Information (OSTI.GOV)

Hadley, S; Kessler, M; Litzenberg, D

2015-06-15

Purpose: Quality assurance is an essential task in radiotherapy that often requires many manual tasks. We investigate the use of an event driven framework in conjunction with software agents to automate QA and eliminate wait times. Methods: An in house developed subscription-publication service, EventNet, was added to the Aria OIS to be a message broker for critical events occurring in the OIS and software agents. Software agents operate without user intervention and perform critical QA steps. The results of the QA are documented and the resulting event is generated and passed back to EventNet. Users can subscribe to those eventsmore » and receive messages based on custom filters designed to send passing or failing results to physicists or dosimetrists. Agents were developed to expedite the following QA tasks: Plan Revision, Plan 2nd Check, SRS Winston-Lutz isocenter, Treatment History Audit, Treatment Machine Configuration. Results: Plan approval in the Aria OIS was used as the event trigger for plan revision QA and Plan 2nd check agents. The agents pulled the plan data, executed the prescribed QA, stored the results and updated EventNet for publication. The Winston Lutz agent reduced QA time from 20 minutes to 4 minutes and provided a more accurate quantitative estimate of radiation isocenter. The Treatment Machine Configuration agent automatically reports any changes to the Treatment machine or HDR unit configuration. The agents are reliable, act immediately, and execute each task identically every time. Conclusion: An event driven framework has inverted the data chase in our radiotherapy QA process. Rather than have dosimetrists and physicists push data to QA software and pull results back into the OIS, the software agents perform these steps immediately upon receiving the sentinel events from EventNet. Mr Keranen is an employee of Varian Medical Systems. Dr. Moran’s institution receives research support for her effort for a linear accelerator QA project from Varian Medical Systems. Other quality projects involving her effort are funded by Blue Cross Blue Shield of Michigan, Breast Cancer Research Foundation, and the NIH.« less

Perceived exertion responses to changing resistance training programming variables.

PubMed

Hiscock, Daniel J; Dawson, Brian; Peeling, Peter

2015-06-01

This study examined the influence of intensity (%1 repetition maximum [1RM]), tonnage (sets × repetitions × load), rate of fatigue (percentage decrement in repetitions from set to set), work rate (total tonnage per unit of time), rest interval (time between sets), time under load, and session duration on session rating of perceived exertion (sRPE: Borg's CR-10 scale). Here, participants performed a standardized lifting session of 5 exercises (bench press, leg press, lat pulldown, leg curl, and triceps pushdown) as either: (a) 3 sets × 8 repetitions × 3-minute recovery at 70% 1RM, (b) 3 sets × 14 repetitions × 3-minute recovery at 40% 1RM, (c) 3 sets × MNR (maximum number of repetitions) × 1-minute recovery at 70% 1RM, (d) 3 sets × MNR × 3-minute recovery at 70% 1RM, (e) 3 sets × MNR × 1-minute recovery at 40% 1RM, or (f) 3 sets × MNR × 3-minute recovery at 40% 1RM. The sRPE for session A (4 ± 1) was significantly higher than session B (2.5 ± 1), despite matched tonnage. Protocols involving MNR showed no significant difference in sRPE. Work rate was the only variable to significantly relate with sRPE (r = 0.45). Additionally, sRPE at 15-minute postexercise (5 ± 2) was not different to 30-minute postexercise (5 ± 2). In resistance training with matched tonnage and rest duration between sets, sRPE increases with intensity. In sets to volitional failure, sRPE is likely to be similar, regardless of intensity or rest duration between sets.

IR sensitive photorefractive polymers, the first updateable holographic three-dimensional display

NASA Astrophysics Data System (ADS)

Tay, Savas

This work presents recent advances in the development of infra-red sensitive photorefractive polymers, and updateable near real-time holographic 3D displays based on photorefractive polymers. Theoretical and experimental techniques used for design, fabrication and characterization of photorefractive polymers are outlined. Materials development and technical advances that made possible the use of photorefractive polymers for infra-red free-space optical communications, and 3D holographic displays are presented. Photorefractive polymers are dynamic holographic materials that allow recording of highly efficient reversible holograms. The longest operation wavelength for a photorefractive polymer before this study has been 950nm, far shorter than 1550nm, the wavelength of choice for optical communications and medical imaging. The polymers shown here were sensitized using two-photon absorption, a third order nonlinear effect, beyond the linear absorption spectrum of organic dyes, and reach 40% diffraction efficiency with a 35ms response time at this wavelength. As a consequence of two-photon absorption sensitization they exhibit non-destructive readout, which is an important advantage for applications that require high signal-to-noise ratios. Holographic 3D displays provide highly realistic images without the need for special eyewear, making them valuable tools for applications that require "situational awareness" such as medical, industrial and military imaging. Current commercially available holographic 3D displays employ photopolymers that lack image updating capability, resulting in their restricted use and high cost per 3D image. The holographic 3D display shown here employs photorefractive polymers with nearly 100% diffraction efficiency and fast writing time, hours of image persistence, rapid erasure and large area, a combination of properties that has not been shown before. The 3D display is based on stereography and utilizes world's largest photorefractive devices (4x4 inch in size). It can be recorded within a few minutes, viewed for several hours without the need for refreshing and can be completely erased and updated with new images when desired, thusly comprising the first updateable holographic 3D display with memory, suitable for practical use.

Center Products - National Site for the Regional IPM Centers

Science.gov Websites

IPM eAcademy Impact Assessment Toolkit United States Department of Agriculture - National Institute of Food and Agriculture Website managed by the Southern IPM Center. Design adapted from work by the Agriculture. Last update: March 12, 2014.

Home - National Site for the Regional IPM Centers

Science.gov Websites

Region Northeastern Region Southern Region Western Region United States Department of Agriculture - National Institute of Food and Agriculture Website managed by the Southern IPM Center. Design adapted from of Food and Agriculture. Last update: May 19, 2016.

15 CFR 90.1 - Scope and applicability.

Code of Federal Regulations, 2014 CFR

2014-01-01

... CENSUS, DEPARTMENT OF COMMERCE PROCEDURE FOR CHALLENGING POPULATION ESTIMATES § 90.1 Scope and... number of people residing in states and their governmental units. In general, these estimates are developed by updating the population counts produced in the most recent decennial census with demographic...

75 FR 969 - Sunshine Act Notice

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-07

... COMMISSION ON CIVIL RIGHTS Sunshine Act Notice AGENCY: United States Commission on Civil Rights... Agenda II. Program Planning Approval of Briefing Report on the Impact of Illegal Immigration on the Wages... Commission Clearinghouse Project Update on Status of the 2010 Enforcement Report Consideration of Reporting...

U.S. international travel and transportation trends : 2006 update

DOT National Transportation Integrated Search

2006-09-01

This report presents data on international travel to and from the United States. It combines data from a variety of sources (see box) to provide a more complete picture of U.S.-international travel than is available from individual sources. This repo...

Food Service Trends--The Next Two Years and Beyond.

ERIC Educational Resources Information Center

Bowers, R. Steve

1987-01-01

Surveyed college food service trends in various geographical locations in the United States. Discusses the trends, addressing eating alternatives, program issues, flexibility in offerings, nutritional emphasis, management and training changes, concern with costs and profits, updating of physical facilities, marketing, technology, matching…

1977 Nationwide Personal Transportation Study : user's guide for the public use tapes

DOT National Transportation Integrated Search

1980-04-01

This guide presents information on the 1977 Nationwide Personal Transportation Study (NPTS). The 1977 NPTS was des igned to update the earlier study done in 1969 to provide comprehensive data on travel and transportation patterns in the United States...

75 FR 58350 - Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-24

... UNITED STATES ARCTIC RESEARCH COMMISSION Meeting Notice is hereby given that the U.S. Arctic... reports. (4) Discussion and presentations concerning Arctic research activities. The focus of the meeting will be reports and updates on programs and research projects affecting the Arctic. If you plan to...

USDA-ARS update

USDA-ARS?s Scientific Manuscript database

Potato research at the Red River Valley Agricultural Research Center is conducted by the Sugarbeet & Potato Research Unit at two locations: the Northern Crop Science Laboratory in Fargo, ND and the Potato Research Worksite located in East Grand Forks, MN. Research in Fargo is laboratory oriented an...

75 FR 39285 - Tennessee Valley Authority; Notice of Receipt of Updated Antitrust Information and Opportunity...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-08

... either the Web-based search (advanced search) engine or the ADAMS find tool in Citrix. Within 30 days.... To search for other related documents in ADAMS using the Watts Bar Nuclear Plant Unit 2 OL...

Smoke Mask

NASA Technical Reports Server (NTRS)

2003-01-01

Smoke inhalation injury from the noxious products of fire combustion accounts for as much as 80 percent of fire-related deaths in the United States. Many of these deaths are preventable. Smoke Mask, Inc. (SMI), of Myrtle Beach, South Carolina, is working to decrease these casualties with its line of life safety devices. The SMI personal escape hood and the Guardian Filtration System provide respiratory protection that enables people to escape from hazardous and unsafe conditions. The breathing filter technology utilized in the products is specifically designed to supply breathable air for 20 minutes. In emergencies, 20 minutes can mean the difference between life and death.

KSC-2012-4919

NASA Image and Video Library

2012-09-11

CAPE CANAVERAL, Fla. – NASA Kennedy Space Center’s Director Robert Cabana participates in a 9/11 memorial dedication in front of Fire Station 1 at Kennedy in Florida. Kennedy Fire and Rescue Services commemorated the 11th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Kennedy center-wide emergency units dispatched by Fire Control engaged in one-minute sirens, the new memorial was dedicated and the Honor Guard performed a flag-folding ceremony. Photo credit: NASA/Dimitri Gerondidakis

KSC-2012-4929

NASA Image and Video Library

2012-09-11

CAPE CANAVERAL, Fla. – At Fire Station 1 at NASA’s Kennedy Space Center in Florida, Fire and Rescue personnel salute or stand at attention during the 9/11 memorial dedication ceremony. Kennedy Fire and Rescue Services commemorated the 11th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Kennedy center-wide emergency units dispatched by Fire Control engaged in one-minute sirens, the new memorial was dedicated and the Honor Guard performed a flag-folding ceremony. Photo credit: NASA/Dimitri Gerondidakis

KSC-2012-4927

NASA Image and Video Library

2012-09-11

CAPE CANAVERAL, Fla. – At Fire Station 1 at NASA’s Kennedy Space Center in Florida, Fire and Rescue personnel pause for a moment of silence during the 9/11 memorial dedication ceremony. Kennedy Fire and Rescue Services commemorated the 11th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Kennedy center-wide emergency units dispatched by Fire Control engaged in one-minute sirens, the new memorial was dedicated and the Honor Guard performed a flag-folding ceremony. Photo credit: NASA/Dimitri Gerondidakis

KSC-2012-4920

NASA Image and Video Library

2012-09-11

CAPE CANAVERAL, Fla. – NASA Kennedy Space Center’s Fire and Rescue personnel stand at attention during a 9/11 memorial dedication ceremony in front of Fire Station 1 at Kennedy in Florida. Kennedy Fire and Rescue Services commemorated the 11th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Kennedy center-wide emergency units dispatched by Fire Control engaged in one-minute sirens, the new memorial was dedicated and the Honor Guard performed a flag-folding ceremony. Photo credit: NASA/Dimitri Gerondidakis

KSC-2012-4937

NASA Image and Video Library

2012-09-11

CAPE CANAVERAL, Fla. – At Fire Station 1 at NASA’s Kennedy Space Center in Florida, Fire and Rescue personnel gathered near the new 9/11 memorial after the dedication ceremony. Kennedy Fire and Rescue Services commemorated the 11th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Kennedy center-wide emergency units dispatched by Fire Control engaged in one-minute sirens, the new memorial was dedicated and the Honor Guard performed a flag-folding ceremony. Photo credit: NASA/Dimitri Gerondidakis

KSC-2012-4921

NASA Image and Video Library

2012-09-11

CAPE CANAVERAL, Fla. – NASA Kennedy Space Center’s Fire and Rescue personnel stand at attention during a 9/11 memorial dedication ceremony in front of Fire Station 1 at Kennedy in Florida. Kennedy Fire and Rescue Services commemorated the 11th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Kennedy center-wide emergency units dispatched by Fire Control engaged in one-minute sirens, the new memorial was dedicated and the Honor Guard performed a flag-folding ceremony. Photo credit: NASA/Dimitri Gerondidakis

KSC-2012-4931

NASA Image and Video Library

2012-09-11

CAPE CANAVERAL, Fla. – At Fire Station 1 at NASA’s Kennedy Space Center in Florida, Fire and Rescue personnel salute during the 9/11 memorial dedication ceremony. Kennedy Fire and Rescue Services commemorated the 11th anniversary of 9/11 with a ceremony that included a minute of silence at 10:28 a.m., which was the moment of collapse of the north tower of the World Trade Center. Kennedy center-wide emergency units dispatched by Fire Control engaged in one-minute sirens, the new memorial was dedicated and the Honor Guard performed a flag-folding ceremony. Photo credit: NASA/Dimitri Gerondidakis

Intra-day response of foreign exchange markets after the Tohoku-Oki earthquake

NASA Astrophysics Data System (ADS)

Nakano, Shuhei; Hirata, Yoshito; Iwayama, Koji; Aihara, Kazuyuki

2015-02-01

Although an economy is influenced by a natural disaster, the market response to the disaster during the first 24 hours is not clearly understood. Here we show that an earthquake quickly causes temporal changes in a foreign exchange market by examining the case of the Tohoku-Oki earthquake. Recurrence plots and statistical change point detection independently show that the United States dollar-Japanese yen market responded to the earthquake activity without delay and with the delay of about 2 minutes, respectively. These findings support that the efficient market hypothesis nearly holds now in the time scale of minutes.

Methods for computing water-quality loads at sites in the U.S. Geological Survey National Water Quality Network

USGS Publications Warehouse

Lee, Casey J.; Murphy, Jennifer C.; Crawford, Charles G.; Deacon, Jeffrey R.

2017-10-24

The U.S. Geological Survey publishes information on concentrations and loads of water-quality constituents at 111 sites across the United States as part of the U.S. Geological Survey National Water Quality Network (NWQN). This report details historical and updated methods for computing water-quality loads at NWQN sites. The primary updates to historical load estimation methods include (1) an adaptation to methods for computing loads to the Gulf of Mexico; (2) the inclusion of loads computed using the Weighted Regressions on Time, Discharge, and Season (WRTDS) method; and (3) the inclusion of loads computed using continuous water-quality data. Loads computed using WRTDS and continuous water-quality data are provided along with those computed using historical methods. Various aspects of method updates are evaluated in this report to help users of water-quality loading data determine which estimation methods best suit their particular application.

Capitalizing on Federal Agencies' Intentions To Protect Youth Working in Agriculture.

PubMed

Murphy, Dennis J

2017-01-01

Nearly 750,000 youth work on farms across the United States. The U.S. Department of Labor's (U.S. DOL) Fair Labor Standards Act (FLSA) Hazardous Occupations Orders for Agriculture (HOOA) applies to approximately 37% of these youth. The HOOA regulations had not been updated since their inception in the late 1960s and the early 1970s. An attempt by U.S. DOL to update the regulations in 2011 was met with fierce opposition by the agricultural community, and the proposed updated regulations were withdrawn. One impactful outcome of these two events was a rededication by USDA and the farm community to address agricultural youth farm safety through education rather than through regulation. An agriculturally based National Steering Committee has developed consensus Belief Statements and Guiding Principles to proactively influence agricultural youth safety. In this case, USDA was clearly a 'sphere of influence' for youth agricultural safety.

Tuberculosis epidemiology, diagnosis and infection control recommendations for dental settings: an update on the Centers for Disease Control and Prevention guidelines.

PubMed

Cleveland, Jennifer L; Robison, Valerie A; Panlilio, Adelisa L

2009-09-01

Although rates of tuberculosis (TB) in the United States have decreased in recent years, disparities in TB incidence still exist between U.S.-born and foreign-born people (people living in the United States but born outside it) and between white people and nonwhite people. In addition, the number of TB outbreaks among health care personnel and patients has decreased since the implementation of the 1994 Centers for Disease Control and Prevention (CDC) guidelines to prevent transmission of Mycobacterium tuberculosis. In this article, the authors provide updates on the epidemiology of TB, advances in TB diagnostic methods and TB infection control guidelines for dental settings. In 2008, 83 percent of all reported TB cases in the United States occurred in nonwhite people and 17 percent occurred in white people. Foreign-born people had a TB rate about 10 times higher than that of U.S.-born people. New blood assays for M. tuberculosis have been developed to diagnose TB infection and disease. Changes from the 1994 CDC guidelines incorporated into CDC's "Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005" include revised risk classifications, new TB diagnostic methods, decreased frequencies of tuberculin skin testing in various settings and changes in terminology. Although the principles of TB infection control have remained the same, the changing epidemiology of TB and the advent of new diagnostic methods for TB led to the development of the 2005 update to the 1994 guidelines. Dental health care personnel should be aware of the modifications that are pertinent to dental settings and incorporate them into their overall infection control programs.

Low minute ventilation episodes during anesthesia recovery following intraperitoneal surgery as detected by a non-invasive respiratory volume monitor.

PubMed

Cavalcante, Alexandre N; Martin, Yvette N; Sprung, Juraj; Imsirovic, Jasmin; Weingarten, Toby N

2017-12-20

An electrical impedance-based noninvasive respiratory volume monitor (RVM) accurately reports minute volume, tidal volume and respiratory rate. Here we used the RVM to quantify the occurrence of and evaluate the ability of clinical factors to predict respiratory depression in the post-anesthesia care unit (PACU). RVM generated respiratory data were collected from spontaneously breathing patients following intraperitoneal surgeries under general anesthesia admitted to the PACU. Respiratory depression was defined as low minute ventilation episode (LMVe, < 40% predicted minute ventilation for at least 2 min). We evaluated for associations between clinical variables including minute ventilation prior to opioid administration and LMVe following the first PACU administration of opioid. Also assessed was a low respiratory rate (< 8 breaths per minute) as a proxy for LMVe. Of 107 patients, 38 (36%) had LMVe. Affected patients had greater intraoperative opioid dose, P = 0.05. PACU opioids were administered to 45 (42.1%) subjects, of which 27 (25.2%) had LMVe (P = 0.42) within 30 min following opioid. Pre-opioid minute ventilation < 70% of predicted normal value was associated with LMVe, P < 0.01, (sensitivity = 100%, specificity = 81%).Low respiratory rate was a poor predictor of LMVe (sensitivity = 11.8%). Other clinical variables (e.g., obstructive sleep apnea) were not found to be predictors of LMVe. Using RVM we identified that mild, clinically nondetectable, respiratory depression prior to opioid administration in the PACU was associated with the development of substantial subsequent respiratory depression during the PACU stay.

Does transitioning from computed radiography (CR) to direct radiography (DR) with portable imaging systems affect workflow efficiency?

NASA Astrophysics Data System (ADS)

Gali, Raja L.; Roth, Christopher G.; Smith, Elizabeth; Dave, Jaydev K.

2018-03-01

In digital radiography, computed radiography (CR) technology is based on latent image capture by storage phosphors whereas direct radiography (DR) technology is based either on indirect conversion using a scintillator or direct conversion using a photoconductor. DR-based portable imaging systems may enhance workflow efficiency. The purpose of this work was to investigate changes in workflow efficiency at a tertiary healthcare center after transitioning from CR to DR technology for imaging with portable x-ray units. An IRB exemption was obtained. Data for all inpatient-radiographs acquired with portable x-ray units from July-2014 till June-2015 (period 1) with CR technology (AMX4 or AMX4+ portable unit from GE Healthcare, NX workstation from Agfa Healthcare for digitization), from July-2015 till June-2016 (period 2) with DR technology (Carestream DRX-Revolution x-ray units and DRX-1C image receptors) and from July-2016 till January-2017 (period 3; same DR technology) were extracted using Centricity RIS-IC (GE Healthcare). Duration between the imaging-examination scheduled time and completed time (timesch-com) was calculated and compared using non-parametric tests (between the three time periods with corrections for multiple comparisons; three time periods were used to identify if there were any other potential temporal trends not related to transitioning from CR to DR). IBM's SPSS package was used for statistical analysis. Overall data was obtained from 33131, 32194, and 18015 cases in periods 1, 2 and 3, respectively. Independent-Samples Kruskal-Wallis test revealed a statistically significant difference in timesch-com across the three time periods (χ2(2, n= 83,340) = 2053, p < 0.001). The timesch-com was highest for period 1 i.e., radiographs acquired with CR technology (median: 64 minutes) and it decreased significantly for radiographs acquired with DR technology in periods 2 (median: 49 minutes; p < 0.001) and 3 (median∶ 44 minutes; p < 0.001). Overall, adoption of DR technology resulted in a drop in timesch-com by 27% relative to the use of CR technology. Transitioning from CR to DR was associated with improved workflow efficiency for radiographic imaging with portable x-ray units.

Update: Influenza Activity - United States, October 2-December 17, 2016.

PubMed

Shang, Mei; Blanton, Lenee; Kniss, Krista; Mustaquim, Desiree; Alabi, Noreen; Barnes, Stephen; Budd, Alicia; Davlin, Stacy L; Kramer, Natalie; Garg, Shikha; Cummings, Charisse N; Flannery, Brendan; Fry, Alicia M; Grohskopf, Lisa A; Olsen, Sonja J; Bresee, Joseph; Sessions, Wendy; Garten, Rebecca; Xu, Xiyan; Elal, Anwar Isa Abd; Gubareva, Larisa; Barnes, John; Wentworth, David E; Burns, Erin; Katz, Jacqueline; Jernigan, Daniel; Brammer, Lynnette

2016-12-30

This report summarizes U.S. influenza activity * during October 2-December 17, 2016. † Influenza activity in the United States remained low in October and has been slowly increasing since November. Influenza A viruses were identified most frequently, with influenza A (H3N2) viruses predominating. Most influenza viruses characterized during this period were genetically or antigenically similar to the reference viruses representing vaccine components recommended for production in the 2016-17 Northern Hemisphere influenza vaccines.