A simulation model to estimate cost-offsets for a disease-management program for chronic kidney disease.

PubMed

Gandjour, Afschin; Tschulena, Ulrich; Steppan, Sonja; Gatti, Emanuele

2015-04-01

The aim of this paper is to develop a simulation model that analyzes cost-offsets of a hypothetical disease management program (DMP) for patients with chronic kidney disease (CKD) in Germany compared to no such program. A lifetime Markov model with simulated 65-year-old patients with CKD was developed using published data on costs and health status and simulating the progression to end-stage renal disease (ESRD), cardiovascular disease and death. A statutory health insurance perspective was adopted. This modeling study shows considerable potential for cost-offsets from a DMP for patients with CKD. The potential for cost-offsets increases with relative risk reduction by the DMP and baseline glomerular filtration rate. Results are most sensitive to the cost of dialysis treatment. This paper presents a general 'prototype' simulation model for the prevention of ESRD. The model allows for further modification and adaptation in future applications.

Reducing the cesarean delivery rates for breech presentations: administration of spinal anesthesia facilitates manipulation to cephalic presentation, but is it cost saving?

PubMed Central

2014-01-01

Background External cephalic version (ECV) is infrequently performed and 98% of breech presenting fetuses are delivered surgically. Neuraxial analgesia can increase the success rate of ECV significantly, potentially reducing cesarean delivery rates for breech presentation. The current study aims to determine whether the additional cost to the hospital of spinal anesthesia for ECV is offset by cost savings generated by reduced cesarean delivery. Methods In our tertiary hospital, three variables manpower, disposables, and fixed costs were calculated for ECV, ECV plus anesthetic doses of spinal block, vaginal delivery and cesarean delivery. Total procedure costs were compared for possible delivery pathways. Manpower data were obtained from management payroll, fixed costs by calculating cost/lifetime usage rate and disposables were micro-costed in 2008, expressed in 2013 NIS. Results Cesarean delivery is the most expensive option, 11670.54 NIS and vaginal delivery following successful ECV under spinal block costs 5497.2 NIS. ECV alone costs 960.21 NIS, ECV plus spinal anesthesia costs 1386.97 NIS. The highest individual cost items for vaginal, cesarean delivery and ECV were for manpower. Expensive fixed costs for cesarean delivery included operating room trays and postnatal hospitalization (minimum 3 days). ECV with spinal block is cheaper due to lower expected cesarean delivery rate and its lower associated costs. Conclusions The additional cost of the spinal anesthesia is offset by increased success rates for the ECV procedure resulting in reduction in the cesarean delivery rate. PMID:24564984

Improving the performance of membrane bioreactors by powdered activated carbon dosing with cost considerations.

PubMed

Yang, W; Paetkau, M; Cicek, N

2010-01-01

Effects of powdered activated carbon (PAC) dosing on the overall performance of membrane bioreactors (MBR) were investigated in two bench-scale submerged MBRs. Positive impacts of PAC dosing on membrane fouling and the removal of 17beta-estradiol (E2) and 17alpha-ethyinylestradiol (EE2) were demonstrated over a six-month stable operational period. PAC dosing in the MBR increased the removal rates of E2 and EE2 by 3.4% and 15.8%, respectively. The average soluble extracellular polymeric substances (EPS) and colloidal total organic carbon (TOC) concentrations in the PAC-MBR sludge was 60.1% and 61.8% lower than the control MBR sludge, respectively. Lower soluble EPS and colloidal TOC concentrations in the PAC-MBR sludge resulted in a slower rate of trans-membrane pressure (TMP) increase during MBRs operation, which could prolong the lifespan of membranes. Cost assessment showed that PAC dosing could reduce the operating cost for membrane cleaning and/or membrane replacement by about 25%. The operating cost for PAC dosing could be offset by the benefit from its reducing the cost for membrane maintenance.

Mask manufacturing improvement through capability definition and bottleneck line management

NASA Astrophysics Data System (ADS)

Strott, Al

1994-02-01

In 1989, Intel's internal mask operation limited itself to research and development activities and re-inspection and pellicle application of externally manufactured masks. Recognizing the rising capital cost of mask manufacturing at the leading edge, Intel's Mask Operation management decided to offset some of these costs by manufacturing more masks internally. This was the beginning of the challenge they set to manufacture at least 50% of Intel's mask volume internally, at world class performance levels. The first step in responding to this challenge was the completion of a comprehensive operation capability analysis. A series of bottleneck improvements by focus teams resulted in an average cycle time improvement to less than five days on all product and less than two days on critical products.

Application of advanced technologies to derivatives of current small transport aircraft

NASA Technical Reports Server (NTRS)

Renze, P. P.; Terry, J. E.

1981-01-01

Mission requirements of the derivative design were the same as the baseline to readily identify the advanced technology benefits achieved. Advanced technologies investigated were in the areas of propulsion, structures and aerodynamics and a direct operating cost benefit analysis conducted to identify the most promising. Engine improvements appear most promising and combined with propeller, airfoil, surface coating and composite advanced technologies give a 21-25 percent DOC savings. A 17 percent higher acquisition cost is offset by a 34 percent savings in fuel used.

77 FR 54355 - Amendments to Commodity Pool Operator and Commodity Trading Advisor Regulations Resulting From...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-05

... forex transaction, offset), exercised, expired (including, in the case of a retail forex transaction... activity (including retail forex and swap transactions) expected to be engaged in by the offered pool. (h...) Any costs or fees included in the spread between bid and asked prices for retail forex or, if known...

Development of advanced high temperature in-cylinder components and tribological systems for low heat rejection diesel engines, phase 1

NASA Astrophysics Data System (ADS)

Kroeger, C. A.; Larson, H. J.

1992-03-01

Analysis and concept design work completed in Phase 1 have identified a low heat rejection engine configuration with the potential to meet the Heavy Duty Transport Technology program specific fuel consumption goal of 152 g/kW-hr. The proposed engine configuration incorporates low heat rejection, in-cylinder components designed for operation at 24 MPa peak cylinder pressure. Water cooling is eliminated by selective oil cooling of the components. A high temperature lubricant will be required due to increased in-cylinder operating temperatures. A two-stage turbocharger air system with intercooling and aftercooling was selected to meet engine boost and BMEP requirements. A turbocompound turbine stage is incorporated for exhaust energy recovery. The concept engine cost was estimated to be 43 percent higher compared to a Caterpillar 3176 engine. The higher initial engine cost is predicted to be offset by reduced operating costs due the lower fuel consumption.

Development of advanced high temperature in-cylinder components and tribological systems for low heat rejection diesel engines, phase 1

NASA Technical Reports Server (NTRS)

Kroeger, C. A.; Larson, H. J.

1992-01-01

Analysis and concept design work completed in Phase 1 have identified a low heat rejection engine configuration with the potential to meet the Heavy Duty Transport Technology program specific fuel consumption goal of 152 g/kW-hr. The proposed engine configuration incorporates low heat rejection, in-cylinder components designed for operation at 24 MPa peak cylinder pressure. Water cooling is eliminated by selective oil cooling of the components. A high temperature lubricant will be required due to increased in-cylinder operating temperatures. A two-stage turbocharger air system with intercooling and aftercooling was selected to meet engine boost and BMEP requirements. A turbocompound turbine stage is incorporated for exhaust energy recovery. The concept engine cost was estimated to be 43 percent higher compared to a Caterpillar 3176 engine. The higher initial engine cost is predicted to be offset by reduced operating costs due the lower fuel consumption.

7 CFR 400.129 - Salary offset.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 6 2010-01-01 2010-01-01 false Salary offset. 400.129 Section 400.129 Agriculture... Years § 400.129 Salary offset. (a) Debt collection by salary offset is feasible if: the cost to the Government of collection by salary offset does not exceed the amount of the debt; there are no legal...

New generation cut-and-seal devices in oral and oropharyngeal cancer resection: clinical and cost-effectiveness study.

PubMed

Tirelli, G; Del Piero, G C; Valentinuz, G; Monte, A; Gatto, A; Rebelli, A; Quatela, E

2018-04-01

To evaluate the clinical efficacy and cost-effectiveness of ultrasonic shears and the electrothermal bipolar vessel sealing system, in comparison to the traditional cold knife and bipolar forceps, in oral and oropharyngeal cancer surgery. Patients who underwent oral or oropharyngeal cancer resection and neck dissection with either ultrasonic shears (n = 36) or electrothermal bipolar vessel sealing (n = 32) were enrolled. Surgical time, intra-operative bleeding, blood drainage, post-operative pain, neck oedema, complications and hospitalisation duration were compared to those of an historical cohort of 36 patients treated using a cold knife and bipolar forceps. Additionally, a cost-effectiveness evaluation was performed. Ultrasonic shears and, in particular, electrothermal bipolar vessel sealing, were advantageous compared to the traditional techniques. The cost of ultrasonic shears and electrothermal bipolar vessel sealing was completely offset by declining time-driven costs for the surgical team and operating theatre. Ultrasonic shears and, in particular, electrothermal bipolar vessel sealing, are more advantageous compared to the traditional techniques, from both a clinical and economic point of view.

Cost analysis of impacts of climate change on regional air quality.

PubMed

Liao, Kuo-Jen; Tagaris, Efthimios; Russell, Armistead G; Amar, Praveen; He, Shan; Manomaiphiboon, Kasemsan; Woo, Jung-Hun

2010-02-01

Climate change has been predicted to adversely impact regional air quality with resulting health effects. Here a regional air quality model and a technology analysis tool are used to assess the additional emission reductions required and associated costs to offset impacts of climate change on air quality. Analysis is done for six regions and five major cities in the continental United States. Future climate is taken from a global climate model simulation for 2049-2051 using the Intergovernmental Panel on Climate Change (IPCC) A1B emission scenario, and emission inventories are the same as current ones to assess impacts of climate change alone on air quality and control expenses. On the basis of the IPCC A1B emission scenario and current control technologies, least-cost sets of emission reductions for simultaneously offsetting impacts of climate change on regionally averaged 4th highest daily maximum 8-hr average ozone and yearly averaged PM2.5 (particulate matter [PM] with an aerodynamic diameter less than 2.5 microm) for the six regions examined are predicted to range from $36 million (1999$) yr(-1) in the Southeast to $5.5 billion yr(-1) in the Northeast. However, control costs to offset climate-related pollutant increases in urban areas can be greater than the regional costs because of the locally exacerbated ozone levels. An annual cost of $4.1 billion is required for offsetting climate-induced air quality impairment in 2049-2051 in the five cities alone. Overall, an annual cost of $9.3 billion is estimated for offsetting climate change impacts on air quality for the six regions and five cities examined. Much of the additional expense is to reduce increased levels of ozone. Additional control costs for offsetting the impacts everywhere in the United States could be larger than the estimates in this study. This study shows that additional emission controls and associated costs for offsetting climate impacts could significantly increase currently estimated control requirements and should be considered in developing control strategies for achieving air quality targets in the future.

Relationship between implant use, operative time, and costs associated with distal biceps tendon reattachment.

PubMed

Grant, John A; Bissell, Benjamin; Hake, Mark E; Miller, Bruce S; Hughes, Richard E; Carpenter, James E

2012-11-01

The suture anchor and transosseous drill hole techniques for reattachment of the distal biceps tendon to the radius have been found to have similar clinical and biomechanical outcomes. However, a comparison of the cost effectiveness of these techniques is lacking. The purpose of this study was to determine whether the use of suture anchors decreases operative time enough to offset the additional cost of the implants. The records of all patients undergoing a distal biceps tendon reattachment were reviewed to determine the method of fixation, operative time, and associated surgical costs. Two surgeons used a technique of fixing the tendon directly to the bone (transosseous group), whereas 3 surgeons used suture anchors. Given the standard nature of the surgical procedure (other than the fixation technique), only the costs that differed between the 2 groups were included. Surgical center costs were obtained from the local outpatient surgical center in 2011 US dollars. Five surgeons treated 70 men (mean age, 45.9±9.2 years). Mean time from injury to surgery was 14 days. Mean operative times for the transosseous and suture anchor groups were 97.6±14.9 and 95.8±25.8 minutes, respectively (P=.74). Two anchors were used in 79% of the anchor cases. The use of anchors cost $474.33 more per patient. However, this value is sensitive to the cost of the individual anchors, intersurgeon variation in operative time, and per-minute value of saved operative time. No operative time was saved with the use of suture anchors. This cost comparison framework can be used to evaluate the balance in surgical resource use due to implant cost vs savings in operative time. Copyright 2012, SLACK Incorporated.

5 CFR 831.1306 - Collection by administrative offset.

Code of Federal Regulations, 2010 CFR

2010-01-01

... provided in 5 U.S.C. 2415, the Director or his designee will determine the cost effectiveness of leaving a... debt; the cost of collection; and the likelihood of recovering the debt. (2) Salary offset. When the...

Scavengers: A behind-the-scenes recycling battle

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

Goff, J.A.

Though it may not garner a spotlight as the number-one issue facing the recycling industry, the theft of recyclables is a subtle and elusive vexation that is costing haulers and recyclers thousands of dollars each year. Scavenging is not a new dilemma for the industry. But aside from an occasional seminar on the topic, not much attention has been devoted to the problem, despite the fact that poaching deprives curbside programs of revenues that help offset operating costs. In some locations, losses due to scavenging have sabotaged the efficacy of curbside recycling as a whole.

Cap-and-trade policy: The influence on investments in carbon dioxide reducing technologies in Indiana

NASA Astrophysics Data System (ADS)

Fahie, Monique

With most of the energy produced in the state of Indiana coming from coal, the implementation of policy instruments such as cap-and-trade, which is included in the most recent climate bill, will have significant effects. This thesis provides an analysis of the effects that a cap-and-trade policy might have on the investment decisions for alternative technologies in the power plant sector in Indiana. Two economic models of representative coal-fired power plants, Gallagher (600MW) and Rockport (2600MW), are selected and used to evaluate the repowering decision of a plant for several technologies: integrated gasification combined cycle (IGCC), wind farm combined with natural gas combined cycle (NGCC) and supercritical pulverized coal (SCPC). The firm will make its decisions based on the net present value (NPV) of cost estimates for these CO2 reducing technologies, the cost of purchasing offsets and CO 2 allowances. This model is applied to a base case and three American Clean Energy and Security Act of 2009 cases derived from the Energy Information Administration (EIA, 2009b). A sensitivity analysis is done on the discount rate and capital costs. The results of the study indicate that a SCPC plant without carbon capture and storage (CCS) is the least costly compliance option for both plants under all of the cases while retrofitting the existing plant with CCS is the most expensive. Gallagher's three least expensive options across most scenarios were SCPC without CCS, the operation of the existing plant as is and investment in wind plus NGCC. Rockport's three least expensive compliance options across most scenarios were SCPC without CCS, the operation of the existing plant as is and IGCC without CCS. For both plants, when a 12% discount rate is utilized, NPV of costs are generally lower and the operation of the existing plant technology with the aid of allowances and offsets to be in compliance is the cheapest option. If capital costs were to decrease by 30%, a SCPC without CCS would remain the least costly option to invest in for both plants, but if costs were to increase by 30% operating the existing plant as is becomes the least pricey option.

Event and Cost Offsets of Switching 20% of the Type 1 Diabetes Population in Germany From Multiple Daily Injections to Continuous Subcutaneous Insulin Infusion: A 4-Year Simulation Model.

PubMed

Zöllner, York Francis; Ziegler, Ralph; Stüve, Magnus; Krumreich, Julia; Schauf, Marion

2016-09-01

Most patients with type 1 diabetes (T1D) administer insulin by multiple daily injections (MDI). However, continuous subcutaneous insulin infusion (CSII) therapy has been shown to improve glycemic control compared with MDI. The objective was to determine the key medical event and cost offsets generated over a 4-year period by introducing CSII to T1D patients who have inadequately controlled glucose metabolism on MDI in Germany. A decision-analytic budget impact model, simulating a treatment switch scenario, was developed. In the base case, all T1D patients received MDI, while in the switch scenario, 20% of the eligible T1D population, randomly selected, moved to CSII. The model focused on 2 medical endpoints and their corresponding cost offsets: severe hypoglycemic events requiring hospitalization (SHEH) and complication-borne diabetic events (CDEs) avoided. Event rates and costs were taken from the literature and official sources, adopting a health insurance perspective. Compared with the base case, treating 20% of patients with CSII in the switch scenario resulted in 47 864 fewer SHEH and 5543 fewer CDEs. This led to total cost offsets of €183 085 281 within the 4-year time horizon. Of these, 92% were driven by avoided SHEH. Compared to an expected budget impact (cost increase) of 83%, only treatment costs considered, the total impact of the switch scenario amounted merely to a 24.5% increase in costs (reduction by 58.5% points; a factor of 3.4). The use of CSII resulted in fewer SHEH and CDEs compared to MDI. The incurred CSII implementation costs are hence offset to a substantial degree by cost savings in complication treatment. © 2016 Diabetes Technology Society.

Recent Darrieus vertical axis wind turbine aerodynamical experiments at Sandia National Laboratories

NASA Technical Reports Server (NTRS)

Klimas, P. C.

1981-01-01

Experiments contributing to the understanding of the aerodynamics of airfoils operating in the vertical axis wind turbine (VAWT) environment are described. These experiments are ultimately intended to reduce VAWT cost of energy and increase system reliability. They include chordwise pressure surveys, circumferential blade acceleration surveys, effects of blade camber, pitch and offset, blade blowing, and use of sections designed specifically for VAWT application.

Housing First Impact on Costs and Associated Cost Offsets: A Review of the Literature

PubMed Central

Ly, Angela; Latimer, Eric

2015-01-01

Objective: Housing First (HF) programs for people who are chronically or episodically homeless, combining rapid access to permanent housing with community-based, integrated treatment, rehabilitation and support services, are rapidly expanding in North America and Europe. Overall costs of services use by homeless people can be considerable, suggesting the potential for significant cost offsets with HF programs. Our purpose was to provide an updated literature review, from 2007 to the present, focusing specifically on the cost offsets of HF programs. Method: A systematic review was performed on MEDLINE and PsycINFO as well as Google and the Homeless Hub for grey literature. Study characteristics and key findings were extracted from identified studies. Where available, impact on service cost associated with HF (increase or decrease) and net impact on overall costs, taking into account the cost of HF intervention, were noted. Results: Twelve published studies (4 randomized studies and 8 quasi-experimental) and 22 unpublished studies were retained. Shelter and emergency department costs decreased with HF, while impacts on hospitalization and justice costs are more ambiguous. Studies using a pre–post design reported a net decrease in overall costs with HF. In contrast, experimental studies reported a net increase in overall costs with HF. Conclusions: While our review casts doubt on whether HF programs can be expected to pay for themselves, the certainty of significant cost offsets, combined with their benefits for participants, means that they represent a more efficient allocation of resources than traditional services. PMID:26720505

Cost-offsets of prescription drug expenditures: data analysis via a copula-based bivariate dynamic hurdle model.

PubMed

Deb, Partha; Trivedi, Pravin K; Zimmer, David M

2014-10-01

In this paper, we estimate a copula-based bivariate dynamic hurdle model of prescription drug and nondrug expenditures to test the cost-offset hypothesis, which posits that increased expenditures on prescription drugs are offset by reductions in other nondrug expenditures. We apply the proposed methodology to data from the Medical Expenditure Panel Survey, which have the following features: (i) the observed bivariate outcomes are a mixture of zeros and continuously measured positives; (ii) both the zero and positive outcomes show state dependence and inter-temporal interdependence; and (iii) the zeros and the positives display contemporaneous association. The point mass at zero is accommodated using a hurdle or a two-part approach. The copula-based approach to generating joint distributions is appealing because the contemporaneous association involves asymmetric dependence. The paper studies samples categorized by four health conditions: arthritis, diabetes, heart disease, and mental illness. There is evidence of greater than dollar-for-dollar cost-offsets of expenditures on prescribed drugs for relatively low levels of spending on drugs and less than dollar-for-dollar cost-offsets at higher levels of drug expenditures. Copyright © 2013 John Wiley & Sons, Ltd.

Comparing post-combustion CO2 capture operation at retrofitted coal-fired power plants in the Texas and Great Britain electric grids

NASA Astrophysics Data System (ADS)

Cohen, Stuart M.; Chalmers, Hannah L.; Webber, Michael E.; King, Carey W.

2011-04-01

This work analyses the carbon dioxide (CO2) capture system operation within the Electric Reliability Council of Texas (ERCOT) and Great Britain (GB) electric grids using a previously developed first-order hourly electricity dispatch and pricing model. The grids are compared in their 2006 configuration with the addition of coal-based CO2 capture retrofits and emissions penalties from 0 to 100 US dollars per metric ton of CO2 (USD/tCO2). CO2 capture flexibility is investigated by comparing inflexible CO2 capture systems to flexible ones that can choose between full- and zero-load CO2 capture depending on which operating mode has lower costs or higher profits. Comparing these two grids is interesting because they have similar installed capacity and peak demand, and both are isolated electricity systems with competitive wholesale electricity markets. However, differences in capacity mix, demand patterns, and fuel markets produce diverging behaviours of CO2 capture at coal-fired power plants. Coal-fired facilities are primarily base load in ERCOT for a large range of CO2 prices but are comparably later in the dispatch order in GB and consequently often supply intermediate load. As a result, the ability to capture CO2 is more important for ensuring dispatch of coal-fired facilities in GB than in ERCOT when CO2 prices are high. In GB, higher overall coal prices mean that CO2 prices must be slightly higher than in ERCOT before the emissions savings of CO2 capture offset capture energy costs. However, once CO2 capture is economical, operating CO2 capture on half the coal fleet in each grid achieves greater emissions reductions in GB because the total coal-based capacity is 6 GW greater than in ERCOT. The market characteristics studied suggest greater opportunity for flexible CO2 capture to improve operating profits in ERCOT, but profit improvements can be offset by a flexibility cost penalty.

Implementation of Hospital Computerized Physician Order Entry Systems in a Rural State: Feasibility and Financial Impact

PubMed Central

Ohsfeldt, Robert L.; Ward, Marcia M.; Schneider, John E.; Jaana, Mirou; Miller, Thomas R.; Lei, Yang; Wakefield, Douglas S.

2005-01-01

Objective The aim of this study was to estimate the costs of implementing computerized physician order entry (CPOE) systems in hospitals in a rural state and to evaluate the financial implications of statewide CPOE implementation. Methods A simulation model was constructed using estimates of initial and ongoing CPOE costs mapped onto all general hospitals in Iowa by bed quantity and current clinical information system (CIS) status. CPOE cost estimates were obtained from a leading CPOE vendor. Current CIS status was determined through mail survey of Iowa hospitals. Patient care revenue and operating cost data published by the Iowa Hospital Association were used to simulate the financial impact of CPOE adoption on hospitals. Results CPOE implementation would dramatically increase operating costs for rural and critical access hospitals in the absence of substantial costs savings associated with improved efficiency or improved patient safety. For urban and rural referral hospitals, the cost impact is less dramatic but still substantial. However, relatively modest benefits in the form of patient care cost savings or revenue enhancement would be sufficient to offset CPOE costs for these larger hospitals. Conclusion Implementation of CPOE in rural or critical access hospitals may depend on net increase in operating costs. Adoption of CPOE may be financially infeasible for these small hospitals in the absence of increases in hospital payments or ongoing subsidies from third parties. PMID:15492033

Timestamp Offset Determination Between AN Actuated Laser Scanner and its Corresponding Motor

NASA Astrophysics Data System (ADS)

Voges, R.; Wieghardt, C. S.; Wagner, B.

2017-05-01

Motor actuated 2D laser scanners are key sensors for many robotics applications that need wide ranging but low cost 3D data. There exist many approaches on how to build a 3D laser scanner using this technique, but they often lack proper synchronization for the timestamps of the actuator and the laser scanner. However, to transform the measurement points into three-dimensional space an appropriate synchronization is mandatory. Thus, we propose two different approaches to accomplish the goal of calculating timestamp offsets between laser scanner and motor prior to and after data acquisition. Both approaches use parts of a SLAM algorithm but apply different criteria to find an appropriate solution. While the approach for offset calculation prior to data acquisition exploits the fact that the SLAM algorithm should not register motion for a stationary system, the approach for offset calculation after data acquisition evaluates the perceived clarity of a point cloud created by the SLAM algorithm. Our experiments show that both approaches yield the same results although operating independently on different data, which demonstrates that the results reflect reality with a high probability. Furthermore, our experiments exhibit the significance of a proper synchronization between laser scanner and actuator.

Enhancement of capacitance benefit by drain offset structure in tunnel field-effect transistor circuit speed associated with tunneling probability increase

NASA Astrophysics Data System (ADS)

Asai, Hidehiro; Mori, Takahiro; Matsukawa, Takashi; Hattori, Junichi; Endo, Kazuhiko; Fukuda, Koichi

2018-04-01

The effect of a drain offset structure on the operation speed of a tunnel field-effect transistor (TFET) ring oscillator is investigated by technology computer-aided design (TCAD) simulation. We demonstrate that the reduction of gate-drain capacitance by the drain offset structure dramatically increases the operation speed of the ring oscillators. Interestingly, we find that this capacitance benefit to operation speed is enhanced by the increase in band-to-band tunneling probability. The “synergistic” speed enhancement by the drain offset structure and the tunneling rate increase will have promising application to the significant improvement of the operation speed of TFET circuits.

Social costs of expanding access to evidence-based supported employment: concepts and interpretive review of evidence.

PubMed

Salkever, David

2013-02-01

A recent policy analysis argued that expanding access to evidence-based supported employment can provide savings in major components of social costs. This article extends the scope of this policy analysis by placing the argument within a recently developed economic framework for social cost-effectiveness analysis that defines a program's social cost impact as its effect on net consumption of all goods and services. A total of 27 studies over the past two decades are reviewed to synthesize evidence of the social cost impacts of expanding access to the individual placement and support model of supported employment (IPS-SE). Most studies have focused primarily on agency costs of providing IPS-SE services, cost offsets when clients shift from "traditional" rehabilitation to IPS-SE, and impacts on clients' earnings. Because costs and cost offsets are similar in magnitude, incremental costs of expanding services to persons who would otherwise receive traditional services are probably small or even negative. The population served by an expansion could be sizable, but the feasibility of a policy targeting IPS-SE expansion in this way has yet to be demonstrated. IPS-SE has positive impacts on competitive job earnings, but these may not fully translate into social cost offsets. Additional empirical support is needed for the argument that large-scale expansion would yield substantial mental health treatment cost offsets. Other gaps in evidence of policy impacts include take-up rate estimates, cost impact estimates from longer-term studies (exceeding two years), and longer-term studies of whether IPS-SE prevents younger clients from becoming recipients of Supplemental Security Income or Social Security Disability Insurance

Hospitalization Cost Offset of a Hostility Intervention for Coronary Heart Disease Patients

ERIC Educational Resources Information Center

Davidson, Karina W.; Gidron, Yori; Mostofsky, Elizabeth; Trudeau, Kimberlee J.

2007-01-01

The authors evaluated hospitalization cost offset of hostility management group therapy for patients with coronary heart disease (CHD) from a previously published randomized controlled trial (Y. Gidron, K. Davidson, & I. Bata, 1999). Twenty-six male patients with myocardial infarction or unstable angina were randomized to either 2 months of…

Extending cost–benefit analysis for the sustainability impact of inter-urban Intelligent Transport Systems

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

Kolosz, Ben, E-mail: kolosz27@gmail.com; Grant-Muller, Susan, E-mail: S.M.Grant-Muller@its.leeds.ac.uk

The paper reports research involving three cost–benefit analyses performed on different ITS schemes (Active Traffic Management, Intelligent Speed Adaptation and the Automated Highway System) on one of the UK's busiest highways — the M42. The environmental scope of the assets involved is widened to take into account the possibility of new technology linked by ICT and located within multiple spatial regions. The areas focused on in the study were data centre energy emissions, the embedded emissions of the road-side infrastructure, vehicle tailpipe emissions, additional hardware required by the vehicles (if applicable) and safety, and all aspects of sustainability. Dual discountingmore » is applied which aims to provide a separate discount rate for environmental elements. For ATM, despite the energy costs of the data centre, the initial implementation costs and mitigation costs of its embedded emissions, a high cost–benefit ratio of 5.89 is achieved, although the scheme becomes less effective later on its lifecycle due to rising costs of energy. ISA and AHS generate a negative result, mainly due to the cost of getting the vehicle on the road. In order to negate these costs, the pricing of the vehicle should be scaled depending upon the technology that is outfitted. Retrofitting on vehicles without the technology should be paid for by the driver. ATM will offset greenhouse gas emissions by 99 kt of CO{sub 2} equivalency over a 25 year lifespan. This reduction has taken into account the expected improvement in vehicle technology. AHS is anticipated to save 280 kt of CO{sub 2} equivalency over 15 years of operational usage. However, this offset is largely dependent on assumptions such as the level of market penetration. - Highlights: • Three cost–benefit analyses are applied to inter-urban intelligent transport. • For ATM, a high cost–benefit ratio of 5.89 is achieved. • ATM offsets greenhouse gas emissions by 99 kt of CO{sub 2} equivalency over 25 years. • ISA and AHS generate a negative result due to vehicle implementation costs. • AHS is anticipated to save 280 kt of CO{sub 2} equivalency over 15 years.« less

Analysis and Forecasting of Operating and Support Costs for F-16 C/D

DTIC Science & Technology

2006-06-01

Wydra,” F-16 Oferta Offsetowa,” [in Polish] Wiraże, no. 3 (2003...the country spending money on purchases in the public sector. This is one method for promoting economic growth.25 All offset agreements between the...Zdzislaw Wydra, ”F-16 Oferta Offsetowa,” [in Polish] Wiraże, no. 3 (2003), http://www.czasopismawlop.mil.pl/wiraze/w_numerzew/archiwumw/3-2003/f16o.htm

Commercial Development Plan for the International Space Station

NASA Technical Reports Server (NTRS)

1998-01-01

The long term objective is to establish the foundation for a marketplace and stimulate a national economy for space products and services in low-Earth orbit, where both demand and supply are dominated by the private sector. The short term objective is to begin the transition to private investment and offset a share of the public cost for operating the space shuttle fleet and space station through commercial enterprise in open markets.

Using Vision System Technologies for Offset Approaches in Low Visibility Operations

NASA Technical Reports Server (NTRS)

Kramer, Lynda J.; Bailey, Randall E.; Ellis, Kyle K.

2015-01-01

Flight deck-based vision systems, such as Synthetic Vision Systems (SVS) and Enhanced Flight Vision Systems (EFVS), have the potential to provide additional margins of safety for aircrew performance and enable the implementation of operational improvements for low visibility surface, arrival, and departure operations in the terminal environment with equivalent efficiency to visual operations. Twelve air transport-rated crews participated in a motion-base simulation experiment to evaluate the use of SVS/EFVS in Next Generation Air Transportation System low visibility approach and landing operations at Chicago O'Hare airport. Three monochromatic, collimated head-up display (HUD) concepts (conventional HUD, SVS HUD, and EFVS HUD) and three instrument approach types (straight-in, 3-degree offset, 15-degree offset) were experimentally varied to test the efficacy of the SVS/EFVS HUD concepts for offset approach operations. The findings suggest making offset approaches in low visibility conditions with an EFVS HUD or SVS HUD appear feasible. Regardless of offset approach angle or HUD concept being flown, all approaches had comparable ILS tracking during the instrument segment and were within the lateral confines of the runway with acceptable sink rates during the visual segment of the approach. Keywords: Enhanced Flight Vision Systems; Synthetic Vision Systems; Head-up Display; NextGen

We have just begun to create efficient transport aircraft

NASA Technical Reports Server (NTRS)

Maglieri, D. J.; Dollyhigh, S. M.

1982-01-01

Factors affecting the cost-effectiveness and economics of the air transportation industry are reviewed. The delivery of more fuel-efficient aircraft and eventual total replacement in the 1990's by fleets of advanced aircraft are seen to offset rising fuel costs. Better airport operations are perceived to eliminate fuel-costly delays due to overcrowded runways, lack of available carriers, and maintenance of aircraft in holding patterns. Noise reduction research will lower the lawsuit costs from noise pollution, and the introduction of advanced turbofans for long, short, and medium range flights, advanced commuter planes, and advanced SSTs offering projected 50% increases in current aircraft efficiencies are seen to be limited only by the airlines' ability to provide purchase financing, rather than by a lack of available new technology.

Use of Low-Temperature Geothermal Energy for Desalination in the Western United States

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

Turchi, Craig S.; Akar, Sertac; Cath, Tzahi

2015-11-01

This joint project between the National Renewable Energy Laboratory and the Colorado School of Mines has examined the potential of using low-temperature geothermal resources for desalination. The temperature range in question is not well suited for electricity generation, but can be used for direct heating. Accordingly, the best integration approaches use thermal desalination technologies such as multi-effect distillation (MED) or membrane distillation (MD), rather than electric-driven technologies such as reverse osmosis (RO). The examination of different desalination technologies led to the selection of MD for pairing with geothermal energy. MD operates at near-ambient pressure and temperatures less than 100°C withmore » hydrophobic membranes. The technology is modular like RO, but the equipment costs are lower. The thermal energy demands of MD are higher than MED, but this is offset by an ability to run at lower temperatures and a low capital cost. Consequently, a geothermal-MD system could offer a low capital cost and, if paired with low-cost geothermal energy, a low operating cost. The target product water cost is $1.0 to $1.5 per cubic meter depending on system capacity and the cost of thermal energy.« less

An Exploration of the Relationship between Improvements in Energy Efficiency and Life-Cycle Energy and Carbon Emissions using the BIRDS Low-Energy Residential Database.

PubMed

Kneifel, Joshua; O'Rear, Eric; Webb, David; O'Fallon, Cheyney

2018-02-01

To conduct a more complete analysis of low-energy and net-zero energy buildings that considers both the operating and embodied energy/emissions, members of the building community look to life-cycle assessment (LCA) methods. This paper examines differences in the relative impacts of cost-optimal energy efficiency measure combinations depicting residential buildings up to and beyond net-zero energy consumption on operating and embodied flows using data from the Building Industry Reporting and Design for Sustainability (BIRDS) Low-Energy Residential Database. Results indicate that net-zero performance leads to a large increase in embodied flows (over 40%) that offsets some of the reductions in operational flows, but overall life-cycle flows are still reduced by over 60% relative to the state energy code. Overall, building designs beyond net-zero performance can partially offset embodied flows with negative operational flows by replacing traditional electricity generation with solar production, but would require an additional 8.34 kW (18.54 kW in total) of due south facing solar PV to reach net-zero total life-cycle flows. Such a system would meet over 239% of operational consumption of the most energy efficient design considered in this study and over 116% of a state code-compliant building design in its initial year of operation.

In-office vs. operating room procedures for recurrent respiratory papillomatosis.

PubMed

Miller, Anya J; Gardner, Glendon M

2017-01-01

We conducted a study to analyze hospital and patient costs, outcomes, and patient satisfaction among adults undergoing in-office and operating room procedures for the treatment of recurrent respiratory papillomatosis. Our final study population was made up of 17 patients-1 man and 16 women, aged 30 to 86 years (mean: 62). The mean number of in-office laser procedures per patient was 4.2, and the mean interval between procedures was 5.4 months (although 10 patients underwent only 1 office procedure); the mean number of operating room procedures was 13.5, and the mean interval between procedures was 14.3 months. An equal number of patients reported complications or adverse events with the two types of procedures-5 each. The difference in cost between the office procedure (mean: $3,413.00) and the operating room procedure (mean: $12,382.59) was almost $9,000, but these savings were offset by the fact that the office procedures needed to be performed three times as often. Patients reported slightly more anxiety and discomfort during the office procedures and, overall, they appeared to prefer the operating room procedure. We conclude that office procedures are significantly more cost-effective than operating room procedures, but their use may be limited by patient tolerance and the increased frequency of the procedure.

A currency for offsetting energy development impacts: horse-trading sage-grouse on the open market.

PubMed

Doherty, Kevin E; Naugle, David E; Evans, Jeffrey S

2010-04-28

Biodiversity offsets provide a mechanism to compensate for unavoidable damages from new energy development as the U.S. increases its domestic production. Proponents argue that offsets provide a partial solution for funding conservation while opponents contend the practice is flawed because offsets are negotiated without the science necessary to backup resulting decisions. Missing in negotiations is a biologically-based currency for estimating sufficiency of offsets and a framework for applying proceeds to maximize conservation benefits. Here we quantify a common currency for offsets for greater sage-grouse (Centrocercus urophasianus) by estimating number of impacted birds at 4 levels of development commonly permitted. Impacts were indiscernible at 1-12 wells per 32.2 km(2). Above this threshold lek losses were 2-5 times greater inside than outside of development and bird abundance at remaining leks declined by -32 to -77%. Findings reiterated the importance of time-lags as evidenced by greater impacts 4 years after initial development. Clustering well locations enabled a few small leks to remain active inside of developments. Documented impacts relative to development intensity can be used to forecast biological trade-offs of newly proposed or ongoing developments, and when drilling is approved, anticipated bird declines form the biological currency for negotiating offsets. Monetary costs for offsets will be determined by true conservation cost to mitigate risks such as sagebrush tillage to other populations of equal or greater number. If this information is blended with landscape level conservation planning, the mitigation hierarchy can be improved by steering planned developments away from conservation priorities, ensuring compensatory mitigation projects deliver a higher return for conservation that equate to an equal number of birds in the highest priority areas, provide on-site mitigation recommendations, and provide a biologically based cost for mitigating unavoidable impacts.

Current challenges in the recognition, prevention and treatment of perioperative pulmonary atelectasis.

PubMed

Restrepo, Ruben D; Braverman, Jane

2015-02-01

Innovations in surgery have significantly increased the number of procedures performed every year. While more individuals benefit from better surgical techniques and technology, a larger group of patients previously deemed ineligible for surgery now undergo high-complexity surgical procedures. Despite continuous improvements in the operating room and post-operative care, post-operative pulmonary complications (PPCs) continue to pose a serious threat to successful outcomes. PPCs are common, serious and costly. Growing awareness of the impact of PPCs has led to intensified efforts to understand the underlying causes. Current evidence demonstrates that a high proportion of PPCs are directly traceable to the pre-operative risk for and perioperative development of atelectasis. The substantial costs and losses associated with PPCs demand strategies to reduce their prevalence and impact. Effective interventions will almost certainly produce cost savings that significantly offset current economic and human resource expenditures. The purpose of this review is to describe the most common challenges encountered in the recognition, prevention and management of perioperative atelectasis. Expanding awareness and understanding of the role of atelectasis as a cause of PPCs can reduce their prevalence, impact important clinical outcomes and reduce the financial burden associated with treating these complications.

Passenger comfort technology for system decision making

NASA Technical Reports Server (NTRS)

Conner, D. W.

1980-01-01

Decisions requiring passenger comfort technology were shown to depend on: the relationship between comfort and other factors (e.g., cost, urgency, alternate modes) in traveler acceptance of the systems, serving a selected market require technology to quantify effects of comfort versus offsetting factors in system acceptance. Public predict the maximum percentage of travelers who willingly accept the overall comfort of any trip ride. One or the other of these technology requirements apply to decisions on system design, operation and maintenance.

Balancing Dynamic Strength of Spur Gears Operated at Extended Center Distance

NASA Technical Reports Server (NTRS)

Lin, Hsiang Hsi; Liou, Chuen-Huei; Oswald, Fred B.; Townsend, Dennis P.

1996-01-01

This paper presents an analytical study on using hob offset to balance the dynamic tooth strength of spur gears operated at a center distance greater than the standard value. This study is an extension of a static study by Mabie and others. The study was limited to the offset values that assure the pinion and gear teeth will neither be undercut nor become pointed. The analysis presented in this paper was performed using DANST-PC, a new version of the NASA gear dynamics code. The operating speed of the transmission influences the amount of hob offset required to equalize the dynamic stresses in the pinion and gear. The optimum hob offset for the pinion was found to vary within a small range as the speed changes. The optimum value is generally greater than the optimum value found by static procedures. For gears that must operate over a wide range of speeds, an average offset value may be used.

Increasing Fuel Costs Hit Hard: Districts Change Policies to Offset Rising Prices

ERIC Educational Resources Information Center

Ash, Katie

2008-01-01

This article reports that with fuel prices soaring nationwide, reaching more than $4 for each gallon of gas or diesel, school districts are struggling to supplement transportation-budget shortfalls and find ways to offset the increasing costs as a new school year approaches. Now districts--most of whose buses run on diesel fuel--are scrambling to…

Using Vision System Technologies to Enable Operational Improvements for Low Visibility Approach and Landing Operations

NASA Technical Reports Server (NTRS)

Kramer, Lynda J.; Ellis, Kyle K. E.; Bailey, Randall E.; Williams, Steven P.; Severance, Kurt; Le Vie, Lisa R.; Comstock, James R.

2014-01-01

Flight deck-based vision systems, such as Synthetic and Enhanced Vision System (SEVS) technologies, have the potential to provide additional margins of safety for aircrew performance and enable the implementation of operational improvements for low visibility surface, arrival, and departure operations in the terminal environment with equivalent efficiency to visual operations. To achieve this potential, research is required for effective technology development and implementation based upon human factors design and regulatory guidance. This research supports the introduction and use of Synthetic Vision Systems and Enhanced Flight Vision Systems (SVS/EFVS) as advanced cockpit vision technologies in Next Generation Air Transportation System (NextGen) operations. Twelve air transport-rated crews participated in a motion-base simulation experiment to evaluate the use of SVS/EFVS in NextGen low visibility approach and landing operations. Three monochromatic, collimated head-up display (HUD) concepts (conventional HUD, SVS HUD, and EFVS HUD) and two color head-down primary flight display (PFD) concepts (conventional PFD, SVS PFD) were evaluated in a simulated NextGen Chicago O'Hare terminal environment. Additionally, the instrument approach type (no offset, 3 degree offset, 15 degree offset) was experimentally varied to test the efficacy of the HUD concepts for offset approach operations. The data showed that touchdown landing performance were excellent regardless of SEVS concept or type of offset instrument approach being flown. Subjective assessments of mental workload and situation awareness indicated that making offset approaches in low visibility conditions with an EFVS HUD or SVS HUD may be feasible.

If substance use disorder treatment more than offsets its costs, why don't more medical centers want to provide it? A budget impact analysis in the Veterans Health Administration.

PubMed

Humphreys, Keith; Wagner, Todd H; Gage, Mistry

2011-10-01

Given that many studies have reported that the costs of substance use disorder (SUD) treatment are more than offset by other savings (e.g., in health care, in criminal justice, in foster care), why haven't health care system managers rushed to expand treatment? This article attempts to explain this puzzling discrepancy by analyzing 1998-2006 data from the national Veterans Affairs (VA) health care system. The main outcome measures were annual cost and utilization for VA SUD-diagnosed patients. The key independent variable was the medical centers' annual spending for SUD treatment. There was no evidence that SUD spending was associated with lower medical center costs over time within the medical center that paid for the treatment. Health care system managers may not be influenced by research suggesting that the costs of SUD treatment are more than fully offset because they bear the cost of providing treatment while the savings largely accrue to other systems. Published by Elsevier Inc.

Self-Calibration Approach for Mixed Signal Circuits in Systems-on-Chip

NASA Astrophysics Data System (ADS)

Jung, In-Seok

MOSFET scaling has served industry very well for a few decades by proving improvements in transistor performance, power, and cost. However, they require high test complexity and cost due to several issues such as limited pin count and integration of analog and digital mixed circuits. Therefore, self-calibration is an excellent and promising method to improve yield and to reduce manufacturing cost by simplifying the test complexity, because it is possible to address the process variation effects by means of self-calibration technique. Since the prior published calibration techniques were developed for a specific targeted application, it is not easy to be utilized for other applications. In order to solve the aforementioned issues, in this dissertation, several novel self-calibration design techniques in mixed-signal mode circuits are proposed for an analog to digital converter (ADC) to reduce mismatch error and improve performance. These are essential components in SOCs and the proposed self-calibration approach also compensates the process variations. The proposed novel self-calibration approach targets the successive approximation (SA) ADC. First of all, the offset error of the comparator in the SA-ADC is reduced using the proposed approach by enabling the capacitor array in the input nodes for better matching. In addition, the auxiliary capacitors for each capacitor of DAC in the SA-ADC are controlled by using synthesized digital controller to minimize the mismatch error of the DAC. Since the proposed technique is applied during foreground operation, the power overhead in SA-ADC case is minimal because the calibration circuit is deactivated during normal operation time. Another benefit of the proposed technique is that the offset voltage of the comparator is continuously adjusted for every step to decide one-bit code, because not only the inherit offset voltage of the comparator but also the mismatch of DAC are compensated simultaneously. Synthesized digital calibration control circuit operates as fore-ground mode, and the controller has been highly optimized for low power and better performance with simplified structure. In addition, in order to increase the sampling clock frequency of proposed self-calibration approach, novel variable clock period method is proposed. To achieve high speed SAR operation, a variable clock time technique is used to reduce not only peak current but also die area. The technique removes conversion time waste and extends the SAR operation speed easily. To verify and demonstrate the proposed techniques, a prototype charge-redistribution SA-ADCs with the proposed self-calibration is implemented in a 130nm standard CMOS process. The prototype circuit's silicon area is 0.0715 mm 2 and consumers 4.62mW with 1.2V power supply.

Financial Impact of Direct-Acting Oral Anticoagulants in Medicaid: Budgetary Assessment Based on Number Needed to Treat.

PubMed

Fairman, Kathleen A; Davis, Lindsay E; Kruse, Courtney R; Sclar, David A

2017-04-01

Faced with rising healthcare costs, state Medicaid programs need short-term, easily calculated budgetary estimates for new drugs, accounting for medical cost offsets due to clinical advantages. To estimate the budgetary impact of direct-acting oral anticoagulants (DOACs) compared with warfarin, an older, lower-cost vitamin K antagonist, on 12-month Medicaid expenditures for nonvalvular atrial fibrillation (NVAF) using number needed to treat (NNT). Medicaid utilization files, 2009 through second quarter 2015, were used to estimate OAC cost accounting for generic/brand statutory minimum (13/23%) and assumed maximum (13/50%) manufacturer rebates. NNTs were calculated from clinical trial reports to estimate avoided medical events for a hypothetical population of 500,000 enrollees (approximate NVAF prevalence × Medicaid enrollment) under two DOAC market share scenarios: 2015 actual and 50% increase. Medical service costs were based on published sources. Costs were inflation-adjusted (2015 US$). From 2009-2015, OAC reimbursement per claim increased by 173 and 279% under maximum and minimum rebate scenarios, respectively, while DOAC market share increased from 0 to 21%. Compared with a warfarin-only counterfactual, counts of ischemic strokes, intracranial hemorrhages, and systemic embolisms declined by 36, 280, and 111, respectively; counts of gastrointestinal hemorrhages increased by 794. Avoided events and reduced monitoring, respectively, offset 3-5% and 15-24% of increased drug cost. Net of offsets, DOAC-related cost increases were US$258-US$464 per patient per year (PPPY) in 2015 and US$309-US$579 PPPY after market share increase. Avoided medical events offset a small portion of DOAC-related drug cost increase. NNT-based calculations provide a transparent source of budgetary-impact information for new medications.

Minimally invasive mitral valve surgery is associated with equivalent cost and shorter hospital stay when compared with traditional sternotomy.

PubMed

Atluri, Pavan; Stetson, Robert L; Hung, George; Gaffey, Ann C; Szeto, Wilson Y; Acker, Michael A; Hargrove, W Clark

2016-02-01

Mitral valve surgery is increasingly performed through minimally invasive approaches. There are limited data regarding the cost of minimally invasive mitral valve surgery. Moreover, there are no data on the specific costs associated with mitral valve surgery. We undertook this study to compare the costs (total and subcomponent) of minimally invasive mitral valve surgery relative to traditional sternotomy. All isolated mitral valve repairs performed in our health system from March 2012 through September 2013 were analyzed. To ensure like sets of patients, only those patients who underwent isolated mitral valve repairs with preoperative Society of Thoracic Surgeons scores of less than 4 were included in this study. A total of 159 patients were identified (sternotomy, 68; mini, 91). Total incurred direct cost was obtained from hospital financial records. Analysis demonstrated no difference in total cost (operative and postoperative) of mitral valve repair between mini and sternotomy ($25,515 ± $7598 vs $26,049 ± $11,737; P = .74). Operative costs were higher for the mini cohort, whereas postoperative costs were significantly lower. Postoperative intensive care unit and total hospital stays were both significantly shorter for the mini cohort. There were no differences in postoperative complications or survival between groups. Minimally invasive mitral valve surgery can be performed with overall equivalent cost and shorter hospital stay relative to traditional sternotomy. There is greater operative cost associated with minimally invasive mitral valve surgery that is offset by shorter intensive care unit and hospital stays. Copyright © 2016 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

Commercial Development Plan for the International Space Station

NASA Technical Reports Server (NTRS)

1998-01-01

The long term objective of the development plan for the International Space Station (ISS) is to establish the foundation for a marketplace and stimulate a national economy for space products and services in low-Earth orbit, where both demand and supply are dominated by the private sector. The short term objective is to begin the transition to private investment and offset a share of the public cost for operating the space shuttle fleet and space station through commercial enterprise in open markets.

Centaur operations at the space station

NASA Technical Reports Server (NTRS)

Porter, J.; Thompson, W.; Bennett, F.; Holdridge, J.

1987-01-01

A study was conducted on the feasibility of using a Centaur vehicle as a testbed to demonstrate critical OTV technologies at the Space Station. Two Technology Demonstration Missions (TDMs) were identified: (1) Accommodations, and (2) Operations. The Accommodations TDM contained: (1) berthing, (2) checkout, maintenance and safing, and (3) payload integration missions. The Operations TDM contained: (1) a cryogenic propellant resupply mission, and (2) Centaur deployment activities. A modified Space Station Co-Orbiting Platform (COP) was selected as the optimum refueling and launch node due to safety and operational considerations. After completion of the TDMs, the fueled Centaur would carry out a mission to actually test deployment and help offset TDM costs. From the Station, the Centaur could carry a single payload in excess of 20,000 pounds to geosynchronous orbit or multiple payloads.

Economic impact of storage and handling regulations on retail fertilizer and pesticide firms

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

Akridge, J.T.; Rogers, D.S.

1994-12-31

A budgeting model was developed to estimate the cost of retailing dry bulk fertilizer, liquid bulk fertilizer, anhydrous ammonia, and pesticides for three sizes of facilities. Estimates were obtained of the cost to upgrade each of the model plants to comply with Indiana`s recently enacted regulations on the handling and storage of fertilizers and pesticides. In addition, various strategies (increasing price and increasing volume) that dealers might employ to rationalize these investments were assessed. Results suggest that there are significant scale economies associated with the regulations and that smaller plants will have a more difficult time rationalizing the investment thanmore » larger plants. Dealers will need to consider a range of strategies to offset the increase in annual operating costs resulting from these environmental investments.« less

Incorporating Non-energy Benefits into Energy Savings Performance Contracts

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

Larsen, Peter; Goldman, Charles; Gilligan, Donald

2012-06-01

This paper evaluates the issue of non-energy benefits within the context of the U.S. energy services company (ESCO) industry?a growing industry comprised of companies that provide energy savings and other benefits to customers through the use of performance-based contracting. Recent analysis has found that ESCO projects in the public/institutional sector, especially at K-12 schools, are using performance-based contracting, at the behest of the customers, to partially -- but not fully -- offset substantial accumulated deferred maintenance needs (e.g., asbestos removal, wiring) and measures that have very long paybacks (roof replacement). This trend is affecting the traditional economic measures policymakers usemore » to evaluate success on a benefit to cost basis. Moreover, the value of non-energy benefits which can offset some or all of the cost of the non-energy measures -- including operations and maintenance (O&M) savings, avoided capital costs, and tradable pollution emissions allowances-- are not always incorporated into a formal cost-effectiveness analysis of ESCO projects. Nonenergy benefits are clearly important to customers, but state and federal laws that govern the acceptance of these types of benefits for ESCO projects vary widely (i.e., 0-100percent of allowable savings can come from one or more non-energy categories). Clear and consistent guidance on what types of savings are recognized in Energy Savings agreements under performance contracts is necessary, particularly where customers are searching for deep energy efficiency gains in the building sector.« less

A Currency for Offsetting Energy Development Impacts: Horse-Trading Sage-Grouse on the Open Market

PubMed Central

Doherty, Kevin E.; Naugle, David E.; Evans, Jeffrey S.

2010-01-01

Background Biodiversity offsets provide a mechanism to compensate for unavoidable damages from new energy development as the U.S. increases its domestic production. Proponents argue that offsets provide a partial solution for funding conservation while opponents contend the practice is flawed because offsets are negotiated without the science necessary to backup resulting decisions. Missing in negotiations is a biologically-based currency for estimating sufficiency of offsets and a framework for applying proceeds to maximize conservation benefits. Methodology/Principal Findings Here we quantify a common currency for offsets for greater sage-grouse (Centrocercus urophasianus) by estimating number of impacted birds at 4 levels of development commonly permitted. Impacts were indiscernible at 1–12 wells per 32.2 km2. Above this threshold lek losses were 2–5 times greater inside than outside of development and bird abundance at remaining leks declined by −32 to −77%. Findings reiterated the importance of time-lags as evidenced by greater impacts 4 years after initial development. Clustering well locations enabled a few small leks to remain active inside of developments. Conclusions/Significance Documented impacts relative to development intensity can be used to forecast biological trade-offs of newly proposed or ongoing developments, and when drilling is approved, anticipated bird declines form the biological currency for negotiating offsets. Monetary costs for offsets will be determined by true conservation cost to mitigate risks such as sagebrush tillage to other populations of equal or greater number. If this information is blended with landscape level conservation planning, the mitigation hierarchy can be improved by steering planned developments away from conservation priorities, ensuring compensatory mitigation projects deliver a higher return for conservation that equate to an equal number of birds in the highest priority areas, provide on-site mitigation recommendations, and provide a biologically based cost for mitigating unavoidable impacts. PMID:20442770

29 CFR 4903.33 - Referral of debt for tax refund offset.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Referral of debt for tax refund offset. 4903.33 Section... AND ADMINISTRATIVE RULES AND PROCEDURES DEBT COLLECTION Tax Refund Offset § 4903.33 Referral of debt for tax refund offset. The Director of the Financial Operations Department (or a department official...

Cost effectiveness of robotic mitral valve surgery.

PubMed

Moss, Emmanuel; Halkos, Michael E

2017-01-01

Significant technological advances have led to an impressive evolution in mitral valve surgery over the last two decades, allowing surgeons to safely perform less invasive operations through the right chest. Most new technology comes with an increased upfront cost that must be measured against postoperative savings and other advantages such as decreased perioperative complications, faster recovery, and earlier return to preoperative level of functioning. The Da Vinci robot is an example of such a technology, combining the significant benefits of minimally invasive surgery with a "gold standard" valve repair. Although some have reported that robotic surgery is associated with increased overall costs, there is literature suggesting that efficient perioperative care and shorter lengths of stay can offset the increased capital and intraoperative expenses. While data on current cost is important to consider, one must also take into account future potential value resulting from technological advancement when evaluating cost-effectiveness. Future refinements that will facilitate more effective surgery, coupled with declining cost of technology will further increase the value of robotic surgery compared to traditional approaches.

20 CFR 361.14 - Procedures for salary offset: Imposition of interest, penalties and administrative costs.

Code of Federal Regulations, 2010 CFR

2010-04-01

... BOARD INTERNAL ADMINISTRATION, POLICY AND PROCEDURES RECOVERY OF DEBTS OWED TO THE UNITED STATES GOVERNMENT BY GOVERNMENT EMPLOYEES § 361.14 Procedures for salary offset: Imposition of interest, penalties...

Financial modelling of femtosecond laser-assisted cataract surgery within the National Health Service using a 'hub and spoke' model for the delivery of high-volume cataract surgery.

PubMed

Roberts, H W; Ni, M Z; O'Brart, D P S

2017-03-16

To develop financial models which offset additional costs associated with femtosecond laser (FL)-assisted cataract surgery (FLACS) against improvements in productivity and to determine important factors relating to its implementation into the National Health Service (NHS). FL platforms are expensive, in initial purchase and running costs. The additional costs associated with FL technology might be offset by an increase in surgical efficiency. Using a 'hub and spoke' model to provide high-volume cataract surgery, we designed a financial model, comparing FLACS against conventional phacoemulsification surgery (CPS). The model was populated with averaged financial data from 4 NHS foundation trusts and 4 commercial organisations manufacturing FL platforms. We tested our model with sensitivity and threshold analyses to allow for variations or uncertainties. The averaged weekly workload for cataract surgery using our hub and spoke model required either 8 or 5.4 theatre sessions with CPS or FLACS, respectively. Despite reduced theatre utilisation, CPS (average £433/case) was still found to be 8.7% cheaper than FLACS (average £502/case). The greatest associated cost of FLACS was the patient interface (PI) (average £135/case). Sensitivity analyses demonstrated that FLACS could be less expensive than CPS, but only if increased efficiency, in terms of cataract procedures per theatre list, increased by over 100%, or if the cost of the PI was reduced by almost 70%. The financial viability of FLACS within the NHS is currently precluded by the cost of the PI and the lack of knowledge regarding any gains in operational efficiency. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Numerical simulation of offset-drain amorphous oxide-based thin-film transistors

NASA Astrophysics Data System (ADS)

Jeong, Jaewook

2016-11-01

In this study, we analyzed the electrical characteristics of amorphous indium-gallium-zinc-oxide (a-IGZO) thin-film transistors (TFTs) with an offset-drain structure by technology computer aided design (TCAD) simulation. When operating in a linear region, an enhancement-type TFT shows poor field-effect mobility because most conduction electrons are trapped in acceptor-like defects in an offset region when the offset length (L off) exceeds 0.5 µm, whereas a depletion-type TFT shows superior field-effect mobility owing to the high free electron density in the offset region compared with the trapped electron density. When operating in the saturation region, both types of TFTs show good field-effect mobility comparable to that of a reference TFT with a large gate overlap. The underlying physics of the depletion and enhancement types of offset-drain TFTs are systematically analyzed.

Labor costs incurred by anesthesiology groups because of operating rooms not being allocated and cases not being scheduled to maximize operating room efficiency.

PubMed

Abouleish, Amr E; Dexter, Franklin; Epstein, Richard H; Lubarsky, David A; Whitten, Charles W; Prough, Donald S

2003-04-01

Determination of operating room (OR) block allocation and case scheduling is often not based on maximizing OR efficiency, but rather on tradition and surgeon convenience. As a result, anesthesiology groups often incur additional labor costs. When negotiating financial support, heads of anesthesiology departments are often challenged to justify the subsidy necessary to offset these additional labor costs. In this study, we describe a method for calculating a statistically sound estimate of the excess labor costs incurred by an anesthesiology group because of inefficient OR allocation and case scheduling. OR information system and anesthesia staffing data for 1 yr were obtained from two university hospitals. Optimal OR allocation for each surgical service was determined by maximizing the efficiency of use of the OR staff. Hourly costs were converted to dollar amounts by using the nationwide median compensation for academic and private-practice anesthesia providers. Differences between actual costs and the optimal OR allocation were determined. For Hospital A, estimated annual excess labor costs were $1.6 million (95% confidence interval, $1.5-$1.7 million) and $2.0 million ($1.89-$2.05 million) when academic and private-practice compensation, respectively, was calculated. For Hospital B, excess labor costs were $1.0 million ($1.08-$1.17 million) and $1.4 million ($1.32-1.43 million) for academic and private-practice compensation, respectively. This study demonstrates a methodology for an anesthesiology group to estimate its excess labor costs. The group can then use these estimates when negotiating for subsidies with its hospital, medical school, or multispecialty medical group. We describe a new application for a previously reported statistical method to calculate operating room (OR) allocations to maximize OR efficiency. When optimal OR allocations and case scheduling are not implemented, the resulting increase in labor costs can be used in negotiations as a statistically sound estimate for the increased labor cost to the anesthesiology department.

Operation of commercially-based microcomputer technology in a space radiation environment

NASA Astrophysics Data System (ADS)

Yelverton, J. N.

This paper focuses on detection and recovery techniques that should enable the reliable operation of commercially-based microprocessor technology in the harsh radiation environment of space and at high altitudes. This approach is especially significant in light of the current shift in emphasis (due to cost) from space hardened Class-S parts qualification to a more direct use of commercial parts. The method should offset some of the concern that the newer high density state-of-the-art RISC and CISC microprocessors can be used in future space applications. Also, commercial aviation, should benefit, since radiation induced transients are a new issue arising from the increased quantities of microcomputers used in aircraft avionics.

Role of Pumped Storage Hydro Resources in Electricity Markets and System Operation: Preprint

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

Ela, E.; Kirby, B.; Botterud, A.

2013-05-01

The most common form of utility- sized energy storage system is the pumped storage hydro system. Originally, these types of storage systems were economically viable simply because they displace more expensive generating units. However, over time, as those expensive units became more efficient and costs declined, pumped hydro storage units no longer have the operational edge. As a result, in the current electricity market environment, pumped storage hydro plants are struggling. To offset this phenomenon, certain market modifications should be addressed. This paper will introduce some of the challenges faced by pumped storage hydro plants in today's markets and purposemore » some solutions to those problems.« less

Utilization of curve offsets in additive manufacturing

NASA Astrophysics Data System (ADS)

Haseltalab, Vahid; Yaman, Ulas; Dolen, Melik

2018-05-01

Curve offsets are utilized in different fields of engineering and science. Additive manufacturing, which lately becomes an explicit requirement in manufacturing industry, utilizes curve offsets widely. One of the necessities of offsetting is for scaling which is required if there is shrinkage after the fabrication or if the surface quality of the resulting part is unacceptable. Therefore, some post-processing is indispensable. But the major application of curve offsets in additive manufacturing processes is for generating head trajectories. In a point-wise AM process, a correct tool-path in each layer can reduce lots of costs and increase the surface quality of the fabricated parts. In this study, different curve offset generation algorithms are analyzed to show their capabilities and disadvantages through some test cases and improvements on their drawbacks are suggested.

Reliability techniques in the petroleum industry

NASA Technical Reports Server (NTRS)

Williams, H. L.

1971-01-01

Quantitative reliability evaluation methods used in the Apollo Spacecraft Program are translated into petroleum industry requirements with emphasis on offsetting reliability demonstration costs and limited production runs. Described are the qualitative disciplines applicable, the definitions and criteria that accompany the disciplines, and the generic application of these disciplines to the chemical industry. The disciplines are then translated into proposed definitions and criteria for the industry, into a base-line reliability plan that includes these disciplines, and into application notes to aid in adapting the base-line plan to a specific operation.

Safety evaluation of offset improvements for left-turn lanes

DOT National Transportation Integrated Search

2009-06-01

The Federal Highway Administration (FHWA) organized a pooled fund study of 26 States to evaluate low-cost safety strategies as part of its strategic highway safety effort. One of the strategies chosen to be evaluated for this study was offset improve...

Cost analysis of open radical cystectomy versus robot-assisted radical cystectomy.

PubMed

Bansal, Sukhchain S; Dogra, Tara; Smith, Peter W; Amran, Maisarah; Auluck, Ishna; Bhambra, Maninder; Sura, Manraj S; Rowe, Edward; Koupparis, Anthony

2018-03-01

To perform a cost analysis comparing the cost of robot-assisted radical cystectomy (RARC) with open RC (ORC) in a UK tertiary referral centre and to identify the key cost drivers. Data on hospital length of stay (LOS), operative time (OT), transfusion rate, and volume and complication rate were obtained from a prospectively updated institutional database for patients undergoing RARC or ORC. A cost decision tree model was created. Sensitivity analysis was performed to find key drivers of overall cost and to find breakeven points with ORC. Monte Carlo analysis was performed to quantify the variability in the dataset. One RARC procedure costs £12 449.87, or £12 106.12 if the robot was donated via charitable funds. In comparison, one ORC procedure costs £10 474.54. RARC is 18.9% more expensive than ORC. The key cost drivers were OT, LOS, and the number of cases performed per annum. High ongoing equipment costs remain a large barrier to the cost of RARC falling. However, minimal improvements in patient quality of life would be required to offset this difference. © 2017 The Authors BJU International © 2017 BJU International Published by John Wiley & Sons Ltd.

Mangrove and Freshwater Wetland Conservation Through Carbon Offsets: A Cost-Benefit Analysis for Establishing Environmental Policies

NASA Astrophysics Data System (ADS)

Vázquez-González, César; Moreno-Casasola, Patricia; Hernández, María Elizabeth; Campos, Adolfo; Espejel, Ileana; Fermán-Almada, José Luis

2017-02-01

Mexico has extensive coastal wetlands (4,243,137 ha), and one of its most important sites is the Alvarado Lagoon System, located in the Papaloapan River Basin on the Gulf of Mexico. The land cover dedicated to livestock and sugarcane has increased: by 25 % in 2005 and 50 % in 2010, with a loss of wetland vegetation and the carbon that it stores. We found that the Net Present Value of mangrove carbon offsets profit is equal to 5822.71, that of broad-leaved marshes is 7958.86, cattail marshes 5250.33, and forested wetlands 8369.41 per hectare, during a 30-year-carbonoffset contract. However, the opportunity cost from conserving wetland instead of growing sugarcane is positive according to REDD+ methodology, e.g., broad-leaved marsh conservation ranged from 6.73 to 20 USD/t CO2e, that of cattail marshes from 12.20 to 32.65 USD/t CO2e, and forested wetlands from 7.15 to 20.60 USD/t CO2e, whereas the opportunity cost between conservation and livestock was negative, it means that conservation is more profitable. The cost-benefit analysis for assessing investment projects from a governmental perspective is useful to determine the viability of conserving coastal wetlands through carbon offset credits. It also shows why in some areas it is not possible to conserve ecosystems due to the opportunity cost of changing from one economic activity (livestock and sugarcane) to carbon offsets for protecting wetlands. Furthermore, it allows for a comparison of carbon markets and assessment in terms of REDD+ and its methods for determining the social cost per ton of carbon avoided.

Graphic Arts--Offset Press Operator/Duplicating Machine. TI-622. Instructor's Manual and Student Learning Activity Guide.

ERIC Educational Resources Information Center

Michelsen, Robert F.

This instructor's manual and student learning activity guide comprise a kit for a graphic arts activity on offset press operator/duplicating machine. Purpose stated for the activity is to provide the student with an understanding of the basic operation involved in the production of printed matter in the graphic communications industry through the…

Low Offset AC Correlator.

DTIC Science & Technology

This patent describes a low offset AC correlator avoids DC offset and low frequency noise by frequency operating the correlation signal so that low...noise, low level AC amplification can be substituted for DC amplification. Subsequently, the high level AC signal is demodulated to a DC level. (Author)

Cost-analysis comparison of robot-assisted laparoscopic radical cystectomy (RC) vs open RC.

PubMed

Lee, Richard; Chughtai, Bilal; Herman, Michael; Shariat, Shahrokh F; Scherr, Douglas S

2011-09-01

• To systematically review and compare the economic burden of open radical cystectomy (ORC) vs robot-assisted laparoscopic radical cystectomy (RALRC) with pelvic lymph node dissection and urinary diversion. • A Medline search was conducted to identify English language articles regarding RC with urinary diversion. The resulting articles were then further restricted by the terms 'laparoscopic', 'robotic', or 'robotic-assisted'.In all, three articles were identified. • Data from each of these articles were then collected on cost performance in addition to relevant clinical variables, such as length of stay (LOS), operative duration, and complication rates. • When possible, data were subdivided by ileal conduit (IC), continent cutaneous diversion (CCD), and orthotopic neobladder (ON) subgroups. • Direct costs resulting from ORC or RALRC with accompanying hospitalization were identified. The indirect costs of complications were considered. • Despite an increased materials cost, RALRC was less expensive than ORC when the cost of complications was considered. • RALRC was less expensive than ORC for IC and CCD, but the cost advantage deteriorated for ON. • The largest cost drivers cited in the published data were LOS, operative durations, and daily hospitalizations costs. • RALRC demonstrated shorter LOS compared with ORC, although this effect was insufficient to offset the increased cost of robotic surgery. • Complications materially affected cost performance. • Despite an increased materials cost, RALRC can be more cost efficient than ORC as a treatment for bladder cancer when the impact of complications are considered. • This effect is most pronounced for patients undergoing IC. © 2011 THE AUTHORS. BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.

Experimental demonstration of a 16.9 Gb/s link for coherent OFDM PON robust to frequency offset and timing error

NASA Astrophysics Data System (ADS)

Ma, Qian; Liu, Yu; Xiang, Yuanjiang

2018-07-01

Due to its merits of flexible bandwidth allocation and robustness towards fiber transmission impairments, coherent optical orthogonal frequency division multiplexing (CO-OFDM) technology draws a lot of attention for passive optical networks (PON). However, a CO-OFDM system is vulnerable to frequency offsets between modulated optical signals and optical local oscillators (OLO). This is particularly serious for low cost PONs where low cost lasers are used. Thus, it is of great interest to develop efficient algorithms for frequency synchronization in CO-OFDM systems. Usually frequency synchronization proposed in CO-OFDM systems are done by detecting the phase shift in time domain. In such a way, there is a trade-off between estimation accuracy and range. Considering that the integer frequency offset (IFO) contributes to the major frequency offset, a more efficient method to estimate IFO is of demand. By detecting IFO induced circular channel rotation (CCR), the frequency offset can be directly estimated after fast Fourier transforming (FFT). In this paper, circular acquisition offset frequency and timing synchronization (CAO-FTS) scheme is proposed. A specially-designed frequency domain pseudo noise (PN) sequence is used for CCR detection and timing synchronization. Full-range frequency offset compensation and non-plateau timing synchronization are experimentally demonstrated in presence of fiber dispersion. Based on CAO-FTS, 16.9 Gb/s CO-OFDM signal is successfully delivered over a span of 80-km single mode fiber.

Temperature Induced Voltage Offset Drifts in Silicon Carbide Pressure Sensors

NASA Technical Reports Server (NTRS)

Okojie, Robert S.; Lukco, Dorothy; Nguyen, Vu; Savrun, Ender

2012-01-01

We report the reduction of transient drifts in the zero pressure offset voltage in silicon carbide (SiC) pressure sensors when operating at 600 C. The previously observed maximum drift of +/- 10 mV of the reference offset voltage at 600 C was reduced to within +/- 5 mV. The offset voltage drifts and bridge resistance changes over time at test temperature are explained in terms of the microstructure and phase changes occurring within the contact metallization, as analyzed by Auger electron spectroscopy and field emission scanning electron microscopy. The results have helped to identify the upper temperature reliable operational limit of this particular metallization scheme to be 605 C.

Estimating the impacts of wind power on power systems—summary of IEA Wind collaboration

NASA Astrophysics Data System (ADS)

Holttinen, Hannele

2008-04-01

Adding wind power to power systems will have beneficial impacts by reducing the emissions of electricity production and reducing the operational costs of the power system as less fuel is consumed in conventional power plants. Wind power will also have a capacity value to a power system. However, possible negative impacts will have to be assessed to make sure that they will only offset a small part of the benefits and also to ensure the security of the power system operation. An international forum for the exchange of knowledge of power system impacts of wind power has been formed under the IEA Implementing Agreement on Wind Energy. The Task 'Design and Operation of Power Systems with Large Amounts of Wind Power' is analyzing existing case studies from different power systems. There are a multitude of studies completed and ongoing related to the cost of wind integration. However, the results are not easy to compare. This paper describes the general issues of wind power impacts on power systems and presents a comparison of results from ten case studies on increased balancing needs due to wind power.

Temperature offset control system

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

Fried, M.

1987-07-28

This patent describes a temperature offset control system for controlling the operation of both heating and air conditioning systems simultaneously contained within the same premises each of which is set by local thermostats to operate at an appropriate temperature, the offset control system comprising: a central control station having means for presetting an offset temperature range, means for sensing the temperature at a central location, means for comparing the sensed temperature with the offset temperature range, means responsive to the comparison for producing a control signal indicative of whether the sensed temperature is within the offset temperature range or beyondmore » the offset temperature range, and means for transmitting the control signal onto the standard energy lines servicing the premises; and a receiving station respectively associated with each heating and air conditioning system, the receiving stations each comprising means for receiving the same transmitted control signal from the energy lines, and switch means for controlling the energization of the respective system in response to the received control signal. The heating systems and associated local thermostat are disabled by the control signal when the control signal originates from a sensed temperature above the lower end of the offset temperature range. The air conditioning systems and associated thermostats are disabled by the same control signal when the control signal originates from a sensed temperature below the upper end of the offset temperature range.« less

Wireless online position monitoring of manual valve types for plant configuration management in nuclear power plants

DOE PAGES

Agarwal, Vivek; Buttles, John W.; Beaty, Lawrence H.; ...

2016-10-05

In the current competitive energy market, the nuclear industry is committed to lower the operations and maintenance cost; increase productivity and efficiency while maintaining safe and reliable operation. The present operating model of nuclear power plants is dependent on large technical staffs that put the nuclear industry at long-term economic disadvantage. Technology can play a key role in nuclear power plant configuration management in offsetting labor costs by automating manually performed plant activities. The technology being developed, tested, and demonstrated in this paper will enable the continued safe operation of today’s fleet of light water reactors by providing the technicalmore » means to monitor components in plants today that are only routinely monitored through manual activities. The wireless enabled valve position indicators that are the subject of this paper are able to provide a valid position indication available continuously, rather than only periodically. As a result, a real-time (online) availability of valve positions using an affordable technologies are vital to plant configuration when compared with long-term labor rates, and provide information that can be used for a variety of plant engineering, maintenance, and management applications.« less

Wireless online position monitoring of manual valve types for plant configuration management in nuclear power plants

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

Agarwal, Vivek; Buttles, John W.; Beaty, Lawrence H.

In the current competitive energy market, the nuclear industry is committed to lower the operations and maintenance cost; increase productivity and efficiency while maintaining safe and reliable operation. The present operating model of nuclear power plants is dependent on large technical staffs that put the nuclear industry at long-term economic disadvantage. Technology can play a key role in nuclear power plant configuration management in offsetting labor costs by automating manually performed plant activities. The technology being developed, tested, and demonstrated in this paper will enable the continued safe operation of today’s fleet of light water reactors by providing the technicalmore » means to monitor components in plants today that are only routinely monitored through manual activities. The wireless enabled valve position indicators that are the subject of this paper are able to provide a valid position indication available continuously, rather than only periodically. As a result, a real-time (online) availability of valve positions using an affordable technologies are vital to plant configuration when compared with long-term labor rates, and provide information that can be used for a variety of plant engineering, maintenance, and management applications.« less

Recent developments in high efficient freeze-drying of fruits and vegetables assisted by microwave: A review.

PubMed

Fan, Kai; Zhang, Min; Mujumdar, Arun S

2018-01-10

Microwave heating has been applied in the drying of high-value solids as it affords a number of advantages, including shorter drying time and better product quality. Freeze-drying at cryogenic temperature and extremely low pressure provides the advantage of high product quality, but at very high capital and operating costs due partly to very long drying time. Freeze-drying coupled with a microwave heat source speeds up the drying rate and yields good quality products provided the operating unit is designed and operated to achieve the potential for an absence of hot spot developments. This review is a survey of recent developments in the modeling and experimental results on microwave-assisted freeze-drying (MFD) over the past decade. Owing to the high costs involved, so far all applications are limited to small-scale operations for the drying of high-value foods such as fruits and vegetables. In order to promote industrial-scale applications for a broader range of products further research and development efforts are needed to offset the current limitations of the process. The needs and opportunities for future research and developments are outlined.

Graphic Arts: Book Three. The Press and Related Processes.

ERIC Educational Resources Information Center

Farajollahi, Karim; And Others

The third of a three-volume set of instructional materials for a graphic arts course, this manual consists of nine instructional units dealing with presses and related processes. Covered in the units are basic press fundamentals, offset press systems, offset press operating procedures, offset inks and dampening chemistry, preventive maintenance…

Cost-benefit calculation of phytoremediation technology for heavy-metal-contaminated soil.

PubMed

Wan, Xiaoming; Lei, Mei; Chen, Tongbin

2016-09-01

Heavy-metal pollution of soil is a serious issue worldwide, particularly in China. Soil remediation is one of the most difficult management issues for municipal and state agencies because of its high cost. A two-year phytoremediation project for soil contaminated with arsenic, cadmium, and lead was implemented to determine the essential parameters for soil remediation. Results showed highly efficient heavy metal removal. Costs and benefits of this project were calculated. The total cost of phytoremediation was US$75,375.2/hm(2) or US$37.7/m(3), with initial capital and operational costs accounting for 46.02% and 53.98%, respectively. The costs of infrastructures (i.e., roads, bridges, and culverts) and fertilizer were the highest, mainly because of slow economic development and serious contamination. The cost of phytoremediation was lower than the reported values of other remediation technologies. Improving the mechanization level of phytoremediation and accurately predicting or preventing unforeseen situations were suggested for further cost reduction. Considering the loss caused by environmental pollution, the benefits of phytoremediation will offset the project costs in less than seven years. Copyright © 2015 Elsevier B.V. All rights reserved.

39 CFR 491.5 - Costs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 39 Postal Service 1 2010-07-01 2010-07-01 false Costs. 491.5 Section 491.5 Postal Service UNITED... RATE COMMISSION § 491.5 Costs. The Postal Service's administrative costs in executing the garnishment action shall be added to each garnishment and the costs recovered shall be retained as offsetting...

Recovery Act: Pilot Integrated Cellulosic Biorefinery Operations to Fuel Ethanol

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

Javers, Jeremy

DOE EE002875 Technical Report Public Release. The objective was to leverage ICM’s pre-existing corn to ethanol pilot plant to build and to commission a fully functional pilot integrated cellulosic biorefinery. ICM’s Integrated Biorefinery (IBR) project was designed to achieve four major objectives. These primary goals were achieved during the performance period from December 2009 – August 2015. The design and construction phase took place from December 2009 until August 2011, with an increase in budget of nearly 4 million dollars. This increased cost was offset by operational changes, so the amount spent for the overall project increased by less thanmore » $500,000. There were three 1,000-hour performance test conducted, which produced cellulosic feedstock.« less

High-throughput sample adaptive offset hardware architecture for high-efficiency video coding

NASA Astrophysics Data System (ADS)

Zhou, Wei; Yan, Chang; Zhang, Jingzhi; Zhou, Xin

2018-03-01

A high-throughput hardware architecture for a sample adaptive offset (SAO) filter in the high-efficiency video coding video coding standard is presented. First, an implementation-friendly and simplified bitrate estimation method of rate-distortion cost calculation is proposed to reduce the computational complexity in the mode decision of SAO. Then, a high-throughput VLSI architecture for SAO is presented based on the proposed bitrate estimation method. Furthermore, multiparallel VLSI architecture for in-loop filters, which integrates both deblocking filter and SAO filter, is proposed. Six parallel strategies are applied in the proposed in-loop filters architecture to improve the system throughput and filtering speed. Experimental results show that the proposed in-loop filters architecture can achieve up to 48% higher throughput in comparison with prior work. The proposed architecture can reach a high-operating clock frequency of 297 MHz with TSMC 65-nm library and meet the real-time requirement of the in-loop filters for 8 K × 4 K video format at 132 fps.

Determining the Cost-Savings Threshold and Alignment Accuracy of Patient-Specific Instrumentation in Total Ankle Replacements.

PubMed

Hamid, Kamran S; Matson, Andrew P; Nwachukwu, Benedict U; Scott, Daniel J; Mather, Richard C; DeOrio, James K

2017-01-01

Traditional intraoperative referencing for total ankle replacements (TARs) involves multiple steps and fluoroscopic guidance to determine mechanical alignment. Recent adoption of patient-specific instrumentation (PSI) allows for referencing to be determined preoperatively, resulting in less steps and potentially decreased operative time. We hypothesized that usage of PSI would result in decreased operating room time that would offset the additional cost of PSI compared with standard referencing (SR). In addition, we aimed to compare postoperative radiographic alignment between PSI and SR. Between August 2014 and September 2015, 87 patients undergoing TAR were enrolled in a prospectively collected TAR database. Patients were divided into cohorts based on PSI vs SR, and operative times were reviewed. Radiographic alignment parameters were retrospectively measured at 6 weeks postoperatively. Time-driven activity-based costing (TDABC) was used to derive direct costs. Cost vs operative time-savings were examined via 2-way sensitivity analysis to determine cost-saving thresholds for PSI applicable to a range of institution types. Cost-saving thresholds defined the price of PSI below which PSI would be cost-saving. A total of 35 PSI and 52 SR cases were evaluated with no significant differences identified in patient characteristics. Operative time from incision to completion of casting in cases without adjunct procedures was 127 minutes with PSI and 161 minutes with SR ( P < .05). PSI demonstrated similar postoperative accuracy to SR in coronal tibial-plafond alignment (1.1 vs 0.3 degrees varus, P = .06), tibial-plafond alignment (0.3 ± 2.1 vs 1.1 ± 2.1 degrees varus, P = .06), and tibial component sagittal alignment (0.7 vs 0.9 degrees plantarflexion, P = .14). The TDABC method estimated a PSI cost-savings threshold range at our institution of $863 below which PSI pricing would provide net cost-savings. Two-way sensitivity analysis generated a globally applicable cost-savings threshold model based on institution-specific costs and surgeon-specific time-savings. This study demonstrated equivalent postoperative TAR alignment with PSI and SR referencing systems but with a significant decrease in operative time with PSI. Based on TDABC and associated sensitivity analysis, a cost-savings threshold of $863 was identified for PSI pricing at our institution below which PSI was less costly than SR. Similar internal cost accounting may benefit health care systems for identifying cost drivers and obtaining leverage during price negotiations. Level III, therapeutic study.

Status review and prospects for solar industrial process heat (SIPH)

NASA Astrophysics Data System (ADS)

Kreith, F.; Davenport, R.; Feustel, J.

1983-11-01

Solar energy systems and components are presently available for industrial process hot air, hot water, and steam applications at temperatures up to about 300 C. Systems capable of operating at temperatures up to about 1000 C are approaching commercialization. A careful matching of the characteristics of the solar system and the industrial process in question has been found by field tests to be an important determinant of the amount of useful energy that can be delivered. While the thermal performance of solar collectors is not expected to improve significantly, better manufacturing, plumbing, and installation techniques may reduce both system and delivered energy costs significantly. Tax credits for solar installations, together with limited partnership financing, can offset the high initial cost of solar energy systems and provide equity between solar and fossil-fueled systems.

Cost characteristics of tilt-rotor, conventional air and high speed rail short-haul intercity passenger service

NASA Technical Reports Server (NTRS)

Schoendorfer, David L.; Morlok, Edward K.

1985-01-01

The cost analysis done to support an assessment of the potential for a small tilt-rotor aircraft to operate in short-haul intercity passenger service is described in detail. Anticipated costs of tilt-rotor air service were compared to the costs of two alternatives: conventional air and high speed rail (HSR). Costs were developed for corridor service, varying key market characteristics including distance, passenger volumes, and minimum frequency standards. The resulting cost vs output information can then be used to compare modal costs for essentially identical service quality and passenger volume or for different service levels and volumes for each mode, as appropriate. Extensive sensitivity analyses are performed. The cost-output features of these technologies are compared. Tilt-rotor is very attractive compared to HSR in terms of costs over the entire range of volume. It also has costs not dramatically different from conventional air, but tilt-rotor costs are generally higher. Thus some of its other advantages, such as the VTOL capability, must offset the cost disadvantage for it to be a preferred or competitive mode in any given market. These issues are addressed in the companion report which considers strategies for tilt-rotor development in commercial air service.

Impact of Ezetimibe on the Rate of Cardiovascular-Related Hospitalizations and Associated Costs Among Patients With a Recent Acute Coronary Syndrome: Results From the IMPROVE-IT Trial (Improved Reduction of Outcomes: Vytorin Efficacy International Trial).

PubMed

Pokharel, Yashashwi; Chinnakondepalli, Khaja; Vilain, Katherine; Wang, Kaijun; Mark, Daniel B; Davies, Glenn; Blazing, Michael A; Giugliano, Robert P; Braunwald, Eugene; Cannon, Christopher P; Cohen, David J; Magnuson, Elizabeth A

2017-05-01

Ezetimibe, when added to simvastatin therapy, reduces cardiovascular events after recent acute coronary syndrome. However, the impact of ezetimibe on cardiovascular-related hospitalizations and associated costs is unknown. We used patient-level data from the IMPROVE-IT (Improved Reduction of Outcomes: Vytorin Efficacy International Trial) to examine the impact of simvastatin-ezetimibe versus simvastatin-placebo on cardiovascular-related hospitalizations and related costs (excluding drug costs) over 7 years follow-up. Medicare Severity-Diagnosis Related Groups were assigned to all cardiovascular hospitalizations. Hospital costs were estimated using Medicare reimbursement rates for 2013. Associated physician costs were estimated as a percentage of hospital costs. The impact of treatment assignment on hospitalization rates and costs was estimated using Poisson and linear regression, respectively. There was a significantly lower cardiovascular hospitalization rate with ezetimibe compared with placebo (risk ratio, 0.95; 95% confidence interval, 0.90-0.99; P =0.031), mainly attributable to fewer hospitalizations for percutaneous coronary intervention, angina, and stroke. Consequently, cardiovascular-related hospitalization costs over 7 years were $453 per patient lower with ezetimibe (95% confidence interval, -$38 to -$869; P =0.030). Although all prespecified subgroups had lower cost with ezetimibe therapy, patients with diabetes mellitus, patients aged ≥75 years, and patients at higher predicted risk for recurrent ischemic events had even greater cost offsets. Addition of ezetimibe to statin therapy in patients with a recent acute coronary syndrome leads to reductions in cardiovascular-related hospitalizations and associated costs, with the greatest cost offsets in high-risk patients. These cost reductions may completely offset the cost of the drug once ezetimibe becomes generic, and may lead to cost savings from the perspective of the healthcare system, if treatment with ezetimibe is targeted to high-risk patients. URL: https://www.clinicaltrials.gov. Unique Identifier: NCT00202878. © 2017 American Heart Association, Inc.

The NASA broad-specification fuels combustion technology program: An assessment of phase 1 test results

NASA Technical Reports Server (NTRS)

Fear, J. S.

1983-01-01

An assessment is made of the results of Phase 1 screening testing of current and advanced combustion system concepts using several broadened-properties fuels. The severity of each of several fuels-properties effects on combustor performance or liner life is discussed, as well as design techniques with the potential to offset these adverse effects. The selection of concepts to be pursued in Phase 2 refinement testing is described. This selection takes into account the relative costs and complexities of the concepts, the current outlook on pollutant emissions control, and practical operational problems.

Start-up of a Cardiology Day Hospital: Activity, Quality Care and Cost-effectiveness Analysis of the First Year of Operation.

PubMed

Gallego-Delgado, María; Villacorta, Eduardo; Valenzuela-Vicente, M Carmen; Walias-Sánchez, Ángela; Ávila, Carmen; Velasco-Cañedo, M Jesús; Cano-Mozo, M Teresa; Martín-García, Agustín; García-Sánchez, María Jesús; Sánchez, Argelina; Cascón, Manuel; Sánchez, Pedro L

2018-05-21

The cardiology day hospital (CDH) is an alternative to hospitalization for scheduled cardiological procedures. The aims of this study were to analyze the activity, quality of care and the cost-effectiveness of a CDH. An observational descriptive study was conducted of the health care activity during the first year of operation of DHHA. The quality of care was analyzed through the substitution rate (outpatient procedures), cancellation rates, complications, and a satisfaction survey. For cost-effectiveness, we calculated the economic savings of avoided hospital stays. A total of 1646 patients were attended (mean age 69 ± 15 years, 60% men); 2550 procedures were scheduled with a cancellation rate of 4%. The most frequently cancelled procedure was electrical cardioversion. The substitution rate for scheduled invasive procedures was 66%. Only 1 patient required readmission after discharge from the CDH due to heart failure. Most surveyed patients (95%) considered the care received in the CDH to be good or very good. The saving due to outpatient-converted procedures made possible by the CDH was € 219 199.55, higher than the cost of the first year of operation. In our center, the CDH allowed more than two thirds of the invasive procedures to be performed on an outpatient basis, while maintaining the quality of care. In the first year of operation, the expenses due to its implementation were offset by a significant reduction in hospital admissions. Copyright © 2018 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved.

Battery Second Use Offsets Electric Vehicle Expenses, Improves Grid

Science.gov Websites

capable of offsetting vehicle expenses while improving utility grid stability. Photo by Dennis Schroeder John Ireland work on a cell calorimeter at the Battery Testing Laboratory. Photo by Dennis Schroeder retrofit Lithium-ion batteries for second use at relatively low costs. Photo by Dennis Schroeder

75 FR 62348 - Reimbursement Offsets for Medical Care or Services

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-08

... DEPARTMENT OF VETERANS AFFAIRS 38 CFR Part 17 RIN 2900-AN55 Reimbursement Offsets for Medical Care... Veterans Affairs (VA) proposes to amend its regulations concerning the reimbursement of medical care and... situations where third-party payers are required to reimburse VA for costs related to care provided by VA to...

Lessons Learned on Operating and Preparing Operations for a Technology Mission from the Perspective of the Earth Observing-1 Mission

NASA Technical Reports Server (NTRS)

Mandl, Dan; Howard, Joseph

2000-01-01

The New Millennium Program's first Earth-observing mission (EO-1) is a technology validation mission. It is managed by the NASA Goddard Space Flight Center in Greenbelt, Maryland and is scheduled for launch in the summer of 2000. The purpose of this mission is to flight-validate revolutionary technologies that will contribute to the reduction of cost and increase of capabilities for future land imaging missions. In the EO-1 mission, there are five instrument, five spacecraft, and three supporting technologies to flight-validate during a year of operations. EO-1 operations and the accompanying ground system were intended to be simple in order to maintain low operational costs. For purposes of formulating operations, it was initially modeled as a small science mission. However, it quickly evolved into a more complex mission due to the difficulties in effectively integrating all of the validation plans of the individual technologies. As a consequence, more operational support was required to confidently complete the on-orbit validation of the new technologies. This paper will outline the issues and lessons learned applicable to future technology validation missions. Examples of some of these include the following: (1) operational complexity encountered in integrating all of the validation plans into a coherent operational plan, (2) initial desire to run single shift operations subsequently growing to 6 "around-the-clock" operations, (3) managing changes in the technologies that ultimately affected operations, (4) necessity for better team communications within the project to offset the effects of change on the Ground System Developers, Operations Engineers, Integration and Test Engineers, S/C Subsystem Engineers, and Scientists, and (5) the need for a more experienced Flight Operations Team to achieve the necessary operational flexibility. The discussion will conclude by providing several cost comparisons for developing operations from previous missions to EO-1 and discuss some details that might be done differently for future technology validation missions.

Sustaining Public Communication of Geoscience in the Mass Media Market

NASA Astrophysics Data System (ADS)

Keane, Christopher

2017-04-01

Most public communication about geoscience is either performed as a derivative of a research program or as part of one-off funded outreach activities. Few efforts are structured to both educate the public about geoscience while also attempting to establish a sustainable funding model. EARTH Magazine, a non-profit publications produced by the American Geosciences Institute, is a monthly geoscience news and information magazine geared towards the public. Originally a profession-oriented publication, titled Geotimes, the publication shifted towards public engagement in the 1990s, completing that focus in 1998. Though part of a non-profit institute, EARTH is not a recipient of grants or contributions to offset its costs and thus must strive to "break even" to sustain its operations and further its mission. How "break even" is measured in a mission-based enterprise incorporates a number of factors, including financial, but also community impact and offsets to other investments. A number of strategies and their successes and failures, both editorially in its focus on audience in scope, tone, and design, and from an operational perspective in the rapidly changing world of magazines, will be outlined. EARTH is now focused on exploring alternative distribution channels, new business models, and disaggregation as means towards broader exposure of geoscience to the widest audience possible.

Capping the cost of compliance with the Kyoto Protocol and recycling revenues into land-use projects.

PubMed

Schlamadinger, B; Obersteiner, M; Michaelowa, A; Grubb, M; Azar, C; Yamagata, Y; Goldberg, D; Read, P; Kirschbaum, M U; Fearnside, P M; Sugiyama, T; Rametsteiner, E; Böswald, K

2001-07-14

There is the concern among some countries that compliance costs with commitments under the Kyoto Protocol may be unacceptably high. There is also the concern that technical difficulties with the inclusion of land use, land-use change, and forestry activities in non-Annex I countries might lead to an effective exclusion of such activities from consideration under the Protocol. This paper is proposing a mechanism that addresses both these concerns. In essence, it is suggested that parties should be able to purchase fixed-price offset certificates if they feel they cannot achieve compliance through other means alone, such as by improved energy efficiency, increased use of renewable energy, or use of the flexible mechanisms in the Kyoto Protocol. These offset certificates would act as a price cap for the cost of compliance for any party to the Protocol. Revenues from purchase of the offset certificates would be directed to forest-based activities in non-Annex I countries such as forest protection that may carry multiple benefits including enhancing net carbon sequestration.

Quality-adjusted cost of care: a meaningful way to measure growth in innovation cost versus the value of health gains.

PubMed

Lakdawalla, Darius; Shafrin, Jason; Lucarelli, Claudio; Nicholson, Sean; Khan, Zeba M; Philipson, Tomas J

2015-04-01

Technology drives both health care spending and health improvement. Yet policy makers rarely see measures of cost growth that account for both effects. To fill this gap, we present the quality-adjusted cost of care, which illustrates cost growth net of growth in the value of health improvements, measured as survival gains multiplied by the value of survival. We applied the quality-adjusted cost of care to two cases. For colorectal cancer, drug cost per patient increased by $34,493 between 1998 and 2005 as a result of new drug launches, but value from offsetting health improvements netted a modest $1,377 increase in quality-adjusted cost of care. For multiple myeloma, new therapies increased treatment cost by $72,937 between 2004 and 2009, but offsetting health benefits lowered overall quality-adjusted cost of care by $67,863. However, patients with multiple myeloma on established first-line therapies saw costs rise without corresponding benefits. All three examples document rapid cost growth, but they provide starkly different answers to the question of whether society got what it paid for. Project HOPE—The People-to-People Health Foundation, Inc.

Cost-saving effects of olanzapine as long-term treatment for bipolar disorder.

PubMed

Zhang, Yuting

2008-09-01

Promoters of new medications often argue that using newer drug can reduce use of non-drug medical services and therefore reduce total healthcare spending. This cost-offset argument is plausible both in theory and in practice, but rigorous research on specific drugs or drug categories is needed to make targeted and efficient policy and management decisions. I examined the drug-offset hypothesis for bipolar disorder, an important yet under-studied clinical condition where effective medication treatments can service as substitutes for non-drug medical treatments. I compared two first line long-term treatments, a new atypical antipsychotic medication, olanzapine, and a traditional mood stabilizer, lithium. I used private sector insurance claims data collected from a nationally representative sample of U.S. health plans between January 1998 and December 2001. I first selected a cohort of patients with bipolar disorder who were continuously enrolled for at least two years. I then used a propensity-score method to match individuals taking each drug on observed variables that are known to affect medication choices. The central challenge for estimation is that drug treatments are not randomly assigned among patients with bipolar disorder. To identify a causal link between choice of drugs and non-drug medical spending, I employed three different advanced econometrics techniques to assess the robustness of findings; namely interrupted time series, differencing strategies, and an instrumental variables approach. I found that compared to similar lithium users, olanzapine users spent approximately $330 more on monthly average non-drug medical services during the first year after initiation of drug treatment. The higher spending for olanzapine users was accounted for by both higher rates of re-hospitalization and more outpatient visits. In addition, olanzapine cost $153 per month while lithium cost $16 per month. Including the direct cost of the drugs, compared to similar patients taking lithium, patients with bipolar disorder taking olanzapine spent $5,600 more annually on health care services. These findings do not support the hypothesis that new drugs "pay for themselves" by reducing the need for other health care services in the case of olanzpine for bipolar disorder. This does not mean that the new drug is not "cost-effective" because increased "benefits" associated with the drug in terms of the improved quality of life may be worth the increased costs. However the findings do indicate that "cost-offsets" must be measured and not taken for granted. Incorporating such drug-offset evidence into policy and business decisions can facilitate appropriate clinical practices and improve efficiency of resource allocation. The methods used in this study to test for cost-offsets can be applied to other clinical areas and drug classes.

Evaluation of costs associated with tolvaptan-mediated length-of-stay reduction among heart failure patients with hyponatremia in the US, based on the EVEREST trial.

PubMed

Chiong, Jun R; Kim, Sonnie; Lin, Jay; Christian, Rudell; Dasta, Joseph F

2012-01-01

The Efficacy of Vasopressin Antagonism in Heart Failure Outcome Study with Tolvaptan (EVEREST) trial showed that tolvaptan use improved heart failure (HF) signs and symptoms without serious adverse events. To evaluate the potential cost savings associated with tolvaptan usage among hospitalized hyponatremic HF patients. The Healthcare Cost and Utilization Project (HCUP) 2008 Nationwide Inpatient Sample (NIS) database was used to estimate hospital cost and length of stay (LOS), for diagnosis-related group (DRG) hospitalizations of adult (age ≥18 years) HF patients with complications and comorbidities or major complications and comorbidities. EVEREST trial data for patients with hyponatremia were used to estimate tolvaptan-associated LOS reductions. A cost offset model was constructed to evaluate the impact of tolvaptan on hospital cost and LOS, with univariate and multivariate Monte Carlo sensitivity analyses. Tolvaptan use among hyponatremic EVEREST trial HF patients was associated with shorter hospital LOS than placebo patients (9.72 vs 11.44 days, respectively); 688,336 hospitalizations for HF DRGs were identified from the HCUP NIS database, with a mean LOS of 5.4 days and mean total hospital costs of $8415. Using an inpatient tolvaptan treatment duration of 4 days with a wholesale acquisition cost of $250 per day, the cost offset model estimated a LOS reduction among HF hospitalizations of 0.81 days and an estimated total cost saving of $265 per admission. Univariate and multivariate sensitivity analysis demonstrated that cost reduction associated with tolvaptan usage is consistent among variations of model variables. The estimated LOS reduction and cost savings projected by the cost offset model suggest a clinical and economic benefit to tolvaptan use in hyponatremic HF patients. The EVEREST trial data may not generalize well to the US population. Clinical trial patient profiles and relative LOS reductions may not be applicable to real-world patient populations.

29 CFR 20.111 - Administrative cost charges.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 1 2010-07-01 2010-07-01 true Administrative cost charges. 20.111 Section 20.111 Labor Office of the Secretary of Labor FEDERAL CLAIMS COLLECTION Federal Income Tax Refund Offset § 20.111 Administrative cost charges. Costs incurred by the Department in connection with referral of debts for tax refund...

Mobile dental operations: capital budgeting and long-term viability.

PubMed

Arevalo, Oscar; Chattopadhyay, Amit; Lester, Harold; Skelton, Judy

2010-01-01

The University of Kentucky College of Dentistry (UKCD) runs a large mobile dental operation. Economic conditions dictate that as the mobile units age it will be harder to find donors willing or able to provide the financial resources for asset replacement. In order to maintain current levels of access for the underserved, consideration of replacement is paramount. A financial analysis for a new mobile unit was conducted to determine self-sustainability, return on investment (ROI), and feasibility of generating a cash reserve for its replacement in 12 years. Information on clinical income, operational and replacement costs, and capital costs was collected. A capital budgeting analysis (CBA) was conducted using the Net Present Value (NPV) methodology in four different scenarios. Depreciation funding was calculated by transferring funds from cash inflows and reinvested to offset depreciation at fixed compound interest. A positive ROI was obtained for two scenarios. He depreciation fund did not generate a cash reserve sufficient to replace the mobile unit. Mobile dental programs can play a vital role in providing access to care to underserved populations and ensuring their mission requires long-term planning. Careful financial viability and CBA based on sound assumptions are excellent decision-making tools.

Introducing nonpoint source transferable quotas in nitrogen trading: The effects of transaction costs and uncertainty.

PubMed

Zhou, Xiuru; Ye, Weili; Zhang, Bing

2016-03-01

Transaction costs and uncertainty are considered to be significant obstacles in the emissions trading market, especially for including nonpoint source in water quality trading. This study develops a nonlinear programming model to simulate how uncertainty and transaction costs affect the performance of point/nonpoint source (PS/NPS) water quality trading in the Lake Tai watershed, China. The results demonstrate that PS/NPS water quality trading is a highly cost-effective instrument for emissions abatement in the Lake Tai watershed, which can save 89.33% on pollution abatement costs compared to trading only between nonpoint sources. However, uncertainty can significantly reduce the cost-effectiveness by reducing trading volume. In addition, transaction costs from bargaining and decision making raise total pollution abatement costs directly and cause the offset system to deviate from the optimal state. While proper investment in monitoring and measuring of nonpoint emissions can decrease uncertainty and save on the total abatement costs. Finally, we show that the dispersed ownership of China's farmland will bring high uncertainty and transaction costs into the PS/NPS offset system, even if the pollution abatement cost is lower than for point sources. Copyright © 2015 Elsevier Ltd. All rights reserved.

Cost-effectiveness analysis of a hospital electronic medication management system.

PubMed

Westbrook, Johanna I; Gospodarevskaya, Elena; Li, Ling; Richardson, Katrina L; Roffe, David; Heywood, Maureen; Day, Richard O; Graves, Nicholas

2015-07-01

To conduct a cost-effectiveness analysis of a hospital electronic medication management system (eMMS). We compared costs and benefits of paper-based prescribing with a commercial eMMS (CSC MedChart) on one cardiology ward in a major 326-bed teaching hospital, assuming a 15-year time horizon and a health system perspective. The eMMS implementation and operating costs were obtained from the study site. We used data on eMMS effectiveness in reducing potential adverse drug events (ADEs), and potential ADEs intercepted, based on review of 1 202 patient charts before (n = 801) and after (n = 401) eMMS. These were combined with published estimates of actual ADEs and their costs. The rate of potential ADEs following eMMS fell from 0.17 per admission to 0.05; a reduction of 71%. The annualized eMMS implementation, maintenance, and operating costs for the cardiology ward were A$61 741 (US$55 296). The estimated reduction in ADEs post eMMS was approximately 80 actual ADEs per year. The reduced costs associated with these ADEs were more than sufficient to offset the costs of the eMMS. Estimated savings resulting from eMMS implementation were A$63-66 (US$56-59) per admission (A$97 740-$102 000 per annum for this ward). Sensitivity analyses demonstrated results were robust when both eMMS effectiveness and costs of actual ADEs were varied substantially. The eMMS within this setting was more effective and less expensive than paper-based prescribing. Comparison with the few previous full economic evaluations available suggests a marked improvement in the cost-effectiveness of eMMS, largely driven by increased effectiveness of contemporary eMMs in reducing medication errors. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association.

Direct benefits of choosing a high-fitness mate can offset the indirect costs associated with intralocus sexual conflict.

PubMed

Pischedda, Alison; Chippindale, Adam K

2017-06-01

Intralocus sexual conflict generates a cost to mate choice: high-fitness partners transmit genetic variation that confers lower fitness to offspring of the opposite sex. Our earlier work in the fruit fly, Drosophila melanogaster, revealed that these indirect genetic costs were sufficient to reverse potential "good genes" benefits of sexual selection. However, mate choice can also confer direct fitness benefits by inducing larger numbers of progeny. Here, we consider whether direct benefits through enhanced fertility could offset the costs associated with intralocus sexual conflict in D. melanogaster. Using hemiclonal analysis, we found that females mated to high-fitness males produced 11% more offspring compared to those mated to low-fitness males, and high-fitness females produced 34% more offspring than low-fitness females. These direct benefits more than offset the reduction in offspring fitness caused by intralocus sexual conflict, creating a net fitness benefit for each sex to pairing with a high-fitness partner. Our findings highlight the need to consider both direct and indirect effects when investigating the fitness impacts of mate choice. Direct fitness benefits may shelter sexually antagonistic alleles from selection, suggesting a novel mechanism for the maintenance of fitness variation. © 2017 The Author(s). Evolution © 2017 The Society for the Study of Evolution.

Lower HVAC Costs | Efficient Windows Collaborative

Science.gov Websites

system. Smaller HVAC systems cost less and as such can offset some of the cost of the efficient windows dehumidification. First cost savings - Smaller HVAC units cost less. If, for example, down-sizing the HVAC system by half a ton saves $275, the cost premium of energy-efficient windows does not present as big an up

High-level endoscope disinfection processes in emerging economies: financial impact of manual process versus automated endoscope reprocessing.

PubMed

Funk, S E; Reaven, N L

2014-04-01

The use of flexible endoscopes is growing rapidly around the world. Dominant approaches to high-level disinfection among resource-constrained countries include fully manual cleaning and disinfection and the use of automated endoscope reprocessors (AERs). Suboptimal reprocessing at any step can potentially lead to contamination, with consequences to patients and healthcare systems. To compare the potential results of guideline-recommended AERs to manual disinfection along three dimensions - productivity, need for endoscope repair, and infection transmission risk in India, China, and Russia. Financial modelling using data from peer-reviewed published literature and country-specific market research. In countries where revenue can be gained through productivity improvements, conversion to automated reprocessing has a positive direct impact on financial performance, paying back the capital investment within 14 months in China and seven months in Russia. In India, AER-generated savings and revenue offset nearly all of the additional operating costs needed to support automated reprocessing. Among endoscopy facilities in India and China, current survey-reported practices in endoscope reprocessing using manual soaking may place patients at risk of exposure to pathogens leading to infections. Conversion from manual soak to use of AERs, as recommended by the World Gastroenterology Organization, may generate cost and revenue offsets that could produce direct financial gains for some endoscopy units in Russia and China. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Offset quadrature communications with decision-feedback carrier synchronization

NASA Technical Reports Server (NTRS)

Simon, M. K.; Smith, J. G.

1974-01-01

In order to accommodate a quadrature amplitude-shift-keyed (QASK) signal, Simon and Smith (1974) have modified the decision-feedback loop which tracks a quadrature phase-shift-keyed (QPSK). In the investigation reported approaches are considered to modify the loops in such a way that offset QASK signals can be tracked, giving attention to the special case of an offset QPSK. The development of the stochastic integro-differential equation of operation for a decision-feedback offset QASK loop is discussed along with the probability density function of the phase error process.

Evaluation of Needle Gun and Abrasive Blasting Technologies in Bridge Paint Removal Practices.

PubMed

Randall, Paul M; Kranz, Paul B; Sonntag, Mary L; Stadelmaier, James E

1998-03-01

This paper reviews the results of a U.S. Environmental Protection Agency (EPA) study that assessed needle gun technology as an alternative to conventional abrasive blasting technology to remove lead-based paint from steel bridges in western New York State. The study analyzed the operational and logistical aspects as they relate to worker health and safety, environmental protection, hazardous waste generation, and costs as compared to those arising from conventional abrasive blasting. In this 1992 EPA study, the costs and the product quality aspects favored conventional abrasive blasting over the needle gun technology for removing lead paint. However, abrasive blasting exposed workers to airborne lead levels that exceeded Permissible Exposure Limits (PELs) as established by the Occupational Safety and Health Administration (OSHA), as well as emitting high levels of lead-contaminated dusts and debris into the environment. It was estimated that more than 500 lbs of lead-contaminated spent abrasives and paint waste were released into the environment during paint removal operations. The needle gun system reduced (up to 97.5%) the generation of hazardous waste and the airborne concentrations (up to 99%) of respirable dusts and lead-containing particulates generated during paint removal operations. However, labor costs for the needle gun were three times higher than those for abrasive blasting primarily because of slower production rates that necessitated more operating personnel. The higher labor costs of the needle gun are partially offset by the increased costs associated with the expendable abrasive blast media and hazardous waste disposal. In the EPA study, the productivity of the needle gun system was 12.2 ft 2 /hr vs. 147.5 ft 2 /hr for abrasive blasting. A post blast was needed for the needle gun system to meet surface preparation specifications. When factoring in the costs of full containment structures to meet OSHA's 1993 Lead Exposure in Construction regulation, the needle gun system has the potential to be economically competitive with conventional abrasive blasting.

Acquisition, Processing, and Analysis of Continuous Multi-Offset GPR Data for Problems in Hydrogeophysics: Is it Worth the Cost? (Invited)

NASA Astrophysics Data System (ADS)

Bradford, J. H.

2009-12-01

Commercial development of multi-channel ground-penetrating radar (GPR) systems has made acquisition of continuous multi-offset (CMO) data more cost effective than ever. However, additional operator training, equipment costs, field and analysis time, and computation requirements necessarily remain substantially higher than conventional fixed offset GPR surveys. The choice to conduct a CMO survey is a target driven optimization problem where in many cases the added value outweighs the additional cost. Drawing examples from surface water, groundwater, snow, and glacier hydrology, I demonstrate a range of information that can be derived from CMO data with particular emphasis on estimating material properties of relevance to hydrological problems. Careful data acquisition is key to accurate property measurements. CMO geometries can be constructed with a single-channel system although with a significant loss of time and personnel efficiency relative to modern multi-channel systems. Using procedures such as common-midpoint stacking and pre-stack velocity filtering, it is possible to substantially improve the signal-to-noise ratio in GPR reflection images. However, the primary advantage of CMO data is dense sampling of a wide aperture of travelpaths through the subsurface. These data provide the basis for applying tomographic imaging techniques. Reflection velocity tomography in the pre-stack migration domain provides a robust approach to constructing accurate and detailed electromagnetic velocity models. These models in turn are used in conjunction with petrophysical models to estimate hydrologic properties such as porosity. Additionally, we can utilize the velocity models in conjunction with analysis of the frequency dependent attenuation to evaluate real and complex dielectric permittivity. The real and complex components of dielectric permittivity may have differing sensitivity to different components of the hydrologic system. Understanding this behavior may lead to improved understanding of relevant lithologic properties such as bulk clay content or fluid chemical composition during biodegradation of hydrocarbon contaminants. In addition to velocity tomography, CMO data enable reflection attenuation difference tomography. While time-lapse attenuation difference tomography using crosswell GPR transmission data is a well established technique for imaging conductive tracers in groundwater systems, it is not common for reflection data. Numerical examples based on a realistic aquifer model show that surface data can provide resolution of conductive tracer zones that is comparable to cross well data, thereby minimizing the need for invasive and expensive boreholes.

42 CFR 495.308 - Net average allowable costs as the basis for determining the incentive payment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Net average allowable costs as the basis for... Net average allowable costs as the basis for determining the incentive payment. (a) The first year of payment. (1) The incentive is intended to offset the costs associated with the initial adoption...

49 CFR 92.35 - Interest, penalties and administrative costs.

Code of Federal Regulations, 2010 CFR

2010-10-01

... accrue until payment is received. Interest shall be calculated only on the principal of the debt (simple... 49 Transportation 1 2010-10-01 2010-10-01 false Interest, penalties and administrative costs. 92... UNITED STATES BY SALARY OFFSET § 92.35 Interest, penalties and administrative costs. (a) Where a DOT...

Sequential Effects in Deduction: Cost of Inference Switch

ERIC Educational Resources Information Center

Milan, Emilio G.; Moreno-Rios, Sergio; Espino, Orlando; Santamaria, Carlos; Gonzalez-Hernandez, Antonio

2010-01-01

The task-switch paradigm has helped psychologists gain insight into the processes involved in changing from one activity to another. The literature has yielded consistent results about switch cost reconfiguration (abrupt offset in regular task-switch vs. gradual reduction in random task-switch; endogenous and exogenous components of switch cost;…

45 CFR 607.12 - Interest, penalties, and administrative costs.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 3 2014-10-01 2014-10-01 false Interest, penalties, and administrative costs. 607.12 Section 607.12 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION SALARY OFFSET § 607.12 Interest, penalties, and administrative costs. Charges may be assessed on a...

45 CFR 607.12 - Interest, penalties, and administrative costs.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 3 2013-10-01 2013-10-01 false Interest, penalties, and administrative costs. 607.12 Section 607.12 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION SALARY OFFSET § 607.12 Interest, penalties, and administrative costs. Charges may be assessed on a...

45 CFR 607.12 - Interest, penalties, and administrative costs.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 3 2012-10-01 2012-10-01 false Interest, penalties, and administrative costs. 607.12 Section 607.12 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION SALARY OFFSET § 607.12 Interest, penalties, and administrative costs. Charges may be assessed on a...

45 CFR 607.12 - Interest, penalties, and administrative costs.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 3 2011-10-01 2011-10-01 false Interest, penalties, and administrative costs. 607.12 Section 607.12 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION SALARY OFFSET § 607.12 Interest, penalties, and administrative costs. Charges may be assessed on a...

5 CFR 845.206 - Collection by administrative offset.

Code of Federal Regulations, 2010 CFR

2010-01-01

... her designee will determine the cost effectiveness of leaving a claim unresolved for more than 6 years. This decision will be based on such factors as the amount of the debt, the cost of collection, and the...

Superplastic forming of Al-Li alloys for lightweight, low-cost structures

NASA Technical Reports Server (NTRS)

Hales, Stephen J.; Wagner, John A.

1991-01-01

Superplastic forming of advanced aluminum alloys is being evaluated as an approach for fabricating low-cost, light-weight, cryogenic propellant tanks. Built-up structure concepts (with inherent reduced scrap rate) are under investigation to offset the additional raw material expenses incurred by using aluminum lithium alloys. This approach to fabrication offers the potential for significant improvements in both structural efficiency and overall manufacturing costs. Superplasticity is the ability of specially processed material to sustain very large forming strains without failure at elevated temperatures under controlled deformation conditions. It was demonstrated that superplastic forming technology can be used to fabricate complex structural components in a single operation and increase structural efficiency by as much as 60 percent compared to conventional configurations in skin-stiffened structures. Details involved in the application of this technology to commercial grade superplastic aluminum lithium material are presented. Included are identification of optimum forming parameters, development of forming procedures, and assessment of final part quality in terms of cavitation volume and thickness variation.

Reliability and performance experience with flat-plate photovoltaic modules

NASA Technical Reports Server (NTRS)

Ross, R. G., Jr.

1982-01-01

Statistical models developed to define the most likely sources of photovoltaic (PV) array failures and the optimum method of allowing for the defects in order to achieve a 20 yr lifetime with acceptable performance degradation are summarized. Significant parameters were the cost of energy, annual power output, initial cost, replacement cost, rate of module replacement, the discount rate, and the plant lifetime. Acceptable degradation allocations were calculated to be 0.0001 cell failures/yr, 0.005 module failures/yr, 0.05 power loss/yr, a 0.01 rate of power loss/yr, and a 25 yr module wear-out length. Circuit redundancy techniques were determined to offset cell failures using fault tolerant designs such as series/parallel and bypass diode arrangements. Screening processes have been devised to eliminate cells that will crack in operation, and multiple electrical contacts at each cell compensate for the cells which escape the screening test and then crack when installed. The 20 yr array lifetime is expected to be achieved in the near-term.

Study of Thermal Control Systems for orbiting power systems

NASA Technical Reports Server (NTRS)

Howell, H. R.

1981-01-01

Thermal control system designs were evaluated for the 25 kW power system. Factors considered include long operating life, high reliability, and meteoroid hazards to the space radiator. Based on a cost advantage, the bumpered pumped fluid radiator is recommended for the initial 25 kW power system and intermediate versions up to 50 kW. For advanced power systems with heat rejection rates above 50 kW the lower weight of the advanced heat pipe radiator offsets the higher cost and this design is recommended. The power system payloads heat rejection allocations studies show that a centralized heat rejection system is the most weight and cost effective approach. The thermal interface between the power system and the payloads was addressed and a concept for a contact heat exchanger that eliminates fluid transfer between the power system and the payloads was developed. Finally, a preliminary design of the thermal control system, with emphasis on the radiator and radiator deployment mechanism, is presented.

An Update on the Mechanical and EM Performance of the Composite Dish Verification Antenna (DVA-1) for the SKA

NASA Technical Reports Server (NTRS)

Lacy, G. E.; Fleming, M.; Baker, L.; Imbriale, W.; Cortes-Medellin, G.; Veidt, B.; Hovey, G. J.; DeBoer, D.

2012-01-01

This paper will give an overview of the unique mechanical and optical design of the DVA-1 telescope. The rim supported carbon fibre reflector surfaces are designed to be both low cost and have high performance under wind, gravity, and thermal loads. The shaped offset Gregorian optics offer low and stable side lobes along with a large area at the secondary focus for multiple feeds with no aperture blockage. Telescope performance under ideal conditions as well as performance under gravity, wind, and thermal loads will be compared directly using calculated radiation patterns for each of these operating conditions.

Offset Printing Plate Quality Sensor on a Low-Cost Processor

PubMed Central

Poljak, Jelena; Botella, Guillermo; García, Carlos; Poljaček, Sanja Mahović; Prieto-Matías, Manuel; Tirado, Francisco

2013-01-01

The aim of this work is to develop a microprocessor-based sensor that measures the quality of the offset printing plate through the introduction of different image analysis applications. The main features of the presented system are the low cost, the low amount of power consumption, its modularity and easy integration with other industrial modules for printing plates, and its robustness against noise environments. For the sake of clarity, a viability analysis of previous software is presented through different strategies, based on dynamic histogram and Hough transform. This paper provides performance and scalability data compared with existing costly commercial devices. Furthermore, a general overview of quality control possibilities for printing plates is presented and could be useful to a system where such controls are regularly conducted. PMID:24284766

Fuel cycle cost, reactor physics and fuel manufacturing considerations for Erbia-bearing PWR fuel with > 5 wt% U-235 content

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

Franceschini, F.; Lahoda, E. J.; Kucukboyaci, V. N.

2012-07-01

The efforts to reduce fuel cycle cost have driven LWR fuel close to the licensed limit in fuel fissile content, 5.0 wt% U-235 enrichment, and the acceptable duty on current Zr-based cladding. An increase in the fuel enrichment beyond the 5 wt% limit, while certainly possible, entails costly investment in infrastructure and licensing. As a possible way to offset some of these costs, the addition of small amounts of Erbia to the UO{sub 2} powder with >5 wt% U-235 has been proposed, so that its initial reactivity is reduced to that of licensed fuel and most modifications to the existingmore » facilities and equipment could be avoided. This paper discusses the potentialities of such a fuel on the US market from a vendor's perspective. An analysis of the in-core behavior and fuel cycle performance of a typical 4-loop PWR with 18 and 24-month operating cycles has been conducted, with the aim of quantifying the potential economic advantage and other operational benefits of this concept. Subsequently, the implications on fuel manufacturing and storage are discussed. While this concept has certainly good potential, a compelling case for its short-term introduction as PWR fuel for the US market could not be determined. (authors)« less

Total hip arthroplasty using a short-stem prosthesis: restoration of hip anatomy.

PubMed

Amenabar, Tomas; Marimuthu, Kanniraj; Hawdon, Gabrielle; Gildone, Alessandro; McMahon, Stephen

2015-04-01

To evaluate hip parameters such as vertical centre of rotation (VCR), horizontal centre of rotation (HCR), femoral offset, and leg length after total hip arthroplasty (THA) using the Nanos short-stem prosthesis. Medical records of 73 men and 74 women aged 25 to 92 (mean, 63) years who underwent THA using the Nanos short-stem prosthesis by a single surgeon were reviewed. Prior to the surgery, the optimal cup and stem size, head length, and level of the neck osteotomy were determined using radiographs. Intra-operatively, the leg length and femoral offset were checked, and the level of neck resection and head length were adjusted. VCR, HCR, femoral offset, and leg length of the operated and contralateral sides were compared. Functional outcomes were assessed using the Harris Hip Score (HHS). Compared with the normal contralateral hips, the operated hips had a mean increase of 0.4 mm in VCR (p=0.032), a mean decrease of 1.4 mm in HCR (p=0.027), a mean increase of 0.6 mm in femoral offset (p=0.043), and a mean increase of 0.36 mm in leg length (p=0.035). For these respective parameters, the difference between the normal contralateral side and the operated side was within 5 mm in 89%, 80%, 71%, and 96% of patients. The HHS improved from a mean of 53 to 91 at one year (p<0.001). THA using the Nanos short-stem prosthesis enabled restoration of hip anatomy (VCR, HCR, femoral offset, and leg length).

Biodiversity Offsets: A Cost-Effective Interim Solution to Seabird Bycatch in Fisheries?

PubMed Central

Pascoe, Sean; Wilcox, Chris; Donlan, C. Josh

2011-01-01

The concept of biodiversity offsets is well established as an approach to environmental management. The concept has been suggested for environmental management in fisheries, particularly in relation to the substantial numbers of non-target species—seabirds in particular—caught and killed as incidental bycatch during fishing activities. Substantial areas of fisheries are being closed to protect these species at great cost to the fishing industry. However, other actions may be taken to offset the impact of fishing on these populations at lower cost to the fishing industry. This idea, however, has attracted severe criticism largely as it does not address the underlying externality problems created by the fishing sector, namely seabird fishing mortality. In this paper, we re-examine the potential role of compensatory mitigation as a fisheries management tool, although from the perspective of being an interim management measure while more long-lasting solutions to the problem are found. We re-model an example previously examined by both proponents and opponents of the approach, namely the cost effectiveness of rodent control relative to fishery area closures for the conservation of a seabird population adversely affected by an Australian tuna fishery. We find that, in the example being examined, invasive rodent eradication is at least 10 times more cost effective than area closures. We conclude that, while this does not solve the actual bycatch problem, it may provide breathing space for both the seabird species and the industry to find longer term means of reducing bycatch. PMID:22039422

A Cost-Utility Model of Care for Peristomal Skin Complications

PubMed Central

Inglese, Gary; Manson, Andrea; Townshend, Arden

2016-01-01

PURPOSE: The aim of this study was to evaluate the economic and humanistic implications of using ostomy components to prevent subsequent peristomal skin complications (PSCs) in individuals who experience an initial, leakage-related PSC event. DESIGN: Cost-utility analysis. METHODS: We developed a simple decision model to consider, from a payer's perspective, PSCs managed with and without the use of ostomy components over 1 year. The model evaluated the extent to which outcomes associated with the use of ostomy components (PSC events avoided; quality-adjusted life days gained) offset the costs associated with their use. RESULTS: Our base case analysis of 1000 hypothetical individuals over 1 year assumes that using ostomy components following a first PSC reduces recurrent events versus PSC management without components. In this analysis, component acquisition costs were largely offset by lower resource use for ostomy supplies (barriers; pouches) and lower clinical utilization to manage PSCs. The overall annual average resource use for individuals using components was about 6.3% ($139) higher versus individuals not using components. Each PSC event avoided yielded, on average, 8 additional quality-adjusted life days over 1 year. CONCLUSIONS: In our analysis, (1) acquisition costs for ostomy components were offset in whole or in part by the use of fewer ostomy supplies to manage PSCs and (2) use of ostomy components to prevent PSCs produced better outcomes (fewer repeat PSC events; more health-related quality-adjusted life days) over 1 year compared to not using components. PMID:26633166

Cost-effectiveness analysis of valsartan versus losartan and the effect of switching.

PubMed

Baker, Timothy M; Goh, Jowern; Johnston, Atholl; Falvey, Heather; Brede, Yvonne; Brown, Ruth E

2012-01-01

Losartan will shortly become generic, and this may encourage switching to the generic drug. However, valsartan was shown in a meta-analysis to be statistically superior in lowering blood pressure (BP) to losartan. This paper examines the costs of treatment with these two drugs and the potential consequences of switching established valsartan patients to generic losartan. A US payer cost-effectiveness model was developed incorporating the risk of cardiovascular disease (CVD) events related to systolic blood pressure (SBP) control comparing valsartan to continual losartan and switching from valsartan to generic losartan. The model, based upon a meta-analysis by Nixon et al. and Framingham equations, included first CVD event costs calculated from US administrative data sets and utility values from published sources. The modeled outcomes were number of CVD events, costs and incremental cost per quality-adjusted life-year (QALY) and life-year (LY). Fewer patients had fatal and non-fatal CVD events with valsartan therapy compared with continual losartan and with patients switched from valsartan to generic losartan. The base-case model results indicated that continued treatment with valsartan had an incremental cost-effectiveness ratio of $27,268 and $25,460 per life year gained, and $32,313 and $30,170 per QALY gained, relative to continual losartan and switching treatments, respectively. Sensitivity analyses found that patient discontinuation post-switching was a sensitive parameter. Including efficacy offsets with lowered adherence or discontinuation resulted in more favorable ratios for valsartan compared to switching therapy. The model does not evaluate post-primary CVD events and considers change in SBP from baseline level as the sole predictor of CVD risk. Valsartan appears to be cost-effective compared to switching to generic losartan and switching to the generic drug does not support a cost offset argument over the longer term. Physicians should continue to consider the needs of individual patient and not cost offsets.

Decision analytic model exploring the cost and cost-offset implications of street triage

PubMed Central

Heslin, Margaret; Callaghan, Lynne; Packwood, Martin; Badu, Vincent; Byford, Sarah

2016-01-01

Objectives To determine if street triage is effective at reducing the total number of people with mental health needs detained under section 136, and is associated with cost savings compared to usual police response. Design Routine data from a 6-month period in the year before and after the implementation of a street triage scheme were used to explore detentions under section 136, and to populate a decision analytic model to explore the impact of street triage on the cost to the NHS and the criminal justice sector of supporting people with a mental health need. Setting A predefined area of Sussex, South East England, UK. Participants All people who were detained under section 136 within the predefined area or had contact with the street triage team. Interventions The street triage model used here was based on a psychiatric nurse attending incidents with a police constable. Primary and secondary outcome measures The primary outcome was change in the total number of detentions under section 136 between the before and after periods assessed. Secondary analysis focused on whether the additional costs of street triage were offset by cost savings as a result of changes in detentions under section 136. Results Detentions under section 136 in the street triage period were significantly lower than in the usual response period (118 vs 194 incidents, respectively; χ2 (1df) 18.542, p<0.001). Total NHS and criminal justice costs were estimated to be £1043 in the street triage period compared to £1077 in the usual response period. Conclusions Investment in street triage was offset by savings as a result of reduced detentions under section 136, particularly detentions in custody. Data available did not include assessment of patient outcomes, so a full economic evaluation was not possible. PMID:26868943

Imaging of Ultra-Wideband Georadar Data

NASA Astrophysics Data System (ADS)

ferguson, Robert; Yedlin, Matthew; Pichot, Christian; Dauvignac, Jean-Yves; Fortino, Nicolas; Gaffet, Stéphane

2013-04-01

We present a methodology for georadar acquisition and processing that returns superior images of the subsurface for low cost. Georadar data were acquired in March 2011 in the anti-blast tunnel within the Inter-Disciplinary Underground Science & Technology Laboratory at the Laboratoire Souterrain a Bas Bruit (LSBB, http://lsbb.oca.eu), Rustrel, France. The georadar data from LSBB were acquired with an exponentially tapered slot antenna (ETSA) of the Vivaldi type. The ETSA is connected to an Agilent vector network analyzer and it operates between 150 MHz to 2 GHz with a noise floor of -120 dB. One of the most interesting technical aspects of the recordings is the use of both a conventional bistatic recording geometry (the source / receiver offset is about 65 cm) and what we will call a monostatic recording geometry where the emitting antenna is also the receiving antenna. The monostatic (reflection) data and bistatic (transmission) data are recorded complex numbers and each recorded number is a stack of monochromatic wave measurements. This system is reported to have a number of outstanding attributes including long depth of resolution due to it's wide bandwidth. Compared to other systems it has a greater dynamic range plus low distortion, and this is achieved with low-noise, low-loss cables and shielding with ultra-wideband absorbers. The resulting monostatic georadargrams are a true, zero-offset recording geometry, and so zero-offset migration (imaging that is based on the exploding reflector concept) returns a high accuracy image for low cost. To restore reflection attenuation due to the low Q factor associated with georadar, we apply nonstationary, Gabor-domain deconvolution. We find that amplitude attenuation is restored and phase distortion is corrected. The improved accuracy of our methodology is established first through direct comparison of our Gabor-deconvolved data with conventional, stationary deconvolution where we find that the nonstationary result is superior. Then, using a bistatic data set for an imaging comparison, we show that ZOM ( Zero-Offset Migration) applied to the bistatic data introduces spurious reflection imagery in the upper 50 cm, but that PSDM (Pre-Stack Depth Migration) of the bistatic data returns an image that is similar to ZOM of the monostatic data. The bistatic data were acquired coincident with the monostatic acquisition and have a source / receiver offset of 65 cm. Thus, imaging accuracy associated with PSDM is achieved using ZOM at 1/100 the computational cost. In the deeper section of our dataset, we find that the ZOM image using the monostatic data returns a significantly improved image than PSDM of the bistatic data. This is unexpected, but perhaps the difference is a phenomenon that is due to out-of-plane reflections and that 2D PSDM is rightly defocussing out-of-plane energy. We feel that subsequent 3D data acquisition could resolve this difference.

Cost-effectiveness analysis of a hospital electronic medication management system

PubMed Central

Gospodarevskaya, Elena; Li, Ling; Richardson, Katrina L; Roffe, David; Heywood, Maureen; Day, Richard O; Graves, Nicholas

2015-01-01

Objective To conduct a cost–effectiveness analysis of a hospital electronic medication management system (eMMS). Methods We compared costs and benefits of paper-based prescribing with a commercial eMMS (CSC MedChart) on one cardiology ward in a major 326-bed teaching hospital, assuming a 15-year time horizon and a health system perspective. The eMMS implementation and operating costs were obtained from the study site. We used data on eMMS effectiveness in reducing potential adverse drug events (ADEs), and potential ADEs intercepted, based on review of 1 202 patient charts before (n = 801) and after (n = 401) eMMS. These were combined with published estimates of actual ADEs and their costs. Results The rate of potential ADEs following eMMS fell from 0.17 per admission to 0.05; a reduction of 71%. The annualized eMMS implementation, maintenance, and operating costs for the cardiology ward were A$61 741 (US$55 296). The estimated reduction in ADEs post eMMS was approximately 80 actual ADEs per year. The reduced costs associated with these ADEs were more than sufficient to offset the costs of the eMMS. Estimated savings resulting from eMMS implementation were A$63–66 (US$56–59) per admission (A$97 740–$102 000 per annum for this ward). Sensitivity analyses demonstrated results were robust when both eMMS effectiveness and costs of actual ADEs were varied substantially. Conclusion The eMMS within this setting was more effective and less expensive than paper-based prescribing. Comparison with the few previous full economic evaluations available suggests a marked improvement in the cost–effectiveness of eMMS, largely driven by increased effectiveness of contemporary eMMs in reducing medication errors. PMID:25670756

IMPROVING PROCEDURES FOR PRODUCING OVERHEAD TRANSPARENCIES WITH THE ULTIMATE AIM OF INCORPORATING THESE TECHNIQUES INTO THE DEVELOPMENT OF A REGIONAL CURRICULAR MATERIALS CENTER FOR VOCATIONAL EDUCATION. FINAL REPORT.

ERIC Educational Resources Information Center

JENSEN, ARTHUR K.

THE INVESTIGATION RESULTED IN THE PRODUCTION OF 88 LOW-COST OVERHEAD PROJECTION TRANSPARENCIES ON THE BASIC PRINCIPLES OF POWER TRANSMISSION IN AGRICULTURAL MACHINERY. DEVELOPING TECHNIQUES FOR OFFSET PRINTING ON PLASTIC REQUIRED OVERCOMING PROBLEMS OF STATIC ELECTRICITY, INK ADHESION, OFFSETTING, AND DRYING. MACHINERY, ENVIRONMENT, AND INK WERE…

Optimization of Connector Position Offset for Bandwidth Enhancement of a Multimode Optical Fiber Link

NASA Technical Reports Server (NTRS)

Rawat, Banmali

2000-01-01

The multimode fiber bandwidth enhancement techniques to meet the Gigabit Ethernet standards for local area networks (LAN) of the Kennedy Space Center and other NASA centers have been discussed. Connector with lateral offset coupling between single mode launch fiber cable and the multimode fiber cable has been thoroughly investigated. An optimization of connector position offset for 8 km long optical fiber link at 1300 nm with 9 micrometer diameter single mode fiber (SMF) and 50 micrometer diameter multimode fiber (MMF) coupling has been obtained. The optimization is done in terms of bandwidth, eye-pattern, and bit pattern measurements. It is simpler, is a highly practical approach and is cheaper as no additional cost to manufacture the offset type of connectors is involved.

Cost Conscious: Incentive and Discount Programs Help Students Meet the Rising Cost of a Community College Education

ERIC Educational Resources Information Center

Ullman, Ellen

2013-01-01

Aware that rising costs could force some community colleges to compromise their long-standing open-door policies, administrators have put in place programs and incentives to offset the higher price of the average community college education. This article features ideas and programs to help struggling community colleges cope with rising costs such…

45 CFR 607.12 - Interest, penalties, and administrative costs.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 3 2010-10-01 2010-10-01 false Interest, penalties, and administrative costs. 607.12 Section 607.12 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL SCIENCE FOUNDATION SALARY OFFSET § 607.12 Interest, penalties, and administrative costs. Charges may be assessed on a debt for interest, penalties, and...

78 FR 71563 - Certain Circular Welded Carbon Steel Pipes and Tubes From Taiwan: Final Results of Antidumping...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-29

... remove an offset to costs that is associated with non-subject merchandise.\\6\\ \\6\\ See the Issues and... cost memorandum dated concurrently with this notice, ``Cost of Production and Constructed Value... Proceedings: Assessment of Antidumping Duties, 68 FR 23954 (May 6, 2003). Cash Deposit Requirements The...

The potential carbon benefit of reforesting Hawai‘i Island non-native grasslands with endemic Acacia koa trees

USGS Publications Warehouse

Selmants, Paul; Sleeter, Benjamin M.; Koch, Nicholas; Friday, James B.; Ohara, Rebekah Dickens; Friday, James B.

2016-01-01

Large areas of forest in the tropics have been cleared and converted to pastureland. Hawai‘i Island is no exception, with over 100,000 ha of historically forested land now dominated by non-native grasses. Passive forest restoration has been unsuccessful because these grasslands tend to persist even after grazers have been removed, yet active outplanting of native tree species can be cost-prohibitive at the landscape scale. It is therefore essential to seek co-benefits of forest restoration to defray costs, such as accredited carbon offsets from increased carbon sequestration. We developed a reforestation scenario for non-native grasslands on Hawai‘i Island by outplanting endemic koa (Acacia koa) trees paid for with carbon offsets via the California Cap and Trade Program. This scenario entails reforesting 53,531 ha of non-native grassland at 2500 ha y-1 over 22 years. We estimated planting costs at \\$6,178 ha-1, a total cost of approximately \\$331,000,000. We used the Land Use and Carbon Simulator (LUCAS) model to estimate island-wide ecosystem carbon sequestration with and without koa reforestation using 100 Monte Carlo simulations per year over a 60-year period. Income from carbon offsets was set at \\$13.57 per ton of CO2 equivalent, the current California Cap and Trade Program carbon market price.

The impacts of freight mode splitting on congestion, risk, and delivery reliability.

DOT National Transportation Integrated Search

2012-09-01

Although splitting shipments across multiple delivery or transportation modes typically : increases total shipping costs as a result of diseconomies of scale, it may offer certain benefits : that can more than offset these costs. These benefits inclu...

Preliminary preview for a geographic and monitoring program project; a review of point source-nonpoint source effluent trading/offset systems in watersheds

USGS Publications Warehouse

Wood, Alexander Warren; Bernknopf, Richard L.

2003-01-01

Watershed-based trading and offset systems are being developed to improve policy-maker?s and regulator?s ability to assess nonpoint source impacts in watersheds and to evaluate the efficacy of using market-incentive programs for preserving environmental quality. An overview of the history of successful and failed trading programs throughout the United States suggests that certain political, economic, and scientific conditions within a temporal and spatial setting help meet water quality standards. The current lack of spontaneous trading among dischargers does not mean that a marketable permit trading system is an inherently inefficient regulatory approach. Rather, its infrequent use is the result of institutional and informational barriers. Improving and refining the earth science information and technologies may help determine whether trading is a suitable policy for improving water quality. However, it is debatable whether or not environmental information is the limiting factor. This paper reviews additional factors affecting the potential for instituting a trading policy. The motivation for investigating and reviewing the history of offsets and trading was inspired by a project in the preliminary stages being developed by U.S. Geological Survey Western Geographic Science Center and the Environmental Protection Agency Region IX. An offset feasibility study will be an integrated, map-based approach that incorporates environmental, economic, and statistical information to investigate the potential for using offsets to meet mercury Total Maximum Daily Loads in the Sacramento River watershed. A regional water-quality offset program is being studied that may help known point sources reduce mercury loading more cost effectively by the remediation of abandoned mines or other diffuse sources as opposed to more costly treatment at their own sites. An efficient offset program requires both a scientific basis and methods to translate that science into a regulatory decision framework.

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

Miller, Benjamin, E-mail: BenjaminMiller@nyc.rr.com; Spertus, Juliette, E-mail: Juliette.Spertus@gmail.com; Kamga, Camille, E-mail: CKamga@UTRC2.org

Highlights: • Pneumatic and truck collection were compared in three New York City locations. • Relative costs, energy use, and greenhouse gas emissions varied significantly. • Variations were due to location-specific factors (e.g., route density, truck type). • Under appropriate conditions, pneumatic collection reduces TMT, BTU, and GHG. • Pneumatic capex may be offset by operating savings and externality benefits. - Abstract: Truck-based collection of municipal solid waste imposes significant negative externalities on cities and constrains the efficiency of separate collection of recyclables and organics and of unit-price-based waste-reduction systems. In recent decades, hundreds of municipal-scale pneumatic collection systems havemore » been installed in Europe and Asia. Relatively few prior studies have compared the economic or environmental impacts of these systems to those of truck collection. A critical factor to consider when making this comparison is the extent to which the findings reflect the specific geographic, demographic, and operational characteristics of the systems considered. This paper is based on three case studies that consider the specific characteristics of three locations, comparing pneumatic systems with conventional collection on the basis of actual waste tonnages, composition, sources, collection routes, truck trips, and facility locations. In one case, alternative upgrades to an existing pneumatic system are compared to a potential truck-collection operation. In the other cases, existing truck operations are compared to proposed pneumatic systems which, to reduce capital costs, would be installed without new trenching or tunneling through the use of existing linear infrastructure. For the two proposed retrofit pneumatic systems, up to 48,000 truck kilometers travelled would be avoided and energy use would be reduced by up to 60% at an incremental cost of up to $400,000 USD per year over the total operating-plus-capital cost of conventional collection. In the location where a greenfield pneumatic system is already in operation, truck collection would be both less expensive and more energy-efficient than pneumatic collection. The results demonstrate that local geographic, demographic, and operational conditions play a decisive role in determining whether pneumatic collection will reduce energy requirements, produce more or fewer greenhouse gas emissions, and cost more or less over the long-term. These findings point to the local factors that will determine the relative economic and environmental costs and benefits in specific situations.« less

Use of automated rendezvous trajectory planning to improve spacecraft operations efficiency

NASA Technical Reports Server (NTRS)

Mulder, Tom A.

1991-01-01

The current planning process for space shuttle rendezvous with a second Earth-orbiting vehicle is time consuming and costly. It is a labor-intensive, manual process performed pre-mission with the aid of specialized maneuver processing tools. Real-time execution of a rendezvous plan must closely follow a predicted trajectory, and targeted solutions leading up to the terminal phase are computed on the ground. Despite over 25 years of Gemini, Apollo, Skylab, and shuttle vehicle-to-vehicle rendezvous missions flown to date, rendezvous in Earth orbit still requires careful monitoring and cannot be taken for granted. For example, a significant trajectory offset was experienced during terminal phase rendezvous of the STS-32 Long Duration Exposure Facility retrieval mission. Several improvements can be introduced to the present rendezvous planning process to reduce costs, produce more fuel-efficient profiles, and increase the probability of mission success.

Castro Valley High School's Solar Panels

NASA Astrophysics Data System (ADS)

Lew, A.; Ham, S.; Shin, Y.; Yang, W.; Lam, J.

2014-12-01

Solar panels are photovoltaic cells that are designed to convert the sun's kinetic energy to generate usable energy in the form of electricity. Castro Valley High School has tried to offset the cost of electricity by installing solar panels, costing the district approximately 3.29 million dollars, but have been installed incorrectly and are not operating at peak efficency. By using trigonometry we deduced that Castro Valley High School's south facing solar panels were at an incline of 10o and that the east and west facing solar panels are at an incline of 5o. By taking the averages of the optimum angles for the months of September through May, roughly when school is in session, we found that the optimum angle for south facing solar panels should be roughly 46o. This shows that Castro Valley High School has not used it's budget to its full potential due to the fact that the solar panels were haphazardly installed.

Financial Performance of Health Insurers: State-Run Versus Federal-Run Exchanges.

PubMed

Hall, Mark A; McCue, Michael J; Palazzolo, Jennifer R

2018-06-01

Many insurers incurred financial losses in individual markets for health insurance during 2014, the first year of Affordable Care Act mandated changes. This analysis looks at key financial ratios of insurers to compare profitability in 2014 and 2013, identify factors driving financial performance, and contrast the financial performance of health insurers operating in state-run exchanges versus the federal exchange. Overall, the median loss of sampled insurers was -3.9%, no greater than their loss in 2013. Reduced administrative costs offset increases in medical losses. Insurers performed better in states with state-run exchanges than insurers in states using the federal exchange in 2014. Medical loss ratios are the underlying driver more than administrative costs in the difference in performance between states with federal versus state-run exchanges. Policy makers looking to improve the financial performance of the individual market should focus on features that differentiate the markets associated with state-run versus federal exchanges.

7 CFR 1463.111 - Offsets and assignments.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 10 2010-01-01 2010-01-01 false Offsets and assignments. 1463.111 Section 1463.111 Agriculture Regulations of the Department of Agriculture (Continued) COMMODITY CREDIT CORPORATION, DEPARTMENT OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS 2005-2014 TOBACCO TRANSITION PROGRAM Tobacco...

Posaconazole vs fluconazole or itraconazole for prevention of invasive fungal diseases in patients with acute myeloid leukemia or myelodysplastic syndrome: a cost-effectiveness analysis in an Asian teaching hospital.

PubMed

Chan, Thomas S Y; Marcella, Stephen W; Gill, Harinder; Hwang, Yu-Yan; Kwong, Yok-Lam

2016-01-01

Posaconazole is superior to fluconazole/itraconazole in preventing invasive fungal diseases (IFDs) in neutropenic patients. Whether the higher cost of posaconazole is offset by decreases in IFDs in a given institute requires cost-effective analysis encompassing the spectrum of IFDs and socioeconomic factors specific to that geographic area. This study performed a cost-effective analysis of posaconazole prophylaxis for IFDs in an Asian teaching hospital, employing decision modeling and data of IFDs and medication costs specific to the institute, in neutropenic patients with acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS). In the cost-effectiveness analysis, the higher cost of posaconazole was partially offset by a reduction in the cost of treating IFDs that were prevented, resulting in an incremental cost of 125,954 Hong Kong dollars/16,148 USD per IFD avoided. Over a lifetime horizon, assuming same case fatality rate of IFDs in both groups, use of posaconazole results in 0.07 discounted life years saved. This corresponds to an incremental cost of 116,023 HKD/14,875 USD per life year saved. This incremental cost per life year saved in posaconazole prophylaxis fulfilled the World Health Organization defined threshold for cost-effectiveness. Posaconazole prophylaxis was cost-effective in Hong Kong.

A comparison of BNR activated sludge systems with membrane and settling tank solid-liquid separation.

PubMed

Ramphao, M C; Wentzel, M C; Ekama, G A; Alexander, W V

2006-01-01

Installing membranes for solid-liquid separation into biological nutrient removal (BNR) activated sludge (AS) systems makes a profound difference not only to the design of the membrane bio-reactor (MBR) BNR system itself, but also to the design approach for the whole wastewater treatment plant (WWTP). In multi-zone BNR systems with membranes in the aerobic reactor and fixed volumes for the anaerobic, anoxic and aerobic zones (i.e. fixed volume fractions), the mass fractions can be controlled (within a range) with the inter-reactor recycle ratios. This zone mass fraction flexibility is a significant advantage of MBR BNR systems over BNR systems with secondary settling tanks (SSTs), because it allows changing the mass fractions to optimise biological N and P removal in conformity with influent wastewater characteristics and the effluent N and P concentrations required. For PWWF/ADWF ratios (fq) in the upper range (fq approximately 2.0), aerobic mass fractions in the lower range (f(maer) < 0.60) and high (usually raw) wastewater strengths, the indicated mode of operation of MBR BNR systems is as extended aeration WWTPs (no primary settling and long sludge age). However, the volume reduction compared with equivalent BNR systems with SSTs will not be large (40-60%), but the cost of the membranes can be offset against sludge thickening and stabilisation costs. Moving from a flow unbalanced raw wastewater system to a flow balanced (fq = 1) low (usually settled) wastewater strength system can double the ADWF capacity of the biological reactor, but the design approach of the WWTP changes away from extended aeration to include primary sludge stabilisation. The cost of primary sludge treatment then has to be offset against the savings of the increased WWTP capacity.

Offsetting Water Requirements and Stress with Enhanced Water Recovery from CO 2 Storage

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

Hunter, Kelsey Anne

2016-08-04

Carbon dioxide (CO 2) capture, utilization, and storage (CCUS) operations ultimately require injecting and storing CO 2 into deep saline aquifers. Reservoir pressure typically rises as CO 2 is injected increasing the cost and risk of CCUS and decreasing viable storage within the formation. Active management of the reservoir pressure through the extraction of brine can reduce the pressurization while providing a number of benefits including increased storage capacity for CO 2, reduced risks linked to reservoir overpressure, and CO 2 plume management. Through enhanced water recovery (EWR), brine within the saline aquifer can be extracted and treated through desalinationmore » technologies which could be used to offset the water requirements for thermoelectric power plants or local water needs such as agriculture, or produce a marketable such as lithium through mineral extraction. This paper discusses modeled scenarios of CO 2 injection into the Rock Springs Uplift (RSU) formation in Wyoming with EWR. The Finite Element Heat and Mass Transfer Code (FEHM), developed by Los Alamos National Laboratory (LANL), was used to model CO 2 injection with brine extraction and the corresponding pressure tradeoffs. Scenarios were compared in order to analyze how pressure management through the quantity and location of brine extraction wells can increase CO 2 storage capacity and brine extraction while reducing risks associated with over pressurization. Future research will couple a cost-benefit analysis to these simulations in order to determine if the benefit of subsurface pressure management and increase CO 2 storage capacity can outweigh multiple extraction wells with increased cost of installation and maintenance as well as treatment and/or disposal of the extracted brine.« less

Ambulatory measurement of the scapulohumeral rhythm: intra- and inter-operator agreement of a protocol based on inertial and magnetic sensors.

PubMed

Parel, I; Cutti, A G; Fiumana, G; Porcellini, G; Verni, G; Accardo, A P

2012-04-01

To measure the scapulohumeral rhythm (SHR) in outpatient settings, the motion analysis protocol named ISEO (INAIL Shoulder and Elbow Outpatient protocol) was developed, based on inertial and magnetic sensors. To complete the sensor-to-segment calibration, ISEO requires the involvement of an operator for sensor placement and for positioning the patient's arm in a predefined posture. Since this can affect the measure, this study aimed at quantifying ISEO intra- and inter-operator agreement. Forty subjects were considered, together with two operators, A and B. Three measurement sessions were completed for each subject: two by A and one by B. In each session, the humerus and scapula rotations were measured during sagittal and scapular plane elevation movements. ISEO intra- and inter-operator agreement were assessed by computing, between sessions, the: (1) similarity of the scapulohumeral patterns through the Coefficient of Multiple Correlation (CMC(2)), both considering and excluding the difference of the initial value of the scapula rotations between two sessions (inter-session offset); (2) 95% Smallest Detectable Difference (SDD(95)) in scapula range of motion. Results for CMC(2) showed that the intra- and inter-operator agreement is acceptable (median≥0.85, lower-whisker ≥ 0.75) for most of the scapula rotations, independently from the movement and the inter-session offset. The only exception is the agreement for scapula protraction-retraction and for scapula medio-lateral rotation during abduction (inter-operator), which is acceptable only if the inter-session offset is removed. SDD(95) values ranged from 4.4° to 8.6° for the inter-operator and between 4.9° and 8.5° for the intra-operator agreement. In conclusion, ISEO presents a high intra- and inter-operator agreement, particularly with the scapula inter-session offset removed. Copyright © 2011 Elsevier B.V. All rights reserved.

Site productivity and forest carbon stocks in the United States: Analysis and implications for forest offset project planning

Treesearch

Coeli M. Hoover; James E. Smith

2012-01-01

The documented role of United States forests in sequestering carbon, the relatively low cost of forest-based mitigation, and the many co-benefits of increasing forest carbon stocks all contribute to the ongoing trend in the establishment of forest-based carbon offset projects. We present a broad analysis of forest inventory data using site quality indicators to provide...

Method and system for controlling a synchronous machine over full operating range

DOEpatents

Walters, James E.; Gunawan, Fani S.; Xue, Yanhong

2002-01-01

System and method for controlling a synchronous machine are provided. The method allows for calculating a stator voltage index. The method further allows for relating the magnitude of the stator voltage index against a threshold voltage value. An offset signal is generated based on the results of the relating step. A respective state of operation of the machine is determined. The offset signal is processed based on the respective state of the machine.

Maximizing sinter plant operating flexibility through emissions trading and air modeling

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

Schewe, G.J.; Wagner, J.A.; Heron, T.

1998-12-31

This paper provides details on the dispersion modeling analysis performed to demonstrate air quality impacts associated with an emission trading scheme for a sintering operation in Youngstown, Ohio. The emission trade was proposed to allow the sinter plant to expand its current allowable sulfur dioxide (SO2) emissions while being offset with SO{sub 2} emissions from boilers at a nearby shutdown steel mill. While the emission trade itself was feasible and the emissions required for the offset were available (the boiler shutdown and their subsequent SO{sub 2} emission credits were never claimed, banked, or used elsewhere), the second criteria for determiningmore » compliance was a demonstration of minimal air quality impact. The air analysis combined the increased ambient SO{sub 2} concentrations of the relaxed sinter plant emissions with the offsetting air quality of the shutdown boilers to yield the net air quality impacts. To test this net air impact, dispersion modeling was performed treating the sinter plant SO{sub 2} emissions as positive and the shutdown boiler SO{sub 2} emissions as negative. The results of the modeling indicated that the ambient air concentrations due to the proposed emissions increase will be offset by the nearby boiler emissions to levels acceptable under EPA`s offset policy Level 2 significant impact concentrations. Therefore, the dispersion modeling demonstrated that the emission trading scheme would not result in significant air quality impacts and maximum operating flexibility was provided to the sintering facility.« less

Does Testing Cost Too Much?

ERIC Educational Resources Information Center

Test Service Bulletin, 1951

1951-01-01

Before a business adopts tests in personnel selection, it should be decided that the increased cost and bother are likely to be offset by the savings that come from this additional selection procedure. Fairly accurate estimates of the cost of testing can be made, but in educational testing it is harder than in businesses to measure the results in…

Debunking the Fire Sprinkler Myth.

ERIC Educational Resources Information Center

O'Connell, Thomas

1996-01-01

Sprinklers can protect school buildings, save lives, and actually reduce construction costs. Sprinkler-system costs can be easily offset by insurance savings, as well as by specific alternatives or design options permitted by nationally recognized building codes in view of the superior protection that sprinklers provide. (MLF)

A digitally implemented preambleless demodulator for maritime and mobile data communications

NASA Astrophysics Data System (ADS)

Chalmers, Harvey; Shenoy, Ajit; Verahrami, Farhad B.

The hardware design and software algorithms for a low-bit-rate, low-cost, all-digital preambleless demodulator are described. The demodulator operates under severe high-noise conditions, fast Doppler frequency shifts, large frequency offsets, and multipath fading. Sophisticated algorithms, including a fast Fourier transform (FFT)-based burst acquisition algorithm, a cycle-slip resistant carrier phase tracker, an innovative Doppler tracker, and a fast acquisition symbol synchronizer, were developed and extensively simulated for reliable burst reception. The compact digital signal processor (DSP)-based demodulator hardware uses a unique personal computer test interface for downloading test data files. The demodulator test results demonstrate a near-ideal performance within 0.2 dB of theory.

A cost and policy analysis comparing immediate sequential cataract surgery and delayed sequential cataract surgery from the physician perspective in the United States.

PubMed

Neel, Sean T

2014-11-01

A cost analysis was performed to evaluate the effect on physicians in the United States of a transition from delayed sequential cataract surgery to immediate sequential cataract surgery. Financial and efficiency impacts of this change were evaluated to determine whether efficiency gains could offset potential reduced revenue. A cost analysis using Medicare cataract surgery volume estimates, Medicare 2012 physician cataract surgery reimbursement schedules, and estimates of potential additional office visit revenue comparing immediate sequential cataract surgery with delayed sequential cataract surgery for a single specialty ophthalmology practice in West Tennessee. This model should give an indication of the effect on physicians on a national basis. A single specialty ophthalmology practice in West Tennessee was found to have a cataract surgery revenue loss of $126,000, increased revenue from office visits of $34,449 to $106,271 (minimum and maximum offset methods), and a net loss of $19,900 to $91,700 (base case) with the conversion to immediate sequential cataract surgery. Physicians likely stand to lose financially, and this loss cannot be offset by increased patient visits under the current reimbursement system. This may result in physician resistance to converting to immediate sequential cataract surgery, gaming, and supplier-induced demand.

Benefits and Costs of Brine Extraction for Increasing Injection Efficiency In geologic CO2 Sequestration

DOE PAGES

Davidson, Casie L.; Watson, David J.; Dooley, James J.; ...

2014-12-31

Pressure increases attendant with CO2 injection into the subsurface drive many of the risk factors associated with commercial-scale CCS projects, impacting project costs and liabilities in a number of ways. The area of elevated pressure defines the area that must be characterized and monitored; pressure drives fluid flow out of the storage reservoir along higher-permeability pathways that might exist through the caprock into overlying aquifers or hydrocarbon reservoirs; and pressure drives geomechanical changes that could potentially impact subsurface infrastructure or the integrity of the storage system itself. Pressure also limits injectivity, which can increase capital costs associated with installing additionalmore » wells to meet a given target injection rate. The ability to mitigate pressure increases in storage reservoirs could have significant value to a CCS project, but these benefits are offset by the costs of the pressure mitigation technique itself. Of particular interest for CO2 storage operators is the lifetime cost of implementing brine extraction at a CCS project site, and the relative value of benefits derived from the extraction process. This is expected to vary from site to site and from one implementation scenario to the next. Indeed, quantifying benefits against costs could allow operators to optimize their return on project investment by calculating the most effective scenario for pressure mitigation. This work builds on research recently submitted for publication by the authors examining the costs and benefits of brine extraction across operational scenarios to evaluate the effects of fluid extraction on injection rate to assess the cost effectiveness of several options for reducing the number of injection wells required. Modeling suggests that extracting at 90% of the volumetric equivalent of injection rate resulted in a 1.8% improvement in rate over a non-extraction base case; a four-fold increase in extraction rate results in a 7.6% increase in injection rate over the no-extraction base case. However, the practical impacts on capital costs suggest that this strategy is fiscally ineffective when evaluated solely on this metric, with extraction reducing injection well needs by only one per 56 (1x case) or one per 13 (4x case).« less

Benefits and Costs of Brine Extraction for Increasing Injection Efficiency In geologic CO2 Sequestration

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

Davidson, Casie L.; Watson, David J.; Dooley, James J.

Pressure increases attendant with CO2 injection into the subsurface drive many of the risk factors associated with commercial-scale CCS projects, impacting project costs and liabilities in a number of ways. The area of elevated pressure defines the area that must be characterized and monitored; pressure drives fluid flow out of the storage reservoir along higher-permeability pathways that might exist through the caprock into overlying aquifers or hydrocarbon reservoirs; and pressure drives geomechanical changes that could potentially impact subsurface infrastructure or the integrity of the storage system itself. Pressure also limits injectivity, which can increase capital costs associated with installing additionalmore » wells to meet a given target injection rate. The ability to mitigate pressure increases in storage reservoirs could have significant value to a CCS project, but these benefits are offset by the costs of the pressure mitigation technique itself. Of particular interest for CO2 storage operators is the lifetime cost of implementing brine extraction at a CCS project site, and the relative value of benefits derived from the extraction process. This is expected to vary from site to site and from one implementation scenario to the next. Indeed, quantifying benefits against costs could allow operators to optimize their return on project investment by calculating the most effective scenario for pressure mitigation. This work builds on research recently submitted for publication by the authors examining the costs and benefits of brine extraction across operational scenarios to evaluate the effects of fluid extraction on injection rate to assess the cost effectiveness of several options for reducing the number of injection wells required. Modeling suggests that extracting at 90% of the volumetric equivalent of injection rate resulted in a 1.8% improvement in rate over a non-extraction base case; a four-fold increase in extraction rate results in a 7.6% increase in injection rate over the no-extraction base case. However, the practical impacts on capital costs suggest that this strategy is fiscally ineffective when evaluated solely on this metric, with extraction reducing injection well needs by only one per 56 (1x case) or one per 13 (4x case).« less

Budget impact analysis of 8 hormonal contraceptive options.

PubMed

Crespi, Simone; Kerrigan, Matthew; Sood, Vipan

2013-07-01

To develop a model comparing costs of 8 hormonal contraceptives and determine whether acquisition costs for implants and intrauterine devices (IUDs) were offset by decreased pregnancy-related costs over a 3-year time horizon from a managed care perspective. A model was developed to assess the budget impact of branded or generic oral contraceptives (OCs), quarterly intramuscular depot medroxyprogesterone, etonogestrel/ethinyl estradiol vaginal ring, etonogestrel implant, levonorgestrel IUD, norelgestromin/ethinyl estradiol transdermal contraceptive, and ethinyl estradiol/levonorgestrel extended-cycle OC. Major variables included drug costs, typical use failure rates, discontinuation rates, and pregnancy costs. The base case assessed costs for 1000 women initiating each of the hormonal contraceptives. The etonogestrel implant and levonorgestrel IUD resulted in the fewest pregnancies, 63 and 85, respectively, and the least cost, $1.75 million and $2.0 million, respectively. In comparison, generic OC users accounted for a total of 243 pregnancies and $3.4 million in costs. At the end of year 1, costs for the etonogestrel implant ($800,471) and levonorgestrel IUD ($949,721) were already lower than those for generic OCs ($1,146,890). Sensitivity analysis showed that the cost of pregnancies, not product acquisition cost, was the primary cost driver. Higher initial acquisition costs for the etonogestrel implant and levonorgestrel IUD were offset within 1 year by lower contraceptive failure rates and consequent pregnancy costs. Thus, after accounting for typical use failure rates of contraceptive products, the etonogestrel implant and levonorgestrel IUD emerged as the least expensive hormonal contraceptives.

Barriers to the development of forest carbon offsetting: Insights from British Columbia, Canada.

PubMed

Peterson St-Laurent, Guillaume; Hagerman, Shannon; Hoberg, George

2017-12-01

In recent years, the provision of economic incentives through carbon financing and carbon offsetting has been central to efforts at forest carbon mitigation. However, notwithstanding their potentially important roles in climate policy, forest carbon offsets face numerous barriers which have limited widespread implementation worldwide. This paper uses the case study of the Canadian province of British Columbia to explore the barriers associated with achieving widespread implementation of forest carbon offsets in the next several decades. Drawing on interviews with experts from government, non-governmental organizations, the private sector and First Nations, six main barriers are identified and discussed: (1) deficiencies of carbon markets, (2) limited economic benefits, (3) uncertain climate effectiveness, (4) negative public opinion, (5) limited and uncertain property rights, and (6) governance issues. While respondents from different sectors agreed on various points, divergence was also observed, notably on the trade-off between generating environmentally sound offsets and promoting cost-effective ways to achieve mitigation. We discuss these differences in the context of the goals and objectives of different actors, and offer insights for understanding the uptake (or not) of carbon offset policies. Copyright © 2017 Elsevier Ltd. All rights reserved.

Heritage plaza parking lots improvement project- Solar PV installation

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

Hooks, Todd

The Agua Caliente Band of Cahuilla Indians (ACBCI or the “Tribe”) installed a 79.95 kW solar photovoltaic (PV) system to offset the energy usage costs of the Tribal Education and Family Services offices located at the Tribe's Heritage Plaza office building, 90I Tahquitz Way, Palm Springs, CA, 92262 (the "Project"). The installation of the Solar PV system was part of the larger Heritage Plaza Parking Lot Improvements Project and mounted on the two southern carport shade structures. The solar PV system will offset 99% of the approximately 115,000 kWh in electricity delivered annually by Southern California Edison (SCE) to themore » Tribal Education and Family Services offices at Heritage Plaza, reducing their annual energy costs from approximately $22,000 annually to approximately $200. The total cost of the proposed solar PV system is $240,000.« less

Rising College Costs.

ERIC Educational Resources Information Center

USA Today, 1981

1981-01-01

Focuses on ways in which parents of school-age children can offset the rising costs of college, including encouraging students to get summer and part-time jobs, putting savings toward students' education in accounts in students' names to save taxes, investigating cooperative work/education plans, and investing in mutual funds. (DB)

Balancing Accession and Retention. Cost and Productivity Tradeoffs.

DTIC Science & Technology

1983-03-01

Alternative ...’ i :. :- : . - :’: .-- . .:. . ,. , . -.- - - i . . . , . . -. - - .- - - . ’ ’:- LIST OF TABLES Page I Rating groups...for bonus payments and second-term pay are more than offset by reductions in recruiting and training costs and first-term pay. Alternatively , holding...discounted value using a 10 percent discount rate. Costs for AFEES processing and training are taken from the Navy Comprehensive Compensation and Supply

41 CFR 102-39.65 - What conditions apply to the exchange/sale of personal property?

Code of Federal Regulations, 2010 CFR

2010-07-01

... allowance or sales proceeds from the disposition of that property may only be used to offset the cost of the... number of items exchanged or sold, and the number of items acquired; (3) The acquisition cost and exchange allowance or net sales proceeds of the items exchanged or sold, and the acquisition cost of the...

Population-based cost-offset estimation for the treatment of borderline personality disorder: projected costs in a currently running, ideal health system.

PubMed

Wunsch, Eva-Maria; Kliem, Sören; Kröger, Christoph

2014-09-01

Borderline personality disorder (BPD) is considered one of the most expensive mental disorders in terms of direct and indirect costs. The aim of this study was to carry out a cost-offset estimation of disorder-specific psychotherapy for BPD at the population level. The study investigated whether the possible financial benefits of dialectical behavior therapy outweigh the therapy costs, assuming a currently running, ideal health system, and whether the estimated cost-benefit relationships change depending upon the number of patients willing to be treated. A formula was elaborated that allows the user to calculate cost-benefit relationships for various conservative or progressive scenarios, with different stages of individuals' willingness to be treated (10%-90%). The possible costs and benefits of BPD-related treatment were evaluated using a 12-month, prevalence-based approach. The annual costs for untreated BPD were 8.69 billion EUR annually. The cost-benefit relationship for the treatment remained constant at 1.52 for all scenarios, implying that for each EUR invested, 1.52 EUR can be gained within one year, independent of the willingness to be treated. Additional intangible benefits were calculated with the aid of Quality-Adjusted Life Years. Findings suggest that BPD-related treatment might well be efficient at the population level. Copyright © 2014 Elsevier Ltd. All rights reserved.

Incorporating uncertainty into mercury-offset decisions with a probabilistic network for National Pollutant Discharge Elimination System permit holders: an interim report

USGS Publications Warehouse

Wood, Alexander

2004-01-01

This interim report describes an alternative approach for evaluating the efficacy of using mercury (Hg) offsets to improve water quality. Hg-offset programs may allow dischargers facing higher-pollution control costs to meet their regulatory obligations by making more cost effective pollutant-reduction decisions. Efficient Hg management requires methods to translate that science and economics into a regulatory decision framework. This report documents the work in progress by the U.S. Geological Surveys Western Geographic Science Center in collaboration with Stanford University toward developing this decision framework to help managers, regulators, and other stakeholders decide whether offsets can cost effectively meet the Hg total maximum daily load (TMDL) requirements in the Sacramento River watershed. Two key approaches being considered are: (1) a probabilistic approach that explicitly incorporates scientific uncertainty, cost information, and value judgments; and (2) a quantitative approach that captures uncertainty in testing the feasibility of Hg offsets. Current fate and transport-process models commonly attempt to predict chemical transformations and transport pathways deterministically. However, the physical, chemical, and biologic processes controlling the fate and transport of Hg in aquatic environments are complex and poorly understood. Deterministic models of Hg environmental behavior contain large uncertainties, reflecting this lack of understanding. The uncertainty in these underlying physical processes may produce similarly large uncertainties in the decisionmaking process. However, decisions about control strategies are still being made despite the large uncertainties in current Hg loadings, the relations between total Hg (HgT) loading and methylmercury (MeHg) formation, and the relations between control efforts and Hg content in fish. The research presented here focuses on an alternative analytical approach to the current use of safety factors and deterministic methods for Hg TMDL decision support, one that is fully compatible with an adaptive management approach. This alternative approach uses empirical data and informed judgment to provide a scientific and technical basis for helping National Pollutant Discharge Elimination System (NPDES) permit holders make management decisions. An Hg-offset system would be an option if a wastewater-treatment plant could not achieve NPDES permit requirements for HgT reduction. We develop a probabilistic decision-analytical model consisting of three submodels for HgT loading, MeHg, and cost mitigation within a Bayesian network that integrates information of varying rigor and detail into a simple model of a complex system. Hg processes are identified and quantified by using a combination of historical data, statistical models, and expert judgment. Such an integrated approach to uncertainty analysis allows easy updating of prediction and inference when observations of model variables are made. We demonstrate our approach with data from the Cache Creek watershed (a subbasin of the Sacramento River watershed). The empirical models used to generate the needed probability distributions are based on the same empirical models currently being used by the Central Valley Regional Water Quality Control Cache Creek Hg TMDL working group. The significant difference is that input uncertainty and error are explicitly included in the model and propagated throughout its algorithms. This work demonstrates how to integrate uncertainty into the complex and highly uncertain Hg TMDL decisionmaking process. The various sources of uncertainty are propagated as decision risk that allows decisionmakers to simultaneously consider uncertainties in remediation/implementation costs while attempting to meet environmental/ecologic targets. We must note that this research is on going. As more data are collected, the HgT and cost-mitigation submodels are updated and the uncer

High-power ultrafast Yb:fiber laser frequency combs using commercially available components and basic fiber tools

NASA Astrophysics Data System (ADS)

Li, Xinlong; Reber, Melanie A. R.; Corder, Christopher; Chen, Yuning; Zhao, Peng; Allison, Thomas K.

2016-09-01

We present a detailed description of the design, construction, and performance of high-power ultrafast Yb:fiber laser frequency combs in operation in our laboratory. We discuss two such laser systems: an 87 MHz, 9 W, 85 fs laser operating at 1060 nm and an 87 MHz, 80 W, 155 fs laser operating at 1035 nm. Both are constructed using low-cost, commercially available components, and can be assembled using only basic tools for cleaving and splicing single-mode fibers. We describe practical methods for achieving and characterizing low-noise single-pulse operation and long-term stability from Yb:fiber oscillators based on nonlinear polarization evolution. Stabilization of the combs using a variety of transducers, including a new method for tuning the carrier-envelope offset frequency, is discussed. High average power is achieved through chirped-pulse amplification in simple fiber amplifiers based on double-clad photonic crystal fibers. We describe the use of these combs in several applications, including ultrasensitive femtosecond time-resolved spectroscopy and cavity-enhanced high-order harmonic generation.

Phase noise suppression through parametric filtering

NASA Astrophysics Data System (ADS)

Cassella, Cristian; Strachan, Scott; Shaw, Steven W.; Piazza, Gianluca

2017-02-01

In this work, we introduce and experimentally demonstrate a parametric phase noise suppression technique, which we call "parametric phase noise filtering." This technique is based on the use of a solid-state parametric amplifier operating in its instability region and included in a non-autonomous feedback loop connected at the output of a noisy oscillator. We demonstrate that such a system behaves as a parametrically driven Duffing resonator and can operate at special points where it becomes largely immune to the phase fluctuations that affect the oscillator output signal. A prototype of a parametric phase noise filter (PFIL) was designed and fabricated to operate in the very-high-frequency range. The PFIL prototype allowed us to significantly reduce the phase noise at the output of a commercial signal generator operating around 220 MHz. Noise reduction of 16 dB (40×) and 13 dB (20×) were obtained, respectively, at 1 and 10 kHz offsets from the carrier frequency. The demonstration of this phase noise suppression technique opens up scenarios in the development of passive and low-cost phase noise cancellation circuits for any application demanding high quality frequency generation.

Cost Offset Associated With Early Start Denver Model for Children With Autism.

PubMed

Cidav, Zuleyha; Munson, Jeff; Estes, Annette; Dawson, Geraldine; Rogers, Sally; Mandell, David

2017-09-01

To determine the effect of the Early Start Denver Model (ESDM) for treatment of young children with autism on health care service use and costs. We used data from a randomized trial that tested the efficacy of the ESDM, which is based on developmental and applied behavioral analytic principles and delivered by trained therapists and parents, for 2 years. Parents were interviewed about their children's service use every 6 months from the onset of the intervention to follow-up (age 6 years). The sample for this study consisted of 39 children with autism who participated in the original randomized trial at age 18 to 30 months, and were also assessed at age 6 years. Of this sample, 21 children were in the ESDM group, and 18 children were in the community care (COM) group. Reported services were categorized and costed by applying unit hourly costs. Annualized service use and costs during the intervention and post intervention for the two study arms were compared. During the intervention, children who received the ESDM had average annualized total health-related costs that were higher by about $14,000 than those of children who received community-based treatment. The higher cost of ESDM was partially offset during the intervention period because children in the ESDM group used less applied behavior analysis (ABA)/early intensive behavioral intervention (EIBI) and speech therapy services than children in the comparison group. In the postintervention period, compared with children who had earlier received treatment as usual in community settings, children in the ESDM group used less ABA/EIBI, occupational/physical therapy, and speech therapy services, resulting in significant cost savings in the amount of about $19,000 per year per child. Costs associated with ESDM treatment were fully offset within a few years after the intervention because of reductions in other service use and associated costs. Early Characteristics of Autism; http://clinicaltrials.gov/; NCT0009415. Copyright © 2017 American Academy of Child and Adolescent Psychiatry. Published by Elsevier Inc. All rights reserved.

Intra-operative digital imaging: assuring the alignment of components when undertaking total hip arthroplasty.

PubMed

Hambright, D; Hellman, M; Barrack, R

2018-01-01

The aims of this study were to examine the rate at which the positioning of the acetabular component, leg length discrepancy and femoral offset are outside an acceptable range in total hip arthroplasties (THAs) which either do or do not involve the use of intra-operative digital imaging. A retrospective case-control study was undertaken with 50 patients before and 50 patients after the integration of an intra-operative digital imaging system in THA. The demographics of the two groups were comparable for body mass index, age, laterality and the indication for surgery. The digital imaging group had more men than the group without. Surgical data and radiographic parameters, including the inclination and anteversion of the acetabular component, leg length discrepancy, and the difference in femoral offset compared with the contralateral hip were collected and compared, as well as the incidence of altering the position of a component based on the intra-operative image. Digital imaging took a mean of five minutes (2.3 to 14.6) to perform. Intra-operative changes with the use of digital imaging were made for 43 patients (86%), most commonly to adjust leg length and femoral offset. There was a decrease in the incidence of outliers when using intra-operative imaging compared with not using it in regard to leg length discrepancy (20% versus 52%, p = 0.001) and femoral offset inequality (18% versus 44%, p = 0.004). There was also a difference in the incidence of outliers in acetabular inclination (0% versus 7%, p = 0.023) and version (0% versus 4%, p = 0.114) compared with historical results of a high-volume surgeon at the same centre. The use of intra-operative digital imaging in THA improves the accuracy of the positioning of the components at THA without adding a substantial amount of time to the operation. Cite this article: Bone Joint J 2018;100B(1 Supple A):36-43. ©2018 The British Editorial Society of Bone & Joint Surgery.

The ArF laser for the next-generation multiple-patterning immersion lithography supporting green operations

NASA Astrophysics Data System (ADS)

Ishida, Keisuke; Ohta, Takeshi; Miyamoto, Hirotaka; Kumazaki, Takahito; Tsushima, Hiroaki; Kurosu, Akihiko; Matsunaga, Takashi; Mizoguchi, Hakaru

2016-03-01

Multiple patterning ArF immersion lithography has been expected as the promising technology to satisfy tighter leading edge device requirements. One of the most important features of the next generation lasers will be the ability to support green operations while further improving cost of ownership and performance. Especially, the dependence on rare gases, such as Neon and Helium, is becoming a critical issue for high volume manufacturing process. The new ArF excimer laser, GT64A has been developed to cope with the reduction of operational costs, the prevention against rare resource shortage and the improvement of device yield in multiple-patterning lithography. GT64A has advantages in efficiency and stability based on the field-proven injection-lock twin-chamber platform (GigaTwin platform). By the combination of GigaTwin platform and the advanced gas control algorithm, the consumption of rare gases such as Neon is reduced to a half. And newly designed Line Narrowing Module can realize completely Helium free operation. For the device yield improvement, spectral bandwidth stability is important to increase image contrast and contribute to the further reduction of CD variation. The new spectral bandwidth control algorithm and high response actuator has been developed to compensate the offset due to thermal change during the interval such as the period of wafer exchange operation. And REDeeM Cloud™, new monitoring system for managing light source performance and operations, is on-board and provides detailed light source information such as wavelength, energy, E95, etc.

Influence of Lift Offset on Rotorcraft Performance

NASA Technical Reports Server (NTRS)

Johnson, Wayne

2009-01-01

The influence of lift offset on the performance of several rotorcraft configurations is explored. A lift-offset rotor, or advancing blade concept, is a hingeless rotor that can attain good efficiency at high speed by operating with more lift on the advancing side than on the retreating side of the rotor disk. The calculated performance capability of modern-technology coaxial rotors utilizing a lift offset is examined, including rotor performance optimized for hover and high-speed cruise. The ideal induced power loss of coaxial rotors in hover and twin rotors in forward flight is presented. The aerodynamic modeling requirements for performance calculations are evaluated, including wake and drag models for the high-speed flight condition. The influence of configuration on the performance of rotorcraft with lift-offset rotors is explored, considering tandem and side-by-side rotorcraft as well as wing-rotor lift share.

Influence of Lift Offset on Rotorcraft Performance

NASA Technical Reports Server (NTRS)

Johnson, Wayne

2008-01-01

The influence of lift offset on the performance of several rotorcraft configurations is explored. A lift-offset rotor, or advancing blade concept, is a hingeless rotor that can attain good efficiency at high speed, by operating with more lift on the advancing side than on the retreating side of the rotor disk. The calculated performance capability of modern-technology coaxial rotors utilizing a lift offset is examined, including rotor performance optimized for hover and high-speed cruise. The ideal induced power loss of coaxial rotors in hover and twin rotors in forward flight is presented. The aerodynamic modeling requirements for performance calculations are evaluated, including wake and drag models for the high speed flight condition. The influence of configuration on the performance of rotorcraft with lift-offset rotors is explored, considering tandem and side-by-side rotorcraft as well as wing-rotor lift share.

45 CFR 1179.12 - Interest, penalties, and administrative costs.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 3 2010-10-01 2010-10-01 false Interest, penalties, and administrative costs. 1179.12 Section 1179.12 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES SALARY OFFSET § 1179.12...

45 CFR 1179.12 - Interest, penalties, and administrative costs.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 3 2011-10-01 2011-10-01 false Interest, penalties, and administrative costs. 1179.12 Section 1179.12 Public Welfare Regulations Relating to Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE HUMANITIES SALARY OFFSET § 1179.12...

Opportunities on the state highway system to generate revenue or offset expenditures for the state of Florida.

DOT National Transportation Integrated Search

2013-10-01

As state DOTs seek solutions to funding issues, their attention has turned to identifying : alternative and innovative sources of revenue and cost savings. One potential source of new : revenue and cost savings that has gained recent attention is val...

An Assessment of Small Submarines and Encapsulation of Ballistic Missiles--Phase 2 Survey

DTIC Science & Technology

1980-11-01

capsules will tend to offset the reduced investment costs of the submarine. It would be necessary to deter- mine total sytem costs (including RDT&E...missile basing concepts and missile performance characteristics required to counter potential Soviet strategic offensive forces and ABM proliferation

Massive Open Online Courses and Economic Sustainability

ERIC Educational Resources Information Center

Liyanagunawardena, Tharindu R.; Lundqvist, Karsten O.; Williams, Shirley A.

2015-01-01

Millions of users around the world have registered on Massive Open Online Courses (MOOCs) offered by hundreds of universities (and other organizations) worldwide. Creating and offering these courses costs thousands of pounds. However, at present, revenue generated by MOOCs is not sufficient to offset these costs. The sustainability of MOOCs is a…

Experts Debate Cost Savings of Virtual Education

ERIC Educational Resources Information Center

Ash, Katie

2009-01-01

This article reports that a group of superintendents and secondary school educators in Massachusetts gathered to discuss how online courses might help offset budget cuts. Maryland state officials say their virtual Advanced Placement classes are a cost-effective way to get high-quality coursework to more students. And the largest state-sponsored…

Decision analytic model exploring the cost and cost-offset implications of street triage.

PubMed

Heslin, Margaret; Callaghan, Lynne; Packwood, Martin; Badu, Vincent; Byford, Sarah

2016-02-11

To determine if street triage is effective at reducing the total number of people with mental health needs detained under section 136, and is associated with cost savings compared to usual police response. Routine data from a 6-month period in the year before and after the implementation of a street triage scheme were used to explore detentions under section 136, and to populate a decision analytic model to explore the impact of street triage on the cost to the NHS and the criminal justice sector of supporting people with a mental health need. A predefined area of Sussex, South East England, UK. All people who were detained under section 136 within the predefined area or had contact with the street triage team. The street triage model used here was based on a psychiatric nurse attending incidents with a police constable. The primary outcome was change in the total number of detentions under section 136 between the before and after periods assessed. Secondary analysis focused on whether the additional costs of street triage were offset by cost savings as a result of changes in detentions under section 136. Detentions under section 136 in the street triage period were significantly lower than in the usual response period (118 vs 194 incidents, respectively; χ(2) (1df) 18.542, p<0.001). Total NHS and criminal justice costs were estimated to be £1043 in the street triage period compared to £1077 in the usual response period. Investment in street triage was offset by savings as a result of reduced detentions under section 136, particularly detentions in custody. Data available did not include assessment of patient outcomes, so a full economic evaluation was not possible. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

A dirty word or a dirty world?: Attribute framing, political affiliation, and query theory.

PubMed

Hardisty, David J; Johnson, Eric J; Weber, Elke U

2010-01-01

We explored the effect of attribute framing on choice, labeling charges for environmental costs as either an earmarked tax or an offset. Eight hundred ninety-eight Americans chose between otherwise identical products or services, where one option included a surcharge for emitted carbon dioxide. The cost framing changed preferences for self-identified Republicans and Independents, but did not affect Democrats' preferences. We explain this interaction by means of query theory and show that attribute framing can change the order in which internal queries supporting one or another option are posed. The effect of attribute labeling on query order is shown to depend on the representations of either taxes or offsets held by people with different political affiliations.

78 FR 15895 - Approval and Promulgation of Air Quality Implementation Plans: North Carolina; Control Techniques...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-13

... wood paneling coating facilities. Sixth, Rule 15A NCAC 02D .0961, ``Offset Lithographic Printing and Letterpress Printing'' was adopted to control VOC emissions from heatset inks, fountain solution and cleaning materials used in offset lithographic printing operations, as well as VOC emissions from heatset inks used...

Does Prevention Pay? Costs and Potential Cost-savings of School Interventions Targeting Children with Mental Health Problems.

PubMed

Wellander, Lisa; Wells, Michael B; Feldman, Inna

2016-06-01

In Sweden, the local government is responsible for funding schools in their district. One funding initiative is for schools to provide students with mental health problems with additional support via extra teachers, personal assistants, and special education classes. There are evidence-based preventive interventions delivered in schools, which have been shown to decrease the levels of students' mental health problems. However, little is known about how much the local government currently spends on students' mental health support and if evidence-based interventions could be financially beneficial. The aim of this study was to estimate the costs of providing additional support for students' mental health problems and the potential cost-offsets, defined as reduced school-based additional support, if two evidence-based school interventions targeting children's mental health problems were implemented in routine practice. This study uses data on the additional support students with mental health problems received in schools. Data was collected from one school district for students aged 6 to 16 years. We modeled two Swedish school interventions, Comet for Teachers and Social and Emotional Training (SET), which both had evidence of reducing mental health problems. We used a cost-offset analysis framework, assuming both interventions were fully implemented throughout the whole school district. Based on the published studies, the expected effects and the costs of the interventions were calculated. We defined the cost-offsets as the amount of predicted averted additional support for students with ongoing mental health problems who might no longer require receiving services such as one-on-one time with an extra teacher, a personal assistant, or to be placed in a special education classroom. A cost-offset analysis, from a payer's perspective (the local government responsible for school financing), was conducted comparing the costs of both interventions with the potential cost-savings due to a reduction in the prevalence of mental health problems and averted additional support required. The school district was comprised of 6,256 students, with 310 students receiving additional support for their mental health problems. Of these, 143 received support in their original school due to either having ADHD (n = 111), psychosocial problems (n = 26), or anxiety/depression (n = 6). The payers' total cost of additional support was 2,637,850 Euro per school year (18,447 Euro per student). The cost of running both interventions for the school district was 953,643 Euro for one year, while the potential savings for these interventions were estimated to be 627,150 Euro. The estimated effects showed that there would be a reduction of students needing additional support (25 for ADHD, eight for psychosocial problems, and one for anxiety/depression), and the payer would receive a return on their invested resources in less than two years (1.5 years) after implementation. Preventive school interventions can both improve some children's mental health problems and be financially beneficial for the payer. However, they are still limited in their scope of reducing all students' mental health statuses to below clinical cut-offs; therefore, the preventive school interventions should be used as a supplement, but not a replacement, to current practices. The findings have political and societal implications, in that payers can reallocate their funds toward preventive measures targeting students' mental health problems, while reducing the costs. When evaluating public health actions, it is necessary to consider their economic impact. The resources are scarce and the decision makers need knowledge on how to allocate their resources in an efficient way. Cost-offset analysis is seen as one way for decision makers to comprehend research findings; however, such analyses tend to not include the full benefits of the interventions, and actual impacts need to be fully evaluated in routine implementation.

A Low Cost TDRSS Compatible Transmitter Option

NASA Technical Reports Server (NTRS)

Whiteman, Don

2005-01-01

The NASA Space-based Telemetry and Range Safety (STARS) program has developed and tested a low cost Ku-Band transmitter alternative for TDRSS applications based on an existing IRIG shaped offset quaternary phase shift keying (SOQPSK) transmitter. This paper presents information related to the implementation of this low cost system, as well as performance measurements of the alternative TDRSS transmitter system compared with an existing QPSK TDRSS transmitter.

Home visiting programmes for the prevention of child maltreatment: cost-effectiveness of 33 programmes.

PubMed

Dalziel, Kim; Segal, Leonie

2012-09-01

There is a body of published research on the effectiveness of home visiting for the prevention of child maltreatment, but little in the peer reviewed literature on cost-effectiveness or value to society. The authors sought to determine the cost-effectiveness of alternative home visiting programmes to inform policy. All trials reporting child maltreatment outcomes were identified through systematic review. Information on programme effectiveness and components were taken from identified studies, to which 2010 Australian unit costs were applied. Lifetime cost offsets associated with maltreatment were derived from a recent Australian study. Cost-effectiveness results were estimated as programme cost per case of maltreatment prevented and net benefit estimated by incorporating downstream cost savings. Sensitivity analyses were conducted. 33 home visiting programmes were evaluated and cost-effectiveness estimates derived for the 25 programmes not dominated. The incremental cost of home visiting compared to usual care ranged from A$1800 to A$30 000 (US$1800-US$30 000) per family. Cost-effectiveness estimates ranged from A$22 000 per case of maltreatment prevented to several million. Seven of the 22 programmes (32%) of at least adequate quality were cost saving when including lifetime cost offsets. There is great variation in the cost-effectiveness of home visiting programmes for the prevention of maltreatment. The most cost-effective programmes use professional home visitors in a multi-disciplinary team, target high risk populations and include more than just home visiting. Home visiting programmes must be carefully selected and well targeted if net social benefits are to be realised.

Cost-effectiveness analysis on the use of fidaxomicin and vancomycin to treat Clostridium difficile infection in France.

PubMed

Watt, Maureen; Dinh, Aurélien; Le Monnier, Alban; Tilleul, Patrick

2017-07-01

Fidaxomicin is a macrocyclic antibiotic with proven efficacy against Clostridium difficile infection (CDI) in adults. It was licensed in France in 2012, but, due to higher acquisition costs compared with existing treatments, healthcare providers require information on its cost/benefit profile. To compare healthcare costs and health outcomes of fidaxomicin and vancomycin, as reference treatment for CDI. A Markov model was used to simulate the treatment pathway, over 1 year, of adult patients with CDI receiving fidaxomicin or vancomycin. Several patient sub-groups (severe CDI; recurrent CDI; concomitant antibiotics; cancer; renal failure; elderly) were evaluated. Cost-effectiveness was analyzed based on cure and recurrence rates derived from published randomized clinical trials comparing fidaxomicin and vancomycin, and costs calculated from the payer perspective using French hospitalization data and drug cost databases. Model outputs included costs in euros (reference year 2014) and health outcomes (recurrence; sustained cure rates). Alternative scenario and sensitivity analyses were performed using data from other clinical trials in CDI, including one conducted in real-life clinical practice in France. Drug acquisition costs were €1,692 higher in fidaxomicin-treated patients, but this was offset by the lower hospitalization costs with fidaxomicin, which were reduced by €1,722. The reduction in the cost of hospitalization was driven by the significantly lower number of recurrences in fidaxomicin-treated patients, offsetting the acquisition cost of fidaxomicin in all sub-groups except recurrent CDI and concomitant antibiotics. This study demonstrated that, despite higher acquisition costs, the lower recurrence rate with fidaxomicin resulted in cost savings or low incremental costs compared with vancomycin.

Note: Rapid offset reduction of impedance bridges taking into account instrumental damping and phase shifting.

PubMed

van der Wel, C M; Kortschot, R J; Bakelaar, I A; Erné, B H; Kuipers, B W M

2013-03-01

The sensitivity of an imperfectly balanced impedance bridge is limited by the remaining offset voltage. Here, we present a procedure for offset reduction in impedance measurements using a lock-in amplifier, by applying a complex compensating voltage external to the bridge. This procedure takes into account instrumental damping and phase shifting, which generally occur at the high end of the operational frequency range. Measurements demonstrate that the output of the circuit rapidly converges to the instrumentally limited noise at any frequency.

Off-set stabilizer for comparator output

DOEpatents

Lunsford, James S.

1991-01-01

A stabilized off-set voltage is input as the reference voltage to a comparator. In application to a time-interval meter, the comparator output generates a timing interval which is independent of drift in the initial voltage across the timing capacitor. A precision resistor and operational amplifier charge a capacitor to a voltage which is precisely offset from the initial voltage. The capacitance of the reference capacitor is selected so that substantially no voltage drop is obtained in the reference voltage applied to the comparator during the interval to be measured.

Bird community conservation and carbon offsets in western North America.

PubMed

Schuster, Richard; Martin, Tara G; Arcese, Peter

2014-01-01

Conservation initiatives to protect and restore valued species and communities in human-dominated landscapes face huge challenges linked to the cost of acquiring habitat. We ask how the sale of forest carbon offsets could reduce land acquisition costs, and how the alternate goals of maximizing α or β-diversity in focal communities could affect the prioritization land parcels over a range of conservation targets. Maximizing total carbon storage and carbon sequestration potential reduced land acquisition costs by up to 48%. Maximizing β rather than α-diversity within forest and savannah bird communities reduced acquisition costs by up to 15%, and when these solutions included potential carbon credit revenues, acquisition cost reductions up to 32% were achieved. However, the total cost of conservation networks increased exponentially as area targets increased in all scenarios. Our results indicate that carbon credit sales have the potential to enhance conservation outcomes in human-dominated landscapes by reducing the net acquisition costs of land conservation in old and maturing forests essential for the persistence of old forest plant and animal communities. Maximizing β versus α-diversity may further reduce costs by reducing the total area required to meet conservation targets and enhancing landscape heterogeneity. Although the potential value of carbon credit sales declined as a fraction of total acquisition costs, even conservative scenarios using a carbon credit value of $12.5/T suggest reductions in acquisition cost of up to $235 M, indicating that carbon credit sales could substantially reduce the costs of conservation.

Bird Community Conservation and Carbon Offsets in Western North America

PubMed Central

Schuster, Richard; Martin, Tara G.; Arcese, Peter

2014-01-01

Conservation initiatives to protect and restore valued species and communities in human-dominated landscapes face huge challenges linked to the cost of acquiring habitat. We ask how the sale of forest carbon offsets could reduce land acquisition costs, and how the alternate goals of maximizing α or β-diversity in focal communities could affect the prioritization land parcels over a range of conservation targets. Maximizing total carbon storage and carbon sequestration potential reduced land acquisition costs by up to 48%. Maximizing β rather than α-diversity within forest and savannah bird communities reduced acquisition costs by up to 15%, and when these solutions included potential carbon credit revenues, acquisition cost reductions up to 32% were achieved. However, the total cost of conservation networks increased exponentially as area targets increased in all scenarios. Our results indicate that carbon credit sales have the potential to enhance conservation outcomes in human-dominated landscapes by reducing the net acquisition costs of land conservation in old and maturing forests essential for the persistence of old forest plant and animal communities. Maximizing β versus α-diversity may further reduce costs by reducing the total area required to meet conservation targets and enhancing landscape heterogeneity. Although the potential value of carbon credit sales declined as a fraction of total acquisition costs, even conservative scenarios using a carbon credit value of $12.5/T suggest reductions in acquisition cost of up to $235 M, indicating that carbon credit sales could substantially reduce the costs of conservation. PMID:24918621

Temperature- and phase-independent lateral force sensor based on a core-offset multi-mode fiber interferometer.

PubMed

Dong, Bo; Zhou, Da-Peng; Wei, Li; Liu, Wing-Ki; Lit, John W Y

2008-11-10

A novel lateral force sensor based on a core-offset multi-mode fiber (MMF) interferometer is reported. High extinction ratio can be obtained by misaligning a fused cross section between the single-mode fiber (SMF) and MMF. With the variation of the lateral force applied to a short section of the MMF, the extinction ratio changes while the interference phase remains almost constant. The change of the extinction ratio is independent of temperature variations. The proposed force sensor has the advantages of temperature- and phase-independency, high extinction ratio sensitivity, good repeatability, low cost, and simple structure. Moreover, the core-offset MMF interferometer is expected to have applications in fiber filters and tunable phase-independent attenuators.

DOD Sustainability

Science.gov Websites

installations for outstanding achievements and innovative environmental practices and partnerships promoting a fleet of electric vehicles unique in their ability to export their own power and offset their cost

Offset-electrode profile acquisition strategy for electrical resistivity tomography

NASA Astrophysics Data System (ADS)

Robbins, Austin R.; Plattner, Alain

2018-04-01

We present an electrode layout strategy that allows electrical resistivity profiles to image the third dimension close to the profile plane. This "offset-electrode profile" approach involves laterally displacing electrodes away from the profile line in an alternating fashion and then inverting the resulting data using three-dimensional electrical resistivity tomography software. In our synthetic and field surveys, the offset-electrode method succeeds in revealing three-dimensional structures in the vicinity of the profile plane, which we could not achieve using three-dimensional inversions of linear profiles. We confirm and explain the limits of linear electrode profiles through a discussion of the three-dimensional sensitivity patterns: For a homogeneous starting model together with a linear electrode layout, all sensitivities remain symmetric with respect to the profile plane through each inversion step. This limitation can be overcome with offset-electrode layouts by breaking the symmetry pattern among the sensitivities. Thanks to freely available powerful three-dimensional resistivity tomography software and cheap modern computing power, the requirement for full three-dimensional calculations does not create a significant burden and renders the offset-electrode approach a cost-effective method. By offsetting the electrodes in an alternating pattern, as opposed to laying the profile out in a U-shape, we minimize shortening the profile length.

The potential for biodiversity offsetting to fund effective invasive species control.

PubMed

Norton, David A; Warburton, Bruce

2015-02-01

Compensating for biodiversity losses in 1 location by conserving or restoring biodiversity elsewhere (i.e., biodiversity offsetting) is being used increasingly to compensate for biodiversity losses resulting from development. We considered whether a form of biodiversity offsetting, enhancement offsetting (i.e., enhancing the quality of degraded natural habitats through intensive ecological management), can realistically secure additional funding to control biological invaders at a scale and duration that results in enhanced biodiversity outcomes. We suggest that biodiversity offsetting has the potential to enhance biodiversity values through funding of invasive species control, but it needs to meet 7 key conditions: be technically possible to reduce invasive species to levels that enhance native biodiversity; be affordable; be sufficiently large to compensate for the impact; be adaptable to accommodate new strategic and tactical developments while not compromising biodiversity outcomes; acknowledge uncertainties associated with managing pests; be based on an explicit risk assessment that identifies the cost of not achieving target outcomes; and include financial mechanisms to provide for in-perpetuity funding. The challenge then for conservation practitioners, advocates, and policy makers is to develop frameworks that allow for durable and effective partnerships with developers to realize the full potential of enhancement offsets, which will require a shift away from traditional preservation-focused approaches to biodiversity management. © 2014 Society for Conservation Biology.

Potential for ag residue collection, economics and environmental benefits

NASA Astrophysics Data System (ADS)

Hettenhaus, J. R.

2003-12-01

Removing excess corn stover and cereal straws after erosion requirements have been satisfied offers much potential as a renewable feedstock for initial biorefineries, producing fuels, chemicals and materials while reducing crop inputs, increasing farm income and offsetting greenhouse gas emissions. Two biorefinery site studies are presented for the production of fuel ethanol: SW Nebraska and Western Oklahoma. Results include excess available, delivered cost, net income to the farmer, improved SOM from move to no-till and GHG reduction from fossil fuel offset

48 CFR 15.407-1 - Defective certified cost or pricing data.

Code of Federal Regulations, 2011 CFR

2011-10-01

... price adjustment, including profit or fee, of any significant amount by which the price was increased... the defective data increase or decrease the contract price. The contracting officer shall consider any... (e.g., material, direct labor, or indirect costs). (6) An offset shall not be allowed if— (i) The...

26 CFR 1.401(l)-3 - Permitted disparity for defined benefit plans.

Code of Federal Regulations, 2013 CFR

2013-04-01

... requirement of this paragraph (b). Thus, for example, if the form of a defined benefit plan's normal... the optional form (the “offset amount”). (D) Post-retirement cost-of-living adjustments—(1) In general... merely because it provides an automatic post-retirement cost-of-living adjustment that satisfies...

26 CFR 1.401(l)-3 - Permitted disparity for defined benefit plans.

Code of Federal Regulations, 2010 CFR

2010-04-01

... of this paragraph (b). Thus, for example, if the form of a defined benefit plan's normal retirement... the optional form (the “offset amount”). (D) Post-retirement cost-of-living adjustments—(1) In general... merely because it provides an automatic post-retirement cost-of-living adjustment that satisfies...

49 CFR 1017.14 - Interest, penalties, and administrative costs.

Code of Federal Regulations, 2010 CFR

2010-10-01

... OFFSET FROM INDEBTED GOVERNMENT AND FORMER GOVERNMENT EMPLOYEES § 1017.14 Interest, penalties, and administrative costs. (a) The rate of interest assessed shall be the rate of the current value of funds to the U... of interest can be assessed if the Board can reasonably determine that a higher rate is necessary to...

Advanced vehicles: Costs, energy use, and macroeconomic impacts

NASA Astrophysics Data System (ADS)

Wang, Guihua

Advanced vehicles and alternative fuels could play an important role in reducing oil use and changing the economy structure. We developed the Costs for Advanced Vehicles and Energy (CAVE) model to investigate a vehicle portfolio scenario in California during 2010-2030. Then we employed a computable general equilibrium model to estimate macroeconomic impacts of the advanced vehicle scenario on the economy of California. Results indicate that, due to slow fleet turnover, conventional vehicles are expected to continue to dominate the on-road fleet and gasoline is the major transportation fuel over the next two decades. However, alternative fuels could play an increasingly important role in gasoline displacement. Advanced vehicle costs are expected to decrease dramatically with production volume and technological progress; e.g., incremental costs for fuel cell vehicles and hydrogen could break even with gasoline savings in 2028. Overall, the vehicle portfolio scenario is estimated to have a slightly negative influence on California's economy, because advanced vehicles are very costly and, therefore, the resulting gasoline savings generally cannot offset the high incremental expenditure on vehicles and alternative fuels. Sensitivity analysis shows that an increase in gasoline price or a drop in alternative fuel prices could offset a portion of the negative impact.

Cost to the hospital of a clinical training program.

PubMed

Carney, M K; Keim, S T

1978-01-01

Programs for the training of radiologic technologists involving clinical training at a host hospital are growing rapidly. The objective of the study reported in this paper was to determine the cost to the hospital of supporting such clinical training. Information was collected by means of interviews with hospital administrative officials, clinical instructors and current and recent students. The thrust of the inquiry was toward hospital activities in the production of patient radiologic services. Specifically, questions dealt with the diversion of professional care from the hospital workload and the substitutability of student effort in the performance of professional duties associated with the implementation of the clinical training program. It appears that hosting a clinical training program does not increase hospital costs. There may in fact be a net benefit to the hospital. There was widespread agreement that the production of a student-instructor team more than offset the loss of output resulting from the diversion of staff personnel to instructional duties. Other costs--capital, supplies, breakage--do not appear to be major, and are possibly offset by benefits such as improved recruitment of technologists.

Advanced Prop-fan Engine Technology (APET) single- and counter-rotation gearbox/pitch change mechanism

NASA Technical Reports Server (NTRS)

Reynolds, C. N.

1985-01-01

The preliminary design of advanced technology (1992) prop-fan engines for single-rotation prop-fans, the conceptual design of the entire propulsion system, and an aircraft evaluation of the resultant designs are discussed. Four engine configurations were examined. A two-spool engine with all axial compressors and a three-spool engine with axial/centrifugal compressors were selected. Integrated propulsion systems were designed in conjunction with airframe manufacturers. The design efforts resulted in 12,000 shaft horsepower engines installed in over the installations with in-line and offset gearboxes. The prop-fan powered aircraft used 21 percent less fuel and cost 10 percent less to operate than a similar aircraft powered by turbofan engines with comparable technology.

12 CFR 797.15 - Administrative offset against amounts payable from Civil Service Retirement and Disability Fund.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Administrative offset against amounts payable from Civil Service Retirement and Disability Fund. 797.15 Section 797.15 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING THE OPERATIONS OF THE NATIONAL CREDIT UNION ADMINISTRATION PROCEDURES FOR DEBT COLLECTION...

12 CFR 797.15 - Administrative offset against amounts payable from Civil Service Retirement and Disability Fund.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Administrative offset against amounts payable from Civil Service Retirement and Disability Fund. 797.15 Section 797.15 Banks and Banking NATIONAL CREDIT UNION ADMINISTRATION REGULATIONS AFFECTING THE OPERATIONS OF THE NATIONAL CREDIT UNION ADMINISTRATION PROCEDURES FOR DEBT COLLECTION...

Farm-level feasibility of bioenergy depends on variations across multiple sectors

NASA Astrophysics Data System (ADS)

Myhre, Mitchell; Barford, Carol

2013-03-01

The potential supply of bioenergy from farm-grown biomass is uncertain due to several poorly understood or volatile factors, including land availability, yield variability, and energy prices. Although biomass production for liquid fuel has received more attention, here we present a case study of biomass production for renewable heat and power in the state of Wisconsin (US), where heating constitutes at least 30% of total energy demand. Using three bioenergy systems (50 kW, 8.8 MW and 50 MW) and Wisconsin farm-level data, we determined the net farm income effect of producing switchgrass (Panicum virgatum) as a feedstock, either for on-farm use (50 kW system) or for sale to an off-farm energy system operator (8.8 and 50 MW systems). In southern counties, where switchgrass yields approach 10 Mg ha-1 yr-1, the main determinants of economic feasibility were the available land area per farm, the ability to utilize bioheat, and opportunity cost assumptions. Switchgrass yield temporal variability was less important. For the state median farm size and switchgrass yield, at least 25% (50 kW system) or 50% (8.8 MW system) bioheat utilization was required to economically offset propane or natural gas heat, respectively, and purchased electricity. Offsetting electricity only (50 MW system) did not generate enough revenue to meet switchgrass production expenses. Although the opportunity cost of small-scale (50 kW) on-farm bioenergy generation was higher, it also held greater opportunity for increasing farm net income, especially by replacing propane-based heat.

Therapies for treatment of osteoporosis in US women: cost-effectiveness and budget impact considerations.

PubMed

Tosteson, Anna N A; Burge, Russel T; Marshall, Deborah A; Lindsay, Robert

2008-09-01

To evaluate the cost-effectiveness of osteoporosis treatments for women at high fracture risk and estimate the population-level impact of providing bisphosphonate therapy to all eligible high-risk US women. Fractures, healthcare costs, and quality-adjusted life-years (QALYs) were estimated over 10 years using a Markov model. No therapy, risedronate, alendronate, ibandronate, and teriperatide (PTH) were compared among 4 risk groups. Sensitivity analyses examined the robustness of model results for 65-year-old women with low bone density and previous vertebral fracture. Women treated with a bisphosphonate experienced fewer fractures and more QALYs compared with no therapy or PTH. Total costs were lowest for the untreated cohort, followed by risedronate, alendronate, ibandronate, and PTH in all risk groups except women aged 75 years with previous fracture. The incremental cost-effectiveness of risedronate compared with no therapy ranged from cost saving for the base case to $66,722 per QALY for women aged 65 years with no previous fracture. Ibandronate and PTH were dominated in all risk groups. (A dominated treatment has a higher cost and poorer outcome.) Treating all eligible women with a bisphosphonate would cost an estimated additional $5563 million (21% total increase) and would result in 390,049 fewer fractures (35% decrease). In the highest risk group, the additional cost of therapy was offset by other healthcare cost savings. Osteoporosis treatment of high-risk women is cost-effective, with bisphosphonates providing the most benefit at lowest cost. For highest risk women, costs are offset by savings from fracture prevention.

Emerging conservation challenges and prospects in an era of offshore hydrocarbon exploration and exploitation.

PubMed

Kark, Salit; Brokovich, Eran; Mazor, Tessa; Levin, Noam

2015-12-01

Globally, extensive marine areas important for biodiversity conservation and ecosystem functioning are undergoing exploration and extraction of oil and natural gas resources. Such operations are expanding to previously inaccessible deep waters and other frontier regions, while conservation-related legislation and planning is often lacking. Conservation challenges arising from offshore hydrocarbon development are wide-ranging. These challenges include threats to ecosystems and marine species from oil spills, negative impacts on native biodiversity from invasive species colonizing drilling infrastructure, and increased political conflicts that can delay conservation actions. With mounting offshore operations, conservationists need to urgently consider some possible opportunities that could be leveraged for conservation. Leveraging options, as part of multi-billion dollar marine hydrocarbon operations, include the use of facilities and costly equipment of the deep and ultra-deep hydrocarbon industry for deep-sea conservation research and monitoring and establishing new conservation research, practice, and monitoring funds and environmental offsetting schemes. The conservation community, including conservation scientists, should become more involved in the earliest planning and exploration phases and remain involved throughout the operations so as to influence decision making and promote continuous monitoring of biodiversity and ecosystems. A prompt response by conservation professionals to offshore oil and gas developments can mitigate impacts of future decisions and actions of the industry and governments. New environmental decision support tools can be used to explicitly incorporate the impacts of hydrocarbon operations on biodiversity into marine spatial and conservation plans and thus allow for optimum trade-offs among multiple objectives, costs, and risks. © 2015 Society for Conservation Biology.

Analysis of low-offset CTIA amplifier for small-size-pixel infrared focal plane array

NASA Astrophysics Data System (ADS)

Zhang, Xue; Huang, Zhangcheng; Shao, Xiumei

2014-11-01

The design of input stage amplifier becomes more and more difficult as the expansion of format arrays and reduction of pixel size. A design method of low-offset amplifier based on 0.18-μm process used in small-size pixel is analyzed in order to decrease the dark signal of extended wavelength InGaAs infrared focal plane arrays (IRFPA). Based on an example of a cascode operational amplifier (op-amp), the relationship between input offset voltage and size of each transistor is discussed through theoretical analysis and Monte Carlo simulation. The results indicate that input transistors and load transistors have great influence on the input offset voltage while common-gate transistors are negligible. Furthermore, the offset voltage begins to increase slightly when the width and length of transistors decrease along with the diminution of pixel size, and raises rapidly when the size is smaller than a proximate threshold value. The offset voltage of preamplifiers with differential architecture and single-shared architecture in small pitch pixel are studied. After optimization under same conditions, simulation results show that single-shared architecture has smaller offset voltage than differential architecture.

Photoacoustic sensor for medical diagnostics

NASA Astrophysics Data System (ADS)

Wolff, Marcus; Groninga, Hinrich G.; Harde, Hermann

2004-03-01

The development of new optical sensor technologies has a major impact on the progress of diagnostic methods. Of the permanently increasing number of non-invasive breath tests, the 13C-Urea Breath Test (UBT) for the detection of Helicobacter pylori is the most prominent. However, many recent developments, like the detection of cancer by breath test, go beyond gastroenterological applications. We present a new detection scheme for breath analysis that employs an especially compact and simple set-up. Photoacoustic Spectroscopy (PAS) represents an offset-free technique that allows for short absorption paths and small sample cells. Using a single-frequency diode laser and taking advantage of acoustical resonances of the sample cell, we performed extremely sensitive and selective measurements. The smart data processing method contributes to the extraordinary sensitivity and selectivity as well. Also, the reasonable acquisition cost and low operational cost make this detection scheme attractive for many biomedical applications. The experimental set-up and data processing method, together with exemplary isotope-selective measurements on carbon dioxide, are presented.

Robust frequency stabilization of multiple spectroscopy lasers with large and tunable offset frequencies.

PubMed

Nevsky, A; Alighanbari, S; Chen, Q-F; Ernsting, I; Vasilyev, S; Schiller, S; Barwood, G; Gill, P; Poli, N; Tino, G M

2013-11-15

We have demonstrated a compact, robust device for simultaneous absolute frequency stabilization of three diode lasers whose carrier frequencies can be chosen freely relative to the reference. A rigid ULE multicavity block is employed, and, for each laser, the sideband locking technique is applied. A small lock error, computer control of frequency offset, wide range of frequency offset, simple construction, and robust operation are the useful features of the system. One concrete application is as a stabilization unit for the cooling and trapping lasers of a neutral-atom lattice clock. The device significantly supports and improves the clock's operation. The laser with the most stringent requirements imposed by this application is stabilized to a line width of 70 Hz, and a residual frequency drift less than 0.5 Hz/s. The carrier optical frequency can be tuned over 350 MHz while in lock.

The economic consequences of noncompliance in cardiovascular disease and related conditions: a literature review

PubMed Central

Muszbek, N; Brixner, D; Benedict, A; Keskinaslan, A; Khan, Z M

2008-01-01

Objectives To review studies on the cost consequences of compliance and/or persistence in cardiovascular disease (CVD) and related conditions (hypertension, dyslipidaemia, diabetes and heart failure) published since 1995, and to evaluate the effects of noncompliance on healthcare expenditure and the cost-effectiveness of pharmaceutical interventions. Methods English language papers published between January 1995 and February 2007 that examined compliance/persistence with medication for CVD or related conditions, provided an economic evaluation of pharmacological interventions or cost analysis, and quantified the cost consequences of noncompliance, were identified through database searches. The cost consequences of noncompliance were compared across studies descriptively. Results Of the 23 studies identified, 10 focused on hypertension, seven on diabetes, one on dyslipidaemia, one on coronary heart disease, one on heart failure and three covered multiple diseases. In studies assessing drug costs only, increased compliance/persistence led to increased drug costs. However, increased compliance/persistence increased the effectiveness of treatment, leading to a decrease in medical events and non-drug costs. This offset the higher drug costs, leading to savings in overall treatment costs. In studies evaluating the effect of compliance/persistence on the cost-effectiveness of pharmacological interventions, increased compliance/persistence appeared to reduce cost-effectiveness ratios, but the extent of this effect was not quantified. Conclusions Noncompliance with cardiovascular and antidiabetic medication is a significant problem. Increased compliance/persistence leads to increased drug costs, but these are offset by reduced non-drug costs, leading to overall cost savings. The effect of noncompliance on the cost-effectiveness of pharmacological interventions is inconclusive and further research is needed to resolve the issue. PMID:18199282

Comparing Costs of Traditional and Specialty Probation for People With Serious Mental Illness.

PubMed

Skeem, Jennifer L; Montoya, Lina; Manchak, Sarah M

2018-05-15

Specialty mental health probation reduces the likelihood of rearrest for people with mental illness, who are overrepresented in the justice system. This study tested whether specialty probation was associated with lower costs than traditional probation during the two years after placement in probation. A longitudinal, matched study compared costs of behavioral health care and criminal justice contacts among 359 probationers with mental illness at prototypic specialty or traditional agencies. Compared with traditional officers, specialty officers supervised smaller caseloads, established better relationships with supervisees, and participated more in treatment. Participants and officers were interviewed, and administrative databases were integrated to capture service use and criminal justice contacts. Unit costs were attached to these data to estimate costs incurred by each participant over two years. Cost differences were estimated by using machine-learning algorithms combined with targeted maximum-likelihood estimation (TMLE), a double-robust estimator that accounts for associations between confounders and both treatment assignment and outcomes. Specialty probation cost $11,826 (p<.001) less per participant than traditional probation, with overall savings of about 51%. Specialty and traditional probation did not differ in criminal justice costs because the additional costs for supervision of specialty caseloads were offset by reduced recidivism. However, for behavioral health care, specialty probation cost an estimated $14,049 (p<.001) less per client than traditional probation. Greater outpatient costs were more than offset by reduced emergency, inpatient, and residential costs. Well-implemented specialty probation yielded substantial savings-and should be considered in justice reform efforts for people with mental illness.

Significant Improvements in Pyranometer Nighttime Offsets Using High-Flow DC Ventilation

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

Michalsky, Joseph J.; Kutchenreiter, Mark; Long, Charles N.

Ventilators are used to keep the domes of pyranometers clean and dry, but they affect the nighttime offset as well. This paper examines different ventilation strategies. For the several commercial single-black-detector pyranometers with ventilators examined here, high flow rate (50 CFM and higher), 12 VDC fans lower the offsets, lower the scatter, and improve the predictability of the offsets during the night compared with lower flow rate 35 CFM, 120 VAC fans operated in the same ventilator housings. Black-and-white pyranometers sometimes show improvement with DC ventilation, but in some cases DC ventilation makes the offsets slightly worse. Since the offsetsmore » for these black-and-white pyranometers are always small, usually no more than 1 Wm -2, whether AC or DC ventilated, changing their ventilation to higher CFM DC ventilation is not imperative. Future work should include all major manufacturers of pyranometers and unventilated, as well as, ventilated pyranometers. Lastly, an important outcome of future research will be to clarify under what circumstances nighttime data can be used to predict daytime offsets.« less

Significant Improvements in Pyranometer Nighttime Offsets Using High-Flow DC Ventilation

DOE PAGES

Michalsky, Joseph J.; Kutchenreiter, Mark; Long, Charles N.

2017-06-20

Ventilators are used to keep the domes of pyranometers clean and dry, but they affect the nighttime offset as well. This paper examines different ventilation strategies. For the several commercial single-black-detector pyranometers with ventilators examined here, high flow rate (50 CFM and higher), 12 VDC fans lower the offsets, lower the scatter, and improve the predictability of the offsets during the night compared with lower flow rate 35 CFM, 120 VAC fans operated in the same ventilator housings. Black-and-white pyranometers sometimes show improvement with DC ventilation, but in some cases DC ventilation makes the offsets slightly worse. Since the offsetsmore » for these black-and-white pyranometers are always small, usually no more than 1 Wm -2, whether AC or DC ventilated, changing their ventilation to higher CFM DC ventilation is not imperative. Future work should include all major manufacturers of pyranometers and unventilated, as well as, ventilated pyranometers. Lastly, an important outcome of future research will be to clarify under what circumstances nighttime data can be used to predict daytime offsets.« less

Are virtual planning and guided surgery for head and neck reconstruction economically viable?

PubMed

Zweifel, Daniel Fritz; Simon, Christian; Hoarau, Remy; Pasche, Philippe; Broome, Martin

2015-01-01

Virtual planning and guided surgery with or without prebent or milled plates are becoming more and more common for mandibular reconstruction with fibular free flaps (FFFs). Although this excellent surgical option is being used more widely, the question of the additional cost of planning and cutting-guide production has to be discussed. In capped payment systems such additional costs have to be offset by other savings if there are no special provisions for extra funding. Our study was designed to determine whether using virtual planning and guided surgery resulted in time saved during surgery and whether this time gain resulted in self-funding of such planning through the time saved. All consecutive cases of FFF surgery were evaluated during a 2-year period. Institutional data were used to determine the price of 1 minute of operative time. The time for fibula molding, plate adaptation, and insetting was recorded. During the defined period, we performed 20 mandibular reconstructions using FFFs, 9 with virtual planning and guided surgery and 11 freehand cases. One minute of operative time was calculated to cost US $47.50. Multiplying this number by the time saved, we found that the additional cost of virtual planning was reduced from US $5,098 to US $1,231.50 with a prebent plate and from US $6,980 to US $3,113.50 for a milled plate. Even in capped health care systems, virtual planning and guided surgery including prebent or milled plates are financially viable. Copyright © 2015 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Biodiverse planting for carbon and biodiversity on indigenous land.

PubMed

Renwick, Anna R; Robinson, Catherine J; Martin, Tara G; May, Tracey; Polglase, Phil; Possingham, Hugh P; Carwardine, Josie

2014-01-01

Carbon offset mechanisms have been established to mitigate climate change through changes in land management. Regulatory frameworks enable landowners and managers to generate saleable carbon credits on domestic and international markets. Identifying and managing the associated co-benefits and dis-benefits involved in the adoption of carbon offset projects is important for the projects to contribute to the broader goal of sustainable development and the provision of benefits to the local communities. So far it has been unclear how Indigenous communities can benefit from such initiatives. We provide a spatial analysis of the carbon and biodiversity potential of one offset method, planting biodiverse native vegetation, on Indigenous land across Australia. We discover significant potential for opportunities for Indigenous communities to achieve carbon sequestration and biodiversity goals through biodiverse plantings, largely in southern and eastern Australia, but the economic feasibility of these projects depend on carbon market assumptions. Our national scale cost-effectiveness analysis is critical to enable Indigenous communities to maximise the benefits available to them through participation in carbon offset schemes.

Biodiverse Planting for Carbon and Biodiversity on Indigenous Land

PubMed Central

Renwick, Anna R.; Robinson, Catherine J.; Martin, Tara G.; May, Tracey; Polglase, Phil; Possingham, Hugh P.; Carwardine, Josie

2014-01-01

Carbon offset mechanisms have been established to mitigate climate change through changes in land management. Regulatory frameworks enable landowners and managers to generate saleable carbon credits on domestic and international markets. Identifying and managing the associated co-benefits and dis-benefits involved in the adoption of carbon offset projects is important for the projects to contribute to the broader goal of sustainable development and the provision of benefits to the local communities. So far it has been unclear how Indigenous communities can benefit from such initiatives. We provide a spatial analysis of the carbon and biodiversity potential of one offset method, planting biodiverse native vegetation, on Indigenous land across Australia. We discover significant potential for opportunities for Indigenous communities to achieve carbon sequestration and biodiversity goals through biodiverse plantings, largely in southern and eastern Australia, but the economic feasibility of these projects depend on carbon market assumptions. Our national scale cost-effectiveness analysis is critical to enable Indigenous communities to maximise the benefits available to them through participation in carbon offset schemes. PMID:24637736

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

Wachs, Israel E.

The enclosed report highlights the travel grant awarded to offset the cost of foreign travel of several faculty and students to attend the 16th International Congress on Catalysis (ICC) held in Beijing, China, July 3-8, 2016.

An LMS Programming Scheme and Floating-Gate Technology Enabled Trimmer-Less and Low Voltage Flame Detection Sensor.

PubMed

Iglesias-Rojas, Juan Carlos; Gomez-Castañeda, Felipe; Moreno-Cadenas, Jose Antonio

2017-06-14

In this paper, a Least Mean Square (LMS) programming scheme is used to set the offset voltage of two operational amplifiers that were built using floating-gate transistors, enabling a 0.95 V RMS trimmer-less flame detection sensor. The programming scheme is capable of setting the offset voltage over a wide range of values by means of electron injection. The flame detection sensor consists of two programmable offset operational amplifiers; the first amplifier serves as a 26 μV offset voltage follower, whereas the second amplifier acts as a programmable trimmer-less voltage comparator. Both amplifiers form the proposed sensor, whose principle of functionality is based on the detection of the electrical changes produced by the flame ionization. The experimental results show that it is possible to measure the presence of a flame accurately after programming the amplifiers with a maximum of 35 LMS-algorithm iterations. Current commercial flame detectors are mainly used in absorption refrigerators and large industrial gas heaters, where a high voltage AC source and several mechanical trimmings are used in order to accurately measure the presence of the flame.

Asymmetric band offsets in silicon heterojunction solar cells: Impact on device performance

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

Seif, Johannes Peter; Menda, Deneb; Descoeudres, Antoine

Here, amorphous/crystalline silicon interfaces feature considerably larger valence than conduction band offsets. In this article, we analyze the impact of such band offset asymmetry on the performance of silicon heterojunction solar cells. To this end, we use silicon suboxides as passivation layers -- inserted between substrate and (front or rear) contacts -- since such layers enable intentionally exacerbated band-offset asymmetry. Investigating all topologically possible passivation layer permutations and focussing on light and dark current-voltage characteristics, we confirm that to avoid fill factor losses, wider-bandgap silicon oxide films (of at least several nanometer thin) should be avoided in hole-collecting contacts. Asmore » a consequence, device implementation of such films as window layers -- without degraded carrier collection -- demands electron collection at the front and hole collection at the rear. Furthermore, at elevated operating temperatures, once possible carrier transport barriers are overcome by thermionic (field) emission, the device performance is mainly dictated by the passivation of its surfaces. In this context, compared to the standard amorphous silicon layers, the wide-bandgap oxide layers applied here passivate remarkably better at these temperatures, which may represent an additional benefit under practical operation conditions.« less

Asymmetric band offsets in silicon heterojunction solar cells: Impact on device performance

DOE PAGES

Seif, Johannes Peter; Menda, Deneb; Descoeudres, Antoine; ...

2016-08-01

Here, amorphous/crystalline silicon interfaces feature considerably larger valence than conduction band offsets. In this article, we analyze the impact of such band offset asymmetry on the performance of silicon heterojunction solar cells. To this end, we use silicon suboxides as passivation layers -- inserted between substrate and (front or rear) contacts -- since such layers enable intentionally exacerbated band-offset asymmetry. Investigating all topologically possible passivation layer permutations and focussing on light and dark current-voltage characteristics, we confirm that to avoid fill factor losses, wider-bandgap silicon oxide films (of at least several nanometer thin) should be avoided in hole-collecting contacts. Asmore » a consequence, device implementation of such films as window layers -- without degraded carrier collection -- demands electron collection at the front and hole collection at the rear. Furthermore, at elevated operating temperatures, once possible carrier transport barriers are overcome by thermionic (field) emission, the device performance is mainly dictated by the passivation of its surfaces. In this context, compared to the standard amorphous silicon layers, the wide-bandgap oxide layers applied here passivate remarkably better at these temperatures, which may represent an additional benefit under practical operation conditions.« less

Asymmetric band offsets in silicon heterojunction solar cells: Impact on device performance

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

Seif, Johannes Peter, E-mail: johannes.seif@alumni.epfl.ch; Ballif, Christophe; De Wolf, Stefaan

Amorphous/crystalline silicon interfaces feature considerably larger valence than conduction band offsets. In this article, we analyze the impact of such band offset asymmetry on the performance of silicon heterojunction solar cells. To this end, we use silicon suboxides as passivation layers—inserted between substrate and (front or rear) contacts—since such layers enable intentionally exacerbated band-offset asymmetry. Investigating all topologically possible passivation layer permutations and focussing on light and dark current-voltage characteristics, we confirm that to avoid fill factor losses, wider-bandgap silicon oxide films (of at least several nanometer thin) should be avoided in hole-collecting contacts. As a consequence, device implementation ofmore » such films as window layers—without degraded carrier collection—demands electron collection at the front and hole collection at the rear. Furthermore, at elevated operating temperatures, once possible carrier transport barriers are overcome by thermionic (field) emission, the device performance is mainly dictated by the passivation of its surfaces. In this context, compared to the standard amorphous silicon layers, the wide-bandgap oxide layers applied here passivate remarkably better at these temperatures, which may represent an additional benefit under practical operation conditions.« less

An LMS Programming Scheme and Floating-Gate Technology Enabled Trimmer-Less and Low Voltage Flame Detection Sensor

PubMed Central

Iglesias-Rojas, Juan Carlos; Gomez-Castañeda, Felipe; Moreno-Cadenas, Jose Antonio

2017-01-01

In this paper, a Least Mean Square (LMS) programming scheme is used to set the offset voltage of two operational amplifiers that were built using floating-gate transistors, enabling a 0.95 VRMS trimmer-less flame detection sensor. The programming scheme is capable of setting the offset voltage over a wide range of values by means of electron injection. The flame detection sensor consists of two programmable offset operational amplifiers; the first amplifier serves as a 26 μV offset voltage follower, whereas the second amplifier acts as a programmable trimmer-less voltage comparator. Both amplifiers form the proposed sensor, whose principle of functionality is based on the detection of the electrical changes produced by the flame ionization. The experimental results show that it is possible to measure the presence of a flame accurately after programming the amplifiers with a maximum of 35 LMS-algorithm iterations. Current commercial flame detectors are mainly used in absorption refrigerators and large industrial gas heaters, where a high voltage AC source and several mechanical trimmings are used in order to accurately measure the presence of the flame. PMID:28613250

Municipal forest benefits and costs in five U.S. cities

Treesearch

E.G. McPherson; J.R. Simpson; P.J. Peper; S.E. Maco; Q. Xiao

2005-01-01

Increasingly, city trees are viewed as a best management practice to control stormwater, an urban-heat–island mitigation measure for cleaner air, a CO2-reduction option to offset emissions, and an alternative to costly new electric power plants. Measuring benefits that accrue from the community forest is the first step to altering forest...

48 CFR 225.7303-2 - Cost of doing business with a foreign government or an international organization.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., and related travel for sales to foreign governments. Section 126.8 of the International Traffic in... which case the appropriate Government approval shall be obtained; and (iv) Configuration studies and... related travel to foreign countries. (3) Offset costs (also see 225.7306). (i) A U.S. defense contractor...

Socioeconomic Status- and Gender-Based Differences in Students' Perceptions of E-Learning Systems

ERIC Educational Resources Information Center

Albert, Leslie Jordan; Johnson, Camille S.

2011-01-01

Many universities are pursuing increases in on-line course offerings as a means of offsetting the rising costs of providing high-quality educational opportunities and of better serving their student populations. However, enrollments in online courses are not always sufficient to cover their costs. One possible way of improving enrollments is…

Adaptively loaded SP-offset-QAM OFDM for IM/DD communication systems.

PubMed

Zhao, Jian; Chan, Chun-Kit

2017-09-04

In this paper, we propose adaptively loaded set-partitioned offset quadrature amplitude modulation (SP-offset-QAM) orthogonal frequency division multiplexing (OFDM) for low-cost intensity-modulation direct-detection (IM/DD) communication systems. We compare this scheme with multi-band carrier-less amplitude phase modulation (CAP) and conventional OFDM, and demonstrate >40 Gbit/s transmission over 50-km single-mode fiber. It is shown that the use of SP-QAM formats, together with the adaptive loading algorithm specifically designed to this group of formats, results in significant performance improvement for all these three schemes. SP-offset-QAM OFDM exhibits greatly reduced complexity compared to SP-QAM based multi-band CAP, via parallelized implementation and minimized memory length for spectral shaping. On the other hand, this scheme shows better performance than SP-QAM based conventional OFDM at both back-to-back and after transmission. We also characterize the proposed scheme in terms of enhanced tolerance to fiber intra-channel nonlinearity and the potential to increase the communication security. The studies show that adaptive SP-offset-QAM OFDM is a promising IM/DD solution for medium- and long-reach optical access networks and data center connections.

Wavefront attributes in anisotropic media

NASA Astrophysics Data System (ADS)

Vanelle, C.; Abakumov, I.; Gajewski, D.

2018-07-01

Surface-measured wavefront attributes are the key ingredient to multiparameter methods, which are nowadays standard tools in seismic data processing. However, most operators are restricted to application to isotropic media. Whereas application of an isotropic operator will still lead to satisfactory stack results, further processing steps that interpret isotropic stacking parameters in terms of wavefront attributes will lead to erroneous results if anisotropy is present but not accounted for. In this paper, we derive relationships between the stacking parameters and anisotropic wavefront attributes that allow us to apply the common reflection surface type operator to 3-D media with arbitrary anisotropy for the zero-offset and finite-offset configurations including converted waves. The operator itself is expressed in terms of wavefront attributes that are measured in the acquisition surface, that is, no model assumptions are made. Numerical results confirm that the accuracy of the new anisotropic operator is of the same magnitude as that of its isotropic counterpart.

A Core-Offset Mach Zehnder Interferometer Based on A Non-Zero Dispersion-Shifted Fiber and Its Torsion Sensing Application.

PubMed

Huerta-Mascotte, Eduardo; Sierra-Hernandez, Juan M; Mata-Chavez, Ruth I; Jauregui-Vazquez, Daniel; Castillo-Guzman, Arturo; Estudillo-Ayala, Julian M; Guzman-Chavez, Ana D; Rojas-Laguna, Roberto

2016-06-10

In this paper, an all-fiber Mach-Zehnder interferometer (MZI) based on a non-zero dispersion-shifted fiber (NZ-DSF) is presented. The MZI was implemented by core-offset fusion splicing one section of a NZ-DSF fiber between two pieces of single mode fibers (SMFs). Here, the NZ-DSF core and cladding were used as the arms of the MZI, while the core-offset sections acted as optical fiber couplers. Thus, a MZI interference spectrum with a fringe contrast (FC) of about 20 dB was observed. Moreover, its response spectrum was experimentally characterized to the torsion parameter and a sensitivity of 0.070 nm/° was achieved. Finally, these MZIs can be implemented in a compact size and low cost.

A Core-Offset Mach Zehnder Interferometer Based on A Non-Zero Dispersion-Shifted Fiber and Its Torsion Sensing Application

PubMed Central

Huerta-Mascotte, Eduardo; Sierra-Hernandez, Juan M.; Mata-Chavez, Ruth I.; Jauregui-Vazquez, Daniel; Castillo-Guzman, Arturo; Estudillo-Ayala, Julian M.; Guzman-Chavez, Ana D.; Rojas-Laguna, Roberto

2016-01-01

In this paper, an all-fiber Mach-Zehnder interferometer (MZI) based on a non-zero dispersion-shifted fiber (NZ-DSF) is presented. The MZI was implemented by core-offset fusion splicing one section of a NZ-DSF fiber between two pieces of single mode fibers (SMFs). Here, the NZ-DSF core and cladding were used as the arms of the MZI, while the core-offset sections acted as optical fiber couplers. Thus, a MZI interference spectrum with a fringe contrast (FC) of about 20 dB was observed. Moreover, its response spectrum was experimentally characterized to the torsion parameter and a sensitivity of 0.070 nm/° was achieved. Finally, these MZIs can be implemented in a compact size and low cost. PMID:27294930

Alternative Fuels Data Center

Science.gov Websites

administers the Ethanol Infrastructure Incentive Program, providing grants to offset the cost of installing Ethanol Infrastructure Incentive Program website. (Reference South Dakota Statutes 10-47B-162 and 10-47B

An Evaluation of the Performance and Economics of Membranes and Separators in Single Chamber Microbial Fuel Cells Treating Domestic Wastewater.

PubMed

Christgen, Beate; Scott, Keith; Dolfing, Jan; Head, Ian M; Curtis, Thomas P

2015-01-01

The cost of materials is one of the biggest barriers for wastewater driven microbial fuel cells (MFCs). Many studies use expensive materials with idealistic wastes. Realistically the choice of an ion selective membrane or nonspecific separators must be made in the context of the cost and performance of materials available. Fourteen membranes and separators were characterized for durability, oxygen diffusion and ionic resistance to enable informed membrane selection for reactor tests. Subsequently MFCs were operated in a cost efficient reactor design using Nafion, ethylene tetrafluoroethylene (ETFE) or polyvinylidene fluoride (PVDF) membranes, a nonspecific separator (Rhinohide), and a no-membrane design with a carbon-paper internal gas diffusion cathode. Peak power densities during polarisation, from MFCs using no-membrane, Nafion and ETFE, reached 67, 61 and 59 mWm(-2), and coulombic efficiencies of 68±11%, 71±12% and 92±6%, respectively. Under 1000 Ω, Nafion and ETFE achieved an average power density of 29 mWm(-2) compared to 24 mWm(-2) for the membrane-less reactors. Over a hypothetical lifetime of 10 years the generated energy (1 to 2.5 kWhm(-2)) would not be sufficient to offset the costs of any membrane and separator tested.

An Evaluation of the Performance and Economics of Membranes and Separators in Single Chamber Microbial Fuel Cells Treating Domestic Wastewater

PubMed Central

Christgen, Beate; Scott, Keith; Dolfing, Jan; Head, Ian M.; Curtis, Thomas P.

2015-01-01

The cost of materials is one of the biggest barriers for wastewater driven microbial fuel cells (MFCs). Many studies use expensive materials with idealistic wastes. Realistically the choice of an ion selective membrane or nonspecific separators must be made in the context of the cost and performance of materials available. Fourteen membranes and separators were characterized for durability, oxygen diffusion and ionic resistance to enable informed membrane selection for reactor tests. Subsequently MFCs were operated in a cost efficient reactor design using Nafion, ethylene tetrafluoroethylene (ETFE) or polyvinylidene fluoride (PVDF) membranes, a nonspecific separator (Rhinohide), and a no-membrane design with a carbon-paper internal gas diffusion cathode. Peak power densities during polarisation, from MFCs using no-membrane, Nafion and ETFE, reached 67, 61 and 59 mWm-2, and coulombic efficiencies of 68±11%, 71±12% and 92±6%, respectively. Under 1000Ω, Nafion and ETFE achieved an average power density of 29 mWm-2 compared to 24 mWm-2 for the membrane-less reactors. Over a hypothetical lifetime of 10 years the generated energy (1 to 2.5 kWhm-2) would not be sufficient to offset the costs of any membrane and separator tested. PMID:26305330

Multicenter study on costs associated with two surgical procedures: GreenLight XPS 180 W versus the gold standard transurethral resection of the prostate.

PubMed

Benejam-Gual, J M; Sanz-Granda, A; Budía, A; Extramiana, J; Capitán, C

2014-01-01

To analyze the costs associated with two surgical procedures for lower urinary tract symptoms secondary to benign prostatic hyperplasia: GreenLight XPS 180¦W versus the gold standard transurethral resection of the prostate. A multicenter, retrospective cost study was carried out from the National Health Service perspective, over a 3-month time period. Costs were broken down into pre-surgical, surgical and post-surgical phases. Data were extracted from records of patients operated sequentially, with IPSS=15, Qmax=15 mL/seg and a prostate volume of 40-80mL, adding only direct healthcare costs (€, 2013) associated with the procedure and management of complications. A total of 79 patients sequentially underwent GL XPS (n: 39) or TURP (n: 40) between July and October, 2013. Clinical outcomes were similar (94.9% and 92.5%, GL XPS and TURP, respectively) without significant differences (P=.67). The average direct cost per patient was reduced by €114 in GL XPS versus TURP patients; the cost was higher in the surgical phase with GL XPS (difference: €1,209; P<.001) but was lower in the post-surgical phase (difference: €-1,351; P<.001). The GreenLight XPS 180-W laser system is associated with a reduction in costs with respect to transurethral resection of prostate in the surgical treatment of LUTS secondary to PBH. This reduction is due to a shorter inpatient length of stay that offsets the cost of the new technology. Copyright © 2013 AEU. Published by Elsevier Espana. All rights reserved.

The Cost of Penicillin Allergy Evaluation.

PubMed

Blumenthal, Kimberly G; Li, Yu; Banerji, Aleena; Yun, Brian J; Long, Aidan A; Walensky, Rochelle P

2017-09-22

Unverified penicillin allergy leads to adverse downstream clinical and economic sequelae. Penicillin allergy evaluation can be used to identify true, IgE-mediated allergy. To estimate the cost of penicillin allergy evaluation using time-driven activity-based costing (TDABC). We implemented TDABC throughout the care pathway for 30 outpatients presenting for penicillin allergy evaluation. The base-case evaluation included penicillin skin testing and a 1-step amoxicillin drug challenge, performed by an allergist. We varied assumptions about the provider type, clinical setting, procedure type, and personnel timing. The base-case penicillin allergy evaluation costs $220 in 2016 US dollars: $98 for personnel, $119 for consumables, and $3 for space. In sensitivity analyses, lower cost estimates were achieved when only a drug challenge was performed (ie, no skin test, $84) and a nurse practitioner provider was used ($170). Adjusting for the probability of anaphylaxis did not result in a changed estimate ($220); although other analyses led to modest changes in the TDABC estimate ($214-$246), higher estimates were identified with changing to a low-demand practice setting ($268), a 50% increase in personnel times ($269), and including clinician documentation time ($288). In a least/most costly scenario analyses, the lowest TDABC estimate was $40 and the highest was $537. Using TDABC, penicillin allergy evaluation costs $220; even with varied assumptions adjusting for operational challenges, clinical setting, and expanded testing, penicillin allergy evaluation still costs only about $540. This modest investment may be offset for patients treated with costly alternative antibiotics that also may result in adverse consequences. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Autoregressive Processes in Homogenization of GNSS Tropospheric Data

NASA Astrophysics Data System (ADS)

Klos, A.; Bogusz, J.; Teferle, F. N.; Bock, O.; Pottiaux, E.; Van Malderen, R.

2016-12-01

Offsets due to changes in hardware equipment or any other artificial event are all a subject of a task of homogenization of tropospheric data estimated within a processing of Global Navigation Satellite System (GNSS) observables. This task is aimed at identifying exact epochs of offsets and estimate their magnitudes since they may artificially under- or over-estimate trend and its uncertainty delivered from tropospheric data and used in climate studies. In this research, we analysed a common data set of differences of Integrated Water Vapour (IWV) from GPS and ERA-Interim (1995-2010) provided for a homogenization group working within ES1206 COST Action GNSS4SWEC. We analysed daily IWV records of GPS and ERA-Interim in terms of trend, seasonal terms and noise model with Maximum Likelihood Estimation in Hector software. We found that this data has a character of autoregressive process (AR). Basing on this analysis, we performed Monte Carlo simulations of 25 years long data with two different noise types: white as well as combination of white and autoregressive and also added few strictly defined offsets. This synthetic data set of exactly the same character as IWV from GPS and ERA-Interim was then subjected to a task of manual and automatic/statistical homogenization. We made blind tests and detected possible epochs of offsets manually. We found that simulated offsets were easily detected in series with white noise, no influence of seasonal signal was noticed. The autoregressive series were much more problematic when offsets had to be determined. We found few epochs, for which no offset was simulated. This was mainly due to strong autocorrelation of data, which brings an artificial trend within. Due to regime-like behaviour of AR it is difficult for statistical methods to properly detect epochs of offsets, which was previously reported by climatologists.

49 CFR 92.21 - Deduction from pay.

Code of Federal Regulations, 2010 CFR

2010-10-01

... salary offset may be made, the chief of the accounting or finance office of the paying DOT operating... accounting or finance office of the paying DOT operating element before collection of the indebtedness by...

Measuring the Cost of the Patient-Centered Medical Home: A Cost-Accounting Approach.

PubMed

Lieberthal, Robert D; Payton, Colleen; Sarfaty, Mona; Valko, George

To explore the cost for individual practices to become more patient-centered, we inventoried and calculated the cost of costly activities involved in implementing the Patient-Centered Medical Home (PCMH) as defined by the National Committee for Quality Assurance. There were 3 key findings. The cost of each PCMH-related clinical activity can be classified in 1 of 3 major categories. Cost offsets can be used to defray part of the cost recognition. The cost of PCMH transformation varied by practice with no clear level or pattern of costs. Our study suggests that small- and medium-sized practices may experience difficulty with the financial burden of PCMH recognition.

Real-world resource use and costs of haemophilia A-related bleeding.

PubMed

Shrestha, A; Eldar-Lissai, A; Hou, N; Lakdawalla, D N; Batt, K

2017-07-01

Prophylaxis treatment is recommended for haemophilia patients, but associated real-world economic costs and potential cost-savings associated with improved disease management are not fully known. This study aimed to assess haemophilia A-related resource use and cost by treatment type (prophylaxis versus non-prophylaxis) and any associated cost-savings. Truven MarketScan Commercial claims data (2004-2012) were used to identify haemophilia A-related healthcare utilization, healthcare costs and patterns of prophylaxis and non-prophylaxis treatment among 6- to 64-year-old males. We estimated bleeding-related resource utilization and costs in three age groups (6-18, 19-44, 45-64) by treatment types and assessed the extent to which early initiation of prophylactic treatment can mitigate them. T-tests and ordinary least squares regressions were used to compare unadjusted and demographics-adjusted cost estimates. Among children, overall haemophilia- and bleeding-related non-pharmacy costs were substantially lower for patients receiving prophylaxis (haemophilia-related: $15,864 vs. $53,408; P < 0.001; bleeding-related: $696 vs. $2013, respectively; P = 0.04). Among younger adults (19-44), haemophilia-related non-pharmacy costs were lower for patients receiving prophylaxis ($22,028 vs. $56,311, respectively; P = 0.001). Among children, these savings fully offset the incremental pharmacy cost due to prophylaxis. Among younger adults, the savings offset approximately 34% of the incremental pharmacy cost. No differences were found for older adults (45-64). These results suggest that initiating prophylaxis earlier in life may reduce the healthcare costs of bleeding events and their long-term complications. Future studies should strive to collect more detailed information on disease severity and treatment protocols to improve estimates of disease burden. © 2017 John Wiley & Sons Ltd.

Significant Improvements in Pyranometer Nighttime Offsets Using High-Flow DC Ventilation

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

Kutchenreiter, Mark; Michalski, J.J.; Long, C.N.

2017-05-22

Accurate solar radiation measurements using pyranometers are required to understand radiative impacts on the Earth's energy budget, solar energy production, and to validate radiative transfer models. Ventilators of pyranometers, which are used to keep the domes clean and dry, also affect instrument thermal offset accuracy. This poster presents a high-level overview of the ventilators for single-black-detector pyranometers and black-and-white pyranometers. For single-black-detector pyranometers with ventilators, high-flow-rate (50-CFM and higher), 12-V DC fans lower the offsets, lower the scatter, and improve the predictability of nighttime offsets compared to lower-flow-rate (35-CFM), 120-V AC fans operated in the same type of environmental setup.more » Black-and-white pyranometers, which are used to measure diffuse horizontal irradiance, sometimes show minor improvement with DC fan ventilation, but their offsets are always small, usually no more than 1 W/m2, whether AC- or DC-ventilated.« less

Improved double-pass michelson interferometer

NASA Technical Reports Server (NTRS)

Schindler, R. A.

1978-01-01

Interferometer design separates beams by offsetting centerlines of cat's-eye retroreflectors vertically rather than horizontally. Since beam splitter is insensitive to minimum-thickness condition in this geometry, relatively-low-cost, optically flat plate can be used.

Orienting attention to locations in mental representations

PubMed Central

Astle, Duncan Edward; Summerfield, Jennifer; Griffin, Ivan; Nobre, Anna Christina

2014-01-01

Many cognitive processes depend on our ability to hold information in mind, often well beyond the offset of the original sensory input. The capacity of this ‘visual short-term memory’ (VSTM) is limited to around three to four items. Recent research has demonstrated that the content of VSTM can be modulated by top-down attentional biases. This has been demonstrated using retrodictive spatial cues, termed ‘retro-cues’, which orient participants’ attention to spatial locations within VSTM. In the current paper, we tested whether the use of these cues is modulated by memory load and cue delay. There are a number of important conclusions: i) top-down biases can operate upon very brief iconic traces as well as older VSTM representations (Experiment 1); ii) when operating within capacity, subjects use the cue to prioritize where they initiate their memory search, rather than to discard un-cued items (Experiments 2 and 3); iii) when capacity is exceeded there is little benefit to top-down biasing relative to a neutral condition, however, unattended items are lost, with there being a substantial cost of invalid spatial cueing (Experiment 3); iv) these costs and benefits of orienting spatial attention differ across iconic memory and VSTM representations when VSTM capacity is exceeded (Experiment 4). PMID:21972046

Peer Review of March 2013 LDV Rebound Report By Small ...

EPA Pesticide Factsheets

The regulatory option of encouraging the adoption of advanced technologies for improving vehicle efficiency can result in significant fuel savings and GHG emissions benefits. At the same time, it is possible that some of these benefits might be offset by additional driving that is encouraged by the reduced costs of operating more efficient vehicles. This so called “rebound effect”, the increased driving that results from an improvement in the energy efficiency of a vehicle, must be determined in order to reliably estimate the overall benefits of GHG regulations for light-duty vehicles. Dr. Ken Small, an Economist at the Department of Economics, University of California at Irvine, with contributions by Dr. Kent Hymel, Department of Economics, California State University at Northridge, have developed a methodology to estimate the rebound effect for light-duty vehicles in the U.S. Specifically, rebound is estimated as the change in vehicle miles traveled (VMT) with respect to the change in per mile fuel costs that can occur, for example, when vehicle operating efficiency is improved. The model analyzes aggregate personal motor-vehicle travel within a simultaneous model of aggregate VMT, fleet size, fuel efficiency, and congestion formation. To use the peer review process to help assure that the methodologies considered by the U.S. EPA for estimating VMT rebound have been thoroughly examined.

Ecological Equivalence Assessment Methods: What Trade-Offs between Operationality, Scientific Basis and Comprehensiveness?

PubMed

Bezombes, Lucie; Gaucherand, Stéphanie; Kerbiriou, Christian; Reinert, Marie-Eve; Spiegelberger, Thomas

2017-08-01

In many countries, biodiversity compensation is required to counterbalance negative impacts of development projects on biodiversity by carrying out ecological measures, called offset when the goal is to reach "no net loss" of biodiversity. One main issue is to ensure that offset gains are equivalent to impact-related losses. Ecological equivalence is assessed with ecological equivalence assessment methods taking into account a range of key considerations that we summarized as ecological, spatial, temporal, and uncertainty. When equivalence assessment methods take into account all considerations, we call them "comprehensive". Equivalence assessment methods should also aim to be science-based and operational, which is challenging. Many equivalence assessment methods have been developed worldwide but none is fully satisfying. In the present study, we examine 13 equivalence assessment methods in order to identify (i) their general structure and (ii) the synergies and trade-offs between equivalence assessment methods characteristics related to operationality, scientific-basis and comprehensiveness (called "challenges" in his paper). We evaluate each equivalence assessment methods on the basis of 12 criteria describing the level of achievement of each challenge. We observe that all equivalence assessment methods share a general structure, with possible improvements in the choice of target biodiversity, the indicators used, the integration of landscape context and the multipliers reflecting time lags and uncertainties. We show that no equivalence assessment methods combines all challenges perfectly. There are trade-offs between and within the challenges: operationality tends to be favored while scientific basis are integrated heterogeneously in equivalence assessment methods development. One way of improving the challenges combination would be the use of offset dedicated data-bases providing scientific feedbacks on previous offset measures.

Longitudinal analysis of high-technology medical services and hospital financial performance.

PubMed

Zengul, Ferhat D; Weech-Maldonado, Robert; Ozaydin, Bunyamin; Patrician, Patricia A; OʼConnor, Stephen J

U.S. hospitals have been investing in high-technology medical services as a strategy to improve financial performance. Despite the interest in high-tech medical services, there is not much information available about the impact of high-tech services on financial performance. The aim of this study was to examine the impact of high-tech medical services on financial performance of U.S. hospitals by using the resource-based view of the firm as a conceptual framework. Fixed-effects regressions with 2 years lagged independent variables using a longitudinal panel sample of 3,268 hospitals (2005-2010). It was hypothesized that hospitals with rare or large numbers (breadth) of high-tech medical services will experience better financial performance. Fixed effects regression results supported the link between a larger breadth of high-tech services and total margin, but only among not-for-profit hospitals. Both breadth and rareness of high-tech services were associated with high total margin among not-for-profit hospitals. Neither breadth nor rareness of high-tech services was associated with operating margin. Although breadth and rareness of high-tech services resulted in lower expenses per inpatient day among not-for-profit hospitals, these lower costs were offset by lower revenues per inpatient day. Enhancing the breadth of high-tech services may be a legitimate organizational strategy to improve financial performance, especially among not-for-profit hospitals. Hospitals may experience increased productivity and efficiency, and therefore lower inpatient operating costs, as a result of newer technologies. However, the negative impact on operating revenue should caution hospital administrators about revenue reducing features of these technologies, which may be related to the payer mix that these technologies may attract. Therefore, managers should consider both the cost and revenue implications of these technologies.

Education Tax Credits: Refundability Critical to Making Credits Helpful to Low-Income Students and Families

ERIC Educational Resources Information Center

Saunders, Katherine; Lower-Basch, Elizabeth

2015-01-01

Half of all non-loan federal student aid is now offered as tax benefits for educational costs in the form of credits, deductions, and college savings accounts. These benefits help students and families offset the costs of their postsecondary education with tax savings. Yet, as explained in the 2013 report, "Reforming Student Aid: How to…

Description and performance of a novel aqueous all-copper redox flow battery

NASA Astrophysics Data System (ADS)

Sanz, Laura; Lloyd, David; Magdalena, Eva; Palma, Jesús; Kontturi, Kyösti

2014-12-01

In this paper we present a novel aqueous redox flow battery chemistry based on copper chloro complexes. The energy density (20 Wh L-1) achieved is comparable to traditional vanadium redox flow batteries. This is due to the high solubility of copper (3 M), which offsets the relatively low cell potential (0.6 V). The electrolyte is cheap, simple to prepare and easy to recycle since no additives or catalysts are used. The stack used is based on plain graphite electrode materials and a low-cost microporous separator. The system can be operated at 60 °C eliminating the need for a heat exchanger and delivers an energy efficiency of 93, 86 and 74% at 5, 10 and 20 mA cm-2 respectively.

Case history of an opposed-bore, dual horizontal well in the Austin Chalk formation of south Texas

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

Cooney, M.F.; Rogers, C.T.; Stacey, E.S.

1993-03-01

Petro-Hunt Corp. used a unique horizontal-well design to optimize development of an irregularly shaped lease in the Austin chalk formation in Texas. Two medium-radius horizontal bores were drilled in opposite directions from one vertical hole to maximize horizontal displacement in the lease. Underbalanced drilling techniques were used to prevent formation damage. The well design resulted in a significant cost savings per horizontal foot compared with 24 offset wells that the operator drilled. This paper reviews well planning and drilling and emphasizes techniques used to intersect thin horizontal targets and to initiate the second horizontal bore. Production results and drilling economicsmore » are discussed briefly, and ideas on future dual-horizontal-well applications are presented.« less

On the Path to SunShot: Advancing Concentrating Solar Power Technology Performance and Dispatchability.

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

Mehos, Mark; Turchi, Craig; Jorgensen, Jennie

2016-03-01

Since the SunShot Vision Study (DOE 2012) was published, global deployment of concentrating solar power (CSP) has increased threefold to nearly 4,500 MW, with a similar threefold increase in operational capacity to 1,650 MW within the United States. Growth in U.S. CSP capacity has primarily been driven by policy support at the state and federal levels. State-driven renewable portfolio standards (RPSs), combined with a 30% federal investment tax credit (ITC) and federal loan guarantees, provided the opportunity for CSP developers to kick-start construction of CSP plants throughout the Southwest. Figure ES-1 demonstrates that deployment and private- and public-sector research andmore » development have led to dramatic cost reductions that have placed CSP well on the path to reaching the U.S. Department of Energy’s SunShot Initiative goal of 6 cents/kWh by 2020. In comparing the estimated capital costs from the SunShot Vision Study and the current analysis, we find that parabolic trough solar-field costs have fallen more rapidly than predicted, although the drop in solar-field costs was offset by the additional costs of moving from a wet-cooled power block in 2010 to a more expensive dry-cooled power block in 2015. The predicted 2015 decline in tower costs was in line with expectations, primarily driven by reduced heliostat costs. Figure ES-1 shows the reduction in levelized cost of electricity (LCOE) for both parabolic trough and tower systems, in addition to the projected 2020 SunShot target.« less

Offset-Free Model Predictive Control of Open Water Channel Based on Moving Horizon Estimation

NASA Astrophysics Data System (ADS)

Ekin Aydin, Boran; Rutten, Martine

2016-04-01

Model predictive control (MPC) is a powerful control option which is increasingly used by operational water managers for managing water systems. The explicit consideration of constraints and multi-objective management are important features of MPC. However, due to the water loss in open water systems by seepage, leakage and evaporation a mismatch between the model and the real system will be created. These mismatch affects the performance of MPC and creates an offset from the reference set point of the water level. We present model predictive control based on moving horizon estimation (MHE-MPC) to achieve offset free control of water level for open water canals. MHE-MPC uses the past predictions of the model and the past measurements of the system to estimate unknown disturbances and the offset in the controlled water level is systematically removed. We numerically tested MHE-MPC on an accurate hydro-dynamic model of the laboratory canal UPC-PAC located in Barcelona. In addition, we also used well known disturbance modeling offset free control scheme for the same test case. Simulation experiments on a single canal reach show that MHE-MPC outperforms disturbance modeling offset free control scheme.

Cost-Savings to Medicare From Pre-Medicare Colorectal Cancer Screening.

PubMed

Goede, Simon L; Kuntz, Karen M; van Ballegooijen, Marjolein; Knudsen, Amy B; Lansdorp-Vogelaar, Iris; Tangka, Florence K; Howard, David H; Chin, Joseph; Zauber, Ann G; Seeff, Laura C

2015-07-01

Many individuals have not received recommended colorectal cancer (CRC) screening before they become Medicare eligible at the age of 65. We aimed to estimate the long-term implications of increased CRC screening in the pre-Medicare population (50-64 y) on costs in the pre-Medicare and Medicare populations (65+ y). We used 2 independently developed microsimulation models [Microsimulation Screening Analysis Colon (MISCAN) and Simulation Model of CRC (SimCRC)] to project CRC screening and treatment costs under 2 scenarios, starting in 2010: "current trends" (60% of the population up-to-date with screening recommendations) and "enhanced participation" (70% up-to-date). The population was scaled to the projected US population for each year between 2010 and 2060. Costs per year were derived by age group (50-64 and 65+ y). By 2060, the discounted cumulative total costs in the pre-Medicare population were $35.7 and $28.1 billion higher with enhanced screening participation, than in the current trends scenario ($252.1 billion with MISCAN and $239.5 billion with SimCRC, respectively). Because of CRC treatment savings with enhanced participation, cumulative costs in the Medicare population were $18.3 and $32.7 billion lower (current trends: $423.5 billion with MISCAN and $372.8 billion with SimCRC). Over the 50-year time horizon an estimated 60% (MISCAN) and 89% (SimCRC) of the increased screening costs could be offset by savings in Medicare CRC treatment costs. Increased CRC screening participation in the pre-Medicare population could reduce CRC incidence and mortality, whereas the additional screening costs can be largely offset by long-term Medicare treatment savings.

The economics of time shared computing: Congestion, user costs and capacity

NASA Technical Reports Server (NTRS)

Agnew, C. E.

1982-01-01

Time shared systems permit the fixed costs of computing resources to be spread over large numbers of users. However, bottleneck results in the theory of closed queueing networks can be used to show that this economy of scale will be offset by the increased congestion that results as more users are added to the system. If one considers the total costs, including the congestion cost, there is an optimal number of users for a system which equals the saturation value usually used to define system capacity.

The Department of Defense Chemical and Biological Defense Program: An Enabler of the Third Offset Strategy.

PubMed

Roos, Jason; Chue, Calvin; DiEuliis, Diane; Emanuel, Peter

The US Department of Defense (DOD) established programs to defend against chemical and biological weapons 100 years ago because military leaders understood that the operational capability of the US military is diminished when service member health is compromised. These threats to operational readiness can be from an overt attack using chemical and biological threats but may also arise from natural exposures. In the current era of rapidly emerging technologies, adversaries are not only rediscovering chemical and biological weapons; they are also displaying an increased propensity to employ them to cause strategic instability among deployed forces or nations undergoing conflict. The United States's investments in its Chemical and Biological Defense Program (CBDP) can be a critical enabler of the third offset strategy, which is a DOD initiative that seeks to maximize force capability to offset emerging threats. To realize this vision, the CBDP must make fundamental changes in acquiring and employing effective technologies so that enemy use of chemical and biological agents against US assets is no longer a viable option. Maximization of US force health status will provide a strategic advantage over theater opponents more vulnerable to operational degradation from chemical and biological threats.

Rebasing the Medicare Payment for Dialysis: Rationale, Challenges, and Opportunities

PubMed Central

Johnson, Doug

2014-01-01

After Medicare’s implementation of the bundled payment for dialysis in 2011, there has been a predictable decrease in the use of intravenous drugs included in the bundle. The change in use of erythropoiesis-stimulating agents, which decreased by 37% between 2007, when its allowance in the bundle was calculated, and 2012, was because of both changes in the Food and Drug Administration labeling for erythropoiesis-stimulating agents in 2011 and cost-containment efforts at the facility level. Legislation in 2012 required Medicare to decrease (rebase) the bundled payment for dialysis in 2014 to reflect this decrease in intravenous drug use, which amounted to a cut of 12% or $30 per treatment. Medicare subsequently decided to phase in this decrease in payment over several years to offset the increase in dialysis payment that would otherwise have occurred with inflation. A 3% reduction from the rebasing would offset an approximately 3% increase in the market basket that determines a facility’s costs for 2014 and 2015. Legislation in March of 2014 provides that the rebasing will result in a 1.25% decrease in the market basket adjustment in 2016 and 2017 and a 1% decrease in the market basket adjustment in 2018 for an aggregate rebasing of 9.5% spread over 5 years. Adjusting to this payment decrease in inflation-adjusted dollars will be challenging for many dialysis providers in an industry that operates at an average 3%–4% margin. Closure of facilities, decreases in services, and increased consolidation of the industry are possible scenarios. Newer models of reimbursement, such as ESRD seamless care organizations, offer dialysis providers the opportunity to align incentives between themselves, nephrologists, hospitals, and other health care providers, potentially improving outcomes and saving money, which will be shared between Medicare and the participating providers. PMID:25189926

12-Step participation reduces medical use costs among adolescents with a history of alcohol and other drug treatment.

PubMed

Mundt, Marlon P; Parthasarathy, Sujaya; Chi, Felicia W; Sterling, Stacy; Campbell, Cynthia I

2012-11-01

Adolescents who attend 12-step groups following alcohol and other drug (AOD) treatment are more likely to remain abstinent and to avoid relapse post-treatment. We examined whether 12-step attendance is also associated with a corresponding reduction in health care use and costs. We used difference-in-difference analysis to compare changes in seven-year follow-up health care use and costs by changes in 12-step participation. Four Kaiser Permanente Northern California AOD treatment programs enrolled 403 adolescents, 13-18-years old, into a longitudinal cohort study upon AOD treatment entry. Participants self-reported 12-step meeting attendance at six-month, one-year, three-year, and five-year follow-up. Outcomes included counts of hospital inpatient days, emergency room (ER) visits, primary care visits, psychiatric visits, AOD treatment costs and total medical care costs. Each additional 12-step meeting attended was associated with an incremental medical cost reduction of 4.7% during seven-year follow-up. The medical cost offset was largely due to reductions in hospital inpatient days, psychiatric visits, and AOD treatment costs. We estimate total medical use cost savings at $145 per year (in 2010 U.S. dollars) per additional 12-step meeting attended. The findings suggest that 12-step participation conveys medical cost offsets for youth who undergo AOD treatment. Reduced costs may be related to improved AOD outcomes due to 12-step participation, improved general health due to changes in social network following 12-step participation, or better compliance to both AOD treatment and 12-step meetings. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

14 CFR 399.44 - Treatment of deferred Federal income taxes for rate purposes.

Code of Federal Regulations, 2010 CFR

2010-01-01

...-cargo expenses 2 269 269 269 Belly offset 3 952 153 1,105 1,153 Nonscheduled 4 141 46 187 205 Transport... expenses 2 282 282 282 Belly offset 3 869 152 1,021 1,065 Nonscheduled 4 193 53 246 256 Transport related 5... Nonscheduled 4 220 35 225 266 Transport related 5 427 111 538 554 Passenger operating expense 10,112 1,348 11...

Can disease management reduce health care costs by improving quality?

PubMed

Fireman, Bruce; Bartlett, Joan; Selby, Joe

2004-01-01

Disease management (DM) promises to achieve cost savings by improving the quality of care for chronic diseases. During the past decade the Permanente Medical Group in Northern California has implemented extensive DM programs. Examining quality indicators, utilization, and costs for 1996-2002 for adults with four conditions, we find evidence of substantial quality improvement but not cost savings. The causal pathway--from improved care to reduced morbidity to cost savings--has not produced sufficient savings to offset the rising costs of improved care. We conclude that the rationale for DM programs, like the rationale for any medical treatments, should rest on their effectiveness and value.

Patterns-of-care and health economic analysis of robot-assisted radical prostatectomy in the Australian public health system.

PubMed

Basto, Marnique; Sathianathen, Niranjan; Te Marvelde, Luc; Ryan, Shane; Goad, Jeremy; Lawrentschuk, Nathan; Costello, Anthony J; Moon, Daniel A; Heriot, Alexander G; Butler, Jim; Murphy, Declan G

2016-06-01

To compare patterns of care and peri-operative outcomes of robot-assisted radical prostatectomy (RARP) with other surgical approaches, and to create an economic model to assess the viability of RARP in the public case-mix funding system. We retrospectively reviewed all radical prostatectomies (RPs) performed for localized prostate cancer in Victoria, Australia, from the Victorian Admitted Episode Dataset, a large administrative database that records all hospital inpatient episodes in Victoria. The first database, covering the period from July 2010 to April 2013 (n = 5 130), was used to compare length of hospital stay (LOS) and blood transfusion rates between surgical approaches. This was subsequently integrated into an economic model. A second database (n = 5 581) was extracted to cover the period between July 2010 and June 2013, three full financial years, to depict patterns of care and make future predictions for the 2014-2015 financial year, and to perform a hospital volume analysis. We then created an economic model to evaluate the incremental cost of RARP vs open RP (ORP) and laparoscopic RP (LRP), incorporating the cost-offset from differences in LOS and blood transfusion rate. The economic model constructs estimates of the diagnosis-related group (DRG) costs of ORP and LRP, adds the gross cost of the surgical robot (capital, consumables, maintenance and repairs), and manipulates these DRG costs to obtain a DRG cost per day, which can be used to estimate the cost-offset associated with RARP in comparison with ORP and LRP. Economic modelling was performed around a base-case scenario, assuming a 7-year robot lifespan and 124 RARPs performed per financial year. One- and two-way sensitivity analyses were performed for the four-arm da Vinci SHD, Si and Si dual surgical systems (Intuitive Surgical Ltd, Sunnyvale, CA, USA). We identified 5 581 patients who underwent RP in 20 hospitals in Victoria with an open, laparoscopic or robot-assisted surgical approach in the public and private sector. The majority of RPs (4 233, 75.8%), in Victoria were performed in the private sector, with an overall 11.5% decrease in the total number of RPs performed over the 3-year study period. In the most recent financial year, 820 (47%), 765 (44%) and 173 patients (10%) underwent RARP, ORP and LRP, respectively. In the same timeframe, RARP accounted for 26 and 53% of all RPs in the public and private sector, respectively. Public hospitals in Victoria perform a median number of 14 RPs per year and 40% of hospitals perform <10 RPs per year. In the public system, RARP was associated with a mean (±sd) LOS of 1.4 (±1.3) days compared with 3.6 (±2.7) days for LRP and 4.8 (±3.5) days for ORP (P < 0.001). The mean blood transfusion rates were 0, 6 and 15% for RARP, LRP and ORP, respectively (P < 0.001). The incremental cost per RARP case compared with ORP and LRP was A$442 and A$2 092, respectively, for the da Vinci S model, A$1 933 and A$3 583, respectively, for the da Vinci Si model and A$3 548 and A$5 198, respectively for the da Vinci Si dual. RARP can become cost-equivalent with ORP where ~140 cases per year are performed in the base-case scenario. Over the period studied, RARP has become the dominant approach to RP, with significantly shorter LOS and lower blood transfusion rate. This translates to a significant cost-offset, which is further enhanced by increasing the case volume, extending the lifespan of the robot and reductions in the cost of consumables and capital. © 2015 The Authors BJU International © 2015 BJU International Published by John Wiley & Sons Ltd.

Development of karanja oil based offset printing ink in comparison with linseed oil.

PubMed

Bhattacharjee, Moumita; Roy, Ananda Sankar; Ghosh, Santinath; Dey, Munmun

2011-01-01

The conventional offset lithographic printing ink is mainly based on linseed oil. But in recent years, due to stiff competition from synthetic substitutes mainly from petroleum products, the crop production shrinks down to an unsustainable level, which increases the price of linseed oil. Though soyabean oil has replaced a major portion of linseed oil, it is also necessary to develop alternate cost effective vegetable oils for printing ink industry. The present study aims to evaluate the performance of karanja oil (Pongamia glabra) as an alternative of linseed oil in the formulation of offset printing ink because karanja oil is easily available in rural India. Physical properties of raw karanja oil are measured and compared with that of alkali refined linseed oil. Rosin modified phenolic resin based varnishes were made with linseed oil as well as with karanja oil and their properties are compared. Sheetfed offset inks of process colour yellow and cyan is chosen to evaluate the effect of karanja oil in ink properties. In conclusion, karanja oil can be accepted as an alternate vegetable oil source with its noticeable effect on print and post print properties with slower drying time on paper. However, the colour and odour of the oil will restrict its usage on offset inks.

The causal effects of home care use on institutional long-term care utilization and expenditures.

PubMed

Guo, Jing; Konetzka, R Tamara; Manning, Willard G

2015-03-01

Limited evidence exists on whether expanding home care saves money overall or how much institutional long-term care can be reduced. This paper estimates the causal effect of Medicaid-financed home care services on the costs and utilization of institutional long-term care using Medicaid claims data. A unique instrumental variable was applied to address the potential bias caused by omitted variables or reverse effect of institutional care use. We find that the use of Medicaid-financed home care services significantly reduced but only partially offset utilization and Medicaid expenditures on nursing facility services. A $1000 increase in Medicaid home care expenditures avoided 2.75 days in nursing facilities and reduced annual Medicaid nursing facility costs by $351 among people over age 65 when selection bias is addressed. Failure to address selection biases would misestimate the substitution and offset effects. Copyright © 2015 John Wiley & Sons, Ltd.

Assessing the Impact of Drug Use on Hospital Costs

PubMed Central

Stuart, Bruce C; Doshi, Jalpa A; Terza, Joseph V

2009-01-01

Objective To assess whether outpatient prescription drug utilization produces offsets in the cost of hospitalization for Medicare beneficiaries. Data Sources/Study Setting The study analyzed a sample (N=3,101) of community-dwelling fee-for-service U.S. Medicare beneficiaries drawn from the 1999 and 2000 Medicare Current Beneficiary Surveys. Study Design Using a two-part model specification, we regressed any hospital admission (part 1: probit) and hospital spending by those with one or more admissions (part 2: nonlinear least squares regression) on drug use in a standard model with strong covariate controls and a residual inclusion instrumental variable (IV) model using an exogenous measure of drug coverage as the instrument. Principal Findings The covariate control model predicted that each additional prescription drug used (mean=30) raised hospital spending by $16 (p<.001). The residual inclusion IV model prediction was that each additional prescription fill reduced hospital spending by $104 (p<.001). Conclusions The findings indicate that drug use is associated with cost offsets in hospitalization among Medicare beneficiaries, once omitted variable bias is corrected using an IV technique appropriate for nonlinear applications. PMID:18783453

The financial dimension of integrated behavioral/primary care.

PubMed

Cummings, Nicholas A; O'Donohue, William T; Cummings, Janet L

2009-03-01

There are two reasons why mental health, now more appropriately termed behavioral healthcare, is declining: (a) a lack of understanding among psychotherapists of healthcare economics, particularly the intricacies of medical cost offset, and (b) our failure as a profession to see the importance of behavioral interventions as an integral part of the healthcare system inasmuch as the nation pays for healthcare, not psychosocial care. This paper will briefly describe the rapid changes in the economics of healthcare during the past 75 years, including the post World War II enthusiastic espousal of psychotherapy by the American public which was followed by a precipitous decline as our outcomes research in behavioral care remained ignorant of financial outcomes, leaving it to the government and managed care to arbitrarily curtail escalating mental health costs. At the present time psychology is on the cusp of becoming part of the healthcare system through integrated behavioral/primary care, renewing the primacy of financial considerations such as return on investment (ROI) and medical cost offset, as well as an urgency that we avoid the mistakes that are emerging in some flawed implementations of integrated care.

Benefits of psychosocial oncology care: Improved quality of life and medical cost offset

PubMed Central

Carlson, Linda E; Bultz, Barry D

2003-01-01

The burden of cancer in the worldwide context continues to grow, with an increasing number of new cases and deaths each year. A significant proportion of cancer patients at all stages of the disease trajectory will suffer social, emotional and psychological distress as a result of cancer diagnosis and treatment. Psychosocial interventions have proven efficacious for helping patients and families confront the many issues that arise during this difficult time. This paper reviews the literature detailing the extent of distress in patients, the staffing needed to treat such levels of distress, and the efficacy of psychosocial treatments for cancer patients. This is followed by a summary of the literature on medical cost offset in mental health, other medical populations, and in cancer patients, which supports the notion that psychosocial interventions are not only effective, but also economical. Conclusions support taking a whole-person approach, as advocated by a growing number of health care professionals, which would not only help to treat the emotional and social aspects of living with cancer, but also provide considerable long-term cost savings to overburdened health-care systems. PMID:12756059

47 CFR 76.612 - Cable television frequency separation standards.

Code of Federal Regulations, 2010 CFR

2010-10-01

... frequency separation standards. All cable television systems which operate in the frequency bands 108-137... kHz bandwidth in any 160 microsecond period must operate at frequencies offset from certain frequencies which may be used by aeronautical radio services operated by Commission licensees or by the United...

Paying our way: thinking strategically to offset the cost of reducing fire hazard in western forests.

Treesearch

Rhonda Mazza

2008-01-01

The fire hazard in many western forests is unacceptably high, posing risks to human health and property, wildlife habitat, and air and water quality. Cost is an inhibiting factor for reducing hazardous fuel, given the amount of acreage needing treatment. Thinning overly dense forests is one way to reduce fuel loads. Much of the product removed during these treatments...

Relative importance of physical and economic factors in Appalachian coalbed gas assessment

USGS Publications Warehouse

Attanasi, E.D.

1998-01-01

In the 1995 National Assessment of Oil and Gas Resources prepared by the U.S. Geological Survey, only 20% of the assessed technically recoverable Appalachian Province coalbed gas resources were economic. Physical and economic variables are examined to explain the disparity between economic and technically recoverable coalbed gas. The Anticline and Syncline plays of the Northern Appalachian Basin, which account for 77% of the assessed technically recoverable coalbed gas, are not economic. Analysis shows marginal reductions in costs or rate of return will not turn these plays into commercial successes. Physical parameters that determine ultimate well recoverability and the rate of gas recovery are primary reasons the Northern Appalachian Basin plays are non-commercial. If the application of new well stimulation technology could offset slow gas desorption rates, Appalachian Province economic gas could increase to more then 70% of the technically recoverable gas. Similarly, if operators are able to develop strategies to selectively drill plays by avoiding dry holes and non-commercial occurrences, the economic fraction of technically recoverable gas could increase to over half.In the 1995 National Assessment of Oil and Gas Resources prepared by the U.S. Geological Survey, only 20% of the assessed technically recoverable Appalachian Province coalbed gas resources were economic. Physical and economic variables are examined to explain the disparity between economic and technically recoverable coalbed gas. The Anticline and Syncline plays of the Northern Appalachian Basin, which account for 77% of the assessed technically recoverable coalbed gas, are not economic. Analysis shows marginal reductions in costs or rate of return will not turn these plays into commercial successes. Physical parameters that determine ultimate well recoverability and the rate of gas recovery are primary reasons the Northern Appalachian Basin plays are non-commercial. If the application of new well stimulation technology could offset slow gas desorption rates, Appalachian Province economic gas could increase to more then 70% of the technically recoverable gas. Similarly, if operators are able to develop strategies to selectively drill plays by avoiding dry holes and non-commercial occurrences, the economic fraction of technically recoverable gas could increase to over half.

Aeromechanics of a High Speed Coaxial Helicopter Rotor

NASA Astrophysics Data System (ADS)

Schmaus, Joseph Henry

The current work seeks to understand the aeromechanics of lift offset coaxial rotors in high speeds. Future rotorcraft will need to travel significantly faster that modern rotorcraft do while maintaining hovering efficiency and low speed maneuverability. The lift offset coaxial rotor has been shown to have those capabilities. A majority of existing coaxial research is focused on hovering performance, and few studies examine the forward flight performance of a coaxial rotor with lift offset. There are even fewer studies of a single rotor with lift offset. The current study used comprehensive analysis and a new set of wind tunnel experiments to explore the aeromechanics of a lift offset coaxial rotor in high speed forward flight. The simulation was expanded from UMARC to simultaneously solve multiple rotors with coupled aerodynamics. It also had several modifications to improve the aerodynamics of the near-wake model in reverse flow and improve the modeling of blade passages. Existing coaxial hovering tests and flight test data from the XH-59A were used to validate the steady performance and blade loads of the comprehensive analysis. It was used to design the structural layout of the blades used in the wind tunnel experiment as well as the test envelope and testing procedure. The wind tunnel test of a model rotor developed by the University of Texas at Austin and the University of Maryland was performed in the Glenn L Martin Wind Tunnel. The test envelope included advance ratios 0.21-0.53, collectives 4°- 8°, and lift offsets 0%-20% for both rotors tested in isolation and as a coaxial system operating at 900 RPM. Rotating frame hub loads, pushrod loads, and pitch angle were recorded independently for each rotor. Additional studies were performed at 1200 RPM to isolate Reynold effects and with varying rotor-to-rotor phase to help quantify aerodynamic interactions. Lift offset fundamentally changes the lift distribution around the rotor disk, doing so increases the maximum thrust of the rotor at a given speed while at the same time increasing the rotor efficiency. The cost of lift offset is increased blade loads. While this can be seen in the experimental data, it was taken at constant collective and as lift offset increased so did the thrust. The simulation is used to provide performance and loads sweeps at constant thrust to help provide a more basic understanding of how the rotor performance is changing. Additionally, rotor thrust and drag distributions provide a physical insight on how the distribution of lift changes cause the resulting trends that have been observed. Coaxial rotors have been shown to have significant rotor-to-rotor interactions in hover, but the magnitude of those interactions at high speed are studied here in detail. Generally, the aerodynamic interactions decrease significantly with increasing speed, and finally the lower rotor wake convects off the upper rotor. A comparison between the single rotor and coaxial rotor performance shows a newly observed trend of thrust inversion, where the more efficient rotor changes from the top in hover to the bottom in forward flight. The vibratory loads show limited evident of direct coaxial interference, although it is shown that the relative phase of the two rotors significantly alters the resultant total loads.

An extravehicular suit impact load attenuation study to improve astronaut bone fracture prediction.

PubMed

Sulkowski, Christina M; Gilkey, Kelly M; Lewandowski, Beth E; Samorezov, Sergey; Myers, Jerry G

2011-04-01

Understanding the contributions to the risk of bone fracture during spaceflight is essential for mission success. A pressurized extravehicular activity (EVA) suit analogue test bed was developed, impact load attenuation data were obtained, and the load at the hip of an astronaut who falls to the side during an EVA was characterized. Offset (representing the gap between the EVA suit and the astronaut's body), impact load magnitude, and EVA suit operating pressure were factors varied in the study. The attenuation data were incorporated into a probabilistic model of bone fracture risk during spaceflight, replacing the previous load attenuation value that was based on commercial hip protector data. Load attenuation was more dependent on offset than on pressurization or load magnitude, especially at small offset values. Load attenuation factors for offsets between 0.1-1.5 cm were 0.69 +/- 0.15, 0.49 +/- 0.22, and 0.35 +/- 0.18 for mean impact forces of 4827, 6400, and 8467 N, respectively. Load attenuation factors for offsets of 2.8-5.3 cm were 0.93 +/- 0.2, 0.94 +/- 0.1, and 0.84 +/- 0.5 for the same mean impact forces. The mean and 95th percentile bone fracture risk index predictions were each reduced by 65-83%. The mean and 95th percentile bone fracture probability predictions were both reduced approximately 20-50%. The reduction in uncertainty and improved confidence in bone fracture predictions increased the fidelity and credibility of the fracture risk model and its benefit to mission design and in-flight operational decisions.

A Nuclear Waste Management Cost Model for Policy Analysis

NASA Astrophysics Data System (ADS)

Barron, R. W.; Hill, M. C.

2017-12-01

Although integrated assessments of climate change policy have frequently identified nuclear energy as a promising alternative to fossil fuels, these studies have often treated nuclear waste disposal very simply. Simple assumptions about nuclear waste are problematic because they may not be adequate to capture relevant costs and uncertainties, which could result in suboptimal policy choices. Modeling nuclear waste management costs is a cross-disciplinary, multi-scale problem that involves economic, geologic and environmental processes that operate at vastly different temporal scales. Similarly, the climate-related costs and benefits of nuclear energy are dependent on environmental sensitivity to CO2 emissions and radiation, nuclear energy's ability to offset carbon emissions, and the risk of nuclear accidents, factors which are all deeply uncertain. Alternative value systems further complicate the problem by suggesting different approaches to valuing intergenerational impacts. Effective policy assessment of nuclear energy requires an integrated approach to modeling nuclear waste management that (1) bridges disciplinary and temporal gaps, (2) supports an iterative, adaptive process that responds to evolving understandings of uncertainties, and (3) supports a broad range of value systems. This work develops the Nuclear Waste Management Cost Model (NWMCM). NWMCM provides a flexible framework for evaluating the cost of nuclear waste management across a range of technology pathways and value systems. We illustrate how NWMCM can support policy analysis by estimating how different nuclear waste disposal scenarios developed using the NWMCM framework affect the results of a recent integrated assessment study of alternative energy futures and their effects on the cost of achieving carbon abatement targets. Results suggest that the optimism reflected in previous works is fragile: Plausible nuclear waste management costs and discount rates appropriate for intergenerational cost-benefit analysis produce many scenarios where nuclear energy is economically unattractive.

A Low-Cost iPhone-Assisted Augmented Reality Solution for the Localization of Intracranial Lesions.

PubMed

Hou, YuanZheng; Ma, LiChao; Zhu, RuYuan; Chen, XiaoLei; Zhang, Jun

2016-01-01

Precise location of intracranial lesions before surgery is important, but occasionally difficult. Modern navigation systems are very helpful, but expensive. A low-cost solution that could locate brain lesions and their surface projections in augmented reality would be beneficial. We used an iPhone to partially achieve this goal, and evaluated its accuracy and feasibility in a clinical neurosurgery setting. We located brain lesions in 35 patients, and using an iPhone, we depicted the lesion's surface projection onto the skin of the head. To assess the accuracy of this method, we pasted computed tomography (CT) markers surrounding the depicted lesion boundaries on the skin onto 15 patients. CT scans were then performed with or without contrast enhancement. The deviations (D) between the CT markers and the actual lesion boundaries were measured. We found that 97.7% of the markers displayed a high accuracy level (D ≤ 5mm). In the remaining 20 patients, we compared our iPhone-based method with a frameless neuronavigation system. Four check points were chosen on the skin surrounding the depicted lesion boundaries, to assess the deviations between the two methods. The integrated offset was calculated according to the deviations at the four check points. We found that for the supratentorial lesions, the medial offset between these two methods was 2.90 mm and the maximum offset was 4.2 mm. This low-cost, image-based, iPhone-assisted, augmented reality solution is technically feasible, and helpful for the localization of some intracranial lesions, especially shallow supratentorial intracranial lesions of moderate size.

Nonuniformity correction algorithm with efficient pixel offset estimation for infrared focal plane arrays.

PubMed

Orżanowski, Tomasz

2016-01-01

This paper presents an infrared focal plane array (IRFPA) response nonuniformity correction (NUC) algorithm which is easy to implement by hardware. The proposed NUC algorithm is based on the linear correction scheme with the useful method of pixel offset correction coefficients update. The new approach to IRFPA response nonuniformity correction consists in the use of pixel response change determined at the actual operating conditions in relation to the reference ones by means of shutter to compensate a pixel offset temporal drift. Moreover, it permits to remove any optics shading effect in the output image as well. To show efficiency of the proposed NUC algorithm some test results for microbolometer IRFPA are presented.

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

Ronald J. MacDonald; Charles M. Boyer; Joseph H. Frantz Jr

Stripper gas and oil well operators frequently face a dilemma regarding maximizing production from low-productivity wells. With thousands of stripper wells in the United States covering extensive acreage, it is difficult to identify easily and efficiently marginal or underperforming wells. In addition, the magnitude of reviewing vast amounts of data places a strain on an operator's work force and financial resources. Schlumberger DCS, in cooperation with the National Energy Technology Laboratory (NETL) and the U.S. Department of Energy (DOE), has created software and developed in-house analysis methods to identify remediation potential in stripper wells relatively easily. This software is referredmore » to as Stripper Well Analysis Remediation Methodology (SWARM). SWARM was beta-tested with data pertaining to two gas fields located in northwestern Pennsylvania and had notable results. Great Lakes Energy Partners, LLC (Great Lakes) and Belden & Blake Corporation (B&B) both operate wells in the first field studied. They provided data for 729 wells, and we estimated that 41 wells were candidates for remediation. However, for reasons unbeknownst to Schlumberger these wells were not budgeted for rework by the operators. The second field (Cooperstown) is located in Crawford, Venango, and Warren counties, Pa and has more than 2,200 wells operated by Great Lakes. This paper discusses in depth the successful results of a candidate recognition study of this area. We compared each well's historical production with that of its offsets and identified 339 underperformers before considering remediation costs, and 168 economically viable candidates based on restimulation costs of $50,000 per well. From this data, we prioritized a list based on the expected incremental recoverable gas and 10% discounted net present value (NPV). For this study, we calculated the incremental gas by subtracting the volumes forecasted after remediation from the production projected at its current configuration. Assuming that remediation efforts increased production from the 168 marginal wells to the average of their respective offsets, approximately 6.4 Bscf of gross incremental gas with a NPV approximating $4.9 million after investment, would be made available to the domestic market. Seventeen wells have successfully been restimulated to date and have already obtained significant production increases. At the time of this report, eight of these wells had enough post-rework production data available to forecast the incremental gas and verify the project's success. This incremental gas is estimated at 615 MMscf. The outcome of the other ten wells will be determined after more post-refrac production data becomes available. Plans are currently underway for future restimulations. The success of this project has shown the value of this methodology to recognize underperforming wells quickly and efficiently in fields containing hundreds or thousands of wells. This contributes considerably to corporate net income and domestic natural gas and/or oil reserves.« less

A Low-Cost Optical Remote Sensing Application for Glacier Deformation Monitoring in an Alpine Environment

PubMed Central

Giordan, Daniele; Allasia, Paolo; Dematteis, Niccolò; Dell’Anese, Federico; Vagliasindi, Marco; Motta, Elena

2016-01-01

In this work, we present the results of a low-cost optical monitoring station designed for monitoring the kinematics of glaciers in an Alpine environment. We developed a complete hardware/software data acquisition and processing chain that automatically acquires, stores and co-registers images. The system was installed in September 2013 to monitor the evolution of the Planpincieux glacier, within the open-air laboratory of the Grandes Jorasses, Mont Blanc massif (NW Italy), and collected data with an hourly frequency. The acquisition equipment consists of a high-resolution DSLR camera operating in the visible band. The data are processed with a Pixel Offset algorithm based on normalized cross-correlation, to estimate the deformation of the observed glacier. We propose a method for the pixel-to-metric conversion and present the results of the projection on the mean slope of the glacier. The method performances are compared with measurements obtained by GB-SAR, and exhibit good agreement. The system provides good support for the analysis of the glacier evolution and allows the creation of daily displacement maps. PMID:27775652

A Low-Cost Optical Remote Sensing Application for Glacier Deformation Monitoring in an Alpine Environment.

PubMed

Giordan, Daniele; Allasia, Paolo; Dematteis, Niccolò; Dell'Anese, Federico; Vagliasindi, Marco; Motta, Elena

2016-10-21

In this work, we present the results of a low-cost optical monitoring station designed for monitoring the kinematics of glaciers in an Alpine environment. We developed a complete hardware/software data acquisition and processing chain that automatically acquires, stores and co-registers images. The system was installed in September 2013 to monitor the evolution of the Planpincieux glacier, within the open-air laboratory of the Grandes Jorasses, Mont Blanc massif (NW Italy), and collected data with an hourly frequency. The acquisition equipment consists of a high-resolution DSLR camera operating in the visible band. The data are processed with a Pixel Offset algorithm based on normalized cross-correlation, to estimate the deformation of the observed glacier. We propose a method for the pixel-to-metric conversion and present the results of the projection on the mean slope of the glacier. The method performances are compared with measurements obtained by GB-SAR, and exhibit good agreement. The system provides good support for the analysis of the glacier evolution and allows the creation of daily displacement maps.

Developing a successful robotics program.

PubMed

Luthringer, Tyler; Aleksic, Ilija; Caire, Arthur; Albala, David M

2012-01-01

Advancements in the robotic surgical technology have revolutionized the standard of care for many surgical procedures. The purpose of this review is to evaluate the important considerations in developing a new robotics program at a given healthcare institution. Patients' interest in robotic-assisted surgery has and continues to grow because of improved outcomes and decreased periods of hospitalization. Resulting market forces have created a solid foundation for the implementation of robotic surgery into surgical practice. Given proper surgeon experience and an efficient system, robotic-assisted procedures have been cost comparable to open surgical alternatives. Surgeon training and experience is closely linked to the efficiency of a new robotics program. Formally trained robotic surgeons have better patient outcomes and shorter operative times. Training in robotics has shown no negative impact on patient outcomes or mentor learning curves. Individual economic factors of local healthcare settings must be evaluated when planning for a new robotics program. The high cost of the robotic surgical platform is best offset with a large surgical volume. A mature, experienced surgeon is integral to the success of a new robotics program.

Trends in computer hardware and software.

PubMed

Frankenfeld, F M

1993-04-01

Previously identified and current trends in the development of computer systems and in the use of computers for health care applications are reviewed. Trends identified in a 1982 article were increasing miniaturization and archival ability, increasing software costs, increasing software independence, user empowerment through new software technologies, shorter computer-system life cycles, and more rapid development and support of pharmaceutical services. Most of these trends continue today. Current trends in hardware and software include the increasing use of reduced instruction-set computing, migration to the UNIX operating system, the development of large software libraries, microprocessor-based smart terminals that allow remote validation of data, speech synthesis and recognition, application generators, fourth-generation languages, computer-aided software engineering, object-oriented technologies, and artificial intelligence. Current trends specific to pharmacy and hospitals are the withdrawal of vendors of hospital information systems from the pharmacy market, improved linkage of information systems within hospitals, and increased regulation by government. The computer industry and its products continue to undergo dynamic change. Software development continues to lag behind hardware, and its high cost is offsetting the savings provided by hardware.

Dilute Oxygen Combustion Phase IV Final Report

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

Riley, M.F.

2003-04-30

Novel furnace designs based on Dilute Oxygen Combustion (DOC) technology were developed under subcontract by Techint Technologies, Coraopolis, PA, to fully exploit the energy and environmental capabilities of DOC technology and to provide a competitive offering for new furnace construction opportunities. Capital cost, fuel, oxygen and utility costs, NOx emissions, oxide scaling performance, and maintenance requirements were compared for five DOC-based designs and three conventional air5-fired designs using a 10-year net present value calculation. A furnace direct completely with DOC burners offers low capital cost, low fuel rate, and minimal NOx emissions. However, these benefits do not offset the costmore » of oxygen and a full DOC-fired furnace is projected to cost $1.30 per ton more to operate than a conventional air-fired furnace. The incremental cost of the improved NOx performance is roughly $6/lb NOx, compared with an estimated $3/lb. NOx for equ8pping a conventional furnace with selective catalytic reduction (SCCR) technology. A furnace fired with DOC burners in the heating zone and ambient temperature (cold) air-fired burners in the soak zone offers low capital cost with less oxygen consumption. However, the improvement in fuel rate is not as great as the full DOC-fired design, and the DOC-cold soak design is also projected to cost $1.30 per ton more to operate than a conventional air-fired furnace. The NOx improvement with the DOC-cold soak design is also not as great as the full DOC fired design, and the incremental cost of the improved NOx performance is nearly $9/lb NOx. These results indicate that a DOC-based furnace design will not be generally competitive with conventional technology for new furnace construction under current market conditions. Fuel prices of $7/MMBtu or oxygen prices of $23/ton are needed to make the DOC furnace economics favorable. Niche applications may exist, particularly where access to capital is limited or floor space limitations are critical. DOC technology will continue to have a highly competitive role in retrofit applications requiring increases in furnace productivity.« less

The Kyoto protocol and payments for tropical forest: An interdisciplinary method for estimating carbon-offset supply and increasing the feasibility of a carbon market under the CDM

USGS Publications Warehouse

Pfaff, Alexander S.P.; Kerr, Suzi; Hughes, R. Flint; Liu, Shuguang; Sanchez-Azofeifa, G. Arturo; Schimel, David; Tosi, Joseph; Watson, Vicente

2000-01-01

Protecting tropical forests under the Clean Development Mechanism (CDM) could reduce the cost of emissions limitations set in Kyoto. However, while society must soon decide whether or not to use tropical forest-based offsets, evidence regarding tropical carbon sinks is sparse. This paper presents a general method for constructing an integrated model (based on detailed historical, remote sensing and field data) that can produce land-use and carbon baselines, predict carbon sequestration supply to a carbon-offsets market and also help to evaluate optimal market rules. Creating such integrated models requires close collaboration between social and natural scientists. Our project combines varied disciplinary expertise (in economics, ecology and geography) with local knowledge in order to create high-quality, empirically grounded, integrated models for Costa Rica.

Refractive index sensor based on lateral-offset of coreless silica interferometer

NASA Astrophysics Data System (ADS)

Baharin, Nur Faizzah; Azmi, Asrul Izam; Abdullah, Ahmad Sharmi; Mohd Noor, Muhammad Yusof

2018-02-01

A compact, cost-effective and high sensitivity fiber interferometer refractive index (RI) sensor based on symmetrical offset coreless silica fiber (CSF) configuration is proposed, optimized and demonstrated. The sensor is formed by splicing a section of CSF between two CSF sections in an offset manner. Thus, two distinct optical paths are created with large index difference, the first path through the connecting CSF sections and the second path is outside the CSF through the surrounding media. RI sensing is established from direct interaction of light with surrounding media, hence high sensitivity can be achieved with a relatively compact sensor length. In the experimental work, a 1.5 mm sensor demonstrates RI sensitivity of 750 nm/RIU for RI range between 1.33 and 1.345. With the main attributes of high sensitivity and compact size, the proposed sensor can be further developed for related applications including blood diagnosis, water quality control and food industries.

Determination of the Thermal Offset of the Eppley Precision Spectral Pyranometer

NASA Technical Reports Server (NTRS)

Haeffelin, Martial; Kato, Seiji; Smith, Amie M.; Rutledge, C. Ken; Charlock, Thomas P.; Mahan, J. Robert

2001-01-01

Eppley's precision spectral pyranometer (PSP) is used in networks around the world to measure downwelling diffuse and global solar irradiance at the surface of the Earth. In recent years several studies have shown significant discrepancy between irradiances measured by pyranometers and those computed by atmospheric radiative transfer models. Pyranometer measurements have been questioned because observed diffuse irradiances sometimes are below theoretical minimum values for a pure molecular atmosphere, and at night the instruments often produce nonzero signals ranging between + 5 and - 10 W/sq m. We install thermistor sondes in the body of a PSP as well as on its inner dome to monitor the temperature gradients within the instrument, and we operate a pyrgeometer (PIR) instrument side by side with the PSP. We derive a relationship between the PSP output and thermal radiative exchange by the dome and the detector and a relationship between the PSP output and the PIR thermopile output (net-IR). We determine the true PSP offset by quickly capping the instrument at set time intervals. For a ventilated and shaded PSP, the thermal offset can reach - 15 W/sq m under clear skies, whereas it remains close to zero for low overcast clouds. We estimate the PSP thermal offset by two methods: (1) using the PSP temperatures and (2) using the PIR net-IR signal. The offset computed from the PSP temperatures yields a reliable estimate of the true offset (+/- 1 W/sq m). The offset computed from net-IR is consistent with the true offset at night and under overcast skies but predicts only part of the true range under clear skies.

Determination of the thermal offset of the Eppley precision spectral pyranometer.

PubMed

Haeffelin, M; Kato, S; Smith, A M; Rutledge, C K; Charlock, T P; Mahan, J R

2001-02-01

Eppley's precision spectral pyranometer (PSP) is used in networks around the world to measure downwelling diffuse and global solar irradiance at the surface of the Earth. In recent years several studies have shown significant discrepancy between irradiances measured by pyranometers and those computed by atmospheric radiative transfer models. Pyranometer measurements have been questioned because observed diffuse irradiances sometimes are below theoretical minimum values for a pure molecular atmosphere, and at night the instruments often produce nonzero signals ranging between +5 and -10 W m(-2). We install thermistor sondes in the body of a PSP as well as on its inner dome to monitor the temperature gradients within the instrument, and we operate a pyrgeometer (PIR) instrument side by side with the PSP. We derive a relationship between the PSP output and thermal radiative exchange by the dome and the detector and a relationship between the PSP output and the PIR thermopile output (net-IR). We determine the true PSP offset by quickly capping the instrument at set time intervals. For a ventilated and shaded PSP, the thermal offset can reach -15 W m(-2) under clear skies, whereas it remains close to zero for low overcast clouds. We estimate the PSP thermal offset by two methods: (1) using the PSP temperatures and (2) using the PIR net-IR signal. The offset computed from the PSP temperatures yields a reliable estimate of the true offset (+/-1 W m(-2)). The offset computed from net-IR is consistent with the true offset at night and under overcast skies but predicts only part of the true range under clear skies.

Why invest in a national public health program for stroke? An example using Australian data to estimate the potential benefits and cost implications.

PubMed

Cadilhac, Dominique A; Carter, Robert C; Thrift, Amanda G; Dewey, Helen M

2007-10-01

Stroke is the world's second leading cause of death in people aged over 60 years. Approximately 50,000 strokes occur annually in Australia with numbers predicted to increase by about one third over 10-years. Our objectives were to assess the economic implications of a public health program for stroke by: (1) predicting what potential health-gains and cost-offsets could be achieved; and (2) determining the net level of annual investment that would offer value-for-money. Lifetime costs and outcomes were calculated for additional cases that would benefit if 'current practice' was feasibly improved, estimated for one indicative year using: (i) local epidemiological data, coverage rates and costs; and (ii) pooled effect sizes from systematic reviews. blood pressure lowering; warfarin for atrial fibrillation; increased access to stroke units; intravenous thrombolysis and aspirin for ischemic events; and carotid endarterectomy. Value-for-money threshold: AUD$30,000/DALY recovered. Improved, prevention and management could prevent about 27,000 (38%) strokes in 2015. In present terms (2004), about 85,000 DALYs and AUD$1.06 billion in lifetime cost-offsets could be recovered. The net level of annual warranted investment was AUD$3.63 billion. Primary prevention, in particular blood pressure lowering, was most effective. A public health program for stroke is warranted.

Tobacco litter costs and public policy: a framework and methodology for considering the use of fees to offset abatement costs.

PubMed

Schneider, John E; Peterson, N Andrew; Kiss, Noemi; Ebeid, Omar; Doyle, Alexis S

2011-05-01

Growing concern over the costs, environmental impact and safety of tobacco product litter (TPL) has prompted states and cities to undertake a variety of policy initiatives, of which litter abatement fees are part. The present work describes a framework and methodology for calculating TPL costs and abatement fees. Abatement is associated with four categories of costs: (1) mechanical and manual abatement from streets, sidewalks and public places, (2) mechanical and manual abatement from storm water and sewer treatment systems, (3) the costs associated with harm to the ecosystem and harm to industries dependent on clean and healthy ecosystems, and (4) the costs associated with direct harm to human health. The experiences of the City of San Francisco's recently proposed tobacco litter abatement fee serve as a case study. City and municipal TPL costs are incurred through manual and mechanical clean-up of surfaces and catchment areas. According to some studies, public litter abatement costs to US cities range from US$3 million to US$16 million. TPL typically comprises between 22% and 36% of all visible litter, implying that total public TPL direct abatement costs range from about US$0.5 million to US$6 million for a city the size of San Francisco. The costs of mitigating the negative externalities of TPL in a city the size of San Francisco can be offset by implementing a fee of approximately US$0.20 per pack. Tobacco litter abatement costs to cities can be substantial, even when the costs of potential environmental pollution and tourism effects are excluded. One public policy option to address tobacco litter is levying of fees on cigarettes sold. The methodology described here for calculating TPL costs and abatement fees may be useful to state and local authorities who are considering adoption of this policy initiative.

Tobacco litter costs and public policy: a framework and methodology for considering the use of fees to offset abatement costs

PubMed Central

Peterson, N Andrew; Kiss, Noemi; Ebeid, Omar; Doyle, Alexis S

2011-01-01

Objectives Growing concern over the costs, environmental impact and safety of tobacco product litter (TPL) has prompted states and cities to undertake a variety of policy initiatives, of which litter abatement fees are part. The present work describes a framework and methodology for calculating TPL costs and abatement fees. Methods Abatement is associated with four categories of costs: (1) mechanical and manual abatement from streets, sidewalks and public places, (2) mechanical and manual abatement from storm water and sewer treatment systems, (3) the costs associated with harm to the ecosystem and harm to industries dependent on clean and healthy ecosystems, and (4) the costs associated with direct harm to human health. The experiences of the City of San Francisco's recently proposed tobacco litter abatement fee serve as a case study. Results City and municipal TPL costs are incurred through manual and mechanical clean-up of surfaces and catchment areas. According to some studies, public litter abatement costs to US cities range from US$3 million to US$16 million. TPL typically comprises between 22% and 36% of all visible litter, implying that total public TPL direct abatement costs range from about US$0.5 million to US$6 million for a city the size of San Francisco. The costs of mitigating the negative externalities of TPL in a city the size of San Francisco can be offset by implementing a fee of approximately US$0.20 per pack. Conclusions Tobacco litter abatement costs to cities can be substantial, even when the costs of potential environmental pollution and tourism effects are excluded. One public policy option to address tobacco litter is levying of fees on cigarettes sold. The methodology described here for calculating TPL costs and abatement fees may be useful to state and local authorities who are considering adoption of this policy initiative. PMID:21504923

Evolutionary cost analysis of valsartan initiation among patients with hypertension: a time series approach.

PubMed

Sun, Peter; Chang, Joanne; Zhang, Jie; Kahler, Kristijan H

2012-01-01

This study examines the evolutionary impact of valsartan initiation on medical costs. A retrospective time series study design was used with a large, US national commercial claims database for the period of 2004-2008. Hypertensive patients who initiated valsartan between the ages of 18 and 63, and had continuous enrollment for 24-month pre-initiation period and 24-month post-initiation period were selected. Patients' monthly medical costs were calculated based on individual claims. A novel time series model was devised with monthly medical costs as its dependent variables, autoregressive integrated moving average (ARIMA) as its stochastic components, and four indicative variables as its decomposed interventional components. The number of post-initiation months before a cost-offset point was also assessed. Patients (n = 18,269) had mean age of 53 at the initiation date, and 53% of them were female. The most common co-morbid conditions were dyslipidemia (52%), diabetes (24%), and hypertensive complications (17%). The time series model suggests that medical costs were increasing by approximately $10 per month (p < 0.01) before the initiation, and decreasing by approximately $6 per month (p < 0.01) after the initiation. After the 4th post-initiation month, medical costs for patients with the initiation were statistically significantly lower (p < 0.01) than forecasted medical costs for the same patients without the initiation. The study has its limitations in data representativeness, ability to collect unrecorded clinical conditions, treatments, and costs, as well as its generalizability to patients with different characteristics. Commercially insured hypertensive patients experienced monthly medical cost increase before valsartan initiation. Based on our model, the evolutionary impact of the initiation on medical costs included a temporary cost surge, a gradual, consistent, and statistically significant cost decrease, and a cost-offset point around the 4th post-initiation month.

The lithographer's dilemma: shrinking without breaking the bank

NASA Astrophysics Data System (ADS)

Levinson, Harry J.

2013-10-01

It can no longer be assumed that the lithographic scaling which has previously driven Moore's Law will lead in the future to reduced cost per transistor. Until recently, higher prices for lithography tools were offset by improvements in scanner productivity. The necessity of using double patterning to extend scaling beyond the single exposure resolution limit of optical lithography has resulted in a sharp increase in the cost of patterning a critical construction layer that has not been offset by improvements in exposure tool productivity. Double patterning has also substantially increased the cost of mask sets. EUV lithography represents a single patterning option, but the combination of very high exposure tools prices, moderate throughput, high maintenance costs, and expensive mask blanks makes this a solution more expensive than optical double patterning but less expensive than triple patterning. Directed self-assembly (DSA) could potentially improve wafer costs, but this technology currently is immature. There are also design layout and process integration issues associated with DSA that need to be solved in order to obtain full benefit from tighter pitches. There are many approaches for improving the cost effectiveness of lithography. Innovative double patterning schemes lead to smaller die. EUV lithography productivity can be improved with higher power light sources and improved reliability. There are many technical and business challenges for extending EUV lithography to higher numerical apertures. Efficient contact hole and cut mask solutions are needed, as well as very tight overlay control, regardless of lithographic solution.

Commercial possibilities for stranded conventional gas from Alaska's North Slope

USGS Publications Warehouse

Attanasi, E.D.; Freeman, P.A.

2014-01-01

Stranded gas resources are defined for this study as gas resources in discrete accumulations that are not currently commercially producible, or producible at full potential, for either physical or economic reasons. Approximately 35 trillion cubic feet (TCF) of stranded gas was identified on Alaska’s North Slope. The commercialization of this resource requires facilities to transport gas to markets where sales revenue will be sufficient to offset the cost of constructing and operating a gas delivery system. With the advent of the shale gas revolution, plans for a gas pipeline to the conterminous US have been shelved (at least temporarily) and the State and resource owners are considering a liquefied natural gas (LNG) export project that targets Asian markets. This paper focuses on competitive conditions for Asian gas import markets by estimating delivered costs of competing supplies from central Asia, Russia, Indonesia, Malaysia, and Australia in the context of a range of import gas demand projections for the period from 2020 to 2040. These suppliers’ costs are based on the cost of developing, producing, and delivering to markets tranches of the nearly 600 TCF of recoverable gas from their own conventional stranded gas fields. The results of these analyses imply that Alaska’s gas exports to Asia will likely encounter substantial competitive challenges. The sustainability of Asia’s oil-indexed LNG pricing is also discussed in light of a potentially intense level of competition.

Financial Impact of PEVAR Compared With Standard Endovascular Repair in Canadian Hospitals.

PubMed

Roche-Nagle, Graham; Hazel, Maureen; Rajan, Dheeraj K

2018-05-01

The percutaneous endovascular abdominal aortic repair (PEVAR) approach is a minimally invasive technique that has demonstrated clinical benefit over traditional surgical cut down associated with standard endovascular abdominal aortic aneurysm (AAA) repair (EVAR). The objective of our study was to evaluate the budget impact to a Canadian hospital of changing the technique for AAA repair from the EVAR approach to the PEVAR approach. We examined the budget impact of replacing the EVAR approach with the PEVAR approach in a Canadian hospital that performs 100 endovascular AAA repairs annually. The model incorporates the costs associated with surgery, length of stay, and postoperative complications occurring within 30 days. The use of PEVAR in AAA repair is associated with increased access device costs when compared with the EVAR approach (CAD$1000 vs CAD$400). However, AAA repair completed with the PEVAR approach demonstrates reduced operating time (101 minutes vs 133 minutes), length of stay (2.2 days vs 3.5 days), time in the recovery room (174 minutes vs 193 minutes), and postoperative complications (6% vs 30%), which offset the increased device costs. The model establishes that switching to the PEVAR approach in a Canadian hospital performing 100 AAA repairs annually would result in a potential cost avoidance of CAD$245,120. A change in AAA repair technique from EVAR to PEVAR can be a cost-effective solution for Canadian hospitals. Copyright © 2017 Canadian Association of Radiologists. Published by Elsevier Inc. All rights reserved.

Capital Investment Motivational Techniques Used by Prime Contractors on Subcontractors

DTIC Science & Technology

1984-12-01

by block number) Productivity; Profit Policy; Subcontractors; Weighted Guidelines; Profitability; Profit 20. ABSTRACT (Continue on reverse aide If...probably productivity gains that could be made if defense contractors increased their investment [6:39]. A major deterrent to the Weighted Guideline...any profit gained would be offset to some degree by a profit loss from a reduction in profit based on costs . This result is a consequence of the cost

Global economic potential for reducing carbon dioxide emissions from mangrove loss.

PubMed

Siikamäki, Juha; Sanchirico, James N; Jardine, Sunny L

2012-09-04

Mangroves are among the most threatened and rapidly disappearing natural environments worldwide. In addition to supporting a wide range of other ecological and economic functions, mangroves store considerable carbon. Here, we consider the global economic potential for protecting mangroves based exclusively on their carbon. We develop unique high-resolution global estimates (5' grid, about 9 × 9 km) of the projected carbon emissions from mangrove loss and the cost of avoiding the emissions. Using these spatial estimates, we derive global and regional supply curves (marginal cost curves) for avoided emissions. Under a broad range of assumptions, we find that the majority of potential emissions from mangroves could be avoided at less than $10 per ton of CO(2). Given the recent range of market price for carbon offsets and the cost of reducing emissions from other sources, this finding suggests that protecting mangroves for their carbon is an economically viable proposition. Political-economy considerations related to the ability of doing business in developing countries, however, can severely limit the supply of offsets and increases their price per ton. We also find that although a carbon-focused conservation strategy does not automatically target areas most valuable for biodiversity, implementing a biodiversity-focused strategy would only slightly increase the costs.

Adaptation of a military FTS to civilian air toxics measurements

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

Engel, J.R.; Dorval, R.K.

1994-12-31

In many ways, the military problem of chemical agent detection is similar to the civilian problem of toxic and related air pollutants detection. A recent program to design a next generation Fourier transform spectrometer (FTS) based chemical agent detection system has been funded by the US Army. This program has resulted in an FTS system that has a number of characteristics that make it suitable for applications to the civilian measurement problem. Low power, low weight, and small size lead to low installation, operating and maintenance costs. Innovative use of diode lasers in place of HeNe reference sources leads tomore » long lifetimes and high reliability. Absolute scan position servos allow for highly efficient offset scanning. This paper will relate the performance of this system to present air monitoring requirements.« less

The ABC and AUSSAT.

ERIC Educational Resources Information Center

McGarritty, Ian

1985-01-01

Discusses the Australian Broadcasting Corporation's (ABC) utilization of the AUSSAT telecommunications satellite to extend its television and radio transmission range to reach remote Australian audiences; the satellite's program gathering and interchange capabilities; and ABC's generation of other benefits to offset cost of satellite services.…

Terrestrial sequestration

ScienceCinema

Charlie Byrer

2017-12-09

Terrestrial sequestration is the enhancement of CO2 uptake by plants that grow on land and in freshwater and, importantly, the enhancement of carbon storage in soils where it may remain more permanently stored. Terrestrial sequestration provides an opportunity for low-cost CO2 emissions offsets.

Digital frequency-offset detector

NASA Technical Reports Server (NTRS)

Bogart, R. W.; Juengst, M. J.

1977-01-01

Simple, low-cost device with designer-selectable tolerances provides accurate frequency comparison with minimal circuitry and ease of adjustment. Warning alerts if frequencies being compared fall outside selected tolerance. Device can be applied to any electronic system where accurate timing or frequency control is important.

Payer and Pharmaceutical Manufacturer Considerations for Outcomes-Based Agreements in the United States.

PubMed

Brown, Joshua D; Sheer, Rich; Pasquale, Margaret; Sudharshan, Lavanya; Axelsen, Kirsten; Subedi, Prasun; Wiederkehr, Daniel; Brownfield, Fred; Kamal-Bahl, Sachin

2018-01-01

Considerable interest exists among health care payers and pharmaceutical manufacturers in designing outcomes-based agreements (OBAs) for medications for which evidence on real-world effectiveness is limited at product launch. To build hypothetical OBA models in which both payer and manufacturer can benefit. Models were developed for a hypothetical hypercholesterolemia OBA, in which the OBA was assumed to increase market access for a newly marketed medication. Fixed inputs were drug and outcome event costs from the literature over a 1-year OBA period. Model estimates were developed using a range of inputs for medication effectiveness, medical cost offsets, and the treated population size. Positive or negative feedback to the manufacturer was incorporated on the basis of expectations of drug performance through changes in the reimbursement level. Model simulations demonstrated that parameters had the greatest impact on payer cost and manufacturer reimbursement. Models suggested that changes in the size of the population treated and drug effectiveness had the largest influence on reimbursement and costs. Despite sharing risk for potential product underperformance, manufacturer reimbursement increased relative to having no OBA, if the OBA improved market access for the new product. Although reduction in medical costs did not fully offset the cost of the medication, the payer could still save on net costs per patient relative to having no OBA by tying reimbursement to drug effectiveness. Pharmaceutical manufacturers and health care payers have demonstrated interest in OBAs, and under a certain set of assumptions both may benefit. Copyright © 2018 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Limit circuit prevents overdriving of operational amplifier

NASA Technical Reports Server (NTRS)

Openshaw, F. L.

1967-01-01

Cutoff-type high gain amplifier coupled by a diode prevents overdriving of operational amplifier. An amplified feedback signal offsets the excess input signal that tends to cause the amplifier to exceed its preset limit. The output is, therfore, held to the set clamp level.

77 FR 64183 - Notice of Availability of a Final General Conformity Determination for the California High-Speed...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-18

..., operation of the Project (i.e., operation of the high-speed train, once the infrastructure was constructed... Agreement (VERA) between the Authority and the SJVAPCD. The VERA will offset the NOx and VOC emissions...

76 FR 33653 - Maritime Communications

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-09

... maritime navigation safety communications system through which marine vessels automatically transmit... may also operate on 12.5 kHz offset frequencies in areas where the licensee is authorized on both... operate on the interstitial channel between Channels 27 and 87 and the interstitial channel between...

Insights for the Third Offset: Addressing Challenges of Autonomy and Artificial Intelligence in Military Operations

DTIC Science & Technology

2017-09-01

third-offset/. 33 Sydney J . Freedberg Jr., “Carter, Roper Unveil Army’s New Ship-Killer Missile: ATACMS Upgrade,” Breaking Defense, October 28, 2016...39 For example, human-machine collaboration to improve the quality and speed of decision making. Sydney J . Freedberg Jr., “Centaur...unpublished thesis), United States Marine Corps Command and Staff College, 2000. 47 Stephen Anno and William E. Einspahr, “The Grenada Invasion,” in

Benefits of an Advanced Quantitative Precipitation Information System - San Francisco Bay Area Case Study

NASA Astrophysics Data System (ADS)

Cifelli, R.; Johnson, L. E.; White, A. B.

2014-12-01

Advancements in monitoring and prediction of precipitation and severe storms can provide significant benefits for water resource managers, allowing them to mitigate flood damage risks, capture additional water supplies and offset drought impacts, and enhance ecosystem services. A case study for the San Francisco Bay area provides the context for quantification of the benefits of an Advanced Quantitative Precipitation Information (AQPI) system. The AQPI builds off more than a decade of NOAA research and applications of advanced precipitation sensors, data assimilation, numerical models of storms and storm runoff, and systems integration for real-time operations. An AQPI would dovetail with the current National Weather Service forecast operations to provide higher resolution monitoring of rainfall events and longer lead time forecasts. A regional resource accounting approach has been developed to quantify the incremental benefits assignable to the AQPI system; these benefits total to $35 M/yr in the 9 county Bay region. Depending on the jurisdiction large benefits for flood damage avoidance may accrue for locations having dense development in flood plains. In other locations forecst=based reservoir operations can increase reservoir storage for water supplies. Ecosystem services benefits for fisheries may be obtained from increased reservoir storage and downstream releases. Benefits in the transporation sectors are associated with increased safety and avoided delays. Compared to AQPI system implementation and O&M costs over a 10 year operations period, a benefit - cost (B/C) ratio is computed which ranges between 2.8 to 4. It is important to acknowledge that many of the benefits are dependent on appropriate and adequate response by the hazards and water resources management agencies and citizens.

Broadband arrayed waveguide grating multiplexers on indium phosphide

NASA Astrophysics Data System (ADS)

Rausch, Kameron

2005-11-01

Coarse Wavelength Division Multiplexing (CWDM) is becoming a popular way to increase the optical throughput of fibers for short to medium haul networks at a reduced cost. The International Telecommunications Union (ITU) has defined the CWDM network to consist of eighteen channels with channel spacings of 20 nm starting at 1270 nm and ending at 1610 nm. Four and eight channel AWGs suitable for CWDM were fabricated using a versatile S-shape design novel to InP. The standard horseshoe layout will not work on semiconductor for AWGs with a free spectral range (FSR) larger than 30 nm. The AWG design provides operation insensitive to thermal and polarization fluctuations; which is key for low cost operation and packaging. It will be shown that, refractive index changes over the large operating wavelength band produced negligible effects in the transmission spectrum. Standard AWG design assumes refractive index is a constant over the operating wavelength band. As a result, the output waveguide separations are held constant on the second star coupler. As the channel number increases, secondary focal dispersion caused from a changing refractive index can have detrimental effects on performance. A new design method will be introduced which includes refractive index dispersion by allowing the output waveguide separations to vary. The new design is consistent with standard design but is applicable in materials with a linear index dispersion over an arbitrarily large wavelength band. Lastly, a method for increasing the transmission using multimode waveguides is discussed. Traditionally, single mode waveguides are required in order to prevent higher order waveguide modes creating ghost images in the output spectrum. Using bend loss and waveguide junction offsets, higher order modes can be filtered from the output, thereby eliminating ghost images and at the same time, increase transmission.

Precise Receiver Clock Offset Estimations According to Each Global Navigation Satellite Systems (GNSS) Timescales

NASA Astrophysics Data System (ADS)

Thongtan, Thayathip; Tirawanichakul, Pawit; Satirapod, Chalermchon

2017-12-01

Each GNSS constellation operates its own system times; namely, GPS system time (GPST), GLONASS system time (GLONASST), BeiDou system time (BDT) and Galileo system time (GST). They could be traced back to Coordinated Universal Time (UTC) scale and are aligned to GPST. This paper estimates the receiver clock offsets to three timescales: GPST, GLONASST and BDT. The two measurement scenarios use two identical multi-GNSS geodetic receivers connected to the same geodetic antenna through a splitter. One receiver is driven by its internal oscillators and another receiver is connected to the external frequency oscillators, caesium frequency standard, kept as the Thailand standard time scale at the National Institute of Metrology (Thailand) called UTC(NIMT). The three weeks data are observed at 30 seconds sample rate. The receiver clock offsets with respected to the three system time are estimated and analysed through the geodetic technique of static Precise Point Positioning (PPP) using a data processing software developed by Wuhan University - Positioning And Navigation Data Analyst (PANDA) software. The estimated receiver clock offsets are around 32, 33 and 18 nanoseconds from GPST, GLONASST and BDT respectively. This experiment is initially stated that each timescale is inter-operated with GPST and further measurements on receiver internal delay has to be determined for clock comparisons especially the high accuracy clock at timing laboratories.

Performance Assessment of Integrated Sensor Orientation with a Low-Cost Gnss Receiver

NASA Astrophysics Data System (ADS)

Rehak, M.; Skaloud, J.

2017-08-01

Mapping with Micro Aerial Vehicles (MAVs whose weight does not exceed 5 kg) is gaining importance in applications such as corridor mapping, road and pipeline inspections, or mapping of large areas with homogeneous surface structure, e.g. forest or agricultural fields. In these challenging scenarios, integrated sensor orientation (ISO) improves effectiveness and accuracy. Furthermore, in block geometry configurations, this mode of operation allows mapping without ground control points (GCPs). Accurate camera positions are traditionally determined by carrier-phase GNSS (Global Navigation Satellite System) positioning. However, such mode of positioning has strong requirements on receiver's and antenna's performance. In this article, we present a mapping project in which we employ a single-frequency, low-cost (< 100) GNSS receiver on a MAV. The performance of the low-cost receiver is assessed by comparing its trajectory with a reference trajectory obtained by a survey-grade, multi-frequency GNSS receiver. In addition, the camera positions derived from these two trajectories are used as observations in bundle adjustment (BA) projects and mapping accuracy is evaluated at check points (ChP). Several BA scenarios are considered with absolute and relative aerial position control. Additionally, the presented experiments show the possibility of BA to determine a camera-antenna spatial offset, so-called lever-arm.

Microstrip Yagi Antenna with Dual Aperture-Coupled Feed

NASA Technical Reports Server (NTRS)

Pogorzelski, Ronald; Venkatesan, Jaikrishna

2008-01-01

A proposed microstrip Yagi antenna would operate at a frequency of 8.4 GHz (which is in the X band) and would feature a mechanically simpler, more elegant design, relative to a prior L-band microstrip Yagi antenna. In general, the purpose of designing a microstrip Yagi antenna is to combine features of a Yagi antenna with those of a microstrip patch to obtain an antenna that can be manufactured at low cost, has a low profile, and radiates a directive beam that, as plotted on an elevation plane perpendicular to the antenna plane, appears tilted away from the broadside. Such antennas are suitable for flush mounting on surfaces of diverse objects, including spacecraft, aircraft, land vehicles, and computers. Stated somewhat more precisely, what has been proposed is a microstrip antenna comprising an array of three Yagi elements. Each element would include four microstrip-patch Yagi subelements: one reflector patch, one driven patch, and two director patches. To obtain circular polarization, each driven patch would be fed by use of a dual offset aperture-coupled feed featuring bow-tie-shaped apertures. The selection of the dual offset bow-tie aperture geometry is supported by results found in published literature that show that this geometry would enable matching of the impedances of the driven patches to the 50-Omega impedance of the microstrip feedline while maintaining a desirably large front-to-back lobe ratio.

Geophysics: The size and duration of the Sumatra-Andaman earthquake from far-field static offsets

USGS Publications Warehouse

Banerjee, P.; Pollitz, F.F.; Burgmann, R.

2005-01-01

The 26 December 2004 Sumatra earthquake produced static offsets at continuously operating GPS stations at distances of up to 4500 kilometers from the epicenter. We used these displacements to model the earthquake and include consideration of the Earth's shape and depth-varying rigidity. The results imply that the average slip was >5 meters along the full length of the rupture, including the ???650-kilometer-long Andaman segment. Comparison of the source derived from the far-field static offsets with seismically derived estimates suggests that 25 to 35% of the total moment release occurred at periods greater than 1 hour. Taking into consideration the strong dip dependence of moment estimates, the magnitude of the earthquake did not exceed Mw = 9.2.

Offset Compound Gear Drive

NASA Technical Reports Server (NTRS)

Stevens, Mark A.; Handschuh, Robert F.; Lewicki, David G.

2010-01-01

The Offset Compound Gear Drive is an in-line, discrete, two-speed device utilizing a special offset compound gear that has both an internal tooth configuration on the input end and external tooth configuration on the output end, thus allowing it to mesh in series, simultaneously, with both a smaller external tooth input gear and a larger internal tooth output gear. This unique geometry and offset axis permits the compound gear to mesh with the smaller diameter input gear and the larger diameter output gear, both of which are on the same central, or primary, centerline. This configuration results in a compact in-line reduction gear set consisting of fewer gears and bearings than a conventional planetary gear train. Switching between the two output ratios is accomplished through a main control clutch and sprag. Power flow to the above is transmitted through concentric power paths. Low-speed operation is accomplished in two meshes. For the purpose of illustrating the low-speed output operation, the following example pitch diameters are given. A 5.0 pitch diameter (PD) input gear to 7.50 PD (internal tooth) intermediate gear (0.667 reduction mesh), and a 7.50 PD (external tooth) intermediate gear to a 10.00 PD output gear (0.750 reduction mesh). Note that it is not required that the intermediate gears on the offset axis be of the same diameter. For this example, the resultant low-speed ratio is 2:1 (output speed = 0.500; product of stage one 0.667 reduction and stage two 0.750 stage reduction). The design is not restricted to the example pitch diameters, or output ratio. From the output gear, power is transmitted through a hollow drive shaft, which, in turn, drives a sprag during which time the main clutch is disengaged.

A call for randomized controlled cost-effectiveness analysis of percutaneous transluminal coronary angioplasty.

PubMed

Holly, N

1988-01-01

A rapidly evolving technology, percutaneous transluminal coronary angioplasty, is increasingly favored over bypass surgery for treating some types of coronary stenosis because of its less traumatic invasion, better recovery response, and lower initial cost. However, substantially higher failure rates in initial procedures offset PTCA's savings to an unknown extent and cloud analysis of its overall impact. Lack of randomized clinical data precludes valid cost-effectiveness comparison of the technologies at this time. Criteria for establishing valid data and evaluations of currently available data are described in this paper.

Satellite economics in the 1980's

NASA Astrophysics Data System (ADS)

Morgan, W. L.

1980-01-01

Satellite traffic, competition, and decreasing costs are discussed, as are capabilities in telecommunication (including entertainment) and computation. Also considered are future teleconferencing and telecommuting to offset the cost of transportation, the establishment of a manufacturer-to-user link for increased home minicomputer capability, and an increase of digital over analog traffic. It is suggested that transcontinental bulk traffic, high-speed data, and multipoint private networks will eventually be handled by satellites which are cost-insensitive to distance, readily match dynamically varying multipoint networks, and have uniformly wide bandwidths available to both major cities and isolated towns.

Evaluation of Oregon's first hot mix asphalt recycling project : Woodburn, Oregon, 1977.

DOT National Transportation Integrated Search

1979-03-01

Pavement recycling has been suggested as a viable alternative to more conventional methods of pavement rehabilitation as a means of offsetting some of the problems resulting from spiraling energy costs and shortages of raw materials. This paper prese...

Safety evaluation of offset improvements for left-turn lanes

DOT National Transportation Integrated Search

2009-06-01

The Federal Highway Administration (FHWA) organized 26 States to participate in the FHWA Low Cost Safety Improvements Pooled Fund Study as part of its strategic highway safety plan support effort. The purpose of the pooled fund study is to estimate t...

7 CFR 1484.56 - How are Cooperators reimbursed?

Code of Federal Regulations, 2010 CFR

2010-01-01

... format for reimbursement claims is available from the Director, Marketing Operations Staff, FAS, USDA... the amount of reimbursement claimed to offset FAS demand for refund of amounts previously reimbursed....S. office to the Director, Marketing Operations Staff, FAS, USDA. (c) FAS will not reimburse claims...

7 CFR 1484.56 - How are Cooperators reimbursed?

Code of Federal Regulations, 2011 CFR

2011-01-01

... format for reimbursement claims is available from the Director, Marketing Operations Staff, FAS, USDA... the amount of reimbursement claimed to offset FAS demand for refund of amounts previously reimbursed....S. office to the Director, Marketing Operations Staff, FAS, USDA. (c) FAS will not reimburse claims...

A financial planning model for estimating hospital debt capacity.

PubMed Central

Hopkins, D S; Heath, D; Levin, P J

1982-01-01

A computer-based financial planning model was formulated to measure the impact of a major capital improvement project on the fiscal health of Stanford University Hospital. The model had to be responsive to many variables and easy to use, so as to allow for the testing of numerous alternatives. Special efforts were made to identify the key variables that needed to be presented in the model and to include all known links between capital investment, debt, and hospital operating expenses. Growth in the number of patient days of care was singled out as a major source of uncertainty that would have profound effects on the hospital's finances. Therefore this variable was subjected to special scrutiny in terms of efforts to gauge expected demographic trends and market forces. In addition, alternative base runs of the model were made under three distinct patient-demand assumptions. Use of the model enabled planners at the Stanford University Hospital (a) to determine that a proposed modernization plan was financially feasible under a reasonable (that is, not unduly optimistic) set of assumptions and (b) to examine the major sources of risk. Other than patient demand, these sources were found to be gross revenues per patient, operating costs, and future limitations on government reimbursement programs. When the likely financial consequences of these risks were estimated, both separately and in combination, it was determined that even if two or more assumptions took a somewhat more negative turn than was expected, the hospital would be able to offset adverse consequences by a relatively minor reduction in operating costs. PMID:7111658

Coal-fired Power Plants with Flexible Amine-based CCS and Co-located Wind Power: Environmental, Economic and Reliability Outcomes

NASA Astrophysics Data System (ADS)

Bandyopadhyay, Rubenka

Carbon Capture and Storage (CCS) technologies provide a means to significantly reduce carbon emissions from the existing fleet of fossil-fired plants, and hence can facilitate a gradual transition from conventional to more sustainable sources of electric power. This is especially relevant for coal plants that have a CO2 emission rate that is roughly two times higher than that of natural gas plants. Of the different kinds of CCS technology available, post-combustion amine based CCS is the best developed and hence more suitable for retrofitting an existing coal plant. The high costs from operating CCS could be reduced by enabling flexible operation through amine storage or allowing partial capture of CO2 during high electricity prices. This flexibility is also found to improve the power plant's ramp capability, enabling it to offset the intermittency of renewable power sources. This thesis proposes a solution to problems associated with two promising technologies for decarbonizing the electric power system: the high costs of the energy penalty of CCS, and the intermittency and non-dispatchability of wind power. It explores the economic and technical feasibility of a hybrid system consisting of a coal plant retrofitted with a post-combustion-amine based CCS system equipped with the option to perform partial capture or amine storage, and a co-located wind farm. A techno-economic assessment of the performance of the hybrid system is carried out both from the perspective of the stakeholders (utility owners, investors, etc.) as well as that of the power system operator. (Abstract shortened by ProQuest.).

Air emissions of ammonia and methane from livestock operations: valuation and policy options.

PubMed

Shih, Jhih-Shyang; Burtraw, Dallas; Palmer, Karen; Siikamäki, Juha

2008-09-01

The animal husbandry industry is a major emitter of ammonia (NH3), which is a precursor of fine particulate matter (PM2.5)--arguably, the number-one environment-related public health threat facing the nation. The industry is also a major emitter of methane (CH4), which is an important greenhouse gas (GHG). We present an integrated process model of the engineering economics of technologies to reduce NH3 and CH4 emissions at dairy operations in California. Three policy options are explored: PM offset credits for NH3 control, GHG offset credits for CH4 control, and expanded net metering policies to provide revenue for the sale of electricity generated from captured methane (CH4) gas. Individually these policies vary substantially in the economic incentives they provide for farm operators to reduce emissions. We report on initial steps to fully develop the integrated process model that will provide guidance for policy-makers.

Simulation of quitting smoking in the military shows higher lifetime medical spending more than offset by productivity gains.

PubMed

Yang, Wenya; Dall, Timothy M; Zhang, Yiduo; Zhang, Shiping; Arday, David R; Dorn, Patricia W; Jain, Anjali

2012-12-01

Despite the documented benefits of quitting smoking, studies have found that smokers who quit may have higher lifetime medical costs, in part because of increased risk for medical conditions, such as type 2 diabetes, brought on by associated weight gain. Using a simulation model and data on 612,332 adult smokers in the US Department of Defense's TRICARE Prime health plan in 2008, we estimated that cessation accompanied by weight gain would increase average life expectancy by 3.7 years, and that the average lifetime reduction in medical expenditures from improved health ($5,600) would be offset by additional expenditures resulting from prolonged life ($7,300). Results varied by age and sex: For females ages 18-44 at time of cessation, there would be net savings of $1,200 despite additional medical expenditures from prolonged life. Avoidance of weight gain after quitting smoking would increase average life expectancy by four additional months and reduce mean extra spending resulting from prolonged life by $700. Overall, the average net lifetime health care cost increase of $1,700 or less per ex-smoker would be modest and, for employed people, more than offset by even one year's worth of productivity gains. These results boost the case for smoking cessation programs in the military in particular, along with not selling cigarettes in commissaries or at reduced prices.

Statement of Robert F. Hale, Assistant Director, National Security Division, Congressional Budget Office

DTIC Science & Technology

1987-03-17

rates also have some potential disadvantages . Key among them are higher near-term program costs. These costs would probably require offsetting budget...HIGHER PRODUCTION RATES Should DoD produce weapons at higher rates? Certain disadvantages must be weighed against the merits of higher rates... Disadvantages of Higher Production Rates The most imporant disadvantage of higher production rates is the delay or cancellation of new weapons systems that

Cost-Based Optimization of a Papermaking Wastewater Regeneration Recycling System

NASA Astrophysics Data System (ADS)

Huang, Long; Feng, Xiao; Chu, Khim H.

2010-11-01

Wastewater can be regenerated for recycling in an industrial process to reduce freshwater consumption and wastewater discharge. Such an environment friendly approach will also lead to cost savings that accrue due to reduced freshwater usage and wastewater discharge. However, the resulting cost savings are offset to varying degrees by the costs incurred for the regeneration of wastewater for recycling. Therefore, systematic procedures should be used to determine the true economic benefits for any water-using system involving wastewater regeneration recycling. In this paper, a total cost accounting procedure is employed to construct a comprehensive cost model for a paper mill. The resulting cost model is optimized by means of mathematical programming to determine the optimal regeneration flowrate and regeneration efficiency that will yield the minimum total cost.

A Low-Cost iPhone-Assisted Augmented Reality Solution for the Localization of Intracranial Lesions

PubMed Central

Zhu, RuYuan; Chen, XiaoLei; Zhang, Jun

2016-01-01

Background Precise location of intracranial lesions before surgery is important, but occasionally difficult. Modern navigation systems are very helpful, but expensive. A low-cost solution that could locate brain lesions and their surface projections in augmented reality would be beneficial. We used an iPhone to partially achieve this goal, and evaluated its accuracy and feasibility in a clinical neurosurgery setting. Methodology/Principal Findings We located brain lesions in 35 patients, and using an iPhone, we depicted the lesion’s surface projection onto the skin of the head. To assess the accuracy of this method, we pasted computed tomography (CT) markers surrounding the depicted lesion boundaries on the skin onto 15 patients. CT scans were then performed with or without contrast enhancement. The deviations (D) between the CT markers and the actual lesion boundaries were measured. We found that 97.7% of the markers displayed a high accuracy level (D ≤ 5mm). In the remaining 20 patients, we compared our iPhone-based method with a frameless neuronavigation system. Four check points were chosen on the skin surrounding the depicted lesion boundaries, to assess the deviations between the two methods. The integrated offset was calculated according to the deviations at the four check points. We found that for the supratentorial lesions, the medial offset between these two methods was 2.90 mm and the maximum offset was 4.2 mm. Conclusions/Significance This low-cost, image-based, iPhone-assisted, augmented reality solution is technically feasible, and helpful for the localization of some intracranial lesions, especially shallow supratentorial intracranial lesions of moderate size. PMID:27454518

The environmental costs of mountaintop mining valley fill operations for aquatic ecosystems of the Central Appalachians.

PubMed

Bernhardt, Emily S; Palmer, Margaret A

2011-03-01

Southern Appalachian forests are recognized as a biodiversity hot spot of global significance, particularly for endemic aquatic salamanders and mussels. The dominant driver of land-cover and land-use change in this region is surface mining, with an ever-increasing proportion occurring as mountaintop mining with valley fill operations (MTVF). In MTVF, seams of coal are exposed using explosives, and the resulting noncoal overburden is pushed into adjacent valleys to facilitate coal extraction. To date, MTVF throughout the Appalachians have converted 1.1 million hectares of forest to surface mines and buried more than 2,000 km of stream channel beneath mining overburden. The impacts of these lost forests and buried streams are propagated throughout the river networks of the region as the resulting sediment and chemical pollutants are transmitted downstream. There is, to date, no evidence to suggest that the extensive chemical and hydrologic alterations of streams by MTVF can be offset or reversed by currently required reclamation and mitigation practices. © 2011 New York Academy of Sciences.

Cost-effectiveness analysis of levobupivacaine 0.5 %, a local anesthetic, infusion in the surgical wound after modified radical mastectomy.

PubMed

Ferreira Laso, Lourdes; López Picado, Amanda; Antoñanzas Villar, Fernando; Lamata de la Orden, Laura; Ceballos Garcia, Mar; Ibañez López, Carolina; Pipaon Ruilope, Lorena; Lamata Hernandez, Felix; Valero Martinez, Cesar; Aizpuru, Felipe; Hernandez Chaves, Roberto

2015-09-01

Effective treatment of postoperative pain contributes to decreasing the rate of complications as well as the total cost of the operated patients. The aim of this study was to analyze the costs and the efficiency of use of continuous infusion of levobupivacaine 0.5 % with the help of an infusion pump in modified radical mastectomy. A cost calculation of the analgesic procedures (continuous infusion of levobupivacaine 0.5 % [levobupivacaine group (LG)] or saline [saline group (SG)] (2 ml/h 48 h) has been carried out based on the data of a previous clinical trial (double-blind randomized study) of patients who underwent modified radical mastectomy surgery. The measure of the effectiveness was the point reduction of pain derived from the verbal numeric rating scale (VNRS). The usual incremental cost-effectiveness ratio (ICER) was performed. Considering only the intravenous analgesia, overall costs were lower in LG, as less analgesia was used (EUR14.06 ± 7.89 vs. 27.47 ± 14.79; p < 0.001). In this study the costs of the infusion pump were not calculated as it was used by both groups and they offset each other. However, if the infusion pump costs were included, costs would be higher in the LG, (EUR91.89 ± 7.89 vs. 27.47 ± 14.79; p < 0.001) and then the ICER was -8.51, meaning that for every extra point of decrease in the pain verbal numerical rating score over the 2-day period, the cost increased by EUR8.51. Infiltration of local anesthetics is an effective technique for controlling postoperative pain and the associated added costs are relatively low in relation to the total cost of mastectomy, therefore providing patients with a higher quality of care in the prevention of pain. clinicaltrials.gov: reference number NCT01389934. http://clinicaltrials.gov/show/NCT01389934

Sequencing and fan-out mechanism for causing a set of at least two sequential instructions to be performed in a dataflow processing computer

DOEpatents

Grafe, Victor G.; Hoch, James E.

1993-01-01

A sequencing and data fanout mechanism is provided for a dataflow processor is activated by an input token which causes a sequence of operations to occur by initiating a first instruction to act on data contained within the token and then executing a sequential thread of instructions identified by either a repeat count and an offset within the token, or by an offset within each preceding instruction.

On Frequency Offset Estimation Using the iNET Preamble in Frequency Selective Fading Channels

DTIC Science & Technology

2014-03-01

ASM fields; (bottom) the relationship between the indexes of the received samples r(n), the signal samples s(n), the preamble samples p (n) and the short...frequency offset estimators for SOQPSK-TG equipped with the iNET preamble and operating in ISI channels. Four of the five estimators exam - ined here are...sync marker ( ASM ), and data bits (an LDPC codeword). The availability of a preamble introduces the possibility of data-aided synchro- nization in

Efficient evaluation of nonlocal operators in density functional theory

NASA Astrophysics Data System (ADS)

Chen, Ying-Chih; Chen, Jing-Zhe; Michaud-Rioux, Vincent; Shi, Qing; Guo, Hong

2018-02-01

We present a method which combines plane waves (PW) and numerical atomic orbitals (NAO) to efficiently evaluate nonlocal operators in density functional theory with periodic boundary conditions. Nonlocal operators are first expanded using PW and then transformed to NAO so that the problem of distance-truncation is avoided. The general formalism is implemented using the hybrid functional HSE06 where the nonlocal operator is the exact exchange. Comparison of electronic structures of a wide range of semiconductors to a pure PW scheme validates the accuracy of our method. Due to the locality of NAO, thus sparsity of matrix representations of the operators, the computational complexity of the method is asymptotically quadratic in the number of electrons. Finally, we apply the technique to investigate the electronic structure of the interface between a single-layer black phosphorous and the high-κ dielectric material c -HfO2 . We predict that the band offset between the two materials is 1.29 eV and 2.18 eV for valence and conduction band edges, respectively, and such offsets are suitable for 2D field-effect transistor applications.

Frequency-Offset Cartesian Feedback Based on Polyphase Difference Amplifiers

PubMed Central

Zanchi, Marta G.; Pauly, John M.; Scott, Greig C.

2010-01-01

A modified Cartesian feedback method called “frequency-offset Cartesian feedback” and based on polyphase difference amplifiers is described that significantly reduces the problems associated with quadrature errors and DC-offsets in classic Cartesian feedback power amplifier control systems. In this method, the reference input and feedback signals are down-converted and compared at a low intermediate frequency (IF) instead of at DC. The polyphase difference amplifiers create a complex control bandwidth centered at this low IF, which is typically offset from DC by 200–1500 kHz. Consequently, the loop gain peak does not overlap DC where voltage offsets, drift, and local oscillator leakage create errors. Moreover, quadrature mismatch errors are significantly attenuated in the control bandwidth. Since the polyphase amplifiers selectively amplify the complex signals characterized by a +90° phase relationship representing positive frequency signals, the control system operates somewhat like single sideband (SSB) modulation. However, the approach still allows the same modulation bandwidth control as classic Cartesian feedback. In this paper, the behavior of the polyphase difference amplifier is described through both the results of simulations, based on a theoretical analysis of their architecture, and experiments. We then describe our first printed circuit board prototype of a frequency-offset Cartesian feedback transmitter and its performance in open and closed loop configuration. This approach should be especially useful in magnetic resonance imaging transmit array systems. PMID:20814450

Health care resource utilization and direct medical costs for patients with schizophrenia initiating treatment with atypical versus typical antipsychotics in Tianjin, China.

PubMed

He, Xiaoning; Wu, Jing; Jiang, Yawen; Liu, Li; Ye, Wenyu; Xue, Haibo; Montgomery, William

2015-04-09

It is uncertain whether the extra acquisition costs of atypical antipsychotics over typical antipsychotics are offset by their other reduced resource use especially in hospital services in China. This study compared the psychiatric-related health care resource utilization and direct medical costs for patients with schizophrenia initiating atypical or typical antipsychotics in Tianjin, China. Data were obtained from the Tianjin Urban Employee Basic Medical Insurance database (2008-2010). Adult patients with schizophrenia with ≥1 prescription for antipsychotics after ≥90-day washout and 12-month continuous enrollment after first prescription was included. Psychiatric-related resource utilization and direct medical costs of the atypical and typical cohorts were estimated during the 12-month follow-up period. Logistic regressions, ordinary least square (OLS), and generalized linear models (GLM) were employed to estimate differences of resource utilization and costs between the two cohorts. One-to-one propensity score matching was conducted as a sensitivity analysis. 1131 patients initiating either atypical (N = 648) or typical antipsychotics (N = 483) were identified. Compared with the typical cohort, the atypical cohort had a lower likelihood of hospitalization (45.8% vs. 56.7%, P < 0.001; adjusted OR: 0.58, P < 0.001) over the follow-up period. Medication costs for the atypical cohort were higher than the typical cohort ($438 vs. $187, P < 0.001); however, their non-medication medical costs were significantly lower ($1223 vs. $1704, P < 0.001). The total direct medical costs were similar between the atypical and typical cohorts before ($1661 vs. $1892, P = 0.100) and after matching ($1711 vs. 1868, P = 0.341), consistent with the results from OLS and GLM models for matched cohorts. The atypical cohort had similar total direct medical costs compared to the typical cohort. Higher medication costs associated with atypical antipsychotics were offset by a reduction in non-medication medical costs, driven by fewer hospitalizations.

Cost-effectiveness of childhood rotavirus vaccination in Taiwan.

PubMed

Wu, Chia-Ling; Yang, Yi-Ching; Huang, Li-Min; Chen, Kow-Tong

2009-03-04

Rotavirus is the most common cause of severe diarrhea in children. Two rotavirus vaccines (RotaTeq and Rotarix) have been licensed in Taiwan. We have investigated whether routine infant immunization with either vaccine could be cost-effective in Taiwan. We modeled specific disease outcomes including hospitalization, emergency department visits, hospital outpatient visits, physician office visits, and death. Cost-effectiveness was analyzed from the perspectives of the health care system and society. A decision tree was used to estimate the disease burden and costs based on data from published and unpublished sources. A routine rotavirus immunization program would prevent 146,470 (Rotarix) or 149,937 (RotaTeq) cases of rotavirus diarrhea per year, and would prevent 21,106 (Rotarix) and 23,057 (RotaTeq) serious cases (hospitalizations, emergency department visits, and death). At US$80 per dose for the Rotarix vaccine, the program would cost US$32.7 million, provided an increasing cost offset of US$19.8 million to the health care system with $135 per case averted. Threshold analysis identified a break-even price per dose of US$27 from the health care system perspective and US$41 from a societal perspective. At US$60.0 per dose of RotaTeq vaccine, the program would cost US$35.4 million and provide an increasing cost offset of US$22.5 million to the health care system, or US$150 per case averted. Threshold analysis identified a break-even price per dose of US$20.0 from the health care system perspective and $29 from the societal perspective. Greater costs of hospitalization and lower vaccine price could increase cost-effectiveness. Despite a higher burden of serious rotavirus disease than estimated previously, routine rotavirus vaccination would unlikely be cost-saving in Taiwan at present unless the price fell to US$41 (Rotarix) or US$29 (RotaTeq) per dose from societal perspective, respectively. Nonetheless, rotavirus immunization could reduce the substantial burden of short-term morbidity due to rotavirus.

Economic impact of expanded use of biologic therapy for the treatment of rheumatoid arthritis and Crohn's disease in Argentina, Brazil, Colombia, and Mexico.

PubMed

Tundia, Namita; Kotze, Paulo Gustavo; Rojas Serrano, Jorge; Mendes de Abreu, Mirhelen; Skup, Martha; Macaulay, Dendy; Signorovitch, James; Chaves, Leonardo; Chao, Jingdong; Bao, Yanjun

2016-12-01

To estimate economic impact resulting from increased biologics use for treatment of rheumatoid arthritis (RA) and Crohn's disease (CD) in Argentina, Brazil, Colombia, and Mexico. The influence of increasing biologics use for treatment of RA during 2012-2022 and for treatment of CD during 2013-2023 was modeled from a societal perspective. The economic model incorporated current and projected medical, indirect, and drug costs and epidemiologic and economic factors. Costs associated with expanded biologics use for RA were compared with non-expanded use in Argentina, Brazil, Colombia, and Mexico. A similar analysis was conducted for CD in Brazil, Colombia, and Mexico. Accounting for additional costs of biologics and medical and indirect cost offsets, the model predicts that expanded use of biologics for patients with RA from 2012 to 2022 will result in cumulative net cost savings of ARS$2.351 billion in Argentina, R$9.004 billion in Brazil, COP$728.577 billion in Colombia, and MXN$18.02 billion in Mexico; expanded use of biologics for patients with CD from 2013 to 2023 will result in cumulative net cost savings for patients with CD of R$0.082 billion in Brazil, COP$502.74 billion in Colombia, and MXN$1.80 billion in Mexico. Indirect cost offsets associated with expanded biologics use were a key driver in reducing annual per-patient net costs for RA and CD. Future economic projections are limited by the potential variance between projected and actual future values of biologic prices, wages, medical costs, and gross national product for each country. Increasing biologics use to treat RA and CD may limit cost growth over time by reducing medical and indirect costs. These findings may inform policy decisions regarding biologics use in Argentina, Brazil, Colombia, and Mexico.

7 CFR 1484.56 - How are Cooperators reimbursed?

Code of Federal Regulations, 2014 CFR

2014-01-01

... reimbursement claims is available from the Director, Marketing Operations Staff, FAS, USDA. Claims for... reimbursement claimed to offset FAS demand for refund of amounts previously reimbursed, and reference to the... Director, Marketing Operations Staff, FAS, USDA. (c) FAS will not reimburse claims submitted later than 6...

7 CFR 1484.56 - How are Cooperators reimbursed?

Code of Federal Regulations, 2012 CFR

2012-01-01

... reimbursement claims is available from the Director, Marketing Operations Staff, FAS, USDA. Claims for... reimbursement claimed to offset FAS demand for refund of amounts previously reimbursed, and reference to the... Director, Marketing Operations Staff, FAS, USDA. (c) FAS will not reimburse claims submitted later than 6...

7 CFR 1484.56 - How are Cooperators reimbursed?

Code of Federal Regulations, 2013 CFR

2013-01-01

... reimbursement claims is available from the Director, Marketing Operations Staff, FAS, USDA. Claims for... reimbursement claimed to offset FAS demand for refund of amounts previously reimbursed, and reference to the... Director, Marketing Operations Staff, FAS, USDA. (c) FAS will not reimburse claims submitted later than 6...

Economical and Environmentally Benign Extraction of Rare Earth Elements (REES) from Coal & Coal Byproducts

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

Carlson, Gary

This final report provides a complete summary of the activities, results, analytical discussion, and overall evaluation of the project titled “Economical and Environmentally Benign Extraction of Rare Earth Elements (REES) from Coal & Coal Byproducts” under DOE Award Number DE-FE-0027155 that started in March 2016 and ended December 2017. Fly ash was selected as the coal-byproduct source material due to fact that it is readily available with no need for extensive methods to obtain the material, it is produced in large quantities (>50 million tons per year) and had REE concentrations similar to other coal-byproducts. The selected fly ash usedmore » throughout this project was from the Mill Creek power generating facility operated by Louisville Gas and Electric located in Louisville, KY and was subjected to a variety of physical and chemical characterization tests. Results from fusion extractions showed that the selected fly-ash had a TREE+Y concentration of 480 ppm with critical REEs concentration of 200 ppm. The fly ash had an outlook ratio of 1.25 and an estimated value of $16-$18 worth of salable REEs per 1-tonne of fly ash. Additional characterizations by optical evaluation, QEMSCAN, XRD, size fractionation, and SEM analysis showed the fly ash consisted of small glassy spherules with a size range between 1 to 110 µm (ave. diam. of 13 um), was heterogeneous in chemical composition (main crystalline phases: aluminum oxides and iron oxides) and was primarily an amorphous material (75 to 80%). A simple stepped approach was completed to estimate the total REE resource quantity. The approach included REE characterization of the representative samples, evaluation of fly-ash availability, and final determination estimated resource availability with regards to REE grade on a regional and national scale. This data represents the best available information and is based upon the assumptions that the power generating facility where the fly-ash was obtained will use the same coal sources (actual mines were identified), the coal materials will have relatively consistent REE concentrations, and the REE extraction process developed during this project can achieve 42% REE recovery (validated and confirmed). Calculations indicated that the estimated REE resource is approximately 175,000 tonnes with a current estimated value of $3,330MM. The proposed REE extraction and production process developed during this project used four fundamental steps; 1) fly-ash pretreatment to enhance REE extraction, 2) REE extraction by acid digestion, 3) REE separation/concentration by carbon adsorption and column chromatography, and 4) REE oxide production. Secondary processing steps to manage process residuals and additional processing techniques to produce value-added products were incorporated into the process during the project. These secondary steps were not only necessary to manage residuals, but also provided additional revenue streams that offset operational and capital expenditures. The process produces one value product stream (production of zeolite Na-P1), a solids waste stream, and one liquid stream that met RCRA discharge requirements. Based upon final design criteria and operational parameters, the proposed system could produce approximately 200 grams of REOs from 1-tonne of fly-ash, thereby representing a TREE+Y recovery of 42% (project target of > 25%). A detailed economic model was developed to evaluate both CAPEX and OPEX estimates for systems with varying capacities between 100 kg to 200 tonnes of fly ash processed per day. Using a standard system capacity of 10 tonne/day system, capital costs were estimated at $88/kg fly ash while operating costs were estimated at approximately $450/kg fly ash. This operating cost estimate includes a revenue of $495/tonne of fly ash processed from the value-added product produced from the system (zeolite Na-P1). Although operating cost savings due to zeolite production were significant, the capital + operating cost for a 10 tonne system was more expensive than the total dollar value of REEs present in the fly ash material. Specifically, the estimated cost per 1-tonne of fly ash treated is approximately $540 while the estimated value of REEs in the fly ash is $18-$20/tonne. This is an excessive difference showing that the proposed process is not economically feasible strictly on the basis of REE revenue compared to extraction costs. Although the current proposed system does not produce sufficient quantities of REEs or additional revenue sources to offset operational and capital costs, supplementary factors including US strategic concerns, commercial demands, and defense department requirements must be factored. At this time, the process developed during this project provides foundational information for future development of simple processes that require low capital investment and one that will extract a valuable quality and quantity of REE oxides from industrial waste.« less

ACCURATE BUILDING INTEGRATED PHOTOVOLTAIC SYSTEM (BIPV) ARCHITECTURAL DESIGN TOOL

EPA Science Inventory

One of the leading areas of renewable energy applications for the twenty-first century is building integrated photovoltaics (BIPV). Integrating photovoltaics into building structures allows the costs of the PV system to be partially offset by the solar modules also serving a s...

Recovery of proteins and phosphorus from manure

USDA-ARS?s Scientific Manuscript database

The recovery of phosphorus and proteins from manure could be advantageous to both offset costs and to improve and lessen the environmental impacts of manure storage and treatment. Phosphorous in manure can contaminate rivers, lakes, and bays through runoff, if applied onto a cropland excessively. Th...

Recovery of amino acids and phosphorus from manure

USDA-ARS?s Scientific Manuscript database

Background & Objectives: The recovery of phosphorus and proteins from manure could be advantageous to both offset costs and to improve and lessen the environmental impacts of manure. Phosphorous in manure can contaminate rivers, lakes, and bays through runoff, if applied onto a cropland excessively....

29 CFR 1650.207 - Administrative charges.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION DEBT COLLECTION Procedures for the Collection of Debts by Federal Tax Refund Offset § 1650.207 Administrative charges. All administrative charges incurred in connection with the referral of a debt to the Treasury and all costs of...

ESAT--Under the Hood

ERIC Educational Resources Information Center

Skopek, Jiri

2013-01-01

There is good reason to look at energy and sustainability as "the" capital investment--savings that can be achieved through energy conservation and other sustainability measures can help offset increasing deferred maintenance and capital renewal costs. The APPA Energy and Sustainability Assessment Tool (ESAT) provides a dynamic database…

20 CFR 361.5 - Notice requirements before offset.

Code of Federal Regulations, 2012 CFR

2012-04-01

..., penalties, and administrative costs, and notification that such assessment must be made unless such payments... that the Board will accept a repayment agreement which is reasonable in view of the financial condition... and by the procedure specified and explaining the conditions under which waiver, cancellation...

20 CFR 361.5 - Notice requirements before offset.

Code of Federal Regulations, 2014 CFR

2014-04-01

..., penalties, and administrative costs, and notification that such assessment must be made unless such payments... that the Board will accept a repayment agreement which is reasonable in view of the financial condition... and by the procedure specified and explaining the conditions under which waiver, cancellation...

20 CFR 361.5 - Notice requirements before offset.

Code of Federal Regulations, 2013 CFR

2013-04-01

..., penalties, and administrative costs, and notification that such assessment must be made unless such payments... that the Board will accept a repayment agreement which is reasonable in view of the financial condition... and by the procedure specified and explaining the conditions under which waiver, cancellation...

20 CFR 361.5 - Notice requirements before offset.

Code of Federal Regulations, 2011 CFR

2011-04-01

..., penalties, and administrative costs, and notification that such assessment must be made unless such payments... that the Board will accept a repayment agreement which is reasonable in view of the financial condition... and by the procedure specified and explaining the conditions under which waiver, cancellation...

Online purchasing creates opportunities to lower the life cycle carbon footprints of consumer products

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

Isley, Steven C.; Stern, Paul C.; Carmichael, Scott P.

A major barrier to transitions to environmental sustainability is that consumers lack information about the full environmental footprints of their purchases. Sellers' incentives do not support reducing the footprints unless customers have such information and are willing to act on it. We explore the potential of modern information technology to lower this barrier by enabling firms to inform customers of products' environmental footprints at the point of purchase and easily offset consumers' contributions through bundled purchases of carbon offsets. Using online stated choice experiments, we evaluated the effectiveness of several inexpensive features that firms in four industries could implement withmore » existing online user interfaces for consumers. These examples illustrate the potential for firms to lower their overall carbon footprints while improving customer satisfaction by lowering the 'soft costs' to consumers of pro-environmental choices. Lastly, opportunities such as these likely exist wherever firms possess environmentally relevant data not accessible to consumers or when transaction costs make pro-environmental action difficult.« less

Online purchasing creates opportunities to lower the life cycle carbon footprints of consumer products

DOE PAGES

Isley, Steven C.; Stern, Paul C.; Carmichael, Scott P.; ...

2016-08-30

A major barrier to transitions to environmental sustainability is that consumers lack information about the full environmental footprints of their purchases. Sellers' incentives do not support reducing the footprints unless customers have such information and are willing to act on it. We explore the potential of modern information technology to lower this barrier by enabling firms to inform customers of products' environmental footprints at the point of purchase and easily offset consumers' contributions through bundled purchases of carbon offsets. Using online stated choice experiments, we evaluated the effectiveness of several inexpensive features that firms in four industries could implement withmore » existing online user interfaces for consumers. These examples illustrate the potential for firms to lower their overall carbon footprints while improving customer satisfaction by lowering the 'soft costs' to consumers of pro-environmental choices. Lastly, opportunities such as these likely exist wherever firms possess environmentally relevant data not accessible to consumers or when transaction costs make pro-environmental action difficult.« less

Online purchasing creates opportunities to lower the life cycle carbon footprints of consumer products.

PubMed

Isley, Steven C; Stern, Paul C; Carmichael, Scott P; Joseph, Karun M; Arent, Douglas J

2016-08-30

A major barrier to transitions to environmental sustainability is that consumers lack information about the full environmental footprints of their purchases. Sellers' incentives do not support reducing the footprints unless customers have such information and are willing to act on it. We explore the potential of modern information technology to lower this barrier by enabling firms to inform customers of products' environmental footprints at the point of purchase and easily offset consumers' contributions through bundled purchases of carbon offsets. Using online stated choice experiments, we evaluated the effectiveness of several inexpensive features that firms in four industries could implement with existing online user interfaces for consumers. These examples illustrate the potential for firms to lower their overall carbon footprints while improving customer satisfaction by lowering the "soft costs" to consumers of proenvironmental choices. Opportunities such as these likely exist wherever firms possess environmentally relevant data not accessible to consumers or when transaction costs make proenvironmental action difficult.

An economic evaluation of a chlorhexidine chip for treating chronic periodontitis: the CHIP (chlorhexidine in periodontitis) study.

PubMed

Henke, C J; Villa, K F; Aichelmann-Reidy, M E; Armitage, G C; Eber, R M; Genco, R J; Killoy, W J; Miller, D P; Page, R C; Polson, A M; Ryder, M I; Silva, S J; Somerman, M J; Van Dyke, T E; Wolff, L F; Evans, C J; Finkelman, R D

2001-11-01

The authors previously suggested that an adjunctive, controlled-release chlorhexidine, or CHX, chip may reduce periodontal surgical needs at little additional cost. This article presents an economic analysis of the CHX chip in general dental practice. In a one-year prospective clinical trial, 484 chronic periodontitis patients in 52 general practices across the United States were treated with either scaling and root planing, or SRP, plus any therapy prescribed by treating, unblinded dentists; or SRP plus other therapy as above but including the CHX chip. Economic data were collected from bills, case report forms and 12-month treatment recommendations from blinded periodontist evaluators. Total dental charges were higher for SRP + CHX chip patients vs. SRP patients when CHX chip costs were included (P = .027) but lower when CHX chip costs were excluded (P = .012). About one-half of the CHX chip acquisition cost was offset by savings in other charges. SRP + CHX chip patients were about 50 percent less likely to undergo surgical procedures than were SRP patients (P = .021). At the end of the trial, periodontist evaluators recommended similar additional procedures for both groups: SRP, about 46 percent; maintenance, about 37 percent; surgery, 56 percent for SRP alone and 63 percent for SRP + CHX chip. Adjunctive CHX chip use for general-practice patients with periodontitis increased costs but reduced surgeries over one year. At study's end, periodontists recommended similar additional surgical treatment for both groups. In general practice, routine use of the CHX chip suggests that costs will be partially offset by reduced surgery over at least one year.

Assessing Cost-Effectiveness in Obesity (ACE-Obesity): an overview of the ACE approach, economic methods and cost results

PubMed Central

2009-01-01

Background The aim of the ACE-Obesity study was to determine the economic credentials of interventions which aim to prevent unhealthy weight gain in children and adolescents. We have reported elsewhere on the modelled effectiveness of 13 obesity prevention interventions in children. In this paper, we report on the cost results and associated methods together with the innovative approach to priority setting that underpins the ACE-Obesity study. Methods The Assessing Cost Effectiveness (ACE) approach combines technical rigour with 'due process' to facilitate evidence-based policy analysis. Technical rigour was achieved through use of standardised evaluation methods, a research team that assembles best available evidence and extensive uncertainty analysis. Cost estimates were based on pathway analysis, with resource usage estimated for the interventions and their 'current practice' comparator, as well as associated cost offsets. Due process was achieved through involvement of stakeholders, consensus decisions informed by briefing papers and 2nd stage filter analysis that captures broader factors that influence policy judgements in addition to cost-effectiveness results. The 2nd stage filters agreed by stakeholders were 'equity', 'strength of the evidence', 'feasibility of implementation', 'acceptability to stakeholders', 'sustainability' and 'potential for side-effects'. Results The intervention costs varied considerably, both in absolute terms (from cost saving [6 interventions] to in excess of AUD50m per annum) and when expressed as a 'cost per child' estimate (from

Can home care services achieve cost savings in long-term care for older people?

PubMed

Greene, V L; Ondrich, J; Laditka, S

1998-07-01

To determine whether efficient allocation of home care services can produce net long-term care cost savings. Hazard function analysis and nonlinear mathematical programming. Optimal allocation of home care services resulted in a 10% net reduction in overall long-term care costs for the frail older population served by the National Long-Term Care (Channeling) Demonstration, in contrast to the 12% net cost increase produced by the demonstration intervention itself. Our findings suggest that the long-sought goal of overall cost-neutrality or even cost-savings through reducing nursing home use sufficiently to more than offset home care costs is technically feasible, but requires tighter targeting of services and a more medically oriented service mix than major home care demonstrations have implemented to date.

Population-based cost-offset analyses for disorder-specific treatment of anorexia nervosa and bulimia nervosa in Germany.

PubMed

Bode, Katharina; Götz von Olenhusen, Nina Maria; Wunsch, Eva-Maria; Kliem, Sören; Kröger, Christoph

2017-03-01

Previous research has shown that anorexia nervosa (AN) and bulimia nervosa (BN) are expensive illnesses to treat. To reduce their economic burden, adequate interventions need to be established. Our objective was to conduct cost-offset analyses for evidence-based treatment of eating disorders using outcome data from a psychotherapy trial involving cognitive behavioral therapy (CBT) and focal psychodynamic therapy (FPT) for AN and a trial involving CBT for BN. Assuming a currently running, ideal healthcare system using a 12-month, prevalence-based approach and varying the willingness to participate in treatment, we investigated whether the potential financial benefits of AN- and BN-related treatment outweigh the therapy costs at the population level. We elaborated on a formula that allows calculating cost-benefit relationships whereby the calculation of the parameters is based on estimates from data of health institutions within the German healthcare system. Additional intangible benefits were calculated with the aid of Quality-Adjusted Life Years. The annual costs of an untreated eating disorder were 2.38 billion EUR for AN and 617.69 million EUR for BN. Independent of the willingness to participate in treatment, the cost-benefit relationships for the treatment remained constant at 2.51 (CBT) and 2.33 (FPT) for AN and 4.05 (CBT) for BN. This consistency implies that for each EUR invested in the treatment, between 2.33 and 4.05 EUR could be saved each year. Our findings suggest that the implementation of evidence-based psychotherapy treatments for AN and BN may achieve substantial cost savings at the population level. © 2017 Wiley Periodicals, Inc.

5 CFR 532.279 - Special wage schedules for printing positions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Opaquer 4 Offset Press Helper 5 Bindery Machine Operator (Helper) 5 Film Assembler-Stripper (Single Flat-Single Color) 5 Platemaker (Single Color) 5 Film Assembler-Stripper (Partial and Composite Flats) 7... Cutter) 8 Bindery Machine Operator (Power Folder) 8 Film Assembler-Stripper (Multiple Flat-Multiple Color...

5 CFR 532.279 - Special wage schedules for printing positions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Opaquer 4 Offset Press Helper 5 Bindery Machine Operator (Helper) 5 Film Assembler-Stripper (Single Flat-Single Color) 5 Platemaker (Single Color) 5 Film Assembler-Stripper (Partial and Composite Flats) 7... Cutter) 8 Bindery Machine Operator (Power Folder) 8 Film Assembler-Stripper (Multiple Flat-Multiple Color...

Cost Effectiveness of Free Access to Smoking Cessation Treatment in France Considering the Economic Burden of Smoking-Related Diseases.

PubMed

Cadier, Benjamin; Durand-Zaleski, Isabelle; Thomas, Daniel; Chevreul, Karine

2016-01-01

In France more than 70,000 deaths from diseases related to smoking are recorded each year, and since 2005 prevalence of tobacco has increased. Providing free access to smoking cessation treatment would reduce this burden. The aim of our study was to estimate the incremental cost-effectiveness ratios (ICER) of providing free access to cessation treatment taking into account the cost offsets associated with the reduction of the three main diseases related to smoking: lung cancer, chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD). To measure the financial impact of such a measure we also conducted a probabilistic budget impact analysis. We performed a cost-effectiveness analysis using a Markov state-transition model that compared free access to cessation treatment to the existing coverage of €50 provided by the French statutory health insurance, taking into account the cost offsets among current French smokers aged 15-75 years. Our results were expressed by the incremental cost-effectiveness ratio in 2009 Euros per life year gained (LYG) at the lifetime horizon. We estimated a base case scenario and carried out a Monte Carlo sensitivity analysis to account for uncertainty. Assuming a participation rate of 7.3%, the ICER value for free access to cessation treatment was €3,868 per LYG in the base case. The variation of parameters provided a range of ICER values from -€736 to €15,715 per LYG. In 99% of cases, the ICER for full coverage was lower than €11,187 per LYG. The probabilistic budget impact analysis showed that the potential cost saving for lung cancer, COPD and CVD ranges from €15 million to €215 million at the five-year horizon for an initial cessation treatment cost of €125 million to €421 million. The results suggest that providing medical support to smokers in their attempts to quit is very cost-effective and may even result in cost savings.

Nonuniformity correction based on focal plane array temperature in uncooled long-wave infrared cameras without a shutter.

PubMed

Liang, Kun; Yang, Cailan; Peng, Li; Zhou, Bo

2017-02-01

In uncooled long-wave IR camera systems, the temperature of a focal plane array (FPA) is variable along with the environmental temperature as well as the operating time. The spatial nonuniformity of the FPA, which is partly affected by the FPA temperature, obviously changes as well, resulting in reduced image quality. This study presents a real-time nonuniformity correction algorithm based on FPA temperature to compensate for nonuniformity caused by FPA temperature fluctuation. First, gain coefficients are calculated using a two-point correction technique. Then offset parameters at different FPA temperatures are obtained and stored in tables. When the camera operates, the offset tables are called to update the current offset parameters via a temperature-dependent interpolation. Finally, the gain coefficients and offset parameters are used to correct the output of the IR camera in real time. The proposed algorithm is evaluated and compared with two representative shutterless algorithms [minimizing the sum of the squares of errors algorithm (MSSE), template-based solution algorithm (TBS)] using IR images captured by a 384×288 pixel uncooled IR camera with a 17 μm pitch. Experimental results show that this method can quickly trace the response drift of the detector units when the FPA temperature changes. The quality of the proposed algorithm is as good as MSSE, while the processing time is as short as TBS, which means the proposed algorithm is good for real-time control and at the same time has a high correction effect.

The potential cost-effectiveness of the Diamondback 360® Coronary Orbital Atherectomy System for treating de novo, severely calcified coronary lesions: an economic modeling approach

PubMed Central

Chambers, Jeffrey; Généreux, Philippe; Lee, Arthur; Lewin, Jack; Young, Christopher; Crittendon, Janna; Mann, Marita; Garrison, Louis P.

2015-01-01

Background: Patients who undergo percutaneous coronary intervention (PCI) for severely calcified coronary lesions have long been known to have worse clinical and economic outcomes than patients with no or mildly calcified lesions. We sought to assess the likely cost-effectiveness of using the Diamondback 360® Orbital Atherectomy System (OAS) in the treatment of de novo, severely calcified lesions from a health-system perspective. Methods and results: In the absence of a head-to-head trial and long-term follow up, cost-effectiveness was based on a modeled synthesis of clinical and economic data. A cost-effectiveness model was used to project the likely economic impact. To estimate the net cost impact, the cost of using the OAS technology in elderly (⩾ 65 years) Medicare patients with de novo severely calcified lesions was compared with cost offsets. Elderly OAS patients from the ORBIT II trial (Evaluate the Safety and Efficacy of OAS in Treating Severely Calcified Coronary Lesions) [ClinicalTrials.gov identifier: NCT01092426] were indirectly compared with similar patients using observational data. For the index procedure, the comparison was with Medicare data, and for both revascularization and cardiac death in the following year, the comparison was with a pooled analysis of the Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction (HORIZONS-AMI)/Acute Catheterization and Urgent Intervention Triage Strategy (ACUITY) trials. After adjusting for differences in age, gender, and comorbidities, the ORBIT II mean index procedure costs were 17% (p < 0.001) lower, approximately US$2700. Estimated mean revascularization costs were lower by US$1240 in the base case. These cost offsets in the first year, on average, fully cover the cost of the device with an additional 1.2% cost savings. Even in the low-value scenario, the use of the OAS is cost-effective with a cost per life-year gained of US$11,895. Conclusions: Based on economic modeling, the recently approved coronary OAS device is projected to be highly cost-effective for patients who undergo PCI for severely calcified lesions. PMID:26702147

The potential cost-effectiveness of the Diamondback 360® Coronary Orbital Atherectomy System for treating de novo, severely calcified coronary lesions: an economic modeling approach.

PubMed

Chambers, Jeffrey; Généreux, Philippe; Lee, Arthur; Lewin, Jack; Young, Christopher; Crittendon, Janna; Mann, Marita; Garrison, Louis P

2016-04-01

Patients who undergo percutaneous coronary intervention (PCI) for severely calcified coronary lesions have long been known to have worse clinical and economic outcomes than patients with no or mildly calcified lesions. We sought to assess the likely cost-effectiveness of using the Diamondback 360(®) Orbital Atherectomy System (OAS) in the treatment of de novo, severely calcified lesions from a health-system perspective. In the absence of a head-to-head trial and long-term follow up, cost-effectiveness was based on a modeled synthesis of clinical and economic data. A cost-effectiveness model was used to project the likely economic impact. To estimate the net cost impact, the cost of using the OAS technology in elderly (⩾ 65 years) Medicare patients with de novo severely calcified lesions was compared with cost offsets. Elderly OAS patients from the ORBIT II trial (Evaluate the Safety and Efficacy of OAS in Treating Severely Calcified Coronary Lesions) [ClinicalTrials.gov identifier: NCT01092426] were indirectly compared with similar patients using observational data. For the index procedure, the comparison was with Medicare data, and for both revascularization and cardiac death in the following year, the comparison was with a pooled analysis of the Harmonizing Outcomes with Revascularization and Stents in Acute Myocardial Infarction (HORIZONS-AMI)/Acute Catheterization and Urgent Intervention Triage Strategy (ACUITY) trials. After adjusting for differences in age, gender, and comorbidities, the ORBIT II mean index procedure costs were 17% (p < 0.001) lower, approximately US$2700. Estimated mean revascularization costs were lower by US$1240 in the base case. These cost offsets in the first year, on average, fully cover the cost of the device with an additional 1.2% cost savings. Even in the low-value scenario, the use of the OAS is cost-effective with a cost per life-year gained of US$11,895. Based on economic modeling, the recently approved coronary OAS device is projected to be highly cost-effective for patients who undergo PCI for severely calcified lesions. © The Author(s), 2015.

Surfactant effects on alpha-factors in aeration systems.

PubMed

Rosso, Diego; Stenstrom, Michael K

2006-04-01

Aeration in wastewater treatment processes accounts for the largest fraction of plant energy costs. Aeration systems function by shearing the surface (surface aerators) or releasing bubbles at the bottom of the tank (coarse- or fine-bubble aerators). Surfactant accumulation on gas-liquid interfaces reduces mass transfer rates, and this reduction in general is larger for fine-bubble aerators. This study evaluates mass transfer effects on the characterization and specification of aeration systems in clean and process water conditions. Tests at different interfacial turbulence regimes show higher gas transfer depression for lower turbulence regimes. Contamination effects can be offset at the expense of operating efficiency, which is characteristic of surface aerators and coarse-bubble diffusers. Results describe the variability of alpha-factors measured at small scale, due to uncontrolled energy density. Results are also reported in dimensionless empirical correlations describing mass transfer as a function of physiochemical and geometrical characteristics of the aeration process.

Methane drainage with horizontal boreholes in advance of longwall mining: an analysis. Final report

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

Gabello, D.P.; Felts, L.L.; Hayoz, F.P.

1981-05-01

The US Department of Energy (DOE) Morgantown Energy Technology Center has implemented a comprehensive program to demonstrate the technical and economic viability of coalbed methane as an energy resource. The program is directed toward solution of technical and institutional problems impeding the recovery and use of large quantities of methane contained in the nation's minable and unminable coalbeds. Conducted in direct support of the DOE Methane Recovery from Coalbeds Project, this study analyzes the economic aspects of a horizontal borehole methane recovery system integrated as part of a longwall mine operation. It establishes relationships between methane selling price and annualmore » mine production, methane production rate, and the methane drainage system capital investment. Results are encouraging, indicating that an annual coal production increase of approximately eight percent would offset all associated drainage costs over the range of methane production rates and capital investments considered.« less

31 CFR 29.516 - Collection of overpayments.

Code of Federal Regulations, 2010 CFR

2010-07-01

... lesser of: (i) The amount of the debt, including any interest, penalties and administrative costs; (ii... PAYMENTS UNDER CERTAIN DISTRICT OF COLUMBIA RETIREMENT PROGRAMS Debt Collection and Waivers of Collection... offset of money due the debtor from the Federal Government including, but not limited to, Federal Benefit...

78 FR 65745 - Agency Information Collection Activities: Proposed Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-01

... benefits as earnings increase. The experimental design for BOND tests a benefit offset alone and in conjunction with enhanced work incentives counseling. The central research questions include: What is the... public survey data collections have four components--an impact study, a cost-benefit analysis, a...

12 CFR 1704.43 - Interest.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Interest. 1704.43 Section 1704.43 Banks and... ORGANIZATION AND FUNCTIONS DEBT COLLECTION Administrative Offset § 1704.43 Interest. OFHEO shall assess interest, penalties, and administrative costs on debts owed to the Federal Government, in accordance with...

Spatial optimization of carbon-stocking projects across Africa integrating stocking potential with co-benefits and feasibility.

PubMed

Greve, Michelle; Reyers, Belinda; Mette Lykke, Anne; Svenning, Jens-Christian

2013-01-01

Carbon offset projects through forestation are employed within the emissions trading framework to store carbon. Yet, information about the potential of landscapes to stock carbon, essential to the design of offset projects, is often lacking. Here, based on data on vegetation carbon, climate and soil, we quantify the potential for carbon storage in woody vegetation across tropical Africa. The ability of offset projects to produce co-benefits for ecosystems and people is then quantified. When co-benefits such as biodiversity conservation are considered, the top-ranked sites are sometimes different to sites selected purely for their carbon-stocking potential, although they still possess up to 92% of the latter carbon-stocking potential. This work provides the first continental-scale assessment of which areas may provide the greatest direct and indirect benefits from carbon storage reforestation projects at the smallest costs and risks, providing crucial information for prioritization of investments in carbon storage projects.

Examination of the operator and compensator tank role in urban wastewater treatment using activated sludge method.

PubMed

Mokhtari Azar, Akbar; Ghadirpour Jelogir, Ali; Nabi Bidhendi, Gholam Reza; Zaredar, Narges

2011-04-01

No doubt, operator is one of the main fundaments in wastewater treatment plants. By identifying the inadequacies, the operator could be considered as an important key in treatment plant. Several methods are used for wastewater treatment that requires spending a lot of cost. However, all investments of treatment facilities are usable when the expected efficiency of the treatment plant was obtained. Using experienced operator, this goal is more easily accessible. In this research, the wastewater of an urban community contaminated with moderated, diluted and highly concentrated pollution has been treated using surface and deep aeration treatment method. Sampling of these pilots was performed during winter 2008 to summer 2009. The results indicate that all analyzed parameters were eliminated using activated sludge and surface aeration methods. However, in activated sludge and deep aeration methods in combination with suitable function of operator, more pollutants could be eliminated. Hence, existence of operator in wastewater treatment plants is the basic principle to achieve considered efficiency. Wastewater treatment system is not intelligent itself and that is the operator who can organize even an inefficient system by its continuous presence. The converse of this fact is also real. Despite the various units and appropriate design of wastewater treatment plant, without an operator, the studied process cannot be expected highly efficient. In places frequently affected by the shock of organic and hydraulic loads, the compensator tank is important to offset the wastewater treatment process. Finally, in regard to microbial parameters, existence of disinfection unit is very useful.

Can carbon offsetting pay for upland ecological restoration?

NASA Astrophysics Data System (ADS)

Worrall, F.

2012-04-01

Upland peat soils represent a large terrestrial carbon store and as such have the potential to be either an ongoing net sink of carbon or a significant net source of carbon. In the UK many upland peats are managed for a range of purposes but these purposes have rarely included carbon stewardship. However, there is now an opportunity to consider whether management practices could be altered to enhance storage of carbon in upland peats. Further, there are now voluntary and regulated carbon trading schemes operational throughout Europe that mean stored carbon, if verified, could have an economic and tradeable value. This means that new income streams could become available for upland management. The 'Sustainable Uplands' RELU project has developed a model for calculating carbon fluxes from peat soils that covers all carbon uptake and release pathways (e.g. fluvial and gaseous pathways). The model has been developed so that the impact of common management options within UK upland peats can be considered. The model was run for a decade from 1997-2006 and applied to an area of 550 km2 of upland peat soils in the Peak District. The study estimates that the region is presently a net sink of -62 Ktonnes CO2 equivalent at an average export of -136 tonnes CO2 equivalent/km2/yr.. If management interventions were targeted across the area the total sink could increase to -160 Ktonnes CO2/yr at an average export of -219 tonnes CO2 equivalent/km2/yr. However, not all interventions resulted in a benefit; some resulted in increased losses of CO2 equivalents. Given present costs of peatland restoration and value of carbon offsets, the study suggests that 51% of those areas, where a carbon benefit was estimated by modelling for targeted action of management interventions, would show a profit from carbon offsetting within 30 years. However, this percentage is very dependent upon the price of carbon used.

Thermal and digestive constraints to foraging behaviour in marine mammals.

PubMed

Rosen, David A S; Winship, Arliss J; Hoopes, Lisa A

2007-11-29

While foraging models of terrestrial mammals are concerned primarily with optimizing time/energy budgets, models of foraging behaviour in marine mammals have been primarily concerned with physiological constraints. This has historically centred on calculations of aerobic dive limits. However, other physiological limits are key to forming foraging behaviour, including digestive limitations to food intake and thermoregulation. The ability of an animal to consume sufficient prey to meet its energy requirements is partly determined by its ability to acquire prey (limited by available foraging time, diving capabilities and thermoregulatory costs) and process that prey (limited by maximum digestion capacity and the time devoted to digestion). Failure to consume sufficient prey will have feedback effects on foraging, thermoregulation and digestive capacity through several interacting avenues. Energy deficits will be met through catabolism of tissues, principally the hypodermal lipid layer. Depletion of this blubber layer can affect both buoyancy and gait, increasing the costs and decreasing the efficiency of subsequent foraging attempts. Depletion of the insulative blubber layer may also increase thermoregulatory costs, which will decrease the foraging abilities through higher metabolic overheads. Thus, an energy deficit may lead to a downward spiral of increased tissue catabolism to pay for increased energy costs. Conversely, the heat generated through digestion and foraging activity may help to offset thermoregulatory costs. Finally, the circulatory demands of diving, thermoregulation and digestion may be mutually incompatible. This may force animals to alter time budgets to balance these exclusive demands. Analysis of these interacting processes will lead to a greater understanding of the physiological constraints within which the foraging behaviour must operate.

Alternate avionics system study and phase B extension

NASA Technical Reports Server (NTRS)

1971-01-01

Results of alternate avionics system studies for the space shuttle are presented that reduce the cost of vehicle avionics without incurring major off-setting costs on the ground. A comprehensive summary is provided of all configurations defined since the completion of the basic Phase B contract and a complete description of the optimized avionics baseline is given. In the new baseline, inflight redundancy management is performed onboard without ground support; utilization of off-the-shelf hardware reduces the cost figure substantially less than for the Phase B baseline. The only functional capability sacrificed in the new approach is automatic landing.

Improved Reliability of SiC Pressure Sensors for Long Term High Temperature Applications

NASA Technical Reports Server (NTRS)

Okojie, R. S.; Nguyen, V.; Savrun, E.; Lukco, D.

2011-01-01

We report advancement in the reliability of silicon carbide pressure sensors operating at 600 C for extended periods. The large temporal drifts in zero pressure offset voltage at 600 C observed previously were significantly suppressed to allow improved reliable operation. This improvement was the result of further enhancement of the electrical and mechanical integrity of the bondpad/contact metallization, and the introduction of studded bump bonding on the pad. The stud bump contact promoted strong adhesion between the Au bond pad and the Au die-attach. The changes in the zero offset voltage and bridge resistance over time at temperature were explained by the microstructure and phase changes within the contact metallization, that were analyzed with Auger electron spectroscopy (AES) and field emission scanning electron microscopy (FE-SEM).

Financial catastrophe, treatment discontinuation and death associated with surgically operable cancer in South-East Asia: Results from the ACTION Study.

PubMed

Jan, Stephen; Kimman, Merel; Peters, Sanne A E; Woodward, Mark

2015-06-01

This study assessed the extent to which individuals with surgically operable cancer in Southeast Asia experience financially catastrophic out-of-pocket costs, discontinuation of treatment, or death. The ACTION study is a prospective, 8-country, cohort study of adult patients recruited consecutively with an initial diagnosis of cancer from public and private hospitals. Participants were interviewed at baseline and 3 months. In this paper, we identified 4,584 participants in whom surgery was indicated in initial treatment plans and assessed the following competing outcomes: death, financial catastrophe (out-of-pocket costs of >30% of annual household income), treatment discontinuation, and hospitalization without financial catastrophe incurred. We then analyzed a range of predictors using a multinomial regression model. Of the participants, 72% were female and 44% had health insurance at baseline. At 3 months, 31% of participants incurred financial catastrophe, 8% had died, 23% had discontinued treatment, and 38% were hospitalized but avoided financial catastrophe. Health insurance status was found to be associated with lower odds of treatment discontinuation (odds ratio [OR], 0.60; 95% CI, 0.47-0.77) relative to hospitalization without financial catastrophe. Women had greater odds of financial catastrophe than men (OR, 1.35; 95% CI, 1.05-1.74), whereas lower socioeconomic status (range of indicators) was generally found to be associated with higher odds of death, treatment discontinuation, and financial catastrophe. Priority should be given to measures such as programs to extend social health insurance to offset the out-of-pocket costs associated with surgery for cancer faced in particular by women, the uninsured, and individuals of low socioeconomic status in Southeast Asia. Copyright © 2015 Elsevier Inc. All rights reserved.

Significant effect of the posterior tibial slope and medial/lateral ligament balance on knee flexion in total knee arthroplasty.

PubMed

Fujimoto, Eisaku; Sasashige, Yoshiaki; Masuda, Yasuji; Hisatome, Takashi; Eguchi, Akio; Masuda, Tetsuo; Sawa, Mikiya; Nagata, Yoshinori

2013-12-01

The intra-operative femorotibial joint gap and ligament balance, the predictors affecting these gaps and their balances, as well as the postoperative knee flexion, were examined. These factors were assessed radiographically after a posterior cruciate-retaining total knee arthroplasty (TKA). The posterior condylar offset and posterior tibial slope have been reported as the most important intra-operative factors affecting cruciate-retaining-type TKAs. The joint gap and balance have not been investigated in assessments of the posterior condylar offset and the posterior tibial slope. The femorotibial gap and medial/lateral ligament balance were measured with an offset-type tensor. The femorotibial gaps were measured at 0°, 45°, 90° and 135° of knee flexion, and various gap changes were calculated at 0°-90° and 0°-135°. Cruciate-retaining-type arthroplasties were performed in 98 knees with varus osteoarthritis. The 0°-90° femorotibial gap change was strongly affected by the posterior condylar offset value (postoperative posterior condylar offset subtracted by the preoperative posterior condylar offset). The 0°-135° femorotibial gap change was significantly correlated with the posterior tibial slope and the 135° medial/lateral ligament balance. The postoperative flexion angle was positively correlated with the preoperative flexion angle, γ angle and the posterior tibial slope. Multiple-regression analysis demonstrated that the preoperative flexion angle, γ angle, posterior tibial slope and 90° medial/lateral ligament balance were significant independent factors for the postoperative knee flexion angle. The flexion angle change (postoperative flexion angle subtracted by the preoperative flexion angle) was also strongly correlated with the preoperative flexion angle, posterior tibial slope and 90° medial/lateral ligament balance. The postoperative flexion angle is affected by multiple factors, especially in cruciate-retaining-type TKAs. However, it is important to pay attention not only to the posterior tibial slope, but also to the flexion medial/lateral ligament balance during surgery. A cruciate-retaining-type TKA has the potential to achieve both stability and a wide range of motion and to improve the patients' activities of daily living.

The Nature of Active Galactic Nuclei with Velocity Offset Emission Lines

NASA Astrophysics Data System (ADS)

Müller-Sánchez, F.; Comerford, J.; Stern, D.; Harrison, F. A.

2016-10-01

We obtained Keck/OSIRIS near-IR adaptive optics-assisted integral-field spectroscopy to probe the morphology and kinematics of the ionized gas in four velocity-offset active galactic nuclei (AGNs) from the Sloan Digital Sky Survey. These objects possess optical emission lines that are offset in velocity from systemic as measured from stellar absorption features. At a resolution of ˜0.″18, OSIRIS allows us to distinguish which velocity offset emission lines are produced by the motion of an AGN in a dual supermassive black hole system, and which are produced by outflows or other kinematic structures. In three galaxies, J1018+2941, J1055+1520, and J1346+5228, the spectral offset of the emission lines is caused by AGN-driven outflows. In the remaining galaxy, J1117+6140, a counterrotating nuclear disk is observed that contains the peak of Paα emission 0.″2 from the center of the galaxy. The most plausible explanation for the origin of this spatially and kinematically offset peak is that it is a region of enhanced Paα emission located at the intersection zone between the nuclear disk and the bar of the galaxy. In all four objects, the peak of ionized gas emission is not spatially coincident with the center of the galaxy as traced by the peak of the near-IR continuum emission. The peaks of ionized gas emission are spatially offset from the galaxy centers by 0.″1-0.″4 (0.1-0.7 kpc). We find that the velocity offset originates at the location of this peak of emission, and the value of the offset can be directly measured in the velocity maps. The emission-line ratios of these four velocity-offset AGNs can be reproduced only with a mixture of shocks and AGN photoionization. Shocks provide a natural explanation for the origin of the spatially and spectrally offset peaks of ionized gas emission in these galaxies. Based on observations at the W. M. Keck Observatory, which is operated as a scientific partnership among the California Institute of Technology, the University of California and the National Aeronautics and Space Administration. The Observatory was made possible by the generous financial support of the W. M. Keck Foundation.

Adaptive offset correction for intracortical brain-computer interfaces.

PubMed

Homer, Mark L; Perge, Janos A; Black, Michael J; Harrison, Matthew T; Cash, Sydney S; Hochberg, Leigh R

2014-03-01

Intracortical brain-computer interfaces (iBCIs) decode intended movement from neural activity for the control of external devices such as a robotic arm. Standard approaches include a calibration phase to estimate decoding parameters. During iBCI operation, the statistical properties of the neural activity can depart from those observed during calibration, sometimes hindering a user's ability to control the iBCI. To address this problem, we adaptively correct the offset terms within a Kalman filter decoder via penalized maximum likelihood estimation. The approach can handle rapid shifts in neural signal behavior (on the order of seconds) and requires no knowledge of the intended movement. The algorithm, called multiple offset correction algorithm (MOCA), was tested using simulated neural activity and evaluated retrospectively using data collected from two people with tetraplegia operating an iBCI. In 19 clinical research test cases, where a nonadaptive Kalman filter yielded relatively high decoding errors, MOCA significantly reduced these errors ( 10.6 ± 10.1% ; p < 0.05, pairwise t-test). MOCA did not significantly change the error in the remaining 23 cases where a nonadaptive Kalman filter already performed well. These results suggest that MOCA provides more robust decoding than the standard Kalman filter for iBCIs.

Time Analyzer for Time Synchronization and Monitor of the Deep Space Network

NASA Technical Reports Server (NTRS)

Cole, Steven; Gonzalez, Jorge, Jr.; Calhoun, Malcolm; Tjoelker, Robert

2003-01-01

A software package has been developed to measure, monitor, and archive the performance of timing signals distributed in the NASA Deep Space Network. Timing signals are generated from a central master clock and distributed to over 100 users at distances up to 30 kilometers. The time offset due to internal distribution delays and time jitter with respect to the central master clock are critical for successful spacecraft navigation, radio science, and very long baseline interferometry (VLBI) applications. The instrument controller and operator interface software is written in LabView and runs on the Linux operating system. The software controls a commercial multiplexer to switch 120 separate timing signals to measure offset and jitter with a time-interval counter referenced to the master clock. The offset of each channel is displayed in histogram form, and "out of specification" alarms are sent to a central complex monitor and control system. At any time, the measurement cycle of 120 signals can be interrupted for diagnostic tests on an individual channel. The instrument also routinely monitors and archives the long-term stability of all frequency standards or any other 1-pps source compared against the master clock. All data is stored and made available for

Costs, payments, and incentives in family planning programs: a review for developing countries.

PubMed

Ross, J A; Isaacs, S L

1988-01-01

Anxieties about financing health and family planning programs have grown in recent years, leading to discussions of cost-recovery measures that would raise charges to the consumer. Yet some governments wish to lower cost to encourage contraceptive use, and a few use incentives and disincentives. Data from numerous developing countries are presented on contraceptive cost topics: charges for contraceptive supplies and services, in both public and private sectors, and conversely, payments made to clients and providers to offset costs and to increase contraceptive use. The data show great diversity, and much inconsistency within countries, indicating that the structures of charges, payments, and incentives in many programs could be improved. Ethical considerations are discussed, and guidelines are suggested for developing effective financial policies.

5 CFR 532.251 - Special rates.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Prevailing Rate Determinations § 532.251 Special rates. (a) A lead agency, with the approval of OPM, may... recruitment or retention of well-qualified personnel when these handicaps are due to any of the following... adequate number of well-qualified persons; (2) The offsetting costs that will be incurred if special rates...

The Contractor as a Participant In Financing Capital Construction.

ERIC Educational Resources Information Center

Herron, Patrick L.

1983-01-01

The school district of Greenville County, South Carolina, needed two new schools, yet had reached the legal limit of its borrowing capacity. By financing the project through the contractor, financing costs were offset by savings from building the schools a year earlier than would otherwise have been possible. (MLF)

Method for extraction of proteins and phosphate minerals from swine manure

USDA-ARS?s Scientific Manuscript database

The recovery of phosphorus and proteins from manure could be advantageous to both offset costs and to improve and lessen the environmental impacts of manure storage and treatment. Phosphorous in manure can contaminate rivers, lakes, and bays through runoff, if applied onto a cropland excessively. Th...

Governing for Results on a Postcollective Bargaining Wisconsin School Board

ERIC Educational Resources Information Center

Ford, Michael R.

2015-01-01

The popular narrative of Wisconsin's collective bargaining battle started out being about money. Should public employees pay more toward their healthcare? Can school districts offset state aid cuts using the additional revenue from employee healthcare contributions? Does collective bargaining have a cost? This article gives an overview of…

A Fresh Approach

ERIC Educational Resources Information Center

Violino, Bob

2011-01-01

Facilities and services are a huge drain on community college budgets. They are also vital to the student experience. As funding dries up across the country, many institutions are taking a team approach, working with partner colleges and private service providers to offset costs and generate revenue without sacrificing the services and amenities…

37 CFR 380.17 - Unclaimed funds.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Unclaimed funds. 380.17... SUBSCRIPTION SERVICES AND THE MAKING OF EPHEMERAL REPRODUCTIONS Broadcasters § 380.17 Unclaimed funds. If the... may apply the unclaimed funds to offset any costs deductible under 17 U.S.C. 114(g)(3). The foregoing...

37 CFR 380.8 - Unclaimed funds.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Unclaimed funds. 380.8... Webcasters § 380.8 Unclaimed funds. If the Collective is unable to identify or locate a Copyright Owner or... expiration of this period, the Collective may apply the unclaimed funds to offset any costs deductible under...

37 CFR 380.8 - Unclaimed funds.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Unclaimed funds. 380.8... SUBSCRIPTION SERVICES AND THE MAKING OF EPHEMERAL REPRODUCTIONS § 380.8 Unclaimed funds. If the Collective is... unclaimed funds to offset any costs deductible under 17 U.S.C. 114(g)(3). The foregoing shall apply...

A Case Study of the Development of an Early Retirement Program for University Faculty.

ERIC Educational Resources Information Center

Chronister, Jay L.; Trainer, Aileen

1985-01-01

To offset declining enrollments, financial constraints, younger faculties, and high tenure ratios, some institutions are considering early retirement programs to facilitate faculty turnover. A University of Virginia faculty committee reviewed several early retirement options and selected a cost-effective bridging program with ample incentives and…

12 CFR 313.26 - Interest.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 5 2014-01-01 2014-01-01 false Interest. 313.26 Section 313.26 Banks and... DEBT COLLECTION Administrative Offset § 313.26 Interest. Pursuant to 31 U.S.C. 3717, the FDIC shall assess interest, penalties and administrative costs on debts owed to the United States. The FDIC is...

12 CFR 313.26 - Interest.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 5 2012-01-01 2012-01-01 false Interest. 313.26 Section 313.26 Banks and... DEBT COLLECTION Administrative Offset § 313.26 Interest. Pursuant to 31 U.S.C. 3717, the FDIC shall assess interest, penalties and administrative costs on debts owed to the United States. The FDIC is...

12 CFR 313.26 - Interest.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 4 2011-01-01 2011-01-01 false Interest. 313.26 Section 313.26 Banks and... DEBT COLLECTION Administrative Offset § 313.26 Interest. Pursuant to 31 U.S.C. 3717, the FDIC shall assess interest, penalties and administrative costs on debts owed to the United States. The FDIC is...

12 CFR 313.26 - Interest.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 5 2013-01-01 2013-01-01 false Interest. 313.26 Section 313.26 Banks and... DEBT COLLECTION Administrative Offset § 313.26 Interest. Pursuant to 31 U.S.C. 3717, the FDIC shall assess interest, penalties and administrative costs on debts owed to the United States. The FDIC is...

3D Printing: current use in facial plastic and reconstructive surgery.

PubMed

Hsieh, Tsung-Yen; Dedhia, Raj; Cervenka, Brian; Tollefson, Travis T

2017-08-01

To review the use of three-dimensional (3D) printing in facial plastic and reconstructive surgery, with a focus on current uses in surgical training, surgical planning, clinical outcomes, and biomedical research. To evaluate the limitations and future implications of 3D printing in facial plastic and reconstructive surgery. Studies reviewed demonstrated 3D printing applications in surgical planning including accurate anatomic biomodels, surgical cutting guides in reconstruction, and patient-specific implants fabrication. 3D printing technology also offers access to well tolerated, reproducible, and high-fidelity/patient-specific models for surgical training. Emerging research in 3D biomaterial printing have led to the development of biocompatible scaffolds with potential for tissue regeneration in reconstruction cases involving significant tissue absence or loss. Major limitations of utilizing 3D printing technology include time and cost, which may be offset by decreased operating times and collaboration between departments to diffuse in-house printing costs SUMMARY: The current state of the literature shows promising results, but has not yet been validated by large studies or randomized controlled trials. Ultimately, further research and advancements in 3D printing technology should be supported as there is potential to improve resident training, patient care, and surgical outcomes.

On the Use of Low-Cost Radar Networks for Collision Warning Systems Aboard Dumpers

PubMed Central

González-Partida, José-Tomás; León-Infante, Francisco; Blázquez-García, Rodrigo; Burgos-García, Mateo

2014-01-01

The use of dumpers is one of the main causes of accidents in construction sites, many of them with fatal consequences. These kinds of work machines have many blind angles that complicate the driving task due to their large size and volume. To guarantee safety conditions is necessary to use automatic aid systems that can detect and locate the different objects and people in a work area. One promising solution is a radar network based on low-cost radar transceivers aboard the dumper. The complete system is specified to operate with a very low false alarm rate to avoid unnecessary stops of the dumper that reduce its productivity. The main sources of false alarm are the heavy ground clutter, and the interferences between the radars of the network. This article analyses the clutter for LFM signaling and proposes the use of Offset Linear Frequency Modulated Continuous Wave (OLFM-CW) as radar signal. This kind of waveform can be optimized to reject clutter and self-interferences. Jointly, a data fusion chain could be used to reduce the false alarm rate of the complete radar network. A real experiment is shown to demonstrate the feasibility of the proposed system. PMID:24577521

On the use of low-cost radar networks for collision warning systems aboard dumpers.

PubMed

González-Partida, José-Tomás; León-Infante, Francisco; Blázquez-García, Rodrigo; Burgos-García, Mateo

2014-02-26

The use of dumpers is one of the main causes of accidents in construction sites, many of them with fatal consequences. These kinds of work machines have many blind angles that complicate the driving task due to their large size and volume. To guarantee safety conditions is necessary to use automatic aid systems that can detect and locate the different objects and people in a work area. One promising solution is a radar network based on low-cost radar transceivers aboard the dumper. The complete system is specified to operate with a very low false alarm rate to avoid unnecessary stops of the dumper that reduce its productivity. The main sources of false alarm are the heavy ground clutter, and the interferences between the radars of the network. This article analyses the clutter for LFM signaling and proposes the use of Offset Linear Frequency Modulated Continuous Wave (OLFM-CW) as radar signal. This kind of waveform can be optimized to reject clutter and self-interferences. Jointly, a data fusion chain could be used to reduce the false alarm rate of the complete radar network. A real experiment is shown to demonstrate the feasibility of the proposed system.

Those conversion blues.

PubMed

Forgione, D A

1999-01-01

With the ever-increasing market penetration of capitated payment systems throughout health care markets, average payment rates for health services have dropped correspondingly. At the same time, the added competitive pressures from managed care organizations have served to increase the demand for new capital investment in information systems, lower cost facilities, and innovative modes for delivering all types of health care services. As a result, many nonprofit health care organizations have converted, or have attempted to convert, to for-profit status in an effort to gain access to the public equity capital markets. As hospitals, Blue Cross and Blue Shield organizations, and other nonprofit health care organizations across the U.S. seek to convert to for-profit status, they are finding the path is not easy. Access to capital, operating efficiencies, and the need to accelerate movement into new markets are offset by public benefit obligations, potential private inurement, and significant political cost issues. The bottom line is whether the conversion will be structured to both protect the public interest and allow the health care organization the flexibility and access to capital it needs in order to continue as a viable, competitive organization into the next millennium.

Comparison of high-speed rail and maglev system costs

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

Rote, D.M.

1998-07-01

This paper compares the two modes of transportation, and notes important similarities and differences in the technologies and in how they can be implemented to their best advantage. Problems with making fair comparisons of the costs and benefits are discussed and cost breakdowns based on data reported in the literature are presented and discussed in detail. Cost data from proposed and actual construction projects around the world are summarized and discussed. Results from the National Maglev Initiative and the recently-published Commercial Feasibility Study are included in the discussion. Finally, estimates will be given of the expected cost differences between HSRmore » and maglev systems implemented under simple and complex terrain conditions. The extent to which the added benefits of maglev technology offset the added costs is examined.« less

The cost-effectiveness of removing television advertising of high-fat and/or high-sugar food and beverages to Australian children.

PubMed

Magnus, A; Haby, M M; Carter, R; Swinburn, B

2009-10-01

To model the health benefits and cost-effectiveness of banning television (TV) advertisements in Australia for energy-dense, nutrient-poor food and beverages during children's peak viewing times. Benefits were modelled as changes in body mass index (BMI) and disability-adjusted life years (DALYs) saved. Intervention costs (AUD$) were compared with future health-care cost offsets from reduced prevalence of obesity-related health conditions. Changes in BMI were assumed to be maintained through to adulthood. The comparator was current practice, the reference year was 2001, and the discount rate for costs and benefits was 3%. The impact of the withdrawal of non-core food and beverage advertisements on children's actual food consumption was drawn from the best available evidence (a randomized controlled trial of advertisement exposure and food consumption). Supporting evidence was found in ecological relationships between TV advertising and childhood obesity, and from the effects of marketing bans on other products. A Working Group of stakeholders provided input into decisions surrounding the modelling assumptions and second-stage filters of 'strength of evidence', 'equity', 'acceptability to stakeholders', 'feasibility of implementation', 'sustainability' and 'side-effects'. The intervention had a gross incremental cost-effectiveness ratio of AUD$ 3.70 (95% uncertainty interval (UI) $2.40, $7.70) per DALY. Total DALYs saved were 37 000 (95% UI 16,000, 59,000). When the present value of potential savings in future health-care costs was considered (AUD$ 300m (95% UI $130m, $480m), the intervention was 'dominant', because it resulted in both a health gain and a cost offset compared with current practice. Although recognizing the limitations of the available evidence, restricting TV food advertising to children would be one of the most cost-effective population-based interventions available to governments today. Despite its economic credentials from a public health perspective, the initiative is strongly opposed by food and advertising industries and is under review by the current Australian government.

Using Engine Thrust for Emergency Flight Control: MD-11 and B-747 Results

NASA Technical Reports Server (NTRS)

Burcham, Frank W., Jr.; Maine, Trindel A.; Burken, John J.; Bull, John

1998-01-01

With modern digital control systems, using engine thrust for emergency flight control to supplement or replace failed aircraft normal flight controls has become a practical consideration. The NASA Dryden Flight Research Center has developed a propulsion-controlled aircraft (PCA) system in which computer-controlled engine thrust provides emergency flight control. An F-15 and an MD-11 airplane have been landed without using any flight control surfaces. Preliminary studies have also been conducted that show that engines on only one wing can provide some flight control capability if the lateral center of gravity can be shifted toward the side of the airplane that has the operating engine(s). Simulator tests of several airplanes with no flight control surfaces operating and all engines out on the left wing have all shown positive control capability within the available range of lateral center-of-gravity offset. Propulsion-controlled aircraft systems that can operate without modifications to engine control systems, thus allowing PCA technology to be installed on less capable airplanes or at low cost, are also desirable. Further studies have examined simplified 'PCA Lite' and 'PCA Ultralite' concepts in which thrust control is provided by existing systems such as auto-throttles or a combination of existing systems and manual pilot control.

Future Challenges for the Arab World: The Implications of Demographic and Economic Trends

DTIC Science & Technology

2011-01-01

the reduction in U.S. consumption of fossil fuels. • In its role as a board member of both the World Bank and the International Mone - tary Fund, the...rents and utilities , thus offsetting the costs of bearing more children. The incentive structure created by these policies explain, in part, the...in sustainable water utilization on a region-wide basis. Key policy measures include setting prices so as to cover full costs of the water and to

Beyond the Reagan tax proposal: hospital capital management strategies.

PubMed

Harris, J P

1985-11-01

If Reagan's tax proposal is implemented, low-cost tax-exempt revenue bonds, advance refunding, and the investment tax credit would be eliminated. Such possibilities could cause a serious blow to the hospital industry--the cost of capital could rise significantly, the hospital's ability to manage debt could decrease, and joint ventures could become less attractive. However, in light of the known elements in Reagan's proposal, certain financing strategies can be adopted immediately that will help offset these possibilities and help ensure long-term survival.

The Incidence of the Healthcare Costs of Obesity

PubMed Central

Bhattacharya, Jay; Bundorf, M. Kate

2013-01-01

Who pays the healthcare costs associated with obesity? Among workers, this is largely a question of the incidence of the costs of employer-sponsored coverage. Using data from the National Longitudinal Survey of Youth and the Medical Expenditure Panel Survey, we find that the incremental healthcare costs associated with obesity are passed on to obese workers with employer-sponsored health insurance in the form of lower cash wages. Obese workers without employer-sponsored insurance do not have a wage offset relative to their non-obese counterparts. A substantial part of the lower wages among obese women attributed to labor market discrimination can be explained by their higher health insurance premiums. PMID:19433210

Thermal energy storage for smart grid applications

NASA Astrophysics Data System (ADS)

Al-Hallaj, Said; Khateeb, Siddique; Aljehani, Ahmed; Pintar, Mike

2018-01-01

Energy consumption for commercial building cooling accounts for 15% of all commercial building's electricity usage [1]. Electric utility companies charge their customers time of use consumption charges (/kWh) and additionally demand usage charges (/kW) to limit peak energy consumption and offset their high operating costs. Thus, there is an economic incentive to reduce both the electricity consumption charges and demand charges by developing new energy efficient technologies. Thermal energy storage (TES) systems using a phase change material (PCM) is one such technology that can reduce demand charges and shift the demand from on-peak to off-peak rates. Ice and chilled water have been used in thermal storage systems for many decades, but they have certain limitations, which include a phase change temperature of 0 degrees Celsius and relatively low thermal conductivity in comparison to other materials, which limit their applications as a storage medium. To overcome these limitations, a novel phase change composite (PCC) TES material was developed that has much higher thermal conductivity that significantly improves the charge / discharge rate and a customizable phase change temperature to allow for better integration with HVAC systems. Compared to ice storage, the PCC TES system is capable of very high heat transfer rate and has lower system and operational costs. Economic analysis was performed to compare the PCC TES system with ice system and favorable economics was proven. A 4.5 kWh PCC TES prototype system was also designed for testing and validation purpose.

Towards a comprehensive greenhouse gas emissions inventory for biosolids.

PubMed

Alvarez-Gaitan, J P; Short, Michael D; Lundie, Sven; Stuetz, Richard

2016-06-01

Effective handling and treatment of the solids fraction from advanced wastewater treatment operations carries a substantial burden for water utilities relative to the total economic and environmental impacts from modern day wastewater treatment. While good process-level data for a range of wastewater treatment operations are becoming more readily available, there remains a dearth of high quality operational data for solids line processes in particular. This study seeks to address this data gap by presenting a suite of high quality, process-level life cycle inventory data covering a range of solids line wastewater treatment processes, extending from primary treatment through to biosolids reuse in agriculture. Within the study, the impacts of secondary treatment technology and key parameters such as sludge retention time, activated sludge age and primary-to-waste activated sludge ratio (PS:WAS) on the life cycle inventory data of solids processing trains for five model wastewater treatment plant configurations are presented. BioWin(®) models are calibrated with real operational plant data and estimated electricity consumption values were reconciled against overall plant energy consumption. The concept of "representative crop" is also introduced in order to reduce the uncertainty associated with nitrous oxide emissions and soil carbon sequestration offsets under biosolids land application scenarios. Results indicate that both the treatment plant biogas electricity offset and the soil carbon sequestration offset from land-applied biosolids, represent the main greenhouse gas mitigation opportunities. In contrast, fertiliser offsets are of relatively minor importance in terms of the overall life cycle emissions impacts. Results also show that fugitive methane emissions at the plant, as well as nitrous oxide emissions both at the plant and following agricultural application of biosolids, are significant contributors to the overall greenhouse gas balance and combined are higher than emissions associated with transportation. Sensitivity analyses for key parameters including digester PS:WAS and sludge retention time, and assumed biosolids nitrogen content and agricultural availability also provide additional robustness and comprehensiveness to our inventory data and will facilitate more customised user analyses. Copyright © 2016 Elsevier Ltd. All rights reserved.

Improved dichotomous search frequency offset estimator for burst-mode continuous phase modulation

NASA Astrophysics Data System (ADS)

Zhai, Wen-Chao; Li, Zan; Si, Jiang-Bo; Bai, Jun

2015-11-01

A data-aided technique for carrier frequency offset estimation with continuous phase modulation (CPM) in burst-mode transmission is presented. The proposed technique first exploits a special pilot sequence, or training sequence, to form a sinusoidal waveform. Then, an improved dichotomous search frequency offset estimator is introduced to determine the frequency offset using the sinusoid. Theoretical analysis and simulation results indicate that our estimator is noteworthy in the following aspects. First, the estimator can operate independently of timing recovery. Second, it has relatively low outlier, i.e., the minimum signal-to-noise ratio (SNR) required to guarantee estimation accuracy. Finally, the most important property is that our estimator is complexity-reduced compared to the existing dichotomous search methods: it eliminates the need for fast Fourier transform (FFT) and modulation removal, and exhibits faster convergence rate without accuracy degradation. Project supported by the National Natural Science Foundation of China (Grant No. 61301179), the Doctorial Programs Foundation of the Ministry of Education, China (Grant No. 20110203110011), and the Programme of Introducing Talents of Discipline to Universities, China (Grant No. B08038).

Core break-off mechanism

NASA Technical Reports Server (NTRS)

Myrick, Thomas M. (Inventor)

2003-01-01

A mechanism for breaking off and retaining a core sample of a drill drilled into a ground substrate has an outer drill tube and an inner core break-off tube sleeved inside the drill tube. The break-off tube breaks off and retains the core sample by a varying geometric relationship of inner and outer diameters with the drill tube. The inside diameter (ID) of the drill tube is offset by a given amount with respect to its outer diameter (OD). Similarly, the outside diameter (OD) of the break-off tube is offset by the same amount with respect to its inner diameter (ID). When the break-off tube and drill tube are in one rotational alignment, the two offsets cancel each other such that the drill can operate the two tubes together in alignment with the drill axis. When the tubes are rotated 180 degrees to another positional alignment, the two offsets add together causing the core sample in the break-off tube to be displaced from the drill axis and applying shear forces to break off the core sample.

Economic Impacts of Climate Change on Winter Tourism: Challenges for Ski Area Operators

NASA Astrophysics Data System (ADS)

Damm, A.; Köberl, J.; Prettenthaler, F.; Töglhofer, C.

2012-04-01

Increasing temperatures and snow scarce winter seasons pose a big challenge for the winter tourism industry. Changing natural snow reliability influences tourism demand and ski area operators are faced with an enhanced need of technical snow production. The goal of the present research work is to analyze the economic effects of technical snow production under future climate conditions. Snowmaking as an adaptation strategy to climate change impacts on the ski tourism industry is already taken into consideration in several studies from a scientific perspective concerning snowmaking potentials under future climate conditions and the impacts on ski season length (e.g. Scott et al. 2003; Scott & McBoyle 2007; Hennessy et al. 2008; Steiger 2010). A few studies considered economic aspects of technical snowmaking (e.g. Teich et al. 2007; Gonseth 2008). However, a detailed analysis of the costs and benefits of snowmaking under future climate and snow conditions based on sophisticated climate and snow models has not been carried out yet. The present study addresses the gap of knowledge concerning the economic profitability of prospective snowmaking requirements under future climate scenarios. We carry out a detailed cost-revenue analysis of snowmaking under current and future climate conditions for a case study site in Styria (Austria) using dynamic investment models. The starting point of all economic calculations is the daily demand for artificial snow that determines the requirements for additional snowmaking investments and additional operating costs. The demand for artificial snow is delivered by the snow cover model AMUNDSEN (see Strasser et al. 2011) and is driven by four climate scenarios. Apart from future climate conditions the profitability of snowmaking depends on changes in costs and visitor numbers. The results of a ski tourism demand model analyzing daily visitor numbers and their dependencies of prevailing weather conditions enter the cost-revenue analysis of snowmaking and enable the determination of the immediate benefits in terms of additional revenues of ski ticket sales. Furthermore, we conduct an econometric analysis of how snowmaking investments changed ski ticket prices in previous years, as the positive effects of snowmaking on snow reliability could be offset in the longer term by the effects of higher prices for skiing, possibly resulting in lower demand.

Use of Individual Flight Corridors to Avoid Vortex Wakes

NASA Technical Reports Server (NTRS)

Rossow, Vernon J.

2001-01-01

Vortex wakes of aircraft pose a hazard to following aircraft until the energetic parts of their flow fields have decayed to a harmless level. It is suggested here that in-trail spacings between aircraft can be significantly and safely reduced by designing an individual, vortex-free flight corridor for each aircraft. Because each aircraft will then have its own flight corridor, which is free of vortex wakes while in use by the assigned aircraft, the time intervals between aircraft operations can be safely reduced to the order of seconds. The productivity of airports can then be substantially increased. How large the offset distances between operational corridors need to be to have them vortex free, and how airports need to be changed to accommodate an individual flight-corridor process for landing and takeoff operations, are explored. Estimates are then made of the productivity of an individual flight-corridor system as a function of the in-trail time interval between operations for various values of wake decay time, runway width, and the velocity of a sidewind. The results confirm the need for short time intervals between aircraft operations if smaller offset distances and increased productivity are to be achieved.

Nonoperating revenue and hospital financial performance: do hospitals rely on income from nonpatient care activities to offset losses on patient care?

PubMed

Singh, Simone R; Song, Paula H

2013-01-01

For many years, hospitals have relied on nonpatient care activities to complement patient care revenues and strengthen financial performance. For hospitals that lose money on patient care, nonpatient care revenues may mean the difference between net income and loss. Little is known currently, however, about whether nonpatient care revenues allow hospitals with negative patient care margins to offset their losses. The aims of this study are (a) to examine whether hospitals rely on income from nonpatient care activities to offset losses on patient care and (b) to identify characteristics of hospitals that are able to offset such losses. Data for this study came from the state of California. The sample consisted of not-for-profit and investor-owned short-term general acute care hospitals for the years 2003-2007. Descriptive statistics were used to compare hospitals with negative patient care margins that were able to offset patient care losses to hospitals that were unable to do so. Between 2003 and 2007, approximately 40% of study hospitals lost money on patient care. Of these, only 25% relied on nonpatient care income to offset losses. Hospitals that were able to offset patient care losses tended to be larger, not-for-profit organizations that were able to generate substantial shares of their total revenues from nonpatient care activities, in particular, charitable donations and financial investments. Despite claims that income from nonpatient care activities frequently allows hospitals to offset patient care losses, this study showed that only a small proportion of hospitals were able to do so. The financial viability of hospitals with negative patient care margins will thus depend on their ability to (a) deliver high-quality care profitably, (b) derive income from other operating activities, and (c) generate income from financial investments and engage in active development efforts to increase donations and gifts.

A proactive outreach intervention that decreases readmission after hepatectomy.

PubMed

Narula, Nisha; Kim, Bradford J; Davis, Catherine H; Dewhurst, Whitney L; Samp, Leigh A; Aloia, Thomas A

2018-04-01

After hepatectomy, 7%-19% of patients are readmitted within 30 days, accounting for substantial cost and poor patient experience. The purpose of this study was to analyze the impact of a proactive outreach intervention on readmissions. Consecutive patients undergoing hepatectomy by a single surgeon 2012-2016 were identified in a prospectively maintained database. In August 2013 a postoperative intervention was implemented; an advanced practice provider called each patient within 72 hours of discharge. Readmission rates were compared pre- and postintervention using standard statistics. Two hundred thirty-one patients met the inclusion criteria and major hepatectomy was performed in 45.5% of patients. Although the complication rate was similar (25.0% preintervention and 19.4% postintervention, P = .324), readmissions within 30 days of operation decreased from 14.5% pre- to 6.5% postintervention (P = .046). Approximately 30% of outreach interactions required outpatient intervention. Factors associated with readmission on univariate analysis included increased operative time (P = .007), major hepatectomy (P = .012), hemi or extended hepatectomy (P = .032), second stage operation (P = .031), bile leak (P = 0.022), and any complication/modified Accordion complication ≥ 3 within 30 days (P <.0001). On multivariate analysis, lack of post-discharge intervention (P = .012) and bile leak (P = .031) were independently associated with readmission. These data demonstrate the efficacy of a proactive communication intervention after discharge to decrease readmissions after hepatectomy. The additional work created by the intervention is likely offset by decreased inpatient care needs and costs. Identification of high-risk populations and application of technology are likely to lead to further improvements. Copyright © 2017 Elsevier Inc. All rights reserved.

Low Temperature Testing of a Radiation Hardened CMOS 8-Bit Flash Analog-to-Digital (A/D) Converter

NASA Technical Reports Server (NTRS)

Gerber, Scott S.; Hammond, Ahmad; Elbuluk, Malik E.; Patterson, Richard L.; Overton, Eric; Ghaffarian, Reza; Ramesham, Rajeshuni; Agarwal, Shri G.

2001-01-01

Power processing electronic systems, data acquiring probes, and signal conditioning circuits are required to operate reliably under harsh environments in many of NASA:s missions. The environment of the space mission as well as the operational requirements of some of the electronic systems, such as infrared-based satellite or telescopic observation stations where cryogenics are involved, dictate the utilization of electronics that can operate efficiently and reliably at low temperatures. In this work, radiation-hard CMOS 8-bit flash A/D converters were characterized in terms of voltage conversion and offset in the temperature range of +25 to -190 C. Static and dynamic supply currents, ladder resistance, and gain and offset errors were also obtained in the temperature range of +125 to -190 C. The effect of thermal cycling on these properties for a total of ten cycles between +80 and - 150 C was also determined. The experimental procedure along with the data obtained are reported and discussed in this paper.

Orthogonal fluxgate mechanism operated with dc biased excitation

NASA Astrophysics Data System (ADS)

Sasada, I.

2002-05-01

A mode of operation is presented for an orthogonal fluxgate built with a thin magnetic wire. By adding a proper dc bias to the wire excitation, the new mode is easily established. In this case, the fundamental component of the induced voltage at the sensing coil (secondary voltage) is made sensitive to the axial magnetic field, compared to the second harmonic in a conventional orthogonal fluxgate. The operating principle is explained using a magnetization rotation model. A method is proposed to cancel the offset that is inevitable when the magnetic anisotropy is present in a magnetic wire at an angle to its circumference. Experimental results are shown for a sensor head consisting of a 2-cm-long Co-based amorphous wire 120 μm in diameter with a 220-turn sensing coil. The sensitivity obtained is higher than that obtained using a conventional type of the orthogonal fluxgate built with the same sensor head. It is also demonstrated that the proposed method for canceling the offset works well.

ATLAS trigger operations: Upgrades to ``Xmon'' rate prediction system

NASA Astrophysics Data System (ADS)

Myers, Ava; Aukerman, Andrew; Hong, Tae Min; Atlas Collaboration

2017-01-01

We present ``Xmon,'' a tool to monitor trigger rates in the Control Room of the ATLAS Experiment. We discuss Xmon's recent (1) updates, (2) upgrades, and (3) operations. (1) Xmon was updated to modify the tool written for the three-level trigger architecture in Run-1 (2009-2012) to adapt to the new two-level system for Run-2 (2015-current). The tool takes as input the beam luminosity to make a rate prediction, which is compared with incoming rates to detect anomalies that occur both globally throughout a run and locally within a run. Global offsets are more commonly caught by the predictions based upon past runs, where offline processing allows for function adjustments and fit quality through outlier rejection. (2) Xmon was upgraded to detect local offsets using on-the-fly predictions, which uses a sliding window of in-run rates to make predictions. (3) Xmon operations examples are given. Future work involves further automation of the steps to provide the predictive functions and for alerting shifters.

Cost-benefit analysis of targeted hearing directed early testing for congenital cytomegalovirus infection.

PubMed

Bergevin, Anna; Zick, Cathleen D; McVicar, Stephanie Browning; Park, Albert H

2015-12-01

In this study, we estimate an ex ante cost-benefit analysis of a Utah law directed at improving early cytomegalovirus (CMV) detection. We use a differential cost of treatment analysis for publicly insured CMV-infected infants detected by a statewide hearing-directed CMV screening program. Utah government administrative data and multi-hospital accounting data are used to estimate and compare costs and benefits for the Utah infant population. If antiviral treatment succeeds in mitigating hearing loss for one infant per year, the public savings will offset the public costs incurred by screening and treatment. If antiviral treatment is not successful, the program represents a net cost, but may still have non-monetary benefits such as accelerated achievement of diagnostic milestones. The CMV education and treatment program costs are modest and show potential for significant cost savings. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

The Extravehicular Suit Impact Load Attenuation Study for Use in Astronaut Bone Fracture Prediction

NASA Technical Reports Server (NTRS)

Lewandowski, Beth E.; Gilkey, Kelly M.; Sulkowski, Christina M.; Samorezov, Sergey; Myers, Jerry G.

2011-01-01

The NASA Integrated Medical Model (IMM) assesses the risk, including likelihood and impact of occurrence, of all credible in-flight medical conditions. Fracture of the proximal femur is a traumatic injury that would likely result in loss of mission if it were to happen during spaceflight. The low gravity exposure causes decreases in bone mineral density which heightens the concern. Researchers at the NASA Glenn Research Center have quantified bone fracture probability during spaceflight with a probabilistic model. It was assumed that a pressurized extravehicular activity (EVA) suit would attenuate load during a fall, but no supporting data was available. The suit impact load attenuation study was performed to collect analogous data. METHODS: A pressurized EVA suit analog test bed was used to study how the offset, defined as the gap between the suit and the astronaut s body, impact load magnitude and suit operating pressure affects the attenuation of impact load. The attenuation data was incorporated into the probabilistic model of bone fracture as a function of these factors, replacing a load attenuation value based on commercial hip protectors. RESULTS: Load attenuation was more dependent on offset than on pressurization or load magnitude, especially at small offsets. Load attenuation factors for offsets between 0.1 - 1.5 cm were 0.69 +/- 0.15, 0.49 +/- 0.22 and 0.35 +/- 0.18 for mean impact forces of 4827, 6400 and 8467 N, respectively. Load attenuation factors for offsets of 2.8 - 5.3 cm were 0.93 +/- 0.2, 0.94 +/- 0.1 and 0.84 +/- 0.5, for the same mean impact forces. Reductions were observed in the 95th percentile confidence interval of the bone fracture probability predictions. CONCLUSIONS: The reduction in uncertainty and improved confidence in bone fracture predictions increased the fidelity and credibility of the fracture risk model and its benefit to mission design and operational decisions.

5 CFR 532.279 - Special wage schedules for printing positions.

Code of Federal Regulations, 2010 CFR

2010-01-01

...-Single Color) 5 Platemaker (Single Color) 5 Film Assembler-Stripper (Partial and Composite Flats) 7... Operator (35-45 and Larger) 10 Offset Photographer (Halftone) 10 Negative Engraver 10 Bookbinder 10...

The budget impact of introducing delayed-release dimethyl fumarate for treatment of relapse-remitting multiple sclerosis in Canada.

PubMed

Dorman, Emily; Kansal, Anuraag R; Sarda, Sujata

2015-01-01

Multiple sclerosis (MS) causes significant disability globally and is especially prevalent in Canada. Delayed-release dimethyl fumarate (DMF; also known as gastro-resistant DMF) is an orally administered disease-modifying treatment (DMT) for patients with relapsing-remitting MS (RRMS) that is currently on the market in the US, Australia, Canada, and Europe. A budget impact model (BIM) was developed to assess the financial consequences of introducing DMF for treatment of RRMS in Canada. A BIM calculated the financial consequences of introducing DMF in Canada over 3 years based on RRMS prevalence, treatment market share, and clinical effects. RRMS prevalence in Canada was derived from published literature and natural relapse rates, and disease state distribution from clinical trial data. It was conservatively assumed that 100% of RRMS patients were treated with a DMT. DMF was assumed to absorb market share proportionally from the following current treatments: interferon beta-1a-IM, interferon beta-1a-SC, interferon beta-1b, and glatiramer acetate. Treatment efficacy, in terms of relapse rate reductions and treatment discontinuation rates, was determined from mixed treatment comparison. Treatment costs (including costs of acquisition, monitoring, and administration) and cost of relapse were considered. Deterministic one-way sensitivity analyses were conducted to assess the most sensitive input parameters. Over 3 years, the introduction of DMF resulted in an average annual increase of CAD417 per treated patient per year, with reductions in costs associated with relapses (CAD192/patient/year) partially offsetting increased drug acquisition costs (CAD602/patient/year). On a population level, the average annual cost increase was CAD24,654,237, a CAD 0.68 increase per population covered by the Canadian healthcare system. The main drivers of budget impact were drop-out rates, proportion of RRMS patients treated, and market share assumptions. The acquisition costs of DMF for treatment of RRMS are predicted to be partially offset by reduced costs of relapses in the Canadian healthcare system.

Pre-operative digital templating in cemented hip hemiarthroplasty for neck of femur fractures.

PubMed

Kwok, Iris H Y; Pallett, Scott J C; Massa, Edward; Cundall-Curry, Duncan; Loeffler, Mark D

2016-03-01

Pre-operative digital templating allows the surgeon to foresee any anatomical anomalies which may lead to intra-operative problems, and anticipate appropriate instruments and implants required during surgery. Although its role is well-established in successful elective total hip arthroplasty, little work has been done on its use in hip hemiarthroplasty in neck of femur fractures. We describe our initial experience of digital templating in 40 consecutive patients who have undergone cemented hip hemiarthroplasty, assessing templating accuracy between templated implant sizes to actual implant sizes. 81% of implanted heads were templated to within two head sizes, and 89% of implanted stems were templated to within two sizes. Although there was a moderately strong correlation of 0.52 between templated and actual head sizes, this correlation was not demonstrated in femoral stem sizes. Mean leg length discrepancy was -2.5mm (S.D. 8.5), and the mean difference in femoral offset between the operated and non-operated hip was -1mm (S.D. 4.4). Digital templating is a useful adjunct to the surgeon in pre-operative planning of hip hemiarthroplasty in the restoration of leg length and femoral offset. However, its accuracy is inferior to that of elective total hip arthroplasty. Copyright © 2016 Elsevier Ltd. All rights reserved.

Grazing winter rye cover crop in a cotton no-till system: yield and economics

USDA-ARS?s Scientific Manuscript database

Winter cover crop adoption in conservation management systems continues to be limited in the US but could be encouraged if establishment costs could be offset. A 4-yr field experiment was conducted near Watkinsville, Georgia in which a rye (Secale cereale L.) cover crop was either grazed by catt...

Energy Conservation in Small Schools. Small Schools Digest.

ERIC Educational Resources Information Center

Gardener, Clark

Information concerning methods and available materials for conserving energy is needed by small, rural schools to offset continued increasing energy costs and lack of financial support and technical assistance. The first step in developing an energy conservation policy is to obtain school board commitment and to establish an energy saving policy.…

25 CFR 26.14 - What or who is a service provider?

Code of Federal Regulations, 2010 CFR

2010-04-01

... offset the cost of vocational or technical training (at approved places), or immediate job placement... 25 Indians 1 2010-04-01 2010-04-01 false What or who is a service provider? 26.14 Section 26.14 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR HUMAN SERVICES JOB PLACEMENT AND TRAINING...

The Neglected Case of the "W": Waste or Wisdom?

ERIC Educational Resources Information Center

Ramachandran, Sridhar; Wyandotte, Annette

2016-01-01

Institutional withdrawal policies allow students with academic and personal difficulties to avert or minimize damage to the GPA by dropping a course in which they may risk a grade of "D" or "F," or to reduce credit hours to better manage those that remain. Offsetting costs involve lost tuition, delay of progress, and perhaps…

48 CFR 15.407-1 - Defective certified cost or pricing data.

Code of Federal Regulations, 2010 CFR

2010-10-01

... contracting officer shall immediately bring the matter to the attention of the prospective contractor, whether... bring the character of the data to the attention of the contracting officer; (iii) The contract was... change order). (5) An offset shall be allowed only in an amount supported by the facts and if the...

76 FR 22427 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-21

... options to help the Exchange offset some of the costs and expenses associated with new product research... expenses expended for product research and development and ongoing maintenance is appropriate and will enable the Exchange to continue its longstanding leadership role in options product innovation. The...

75 FR 65046 - Agency Information Collection Activities: Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-21

... benefits as earnings increase. The experimental design for BOND will test a benefit offset alone and in... proposed public survey data collections will have four components--an impact study, a cost-benefit analysis..., 2010 at 75 FR 49013. Average burden Survey Number of Frequency of Number of per response Total annual...

From Burdens to Benefits: The Societal Impact of PDL-Enriched, Efficacy-Enhanced Educators

ERIC Educational Resources Information Center

Shaha, Steven H.; Glassett, Kelly F.; Rosenlund, David; Copas, Aimee; Huddleston, T. Lisa

2016-01-01

Societies continue to absorb increased burdens in cost for helping citizens unable to achieve at optimal levels. Building on past research, we project educational benefits to offset current societal burdens through enhanced educator capabilities. Studies reviewed show participation in a high-impact professional development and learning solution…

From sink to source: Regional variation in U.S. forest carbon futures

Treesearch

Dave Wear; John W. Coulston

2015-01-01

The sequestration of atmospheric carbon (C) in forests has partially offset C emissions in the United States (US) and might reduce overall costs of achieving emission targets, especially while transportation and energy sectors are transitioning to lower-carbon technologies. Using detailed forest inventory data for the conterminous US, we estimate...

Six Habits of the Highly Effective E-Rate Applicant

ERIC Educational Resources Information Center

Harrington, John

2011-01-01

Since its inception in 1997, the Schools and Libraries Program of the Federal Communications Commission's Universal Service Fund, more commonly known as E-Rate, has committed more than $30 billion to offset the cost of certain digital and telecommunication services and products that are essential for schools and libraries to receive…

76 FR 15025 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated: Notice of Filing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-18

... rate of $.01 per contract applies for crossed orders.\\6\\ These fees help to offset the Exchange's costs... SECURITIES AND EXCHANGE COMMISSION [Release No. 34-64070; File No. SR-CBOE-2011-022] Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated: Notice of Filing and Immediate...

PR for Pennies: Low-Cost Library Public Relations.

ERIC Educational Resources Information Center

Baeckler, Virginia Van Wynen

This manual is designed to demystify a number of public relations techniques for those who wish to start producing their own materials with a minimum of time and money. Chapters focus on public relations; the library stereotype; words, ideas, and pictures; offset printing; creative print distribution; exhibits and posters; public speaking; and the…

75 FR 46899 - Agency Information Collection Activities: Proposed Collection; Comment Request-In-Depth Case...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-04

... conduct interviews of SNAP staff at all levels, visit multiple local offices, hold focus groups with... vendors that contract with State SNAP agencies. Tailored protocols will be used for the interviews... States will receive remuneration of $75,000 to offset the costs of participating in the study. Interview...

37 CFR 380.27 - Unclaimed funds.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Unclaimed funds. 380.27... Unclaimed funds. If the Collective is unable to identify or locate a Copyright Owner or Performer who is... period, the Collective may apply the unclaimed funds to offset any costs deductible under 17 U.S.C. 114(g...

37 CFR 384.8 - Unclaimed funds.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Unclaimed funds. 384.8... ESTABLISHMENT SERVICES § 384.8 Unclaimed funds. If a Collective is unable to identify or locate a Copyright... this period, the Collective may apply the unclaimed funds to offset any costs deductible under 17 U.S.C...

37 CFR 384.8 - Unclaimed funds.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Unclaimed funds. 384.8... ESTABLISHMENT SERVICES § 384.8 Unclaimed funds. If a Collective is unable to identify or locate a Copyright... this period, the Collective may apply the unclaimed funds to offset any costs deductible under 17 U.S.C...

37 CFR 262.8 - Unclaimed funds.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 37 Patents, Trademarks, and Copyrights 1 2011-07-01 2011-07-01 false Unclaimed funds. 262.8... TRANSMISSIONS, NEW SUBSCRIPTION SERVICES AND THE MAKING OF EPHEMERAL REPRODUCTIONS § 262.8 Unclaimed funds. If a... apply the unclaimed funds to offset any costs deductible under 17 U.S.C. 114(g)(3). The foregoing shall...

37 CFR 262.8 - Unclaimed funds.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Unclaimed funds. 262.8... TRANSMISSIONS, NEW SUBSCRIPTION SERVICES AND THE MAKING OF EPHEMERAL REPRODUCTIONS § 262.8 Unclaimed funds. If a... apply the unclaimed funds to offset any costs deductible under 17 U.S.C. 114(g)(3). The foregoing shall...

Small-diameter success stories

Treesearch

Jean Livingston

2004-01-01

Public and private forests are in critical need of restoration by thinning small-diameter timber. If economical and value-added uses for this thinned material can be found, forest restoration costs could be offset and catastrophic wildfires would be minimized. At the same time, forestry- dependent rural communities?faced with diminishing timber supplies, loss of jobs,...

Tradeoffs and Synergies between biofuel production and large solar infrastructure in deserts.

PubMed

Ravi, Sujith; Lobell, David B; Field, Christopher B

2014-01-01

Solar energy installations in deserts are on the rise, fueled by technological advances and policy changes. Deserts, with a combination of high solar radiation and availability of large areas unusable for crop production are ideal locations for large solar installations. However, for efficient power generation, solar infrastructures use large amounts of water for construction and operation. We investigated the water use and greenhouse gas (GHG) emissions associated with solar installations in North American deserts in comparison to agave-based biofuel production, another widely promoted potential energy source from arid systems. We determined the uncertainty in our analysis by a Monte Carlo approach that varied the most important parameters, as determined by sensitivity analysis. We considered the uncertainty in our estimates as a result of variations in the number of solar modules ha(-1), module efficiency, number of agave plants ha(-1), and overall sugar conversion efficiency for agave. Further, we considered the uncertainty in revenue and returns as a result of variations in the wholesale price of electricity and installation cost of solar photovoltaic (PV), wholesale price of agave ethanol, and cost of agave cultivation and ethanol processing. The life-cycle analyses show that energy outputs and GHG offsets from solar PV systems, mean energy output of 2405 GJ ha(-1) year(-1) (5 and 95% quantile values of 1940-2920) and mean GHG offsets of 464 Mg of CO2 equiv ha(-1) year(-1) (375-562), are much larger than agave, mean energy output from 206 (171-243) to 61 (50-71) GJ ha(-1) year(-1) and mean GHG offsets from 18 (14-22) to 4.6 (3.7-5.5) Mg of CO2 equiv ha(-1) year(-1), depending upon the yield scenario of agave. Importantly though, water inputs for cleaning solar panels and dust suppression are similar to amounts required for annual agave growth, suggesting the possibility of integrating the two systems to maximize the efficiency of land and water use to produce both electricity and liquid fuel. A life-cycle analysis of a hypothetical colocation indicated higher returns per m(3) of water used than either system alone. Water requirements for energy production were 0.22 L MJ(-1) (0.28-0.19) and 0.42 L MJ(-1) (0.52-0.35) for solar PV-agave (baseline yield) and solar PV-agave (high yield), respectively. Even though colocation may not be practical in all locations, in some water-limited areas, colocated solar PV-agave systems may provide attractive economic incentives in addition to efficient land and water use.

Information content in frequency-dependent, multi-offset GPR data for layered media reconstruction using full-wave inversion

NASA Astrophysics Data System (ADS)

De Coster, Albéric; Phuong Tran, Anh; Lambot, Sébastien

2014-05-01

Water lost through leaks can represent high percentages of the total production in water supply systems and constitutes an important issue. Leak detection can be tackled with various techniques such as the ground-penetrating radar (GPR). Based on this technology, various procedures have been elaborated to characterize a leak and its evolution. In this study, we focus on a new full-wave radar modelling approach for near-field conditions, which takes into account the antenna effects as well as the interactions between the antenna(s) and the medium through frequency-dependent global transmission and reflection coefficients. This approach is applied to layered media for which 3-D Green's functions can be calculated. The model allows for a quantitative estimation of the properties of multilayered media by using full-wave inversion. This method, however, proves to be limited to provide users with an on-demand assessment as it is generally computationally demanding and time consuming, depending on the medium configuration as well as the number of unknown parameters to retrieve. In that respect, we propose two leads in order to enhance the parameter retrieval step. The first one consists in analyzing the impact of the reduction of the number of frequencies on the information content. For both numerical and laboratory experiments, this operation has been achieved by investigating the response surface topography of objective functions arising from the comparison between measured and modelled data. The second one involves the numerical implementation of multistatic antenna configurations with constant and variable offsets in the model. These two kinds of analyses are then combined in numerical experiments to observe the conjugated effect of the number of frequencies and the offset configuration. To perform the numerical analyses, synthetic Green's functions were simulated for different multilayered medium configurations. The results show that an antenna offset increase leads to an improvement in the response surface topography, which is more or less marked according to the initial information content. It also highlights the theoretical possibility of significantly reducing the number of frequencies without degrading the information content. This last statement is confirmed with the laboratory experiment which incorporates measurements done with a Vivaldi antenna above a medium composed of one or more sand layers characterized by different water contents. As a conclusion, the offset and frequency analyses highlight the great potential of the model for improving the soil parameter retrieval while reducing the computation time for a given antenna(s) - medium configuration. Acknowledgments: This work benefited from networking activities carried out within the EU funded COST Action TU1208 "Civil Engineering Applications of Ground Penetrating Radar" and was supported by the Walloon Region through the "SENSPORT" project (Convention n°1217720) undertook in the framework of the WBGreen research program.

Ground settlement monitoring based on temporarily coherent points between two SAR acquisitions

USGS Publications Warehouse

Zhang, L.; Ding, X.; Lu, Z.

2011-01-01

An InSAR analysis approach for identifying and extracting the temporarily coherent points (TCP) that exist between two SAR acquisitions and for determining motions of the TCP is presented for applications such as ground settlement monitoring. TCP are identified based on the spatial characteristics of the range and azimuth offsets of coherent radar scatterers. A method for coregistering TCP based on the offsets of TCP is given to reduce the coregistration errors at TCP. An improved phase unwrapping method based on the minimum cost flow (MCF) algorithm and local Delaunay triangulation is also proposed for sparse TCP data. The proposed algorithms are validated using a test site in Hong Kong. The test results show that the algorithms work satisfactorily for various ground features.

Comparative environmental and economic analysis of conventional and nanofluid solar hot water technologies.

PubMed

Otanicar, Todd P; Golden, Jay S

2009-08-01

This study compares environmental and economic impacts of using nanofluids to enhance solar collector efficiency as compared to conventional solar collectors for domestic hotwater systems. Results show that for the current cost of nanoparticles the nanofluid based solar collector has a slightly longer payback period but at the end of its useful life has the same economic savings as a conventional solar collector. The nanofluid based collector has a lower embodied energy (approximately 9%) and approximately 3% higher levels of pollution offsets than a conventional collector. In addition if 50% penetration of residential nanofluid based solar collector systems for hot water heating could be achieved in Phoenix, Arizona over 1 million metric tons of CO2 would be offset per year.

Autism Tendencies and Psychosis Proneness Interactively Modulate Saliency Cost

PubMed Central

Abu-Akel, Ahmad; Apperly, Ian A.; Wood, Stephen J.; Hansen, Peter C.; Mevorach, Carmel

2017-01-01

Atypical responses to salient information are a candidate endophenotype for both autism and psychosis spectrum disorders. The present study investigated the costs and benefits of such atypicalities for saliency-based selection in a large cohort of neurotypical adults in whom both autism and psychosis expressions were assessed. Two experiments found that autism tendencies and psychosis proneness interactively modulated the cost incurred in the presence of a task-irrelevant salient distractor. Specifically, expressions of autism and psychosis had opposing effects on responses to salient information such that the benefits associated with high expressions for autism offset costs associated with high expressions for psychosis. The opposing influences observed on saliency cost may be driven by distinct attentional mechanisms that are differentially affected by expressions for autism and psychosis. PMID:27217269

Value Streams in Microgrids: A literature Review

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

Stadler, Michael; Center for Energy and Innovative Technologies; Cardoso, Gonçalo

2015-10-01

Microgrids are an increasingly common component of the evolving electricity grids with the potential to improve local reliability, reduce costs, and increase penetration rates for distributed renewable generation. The additional complexity of microgrids often leads to increased investment costs, creating a barrier for widespread adoption. These costs may result directly from specific needs for islanding detection, protection systems and power quality assurance that would otherwise be avoided in simpler system configurations. However, microgrids also facilitate additional value streams that may make up for their increased costs and improve the economic viability of microgrid deployment. This paper analyses the literature currentlymore » available on research relevant to value streams occurring in microgrids that may contribute to offset the increased investment costs. A review on research related to specific microgrid requirements is also presented.« less

Evaluating the cost of one telehealth application connecting an acute and long-term care setting.

PubMed

Specht, J K; Wakefield, B; Flanagan, J

2001-01-01

This article describes a study of the costs of a pilot telemedicine chronic wound consultation clinic. Cost minimization analysis is the technique used to examine the costs of the clinic. The components of cost analysis include the fixed costs of personnel and equipment and the indirect costs of circuit and line charges. Cost avoidance is also examined. Cost avoidance evaluates what costs were avoided by the use of the telemedicine clinic. Additionally, the cost perspectives of the consulting agency, the referring agency, and the patient are examined. The average cost of a chronic wound consultation was $136.16 (acute care perspective). Costs of a traditional face-to-face consultation, if the residents were transported to the acute care facility would be $246.28. Fifteen telehealth consultations per month were used to determine per consultation costs for line charges and depreciation/maintenance costs. In this pilot study, a cost savings was realized and patients benefited. Increased volume will help to offset the cost of the equipment depreciation and maintenance and make telehealth chronic wound consultations more cost effective.

High level gamma radiation effects on Cernox™ cryogenic temperature sensors

NASA Astrophysics Data System (ADS)

Courts, S. S.

2017-12-01

Cryogenic temperature sensors are used in high energy particle colliders to monitor the temperatures of superconducting magnets, superconducting RF cavities, and cryogen infrastructure. While not intentional, these components are irradiated by leakage radiation during operation of the collider. A common type of cryogenic thermometer used in these applications is the Cernox™ resistance thermometer (CxRT) manufactured by Lake Shore Cryotronics, Inc. This work examines the radiation-induced calibration offsets on CxRT models CX-1050-SD-HT and CX-1080-SD-HT resulting from exposure to very high levels of gamma radiation. Samples from two different wafers of each of the two models tested were subjected to a gamma radiation dose ranging from 10 kGy to 5 MGy. Data were analysed in terms of the temperature-equivalent resistance change between pre- and post-irradiation calibrations. The data show that the resistance of these devices decreased following irradiation resulting in positive temperature offsets across the 1.4 K to 330 K temperature range. Variations in response were observed between wafers of the same CxRT model. Overall, the offsets increased with increasing temperature and increasing gamma radiation dose. At 1.8 K, the average offset increased from 0 mK to +13 mK as total dose increased from 10 kGy to 5 MGy. At 4.2 K, the average offset increased from +4 mK to +33 mK as total dose increased from 10 kGy to 5 MGy. Equivalent temperature offset data are presented over the 1.4 K to 330 K temperature range by CxRT model, wafer, and total gamma dose.

Carbon Offsets in California: What Role for Earth Scientists in the Policy Process? (Invited)

NASA Astrophysics Data System (ADS)

Cullenward, D.; Strong, A. L.

2013-12-01

This talk addresses the policy structure in California for developing and approving carbon offset protocols, which rely on findings from the environmental and earth sciences communities. In addition to providing an overview of the legal requirements of carbon offsets, we describe a series of case studies of how scientists can engage with policymakers. Based on those experiences, we suggest ways for the earth sciences community to become more involved in climate policy development. California's climate law, known as AB 32, requires that major sectors of the state's economy reduce their emissions to 1990 levels by 2020. As part of AB 32, the California Air Resources Board created a cap-and-trade market to ensure compliance with the statutory target. Under this system, regulated companies have to acquire tradable emissions permits (called 'compliance instruments') for the greenhouse gas emissions they release. The State allocates a certain number of allowances to regulated entities through a mixture of auctions and free transfers, with the total number equal to the overall emissions target; these allowances, along with approved offsets credits, are the compliance instruments that regulated entities are required to obtain by law. One of the key policy design issues in California's cap-and-trade market concerns the use of carbon offsets. Under AB 32, the Air Resources Board can issue offset credits to project developers who reduce emissions outside of the capped sectors (electricity, industry, and transportation)--or even outside of California--pursuant to approved offset protocols. Project developers then sell the credits to regulated companies in California. Essentially, offsets allow regulated entities in California to earn credit for emissions reductions that take place outside the scope of AB 32. Many regulated entities and economists are in favor of offsets because they view them as a source of low-cost compliance instruments. On the other hand, critics argue that some offset protocols award credits for activities that would have occurred anyway; by replacing a company's need to acquire an allowance in the carbon market, critics believe that poorly designed offset protocols increase greenhouse gas emissions. Thus, the effectiveness of the policy approach depends on the scientific integrity of the offset protocols. To date, California has approved offset protocols for emissions reductions in four applications: (1) forestry, (2) urban forestry, (3) livestock, and (4) destruction of ozone-depleting substances. In addition, the State is currently considering protocols that would address (5) methane emissions from mining and (6) greenhouse gas reductions from improved rice cultivation practices. These protocols rely heavily on findings from the environmental and earth sciences communities, especially when the protocol subject involves land use or land use change. Yet, due to budget constraints, the Air Resources Board is relying primarily on third-party protocol developers to design and propose the detailed structures under which offset credits will be issued. Despite the fact that any member of the public may participate in the governance regime that leads to protocol approvals, few scientists or scientific organizations provide input into the policy process. We use case studies from several of the California protocols to illustrate ways scientists can apply their skills to a crucial stage of climate policy development.

Scanning properties of large dual-shaped offset and symmetric reflector antennas

NASA Astrophysics Data System (ADS)

Galindo-Israel, Victor; Veruttipong, Watt; Norrod, Roger D.; Imbriale, William A.

1992-04-01

Several characteristics of dual offset (DOSR) and symmetric shaped reflectors are examined. Among these is the amelioration of the added cost of manufacturing a shaped reflector antenna, particularly a doubly curved surface for the DOSR, if adjustable panels, which may be necessary for correction of gravity and wind distortions, are also used for improving gain by shaping. The scanning properties of shaped reflectors, both offset and circularly symmetric, are examined and compared to conic section scanning characteristics. Scanning of the pencil beam is obtained by lateral and axial translation of a single point-source feed. The feed is kept pointed toward the center of the subreflector. The effects of power spillover and aperture phase error as a function of beam scanning is examined for several different types of large reflector designs including DOSR, circularly symmetric large f/D and smaller f/D dual reflector antenna systems. It is graphically illustrated that the Abbe-sine condition for improving scanning of an optical system cannot, inherently, be satisfied in a dual-shaped reflector system shaped for high gain and low feed spillover.

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

Torcellini, P.; Pless, S.; Lobato, C.

Until recently, large-scale, cost-effective net-zero energy buildings (NZEBs) were thought to lie decades in the future. However, ongoing work at the National Renewable Energy Laboratory (NREL) indicates that NZEB status is both achievable and repeatable today. This paper presents a definition framework for classifying NZEBs and a real-life example that demonstrates how a large-scale office building can cost-effectively achieve net-zero energy. The vision of NZEBs is compelling. In theory, these highly energy-efficient buildings will produce, during a typical year, enough renewable energy to offset the energy they consume from the grid. The NREL NZEB definition framework classifies NZEBs according tomore » the criteria being used to judge net-zero status and the way renewable energy is supplied to achieve that status. We use the new U.S. Department of Energy/NREL 220,000-ft{sub 2} Research Support Facilities (RSF) building to illustrate why a clear picture of NZEB definitions is important and how the framework provides a methodology for creating a cost-effective NZEB. The RSF, scheduled to open in June 2010, includes contractual commitments to deliver a Leadership in Energy Efficiency and Design (LEED) Platinum Rating, an energy use intensity of 25 kBtu/ft{sub 2} (half that of a typical LEED Platinum office building), and net-zero energy status. We will discuss the analysis method and cost tradeoffs that were performed throughout the design and build phases to meet these commitments and maintain construction costs at $259/ft{sub 2}. We will discuss ways to achieve large-scale, replicable NZEB performance. Many passive and renewable energy strategies are utilized, including full daylighting, high-performance lighting, natural ventilation through operable windows, thermal mass, transpired solar collectors, radiant heating and cooling, and workstation configurations allow for maximum daylighting.« less

Development and demonstration of a lignite-pelletizing process. Phase II report

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

Not Available

1980-01-01

The current work began with scale-up of laboratory equipment to commercial size equipment. For this purpose, BCI used an existing pilot plant that had been assembled to pelletize and indurate taconite ore. BCI determined therewith that lignite pellets can be produced continuously on a pilot scale using the basic process developed in the laboratory. The resulting pellets were found to be similar to the laboratory pellets at equivalent binder compositions. Tests of product made during a 5-ton test run are reported. A 50-ton demonstration test run was made with the pilot plant. Pellet production was sustained for a two-week period.more » The lignite pelletizing process has, therefore, been developed to the point of demonstration in a 50-ton test. BCI has completed and cost estimated a conceptually designed 4000 TPD facility. BCI believes it has demonstrated a technically feasible process to agglomerate lignite by using an asphalt emulsion binder. Product quality is promising. Capital and operating costs appear acceptable to justify continuing support and development. The next step should focus on three areas: production development, process refinement, and cost reduction. For further development, BCI recommends consideration of a 5 to 10 ton/h pilot plant or a 20 to 40 ton/h module of a full sized plant, the lower first cost of the former being offset by the ability to incorporate the latter into a future production unit. Other specific recommendations are made for future study that could lead to process and cost improvements: Binder Formulation, disc Sizing, Drier Bed Depth, and Mixing Approach. Pellet use other than power plant fuel is considered.« less

A High Frequency Active Voltage Doubler in Standard CMOS Using Offset-Controlled Comparators for Inductive Power Transmission

PubMed Central

Lee, Hyung-Min; Ghovanloo, Maysam

2014-01-01

In this paper, we present a fully integrated active voltage doubler in CMOS technology using offset-controlled high speed comparators for extending the range of inductive power transmission to implantable microelectronic devices (IMD) and radio-frequency identification (RFID) tags. This active voltage doubler provides considerably higher power conversion efficiency (PCE) and lower dropout voltage compared to its passive counterpart and requires lower input voltage than active rectifiers, leading to reliable and efficient operation with weakly coupled inductive links. The offset-controlled functions in the comparators compensate for turn-on and turn-off delays to not only maximize the forward charging current to the load but also minimize the back current, optimizing PCE in the high frequency (HF) band. We fabricated the active voltage doubler in a 0.5-μm 3M2P std. CMOS process, occupying 0.144 mm2 of chip area. With 1.46 V peak AC input at 13.56 MHz, the active voltage doubler provides 2.4 V DC output across a 1 kΩ load, achieving the highest PCE = 79% ever reported at this frequency. In addition, the built-in start-up circuit ensures a reliable operation at lower voltages. PMID:23853321

Impacts of subsidy policies on vaccination decisions in contact networks

NASA Astrophysics Data System (ADS)

Zhang, Hai-Feng; Wu, Zhi-Xi; Xu, Xiao-Ke; Small, Michael; Wang, Lin; Wang, Bing-Hong

2013-07-01

To motivate more people to participate in vaccination campaigns, various subsidy policies are often supplied by government and the health sectors. However, these external incentives may also alter the vaccination decisions of the broader public, and hence the choice of incentive needs to be carefully considered. Since human behavior and the networking-constrained interactions among individuals significantly impact the evolution of an epidemic, here we consider the voluntary vaccination on human contact networks. To this end, two categories of typical subsidy policies are considered: (1) under the free subsidy policy, the total amount of subsidy is distributed to a certain fraction of individual and who are vaccinated without personal cost, and (2) under the partial-offset subsidy policy, each vaccinated person is offset by a certain amount of subsidy. A vaccination decision model based on evolutionary game theory is established to study the effects of these different subsidy policies on disease control. Simulations suggest that, because the partial-offset subsidy policy encourages more people to take vaccination, its performance is significantly better than that of the free subsidy policy. However, an interesting phenomenon emerges in the partial-offset scenario: with limited amount of total subsidy, a moderate subsidy rate for each vaccinated individual can guarantee the group-optimal vaccination, leading to the maximal social benefits, while such an optimal phenomenon is not evident for the free subsidy scenario.

Economic benefits of safety-engineered sharp devices in Belgium - a budget impact model.

PubMed

Hanmore, Emma; Maclaine, Grant; Garin, Fiona; Alonso, Alexander; Leroy, Nicolas; Ruff, Lewis

2013-11-25

Measures to protect healthcare workers where there is risk of injury or infection from medical sharps became mandatory in the European Union (EU) from May 2013. Our research objective was to estimate the net budget impact of introducing safety-engineered devices (SEDs) for prevention of needlestick injuries (NSIs) in a Belgian hospital. A 5-year incidence-based budget impact model was developed from the hospital inpatient perspective, comparing costs and outcomes with SEDs and prior-used conventional (non-safety) devices. The model accounts for device acquisition costs and costs of NSI management in 4 areas of application where SEDs are currently used: blood collection, infusion, injection and diabetes insulin administration. Model input data were sourced from the Institut National d'Assurance Maladie-Invalidité, published studies, clinical guidelines and market research. Costs are discounted at 3%. For a 420-bed hospital, 100% substitution of conventional devices by SEDs is estimated to decrease the cumulative 5-year incidence of NSIs from 310 to 75, and those associated with exposure to blood-borne viral diseases from 60 to 15. Cost savings from managing fewer NSIs more than offset increased device acquisition costs, yielding estimated 5-year overall savings of €51,710. The direction of these results is robust to a range of sensitivity and model scenario analyses. The model was most sensitive to variation in the acquisition costs of SEDs, rates of NSI associated with conventional devices, and the acquisition costs of conventional devices. NSIs are a significant potential risk with the use of sharp devices. The incidence of NSIs and the costs associated with their management can be reduced through the adoption of safer work practices, including investment in SEDs. For a Belgian hospital, the budget impact model reports that the incremental acquisition costs of SEDs are offset by the savings from fewer NSIs. The availability of more robust data for NSI reduction rates, and broadening the scope of the model to include ancillary measures for hospital conversion to SED usage, outpatient and paramedic device use, and transmission of other blood-borne diseases, would strengthen the model.

Cost Effectiveness of Free Access to Smoking Cessation Treatment in France Considering the Economic Burden of Smoking-Related Diseases

PubMed Central

Cadier, Benjamin; Durand-Zaleski, Isabelle; Thomas, Daniel; Chevreul, Karine

2016-01-01

Context In France more than 70,000 deaths from diseases related to smoking are recorded each year, and since 2005 prevalence of tobacco has increased. Providing free access to smoking cessation treatment would reduce this burden. The aim of our study was to estimate the incremental cost-effectiveness ratios (ICER) of providing free access to cessation treatment taking into account the cost offsets associated with the reduction of the three main diseases related to smoking: lung cancer, chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD). To measure the financial impact of such a measure we also conducted a probabilistic budget impact analysis. Methods and Findings We performed a cost-effectiveness analysis using a Markov state-transition model that compared free access to cessation treatment to the existing coverage of €50 provided by the French statutory health insurance, taking into account the cost offsets among current French smokers aged 15–75 years. Our results were expressed by the incremental cost-effectiveness ratio in 2009 Euros per life year gained (LYG) at the lifetime horizon. We estimated a base case scenario and carried out a Monte Carlo sensitivity analysis to account for uncertainty. Assuming a participation rate of 7.3%, the ICER value for free access to cessation treatment was €3,868 per LYG in the base case. The variation of parameters provided a range of ICER values from -€736 to €15,715 per LYG. In 99% of cases, the ICER for full coverage was lower than €11,187 per LYG. The probabilistic budget impact analysis showed that the potential cost saving for lung cancer, COPD and CVD ranges from €15 million to €215 million at the five-year horizon for an initial cessation treatment cost of €125 million to €421 million. Conclusion The results suggest that providing medical support to smokers in their attempts to quit is very cost-effective and may even result in cost savings. PMID:26909802

Searching for a business case for quality in Medicaid managed care.

PubMed

Greene, Sandra B; Reiter, Kristin L; Kilpatrick, Kerry E; Leatherman, Sheila; Somers, Stephen A; Hamblin, Allison

2008-01-01

Despite the prevalence of evidence-based interventions to improve quality in health care systems, there is a paucity of documented evidence of a financial return on investment (ROI) for these interventions from the perspective of the investing entity. To report on a demonstration project designed to measure the business case for selected quality interventions in high-risk high-cost patient populations in 10 Medicaid managed care organizations across the United States. Using claims and enrollment data gathered over a 3-year period and data on the costs of designing, implementing, and operating the interventions, ROIs were computed for 11 discrete evidence-based quality-enhancing interventions. A complex case management program to treat adults with multiple comorbidities achieved the largest ROI of 12.21:1. This was followed by an ROI of 6.35:1 for a program which treated children with asthma with a history of high emergency room (ER) use and/or inpatient admissions for their disease. An intervention for high-risk pregnant mothers produced a 1.26:1 ROI, and a program for adult patients with diabetes resulted in a 1.16:1 return. The remaining seven interventions failed to show positive returns, although four sites came close to realizing sufficient savings to offset investment costs. Evidence-based interventions designed to improve the quality of patient care may have the best opportunity to yield a positive financial return if it is focused on high-risk high-cost populations and conditions associated with avoidable emergency and inpatient utilization. Developing the necessary tracking systems for the claims and financial investments is critical to perform accurate financial ROI analyses.

The Economics of Transcatheter Valve Interventions.

PubMed

Sud, Maneesh; Tam, Derrick Y; Wijeysundera, Harindra C

2017-09-01

A subset of patients who require correction of a stenotic or incompetent valve are deemed to be at excessive surgical risk, which precludes surgical repair or replacement. Transcatheter valve interventions are viable alternatives in these patients. However, these technologies are costly, and in the setting of a constrained Canadian health care budget, economic value is an important consideration to allow for fair allocation of scarce resources. Accordingly, we review the economic literature on transcatheter valve interventions, targeting a general audience. Our specific goals are highlighting how best to interpret these studies and discuss the implications of these technologies on the Canadian health care system. Transcatheter aortic valve replacement (TAVR) is a cost-effective alternative for inoperable patients who otherwise would receive medical therapy. When compared with surgical aortic valve replacement (SAVR), TAVR is associated with significant reductions in postprocedure hospital resource use, which offsets the substantially higher cost of the TAVR valve system relative to SAVR valves. Although cost-effectiveness estimates for TAVR in high-risk operable candidates vary widely across studies, based on contemporary data from the perspective of the Canadian health care system, TAVR is likely to provide economic value. Recent studies suggest that when compared with medical therapy for severe degenerative mitral regurgitation, the MitraClip (Abbott, Abbott Park, IL) may offer economic value in high-risk patients; however, in the absence of randomized controlled trials, this is speculative. Nonetheless, these transcatheter technologies represent a paradigm shift in the management of valvular disease; their dissemination will have substantial impact in cardiovascular care delivery. Copyright © 2017 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

Engineering design: A powerful influence on the business success on manufacturing industry

NASA Astrophysics Data System (ADS)

Coplin, John F.

1990-08-01

Engineering design, one of the most powerful forces in producing a package which matches market need, is discussed. It is essentially a detailed planning process backed by analysis and demonstration. The need for innovation to achieve competitive edge and profitability is considered. Innovation contains risk which must be controlled before substantial investment is made. The high rate of change of technology gives rise to the need for good training and retraining. Benefits which offsets costs at the time of occurring that cost are reached.

Tool wear compensation scheme for DTM

NASA Astrophysics Data System (ADS)

Sandeep, K.; Rao, U. S.; Balasubramaniam, R.

2018-04-01

This paper is aimed to monitor tool wear in diamond turn machining (DTM), assess effects of tool wear on accuracies of the machined component, and develop compensation methodology to enhance size and shape accuracies of a hemispherical cup. In order to find change in the centre and radius of tool with increasing wear of tool, a MATLAB program is used. In practice, x-offsets are readjusted by DTM operator for desired accuracy in the cup and the results of theoretical model show that change in radius and z-offset are insignificant however x-offset is proportional to the tool wear and this is what assumed while resetting tool offset. Since we could not measure the profile of tool; therefore we modeled our program for cup profile data. If we assume no error due to slide and spindle of DTM then any wear in the tool will be reflected in the cup profile. As the cup data contains surface roughness, therefore random noise similar to surface waviness is added. It is observed that surface roughness affects the centre and radius but pattern of shifting of centre with increase in wear of tool remains similar to the ideal condition, i.e. without surface roughness.

Basic Operational Robotics Instructional System

NASA Technical Reports Server (NTRS)

Todd, Brian Keith; Fischer, James; Falgout, Jane; Schweers, John

2013-01-01

The Basic Operational Robotics Instructional System (BORIS) is a six-degree-of-freedom rotational robotic manipulator system simulation used for training of fundamental robotics concepts, with in-line shoulder, offset elbow, and offset wrist. BORIS is used to provide generic robotics training to aerospace professionals including flight crews, flight controllers, and robotics instructors. It uses forward kinematic and inverse kinematic algorithms to simulate joint and end-effector motion, combined with a multibody dynamics model, moving-object contact model, and X-Windows based graphical user interfaces, coordinated in the Trick Simulation modeling environment. The motivation for development of BORIS was the need for a generic system for basic robotics training. Before BORIS, introductory robotics training was done with either the SRMS (Shuttle Remote Manipulator System) or SSRMS (Space Station Remote Manipulator System) simulations. The unique construction of each of these systems required some specialized training that distracted students from the ideas and goals of the basic robotics instruction.

2012-13 Operating Grants: Too Little to Offset District Budget Shortfalls. BCTF Research Report. Section V. 2012-EF-01

ERIC Educational Resources Information Center

White, Margaret

2012-01-01

The BC Ministry of Education announcement about 2012-13 operating grants estimates includes "new" funding to districts of $11.2 million for vulnerable students, $10.7 million for districts to implement elements of the Education Plan, and $21.8 million to address "districts' differing geographic circumstances." This makes for a…

Assessing the Battery Cost at Which Plug-In Hybrid Medium-Duty Parcel Delivery Vehicles Become Cost-Effective

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

Ramroth, L. A.; Gonder, J. D.; Brooker, A. D.

2013-04-01

The National Renewable Energy Laboratory (NREL) validated diesel-conventional and diesel-hybrid medium-duty parcel delivery vehicle models to evaluate petroleum reductions and cost implications of hybrid and plug-in hybrid diesel variants. The hybrid and plug-in hybrid variants are run on a field data-derived design matrix to analyze the effect of drive cycle, distance, engine downsizing, battery replacements, and battery energy on fuel consumption and lifetime cost. For an array of diesel fuel costs, the battery cost per kilowatt-hour at which the hybridized configuration becomes cost-effective is calculated. This builds on a previous analysis that found the fuel savings from medium duty plug-inmore » hybrids more than offset the vehicles' incremental price under future battery and fuel cost projections, but that they seldom did so under present day cost assumptions in the absence of purchase incentives. The results also highlight the importance of understanding the application's drive cycle specific daily distance and kinetic intensity.« less

Opening the Schoolhouse Doors: Tax Credits and Educational Access in Alabama

ERIC Educational Resources Information Center

Carpenter, Dick M., II.; Erickson, Angela C.

2014-01-01

In 2013, Alabama adopted the Alabama Accountability Act, an education reform measure that includes two new school choice programs that extend a lifeline to Alabama students trapped in failing public schools. One program offers a tax credit to help offset the cost of tuition for families who move their children from public schools designated as…

Identifying wood utilization options for ecosystem management : summary of a national research project

Treesearch

K. E. Skog; R. J. Barbour; J. E. Baumgras; A. Clark

1997-01-01

Using an ecosystem approach to forest management will change silvicultural practices, thus requiring utilization options to provide revenue and to help offset the costs of the silviculture treatments. The Forest Service, university cooperators, and several industry mills in the southern, western, and northeastern United States have been involved in a national...

The influence of market proximity on national forest hazardous fuels treatments

Treesearch

Max Nielsen-Pincus; Susan Charnley; Cassandra Moseley

2013-01-01

The US Department of Agriculture Forest Service’s focus on hazardous fuels reduction has increased since the adoption of the National Fire Plan in 2001. However, appropriations for hazardous fuels reduction still lag behind wildfire suppression spending. Offsetting fuels treatment costs through biomass utilization or by using innovative administrative mechanisms such...

Casualization of Academics in the Australian Higher Education: Is Teaching Quality at Risk?

ERIC Educational Resources Information Center

Lama, Tek; Joullié, Jean-Etienne

2015-01-01

This article explores the issues casual academics face in Australia and whether these pose risks to teaching quality. The logic of the rampant casualisation in Australian universities is exposed first (i.e., mainly flexibility and cost saving to offset drops in government funding), followed by a discussion on the theoretical risks casualisation…

How to recover more value from small pine trees: Essential oils and resins

Treesearch

Vasant M. Kelkar; Brian W. Geils; Dennis R. Becker; Steven T. Overby; Daniel G. Neary

2006-01-01

In recent years, the young dense forests of northern Arizona have suffered extreme droughts, wildfires, and insect outbreaks. Improving forest health requires reducing forest density by cutting many small-diameter trees with the consequent production of large volumes of residual biomass. To offset the cost of handling this low-value timber, additional marketing options...

Configuration study for a 30 GHz monolithic receive array: Technical assessment

NASA Technical Reports Server (NTRS)

Nester, W. H.; Cleaveland, B.; Edward, B.; Gotkis, S.; Hesserbacker, G.; Loh, J.; Mitchell, B.

1984-01-01

The current status of monolithic microwave integrated circuits (MMICs) in phased array feeds is discussed from the point of view of cost performance, reliability, and design considerations. Transitions to MMICs, compatible antenna radiating elements and reliability considerations are addressed. Hybrid antennas, feed array antenna technology, and offset reflectors versus phased arrays are examined.

Small-diameter success stories II

Treesearch

Jean Livingston

2006-01-01

Many of our national forests are in critical need of restoration. These forests are dense, with an abundance of small-diameter, tightly spaced trees and underbrush that can contribute to the rapid growth of fire. If economic and value-added uses for this small-diameter and unmerchantable material can be found, forest restoration costs could be offset and catastrophic...

38 CFR 1.911 - Collection of debts owed by reason of participation in a benefits program.

Code of Federal Regulations, 2010 CFR

2010-07-01

... exact amount of the debt; (2) The specific reasons for the debt, in simple and concise language; (3) The... transferred to Treasury for administrative offset or collection. (5) That interest and administrative costs... applicant of money already collected, in § 1.967; and (5) The assessment of interest and administrative...

Municipal Bond Insurance Might Enhance Your Next School Bond.

ERIC Educational Resources Information Center

Shapiro, Eric J.

1989-01-01

School systems with a rating of "A" or lower can save money by insuring their bonds because, in almost every instance, the reduced borrowing cost more than offsets the bond insurance premium. Included is a list compiled by Donna Harrington-Lueker of the four major players in the bond insurance field and elements to consider in choosing…

Economic feasibility of longer management regimes in the Douglas-fir region.

Treesearch

Richard Haynes

2005-01-01

The financial returns associated with extended management regimes have been the subject of recurring debate in the Pacific Northwest. Proponents argue that the amount and value of higher quality timber associated with older trees will offset the costs associated with longer management regimes. Land managers and owners express concerns about diminished financial returns...

Adding Value through Program Integration: A Kayaking Model (Rental, Retail, Repair, Clinics and Outings).

ERIC Educational Resources Information Center

Poff, Raymond

Outdoor programs can offset initial investment costs in services and products by developing integrated program areas. The experience of Outdoors Unlimited, a recently created kayaking program at Brigham Young University (Utah), is provided as a model. The purchase of 11 kayaks for rental was followed by the introduction of retail sales, repair…

A bill to require Congress to lead by example and freeze its own pay and fully offset the cost of the extension of unemployment benefits and other Federal aid.

THOMAS, 111th Congress

Sen. Coburn, Tom [R-OK

2010-03-23

Senate - 03/24/2010 Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 334. (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Real-time display of flow-pressure-volume loops.

PubMed

Morozoff, P E; Evans, R W

1992-01-01

Graphic display of respiratory waveforms can be valuable for monitoring the progress of ventilated patients. A system has been developed that can display flow-pressure-volume loops as derived from a patient's respiratory circuit in real time. It can also display, store, print, and retrieve ventilatory waveforms. Five loops can be displayed at once: current, previous, reference, "ideal," and previously saved. Two components, the data-display device (DDD) and the data-collection device (DCD), comprise the system. An IBM 286/386 computer with a graphics card (VGA) and bidirectional parallel port is used for the DDD; an eight-bit microprocessor card and an A/D convertor card make up the DCD. A real-time multitasking operating system was written to control the DDD, while the DCD operates from in-line assembly code. The DCD samples the pressure and flow sensors at 100 Hz and looks for a complete flow waveform pattern based on flow slope. These waveforms are then passed to the DDD via the mutual parallel port. Within the DDD a process integrates the flow to create a volume signal and performs a multilinear regression on the pressure, flow, and volume data to calculate the elastance, resistance, pressure offset, and coefficient of determination. Elastance, resistance, and offset are used to calculate Pr and Pc where: Pr[k] = P[k]-offset-(elastance.V[k]) and Pc[k] = P[k]-offset-(resistance.F[k]). Volume vs. Pc and flow vs. Pr can be displayed in real time. Patient data from previous clinical tests were loaded into the device to verify the software calculations. An analog waveform generator was used to simulate flow and pressure waveforms that validated the system.(ABSTRACT TRUNCATED AT 250 WORDS)

Dynamic modeling of cost-effectiveness of rotavirus vaccination, Kazakhstan.

PubMed

Freiesleben de Blasio, Birgitte; Flem, Elmira; Latipov, Renat; Kuatbaeva, Ajnagul; Kristiansen, Ivar Sønbø

2014-01-01

The government of Kazakhstan, a middle-income country in Central Asia, is considering the introduction of rotavirus vaccination into its national immunization program. We performed a cost-effectiveness analysis of rotavirus vaccination spanning 20 years by using a synthesis of dynamic transmission models accounting for herd protection. We found that a vaccination program with 90% coverage would prevent ≈880 rotavirus deaths and save an average of 54,784 life-years for children <5 years of age. Indirect protection accounted for 40% and 60% reduction in severe and mild rotavirus gastroenteritis, respectively. Cost per life year gained was US $18,044 from a societal perspective and US $23,892 from a health care perspective. Comparing the 2 key parameters of cost-effectiveness, mortality rates and vaccine cost at

Social living mitigates the costs of a chronic illness in a cooperative carnivore

USGS Publications Warehouse

Almberg, Emily S.; Cross, Paul C.; Dobson, Andrew P.; Smith, Douglas W.; Metz, Matthew C; Stahler, Daniel R.; Hudson, Peter J.

2015-01-01

Infection risk is assumed to increase with social group size, and thus be a cost of group living. We assess infection risk and costs with respect to group size using data from an epidemic of sarcoptic mange (Sarcoptes scabiei) among grey wolves (Canis lupus). We demonstrate that group size does not predict infection risk and that individual costs of infection, in terms of reduced survival, can be entirely offset by having sufficient numbers of pack-mates. Infected individuals experience increased mortality hazards with increasing proportions of infected pack-mates, but healthy individuals remain unaffected. The social support of group hunting and territory defence are two possible mechanisms mediating infection costs. This is likely a common phenomenon among other social species and chronic infections, but difficult to detect in systems where infection status cannot be measured continuously over time.

Docking Offset Between the Space Shuttle and the International Space Station and Resulting Impacts to the Transfer of Attitude Reference and Control

NASA Technical Reports Server (NTRS)

Helms, W. Jason; Pohlkamp, Kara M.

2011-01-01

The Space Shuttle does not dock at an exact 90 degrees to the International Space Station (ISS) x-body axis. This offset from 90 degrees, along with error sources within their respective attitude knowledge, causes the two vehicles to never completely agree on their attitude, even though they operate as a single, mated stack while docked. The docking offset can be measured in flight when both vehicles have good attitude reference and is a critical component in calculations to transfer attitude reference from one vehicle to another. This paper will describe how the docking offset and attitude reference errors between both vehicles are measured and how this information would be used to recover Shuttle attitude reference from ISS in the event of multiple failures. During STS-117, ISS on-board Guidance, Navigation and Control (GNC) computers began having problems and after several continuous restarts, the systems failed. The failure took the ability for ISS to maintain attitude knowledge. This paper will also demonstrate how with knowledge of the docking offset, the contingency procedure to recover Shuttle attitude reference from ISS was reversed in order to provide ISS an attitude reference from Shuttle. Finally, this paper will show how knowledge of the docking offset can be used to speed up attitude control handovers from Shuttle to ISS momentum management. By taking into account the docking offset, Shuttle can be commanded to hold a more precise attitude which better agrees with the ISS commanded attitude such that start up transients with the ISS momentum management controllers are reduced. By reducing start-up transients, attitude control can be transferred from Shuttle to ISS without the use of ISS thrusters saving precious on-board propellant, crew time and minimizing loads placed upon the mated stack.

Environmental offsets, resilience and cost-effective conservation

PubMed Central

Little, L. R.; Grafton, R. Q.

2015-01-01

Conservation management agencies are faced with acute trade-offs when dealing with disturbance from human activities. We show how agencies can respond to permanent ecosystem disruption by managing for Pimm resilience within a conservation budget using a model calibrated to a metapopulation of a coral reef fish species at Ningaloo Reef, Western Australia. The application is of general interest because it provides a method to manage species susceptible to negative environmental disturbances by optimizing between the number and quality of migration connections in a spatially distributed metapopulation. Given ecological equivalency between the number and quality of migration connections in terms of time to recover from disturbance, our approach allows conservation managers to promote ecological function, under budgetary constraints, by offsetting permanent damage to one ecological function with investment in another. PMID:26587260

Green residues from Bangkok green space for renewable energy recovery, phosphorus recycling and greenhouse gases emission reduction.

PubMed

Thitanuwat, Bussarakam; Polprasert, Chongchin; Englande, Andrew J

2017-03-01

Effective ways to integrate human life quality, environmental pollution mitigation and efficient waste management strategies are becoming a crisis challenge for sustainable urban development. The aims of this study are: (1) to evaluate and recommend an optimum Urban Green Space (UGS) area for the Bangkok Metropolitan Administration (BMA); and (2) to quantify potential renewable resources including electricity generation and potential nutrient recovery from generated ash. Green House Gases (GHGs) emissions from the management of Green Residues (GR) produced in a recommended UGS expansion are estimated and compared with those from the existing BMA waste management practice. Results obtained from this study indicate that an increase in UGS from its current 2.02% to 22.4% of the BMA urban area is recommended. This optimum value is primarily due to the area needed as living space for its population. At this scale, GR produced of about 334kt·y -1 may be used to generate electricity at the rate of 206GWh·y -1 by employing incineration technology. Additionally, instead of going to landfill, phosphorus (P) contained in the ash of 1077 t P·y -1 could be recovered to produce P fertilizer to be recycled for agricultural cultivation. Income earned from selling these products is found to offset all of the operational cost of the proposed GR management methodology itself plus 7% of the cost of BMA's Municipal Solid Waste (MSW) operations. About 70% of the current GHGs emission may be reduced based on incineration simulation. Copyright © 2016 Elsevier Ltd. All rights reserved.

Software beamforming: comparison between a phased array and synthetic transmit aperture.

PubMed

Li, Yen-Feng; Li, Pai-Chi

2011-04-01

The data-transfer and computation requirements are compared between software-based beamforming using a phased array (PA) and a synthetic transmit aperture (STA). The advantages of a software-based architecture are reduced system complexity and lower hardware cost. Although this architecture can be implemented using commercial CPUs or GPUs, the high computation and data-transfer requirements limit its real-time beamforming performance. In particular, transferring the raw rf data from the front-end subsystem to the software back-end remains challenging with current state-of-the-art electronics technologies, which offset the cost advantage of the software back end. This study investigated the tradeoff between the data-transfer and computation requirements. Two beamforming methods based on a PA and STA, respectively, were used: the former requires a higher data transfer rate and the latter requires more memory operations. The beamformers were implemente;d in an NVIDIA GeForce GTX 260 GPU and an Intel core i7 920 CPU. The frame rate of PA beamforming was 42 fps with a 128-element array transducer, with 2048 samples per firing and 189 beams per image (with a 95 MB/frame data-transfer requirement). The frame rate of STA beamforming was 40 fps with 16 firings per image (with an 8 MB/frame data-transfer requirement). Both approaches achieved real-time beamforming performance but each had its own bottleneck. On the one hand, the required data-transfer speed was considerably reduced in STA beamforming, whereas this required more memory operations, which limited the overall computation time. The advantages of the GPU approach over the CPU approach were clearly demonstrated.

Robust adhesive precision bonding in automated assembly cells

NASA Astrophysics Data System (ADS)

Müller, Tobias; Haag, Sebastian; Bastuck, Thomas; Gisler, Thomas; Moser, Hansruedi; Uusimaa, Petteri; Axt, Christoph; Brecher, Christian

2014-03-01

Diode lasers are gaining importance, making their way to higher output powers along with improved BPP. The assembly of micro-optics for diode laser systems goes along with the highest requirements regarding assembly precision. Assembly costs for micro-optics are driven by the requirements regarding alignment in a submicron and the corresponding challenges induced by adhesive bonding. For micro-optic assembly tasks a major challenge in adhesive bonding at highest precision level is the fact, that the bonding process is irreversible. Accordingly, the first bonding attempt needs to be successful. Today's UV-curing adhesives inherit shrinkage effects crucial for submicron tolerances of e.g. FACs. The impact of the shrinkage effects can be tackled by a suitable bonding area design, such as minimal adhesive gaps and an adapted shrinkage offset value for the specific assembly parameters. Compensating shrinkage effects is difficult, as the shrinkage of UV-curing adhesives is not constant between two different lots and varies even over the storage period even under ideal circumstances as first test results indicate. An up-to-date characterization of the adhesive appears necessary for maximum precision in optics assembly to reach highest output yields, minimal tolerances and ideal beamshaping results. Therefore, a measurement setup to precisely determine the up-to-date level of shrinkage has been setup. The goal is to provide necessary information on current shrinkage to the operator or assembly cell to adjust the compensation offset on a daily basis. Impacts of this information are expected to be an improved beam shaping result and a first-time-right production.

Design of the VISITOR Tool: A Versatile ImpulSive Interplanetary Trajectory OptimizeR

NASA Technical Reports Server (NTRS)

Corpaccioli, Luca; Linskens, Harry; Komar, David R.

2014-01-01

The design of trajectories for interplanetary missions represents one of the most complex and important problems to solve during conceptual space mission design. To facilitate conceptual mission sizing activities, it is essential to obtain sufficiently accurate trajectories in a fast and repeatable manner. To this end, the VISITOR tool was developed. This tool modularly augments a patched conic MGA-1DSM model with a mass model, launch window analysis, and the ability to simulate more realistic arrival and departure operations. This was implemented in MATLAB, exploiting the built-in optimization tools and vector analysis routines. The chosen optimization strategy uses a grid search and pattern search, an iterative variable grid method. A genetic algorithm can be selectively used to improve search space pruning, at the cost of losing the repeatability of the results and increased computation time. The tool was validated against seven flown missions: the average total mission (Delta)V offset from the nominal trajectory was 9.1%, which was reduced to 7.3% when using the genetic algorithm at the cost of an increase in computation time by a factor 5.7. It was found that VISITOR was well-suited for the conceptual design of interplanetary trajectories, while also facilitating future improvements due to its modular structure.

From the ground up: building a minimally invasive aortic valve surgery program

PubMed Central

Lamelas, Joseph

2015-01-01

Minimally invasive aortic valve replacement (MIAVR) is associated with numerous advantages including improved patient satisfaction, cosmesis, decreased transfusion requirements, and cost-effectiveness. Despite these advantages, little information exists on how to build a MIAVR program from the ground up. The steps to build a MIAVR program include compiling a multi-disciplinary team composed of surgeons, cardiologists, anesthesiologists, perfusionists, operating room (OR) technicians, and nurses. Once assembled, this team can then approach hospital administrators to present a cost-benefit analysis of MIAVR, emphasizing the importance of reduced resource utilization in the long-term to offset the initial financial investment that will be required. With hospital approval, training can commence to provide surgeons and other staff with the necessary knowledge and skills in MIAVR procedures and outcomes. Marketing and advertising of the program through the use of social media, educational conferences, grand rounds, and printed media will attract the initial patients. A dedicated website for the program can function as a “virtual lobby” for patients wanting to learn more. Initially, conservative selection criteria of cases that qualify for MIAVR will set the program up for success by avoiding complex co-morbidities and surgical techniques. During the learning curve phase of the program, patient safety should be a priority. PMID:25870815

From the ground up: building a minimally invasive aortic valve surgery program.

PubMed

Nguyen, Tom C; Lamelas, Joseph

2015-03-01

Minimally invasive aortic valve replacement (MIAVR) is associated with numerous advantages including improved patient satisfaction, cosmesis, decreased transfusion requirements, and cost-effectiveness. Despite these advantages, little information exists on how to build a MIAVR program from the ground up. The steps to build a MIAVR program include compiling a multi-disciplinary team composed of surgeons, cardiologists, anesthesiologists, perfusionists, operating room (OR) technicians, and nurses. Once assembled, this team can then approach hospital administrators to present a cost-benefit analysis of MIAVR, emphasizing the importance of reduced resource utilization in the long-term to offset the initial financial investment that will be required. With hospital approval, training can commence to provide surgeons and other staff with the necessary knowledge and skills in MIAVR procedures and outcomes. Marketing and advertising of the program through the use of social media, educational conferences, grand rounds, and printed media will attract the initial patients. A dedicated website for the program can function as a "virtual lobby" for patients wanting to learn more. Initially, conservative selection criteria of cases that qualify for MIAVR will set the program up for success by avoiding complex co-morbidities and surgical techniques. During the learning curve phase of the program, patient safety should be a priority.

Evaluation of three elevated mist-net systems for sampling birds

USGS Publications Warehouse

Meyers, J.M.; Pardieck, K.L.

1993-01-01

Three light-weight, low-canopy mist-net systems were developed and tested in dry tropical scrub, mangrove and forest habitats. One plastic (polyvinyl chloride) and two aluminum pole systems (with and without pulleys) were used to support mist nets to heights of up to 7.3 m. Although the aluminum telescoping-pole system (without pulleys) was expensive initially ( 79-141/unit (US)), its use reduced capture of nontarget species and may have increased capture of target species when compared with ground-level netting. In one year, its use also reduced labor costs by 756, which completely offset the higher cost of the aluminum telescoping-pole system when compared to the plastic-pole system ( 19/unit). Unlike the plastic-pole system, the aluminum telescoping-pole system was adjustable to any height within its range of 1.8 to 7.3 m, was 1.5 m higher, was more efficient to operate in the field, and was easily moved to new locations. For capture of psittacines, the pulleys of the aluminum telescoping-pole system were not necessary, but their use may assist in efficiently retrieving large numbers of birds from the nets. The aluminum telescoping-pole system was efficient in capturing psittacines, columbids, passerines and possibly chiropterans in habitats with canopies lt 10 m or in the forest subcanopy.

Electrical Properties of Reactive Liquid Crystal Semiconductors

NASA Astrophysics Data System (ADS)

McCulloch, Iain; Coelle, Michael; Genevicius, Kristijonas; Hamilton, Rick; Heckmeier, Michael; Heeney, Martin; Kreouzis, Theo; Shkunov, Maxim; Zhang, Weimin

2008-01-01

Fabrication of display products by low cost printing technologies such as ink jet, gravure offset lithography and flexography requires solution processable semiconductors for the backplane electronics. The products will typically be of lower performance than polysilicon transistors, but comparable to amorphous silicon. A range of prototypes are under development, including rollable electrophoretic displays, active matrix liquid crystal displays (AMLCD's), and flexible organic light-emitting diode (OLED) displays. Organic semiconductors that offer both electrical performance and stability with respect to storage and operation under ambient conditions are required. This work describes the initial evaluation of reactive mesogen semiconductors, which can polymerise within mesophase temperatures, “freezing in” the order in crosslinked domains. These crosslinked domains offer mechanical stability and are inert to solvent exposure in further processing steps. Reactive mesogens containing conjugated aromatic cores, designed to facilitate charge transport and provide good oxidative stability, were prepared and their liquid crystalline properties evaluated. Both time-of-flight and field effect transistor devices were prepared and their electrical characterisation reported.

Budget impact of tegaserod on a managed care organization formulary.

PubMed

Bloom, Michael A; Barghout, Victoria; Kahler, Kristijan H; Bentkover, Judith; Kurth, Hannah; Gralnek, Ian M; Spiegel, Brennan M R

2005-04-01

We sought to develop a budget impact model that assesses the economic effect of adding tegaserod for the management of irritable bowel syndrome (IBS) with constipation to the formulary of a managed care organization (MCO). The model estimates the per patient economic impact and the per member, per month (PMPM) economic impact of patients 6 months before and 6 months after the initiation of tegaserod. Resource utilization data, taken from medical and pharmacy administrative claims data, were based on a retrospective, longitudinal study of 3365 patients administered tegaserod through a large, geographically diverse MCO. Costs were estimated for 2 patient subgroups, women with IBS and other gastrointestinal (GI) diagnoses. Sensitivity analyses were performed by varying several model input parameters. The base-case model resulted in an incremental PMPM budget impact associated with the use of tegaserod of 0.01 dollars. Total per patient budget impact (for all resources, including tegaserod) for a 6-month period was 274.34 dollars for women with IBS and 301.84 dollars for women with other GI diagnoses. Overall, 25.9% (29.0% for women with IBS group and 21.9% for women with other GI diagnoses group) of the cost of tegaserod was offset by decreases in resource utilization. Key drivers of post-tegaserod reductions in resource costs were hospital stays, outpatient office visits, emergency department visits, endoscopic procedures, and nonendoscopic procedures. Tegaserod therapy can decrease GI-related resource utilization, resulting in a significant cost-offset percentage. When the associated budget impact of adding tegaserod to its formulary is absorbed across an entire MCO population, the PMPM impact of tegaserod is small.

A feasibility study for using ABS plastic and a low-cost 3D printer for patient-specific brachytherapy mould design.

PubMed

Harris, Benjamin D; Nilsson, Sanna; Poole, Christopher M

2015-09-01

This feasibility study aims to determine if a low-cost 3D printer (BitsFromBytes 3D Touch) with ABS plastic can print custom mould structures and catheter channels defined in a brachytherapy treatment planning system (Nucletron Oncentra) for patient-specific treatment. Printer accuracy was evaluated through physical measurement, and print quality was investigated by adjusting print parameters (print speed, layer thickness, percentage infill). Catheter positioning and reproducibility were measured over repeated insertions. ABS plastic water equivalency was investigated by comparing Ir-192 HDR source dose distributions, measured with radiochromic film, in ABS plastic and in water. Structures and catheter channels were printed accurately to within 0.5 mm laterally and 1 mm in the vertical print direction. Adjusting print parameters could reduce print time, albeit with reduced print quality. 3.5 mm channel diameters allowed for easy catheter insertion. Catheter positioning was reproducible to within 0.5 mm but, because of catheter flex within the channel, was on average 1 mm offset from defined TPS positions. This offset could be accounted for by repeating the treatment planning CT scan with the printed mould positioned on the patient. Dose attenuation in ABS plastic and in water was equivalent to within the measurement limitations. While clinical uses for this particular low-cost printer and ABS plastic are limited by print size restrictions and non-certification for biocompatibility, it has been demonstrated that a low-cost 3D printer set-up can accurately create custom moulds and catheter channels potentially acceptable for clinical use.

Mid-term cost-effectiveness analysis of open and endovascular repair for ruptured abdominal aortic aneurysm.

PubMed

Rollins, K E; Shak, J; Ambler, G K; Tang, T Y; Hayes, P D; Boyle, J R

2014-02-01

Emergency endovascular repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA) may have lower operative mortality rates than open surgical repair. Concerns remain that the early survival benefit after EVAR for rAAA may be offset by late reinterventions. The aim of this study was to compare reintervention rates and cost-effectiveness of EVAR and open repair for rAAA. A retrospective analysis was undertaken of patients with rAAA undergoing EVAR or open repair over 6 years. A health economic model developed for the cost-effectiveness of elective EVAR was used in the emergency setting. Sixty-two patients (mean age 77·9 years) underwent EVAR and 85 (mean age 75·9 years) had open repair of rAAA. Median follow-up was 42 and 39 months respectively. There was no significant difference in 30-day mortality rates after EVAR and open repair (18 and 26 per cent respectively; P = 0·243). Reintervention rates were also similar (32 and 31 per cent; P = 0·701). The mean cost per patient was €26,725 for EVAR and €30,297 for open repair, and the cost per life-year gained was €7906 and €9933 respectively (P = 0·561). Open repair had greater initial costs: longer procedural times (217 versus 178·5 min; P < 0·001) and intensive care stay (5·0 versus 1·0 days; P = 0·015). Conversely, EVAR had greater reintervention (€156,939 versus €35,335; P = 0·001) and surveillance (P < 0·001) costs. There was no significant difference in reintervention rates after EVAR or open repair for rAAA. EVAR was as cost-effective at mid-term follow-up. The increased procedural costs of open repair are not outweighed by greater surveillance and reintervention costs after EVAR. © 2014 BJS Society Ltd. Published by John Wiley & Sons Ltd.

Cost-efficiency of specialist hyperacute in-patient rehabilitation services for medically unstable patients with complex rehabilitation needs: a prospective cohort analysis.

PubMed

Turner-Stokes, Lynne; Bavikatte, Ganesh; Williams, Heather; Bill, Alan; Sephton, Keith

2016-09-08

To evaluate functional outcomes, care needs and cost-efficiency of hyperacute (HA) rehabilitation for a cohort of in-patients with complex neurological disability and unstable medical/surgical conditions. A multicentre cohort analysis of prospectively collected clinical data from the UK Rehabilitation Outcomes Collaborative (UKROC) national clinical database, 2012-2015. Two HA specialist rehabilitation services in England, providing different service models for HA rehabilitation. All patients admitted to each of the units with an admission rehabilitation complexity M score of ≥3 (N=190; mean age 46 (SD16) years; males:females 63:37%). Diagnoses were acquired brain injury (n=166; 87%), spinal cord injury (n=9; 5%), peripheral neurological conditions (n=9; 5%) and other (n=6; 3%). Specialist in-patient multidisciplinary rehabilitation combined with management and stabilisation of intercurrent medical and surgical problems. Rehabilitation complexity and medical acuity: Rehabilitation Complexity Scale-version 13. Dependency and care costs: Northwick Park Dependency Scale/Care Needs Assessment (NPDS/NPCNA). Functional independence: UK Functional Assessment Measure (UK FIM+FAM). (1) reduction in dependency and (2) cost-efficiency, measured as the time taken to offset rehabilitation costs by savings in NPCNA-estimated costs of on-going care in the community. The mean length of stay was 103 (SD66) days. Some differences were observed between the two units, which were in keeping with the different service models. However, both units showed a significant reduction in dependency and acuity between admission and discharge on all measures (Wilcoxon: p<0.001). For the 180 (95%) patients with complete NPCNA data, the mean episode cost was £77 119 (bootstrapped 95% CI £70 614 to £83 894) and the mean reduction in 'weekly care costs' was £462/week (95% CI 349 to 582). The mean time to offset the cost of rehabilitation was 27.6 months (95% CI 13.2 to 43.8). Despite its relatively high initial cost, specialist HA rehabilitation can be highly cost-efficient, producing substantial savings in on-going care costs, and relieving pressure in the acute care services. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

HYMOSS signal processing for pushbroom spectral imaging

NASA Technical Reports Server (NTRS)

Ludwig, David E.

1991-01-01

The objective of the Pushbroom Spectral Imaging Program was to develop on-focal plane electronics which compensate for detector array non-uniformities. The approach taken was to implement a simple two point calibration algorithm on focal plane which allows for offset and linear gain correction. The key on focal plane features which made this technique feasible was the use of a high quality transimpedance amplifier (TIA) and an analog-to-digital converter for each detector channel. Gain compensation is accomplished by varying the feedback capacitance of the integrate and dump TIA. Offset correction is performed by storing offsets in a special on focal plane offset register and digitally subtracting the offsets from the readout data during the multiplexing operation. A custom integrated circuit was designed, fabricated, and tested on this program which proved that nonuniformity compensated, analog-to-digital converting circuits may be used to read out infrared detectors. Irvine Sensors Corporation (ISC) successfully demonstrated the following innovative on-focal-plane functions that allow for correction of detector non-uniformities. Most of the circuit functions demonstrated on this program are finding their way onto future IC's because of their impact on reduced downstream processing, increased focal plane performance, simplified focal plane control, reduced number of dewar connections, as well as the noise immunity of a digital interface dewar. The potential commercial applications for this integrated circuit are primarily in imaging systems. These imaging systems may be used for: security monitoring systems, manufacturing process monitoring, robotics, and for spectral imaging when used in analytical instrumentation.

HYMOSS signal processing for pushbroom spectral imaging

NASA Astrophysics Data System (ADS)

Ludwig, David E.

1991-06-01

The objective of the Pushbroom Spectral Imaging Program was to develop on-focal plane electronics which compensate for detector array non-uniformities. The approach taken was to implement a simple two point calibration algorithm on focal plane which allows for offset and linear gain correction. The key on focal plane features which made this technique feasible was the use of a high quality transimpedance amplifier (TIA) and an analog-to-digital converter for each detector channel. Gain compensation is accomplished by varying the feedback capacitance of the integrate and dump TIA. Offset correction is performed by storing offsets in a special on focal plane offset register and digitally subtracting the offsets from the readout data during the multiplexing operation. A custom integrated circuit was designed, fabricated, and tested on this program which proved that nonuniformity compensated, analog-to-digital converting circuits may be used to read out infrared detectors. Irvine Sensors Corporation (ISC) successfully demonstrated the following innovative on-focal-plane functions that allow for correction of detector non-uniformities. Most of the circuit functions demonstrated on this program are finding their way onto future IC's because of their impact on reduced downstream processing, increased focal plane performance, simplified focal plane control, reduced number of dewar connections, as well as the noise immunity of a digital interface dewar. The potential commercial applications for this integrated circuit are primarily in imaging systems. These imaging systems may be used for: security monitoring systems, manufacturing process monitoring, robotics, and for spectral imaging when used in analytical instrumentation.

Application of Kalman filter in frequency offset estimation for coherent optical quadrature phase-shift keying communication system

NASA Astrophysics Data System (ADS)

Jiang, Wen; Yang, Yanfu; Zhang, Qun; Sun, Yunxu; Zhong, Kangping; Zhou, Xian; Yao, Yong

2016-09-01

The frequency offset estimation (FOE) schemes based on Kalman filter are proposed and investigated in detail via numerical simulation and experiment. The schemes consist of a modulation phase removing stage and Kalman filter estimation stage. In the second stage, the Kalman filters are employed for tracking either differential angles or differential data between two successive symbols. Several implementations of the proposed FOE scheme are compared by employing different modulation removing methods and two Kalman algorithms. The optimal FOE implementation is suggested for different operating conditions including optical signal-to-noise ratio and the number of the available data symbols.

NREL Ignites New Renewable Fuels Heating Plant | News | NREL

Science.gov Websites

the U.S. Department of Energy's National Renewable Energy Laboratory lit its new, smoke-free Renewable beetle epidemic and waste wood. Operating smoke-free and odor-free, the plant will offset about 4.8

40 CFR 52.777 - Control strategy: photochemical oxidants (hydrocarbons).

Code of Federal Regulations, 2014 CFR

2014-07-01

... plastics, automotive plastics, and synthetic organic chemical manufacturing industries (SOCMI) batch... wastewater processes, offset lithography operations, business plastics, automotive plastics, and synthetic... order between U.S. Steel (currently USX Corporation) and the IDEM signed by IDEM on March 22, 1996...

40 CFR 52.777 - Control strategy: photochemical oxidants (hydrocarbons).

Code of Federal Regulations, 2010 CFR

2010-07-01

... plastics, automotive plastics, and synthetic organic chemical manufacturing industries (SOCMI) batch... wastewater processes, offset lithography operations, business plastics, automotive plastics, and synthetic... order between U.S. Steel (currently USX Corporation) and the IDEM signed by IDEM on March 22, 1996...

40 CFR 52.777 - Control strategy: photochemical oxidants (hydrocarbons).

Code of Federal Regulations, 2011 CFR

2011-07-01

... plastics, automotive plastics, and synthetic organic chemical manufacturing industries (SOCMI) batch... wastewater processes, offset lithography operations, business plastics, automotive plastics, and synthetic... order between U.S. Steel (currently USX Corporation) and the IDEM signed by IDEM on March 22, 1996...

78 FR 22281 - Notice of Intent To Collect Fees at the Henneberry House on Public Land in Beaverhead County...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-15

... local media. Fees would be collected as outlined in the field office's Fee Business Plan. The Henneberry... offset those ongoing costs. The BLM's mission for the Dillon Field Office Fee Business Plan (Project) is... addressed in the Dillon Field Office Recreation Fee Business Plan, prepared pursuant to the REA and BLM...

Southeast Asia Report

DTIC Science & Technology

1987-05-06

Government efforts to offset the effects of the drought through artificial rainmaking are suffering from lack of aircraft, the high cost of the...bring male breeding-hogs to various localities for crossbreeding purposes and, at the same time, to teach hog breeders to apply the artificial ... insemination method. At both the vegetation protection and veterinary branch offices, the provision of equipment and means and the supply of medicines

Total (E)quality Management: Paradigmatic Shift in Personnel Management. IAB Labour Market Research Topics No. 28.

ERIC Educational Resources Information Center

Engelbrech, Gerhard

In Germany as elsewhere, enterprises are becoming increasingly convinced that the initial costs of increasing attention to promoting the employment of women are offset by the medium- and long-term benefits to the enterprise because of a larger pool of qualified female employees. This attitude change is partly due to the fact that, in western…