Door-to-door capture of incident and prevalent stroke cases in Durango, Mexico: the Brain Attack Surveillance in Durango Study.

PubMed

Cantu-Brito, Carlos; Majersik, Jennifer J; Sánchez, Brisa N; Ruano, Angel; Becerra-Mendoza, Daniela; Wing, Jeffrey J; Morgenstern, Lewis B

2011-03-01

Stroke incidence and prevalence estimates in developing countries should include stroke cases not presenting to hospital. We performed door-to-door stroke case ascertainment in Durango Municipality, Mexico, to estimate stroke incidence and prevalence and to determine the error made by only ascertaining hospital cases. Between September 2008 and March 2009, 1996 housing units were randomly sampled to screen for stroke in Durango Municipality residents 35 years of age and older. Field workers utilized a validated screening tool. Those screening positive were referred to a neurologist for history and examination and a head CT scan. Prevalence and cumulative incidence from the door-to-door surveillance were calculated and compared with previously reported hospitalization rates during the same defined time. Respondents included 2437 subjects from 1419 homes. The refusal rate was 3.8%. Twenty subjects had verified or probable stroke. The prevalence of probable or verified stroke was 7.7 per 1000 (95% CI, 4.3 per 1000-11.2 per 1000). Five patients had a stroke during the time of the hospital surveillance, yielding a cumulative incidence of 232.3 per 100 000 (95% CI, 27.8-436.9). Two of the 5 cases were captured by door-to-door surveillance but not by hospital surveillance. This study provides the first community-based stroke prevalence and incidence estimates in Mexico. The wide confidence intervals, despite the large number of surveyed housing units, suggest the need for more advanced sampling strategies for stroke surveillance in the developing world.

Door-to-door capture of incident and prevalent stroke cases in Durango, Mexico – the Brain Attack Surveillance in Durango (BASID) Study

PubMed Central

Cantu-Brito, Carlos; Majersik, Jennifer J; Sánchez, Brisa N; Ruano, Angel; Becerra-Mendoza, Daniela; Wing, Jeffrey J; Morgenstern, Lewis B

2011-01-01

Background and Purpose Stroke incidence and prevalence estimates in developing countries should include stroke cases not presenting to hospital. We performed door-to-door stroke case ascertainment in Durango Municipality, Mexico to estimate stroke incidence and prevalence, and to determine the error made by only ascertaining hospital cases. Methods Between September 2008 and March 2009, 1996 housing units were randomly sampled to screen for stroke in Durango Municipality residents ≥35 years of age. Field workers utilized a validated screening tool. Those screening positive were referred to a neurologist for history and examination and if confirmed, a head CT scan. Prevalence and cumulative incidence from the door-to-door surveillance were calculated and compared with previously reported hospitalization rates during the same defined time. Results Respondents included 2437 subjects from 1419 homes. The refusal rate was 3.8%. Twenty subjects had verified or probable stroke. The prevalence of probable or verified stroke was 7.7/1000 (95% CI: 4.3/1000, 11.2/1000). Five patients had a stroke during the time of the hospital surveillance, yielding a cumulative incidence of 232.3/100,000 (95% CI: 27.8, 436.9). Two of the 5 cases were captured by door-to-door surveillance but not by hospital surveillance. Conclusions This study provides the first community-based stroke prevalence and incidence estimates in Mexico. The wide confidence intervals, despite the large number of surveyed housing units, suggest the need for more advanced sampling strategies for stroke surveillance in the developing world. PMID:21212398

Assessment of operating room airflow using air particle counts and direct observation of door openings.

PubMed

Teter, Jonathan; Guajardo, Isabella; Al-Rammah, Tamrah; Rosson, Gedge; Perl, Trish M; Manahan, Michele

2017-05-01

The role of the operating room (OR) environment has been thought to contribute to surgical site infection rates. The quality of OR air, disruption of airflow, and other factors may increase contamination risks. We measured air particulate counts (APCs) to determine if they increased in relation to traffic, door opening, and other common activities. During 1 week, we recorded APCs in 5-minute intervals and movement of health care workers. Trained observers recorded information about traffic, door openings, job title of the opener, and the reason for opening. At least 1 OR door was open during 47% of all readings. There were 13.4 door openings per hour during cases. Door opening rates ranged from 0.19-0.28 per minute. During this time, a total of 660 air measurements were obtained. The mean APCs were 9,238 particles (95% confidence interval [CI], 5,494- 12,982) at baseline and 14,292 particles (95% CI, 12,382-16,201) during surgery. Overall APCs increased 13% when either door was opened (P < .15). Larger particles that correlated to bacterial size were elevated significantly (P < .001) on door opening. We observed numerous instances of verbal communication and equipment movement. Improving efficiency of communication and equipment can aid in reduction of traffic. Further study is needed to examine links between microbiologic sampling, outcome data, and particulate matter to enable study of risk factors and effects of personnel movement. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Novel Door-opening Method for Six-legged Robots Based on Only Force Sensing

NASA Astrophysics Data System (ADS)

Chen, Zhi-Jun; Gao, Feng; Pan, Yang

2017-09-01

Current door-opening methods are mainly developed on tracked, wheeled and biped robots by applying multi-DOF manipulators and vision systems. However, door-opening methods for six-legged robots are seldom studied, especially using 0-DOF tools to operate and only force sensing to detect. A novel door-opening method for six-legged robots is developed and implemented to the six-parallel-legged robot. The kinematic model of the six-parallel-legged robot is established and the model of measuring the positional relationship between the robot and the door is proposed. The measurement model is completely based on only force sensing. The real-time trajectory planning method and the control strategy are designed. The trajectory planning method allows the maximum angle between the sagittal axis of the robot body and the normal line of the door plane to be 45º. A 0-DOF tool mounted to the robot body is applied to operate. By integrating with the body, the tool has 6 DOFs and enough workspace to operate. The loose grasp achieved by the tool helps release the inner force in the tool. Experiments are carried out to validate the method. The results show that the method is effective and robust in opening doors wider than 1 m. This paper proposes a novel door-opening method for six-legged robots, which notably uses a 0-DOF tool and only force sensing to detect and open the door.

Experimental Studies of Wheelchair and Walker Users Passing Through Doors with Different Opening Force.

PubMed

Nersveen, Jonny

2016-01-01

Users of walkers and users of different categories of wheelchairs tested doors with different opening force, aiming to reveal the limit that these groups of people could manage on an everyday basis. 94.7% of the wheelchair users reported that a door opening force of 30 N was acceptable, while as 92.1% of this group described 40 N as acceptable. Similarly, 100% of the walker users reported that a door opening force of 30 N was acceptable, while as 87,5% of this group described 40 N as acceptable.

Hand sanitizer-dispensing door handles increase hand hygiene compliance: a pilot study.

PubMed

Babiarz, Lukasz S; Savoie, Brent; McGuire, Mark; McConnell, Lauren; Nagy, Paul

2014-04-01

Improving rates of hand hygiene compliance (HHC) has been shown to reduce nosocomial disease. We compared the HHC for a traditional wall-mounted unit and a novel sanitizer-dispensing door handle device in a hospital inpatient ultrasound area. HHC increased 24.5%-77.1% (P < .001) for the exam room with the sanitizer-dispensing door handle, whereas it remained unchanged for the other rooms. Technical improvements like a sanitizer-dispensing door handle can improve hospital HHC. Copyright © 2014 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

Door openings in the operating room are associated with increased environmental contamination.

PubMed

Perez, Priscilla; Holloway, Julia; Ehrenfeld, Lucy; Cohen, Susan; Cunningham, Linda; Miley, Gerald B; Hollenbeck, Brian L

2018-05-04

Door openings in the operating room (OR) have been hypothesized to increase OR environmental contamination. This study measured average colony-forming units (CFU) in the OR as a function of door openings and other potentially important variables. Bacterial settle plates were placed inside and outside of laminar airflow (LAF) by both exit doors, on the instrument table, and on the back instrument table (if applicable) for 48 orthopedic and general surgery procedures. CFU data were paired to Staphylococcus aureus colonization status, door openings, surgery duration, time of day, OR location, number of staff, use of warming devices, temperature, and humidity. The number of door openings in the OR and surgery duration were significantly associated with increased CFU in the OR overall and outside of LAF. However, under LAF conditions, only the number of OR personnel was significantly associated with increased CFU. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Determination of secondhand smoke leakage from the smoking room of an Internet café.

PubMed

Kim, Hyejin; Lee, Kiyoung; An, Jaehoon; Won, Sungho

2017-10-01

Although Internet cafes have been designated as nonsmoking areas in Korea, smoke-free legislation has allowed the installation of indoor smoking rooms. The purposes of this study were to determine secondhand smoke (SHS) leakage from an Internet café smoking room and to identify factors associated with SHS leakage. PM 2.5 (particulate matter with an aerodynamic diameter ≤2.5 μm) mass concentrations were measured simultaneously both inside and outside the door to the smoking room. During each measurement, a field technician observed how long the smoking room door was opened and closed, the direction of door opening, and the number of smokers. A multivariate linear regression model was used to identify the causality of SHS leakage from the smoking room. A time series of PM 2.5 concentrations both inside and outside the door to the smoking room showed a similar trend. SHS leakage was significantly increased because of factors associated with the direction of the smoking room door being opened, the duration of how long the smoking room door was opened until it was closed, and the average PM 2.5 concentration inside the smoking room when the door was opened. SHS leakage from inside the smoking room to outside the smoking room was evident especially when the smoking room door was opened. Since the smoking room is not effective in preventing SHS exposure, the smoking room should be removed from the facilities to protect citizens from SHS exposure through revision of the current legislation, which permits installation of a smoking room. This paper concerns secondhand smoke (SHS) leakage from indoor smoking room. Unlike previous studies, the authors statistically analyzed the causality of PM 2.5 concentration leakage from a smoking room using time-series analysis. Since the authors selected the most common smoking room, the outcomes could be generalized. The study demonstrated that SHS leakage from smoking room and SHS leakage were clearly associated with door opening. The finding demonstrated ineffectiveness of smoking room to protect citizens and supports removal of indoor smoking room.

Effectiveness and feasibility of long-lasting insecticide-treated curtains and water container covers for dengue vector control in Colombia: a cluster randomised trial

PubMed Central

Quintero, Juliana; García-Betancourt, Tatiana; Cortés, Sebastian; García, Diana; Alcalá, Lucas; González-Uribe, Catalina; Brochero, Helena; Carrasquilla, Gabriel

2015-01-01

Background Long-lasting insecticide-treated net (LLIN) window and door curtains alone or in combination with LLIN water container covers were analysed regarding effectiveness in reducing dengue vector density, and feasibility of the intervention. Methods A cluster randomised trial was conducted in an urban area of Colombia comparing 10 randomly selected control and 10 intervention clusters. In control clusters, routine vector control activities were performed. The intervention delivered first, LLIN curtains (from July to August 2013) and secondly, water container covers (from October to March 2014). Cross-sectional entomological surveys were carried out at baseline (February 2013 to June 2013), 9 weeks after the first intervention (August to October 2013), and 4–6 weeks after the second intervention (March to April 2014). Results Curtains were installed in 922 households and water container covers in 303 households. The Breteau index (BI) fell from 14 to 6 in the intervention group and from 8 to 5 in the control group. The additional intervention with LLIN covers for water containers showed a significant reduction in pupae per person index (PPI) (p=0.01). In the intervention group, the PPI index showed a clear decline of 71% compared with 25% in the control group. Costs were high but options for cost savings were identified. Conclusions Short term impact evaluation indicates that the intervention package can reduce dengue vector density but sustained effect will depend on multiple factors. PMID:25604762

Pulling a Door Open by Pushing on It

ERIC Educational Resources Information Center

van den Berg, Willem H.

2007-01-01

Ordinarily, opening a door by pulling on the knob or handle causes a net torque on the door, and hence an angular acceleration, about a "vertical" axis. However, it may be that the top or bottom of the door sticks to the door frame; this horizontal force perpendicular to the plane of the door causes a torque on the door about a "horizontal" axis.…

Traffic flow and microbial air contamination in operating rooms at a major teaching hospital in Ghana.

PubMed

Stauning, M T; Bediako-Bowan, A; Andersen, L P; Opintan, J A; Labi, A-K; Kurtzhals, J A L; Bjerrum, S

2018-07-01

Current literature examining the relationship between door-opening rate, number of people present, and microbial air contamination in the operating room is limited. Studies are especially needed from low- and middle-income countries, where the risk of surgical site infections is high. To assess microbial air contamination in operating rooms at a Ghanaian teaching hospital and the association with door-openings and number of people present. Moreover, we aimed to document reasons for door-opening. We conducted active air-sampling using an MAS 100 ® portable impactor during 124 clean or clean-contaminated elective surgical procedures. The number of people present, door-opening rate and the reasons for each door-opening were recorded by direct observation using pretested structured observation forms. During surgery, the mean number of colony-forming units (cfu) was 328 cfu/m 3 air, and 429 (84%) of 510 samples exceeded a recommended level of 180 cfu/m 3 . Of 6717 door-openings recorded, 77% were considered unnecessary. Levels of cfu/m 3 were strongly correlated with the number of people present (P = 0.001) and with the number of door-openings/h (P = 0.02). In empty operating rooms, the mean cfu count was 39 cfu/m 3 after 1 h of uninterrupted ventilation and 52 (51%) of 102 samples exceeded a recommended level of 35 cfu/m 3 . The study revealed high values of intraoperative airborne cfu exceeding recommended levels. Minimizing the number of door-openings and people present during surgery could be an effective strategy to reduce microbial air contamination in low- and middle-income settings. Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Door Hardware and Installations; Carpentry: 901894.

ERIC Educational Resources Information Center

Dade County Public Schools, Miami, FL.

The curriculum guide outlines a course designed to provide instruction in the selection, preparation, and installation of hardware for door assemblies. The course is divided into five blocks of instruction (introduction to doors and hardware, door hardware, exterior doors and jambs, interior doors and jambs, and a quinmester post-test) totaling…

Use of automatic door closers improves fire safety.

PubMed

Waterman, T E

1979-01-01

In a series of 16 full-scale fire tests, investigators at the IIT Research Institute have concluded that automatic door control in the room of fire origin can significantly reduce the spread of toxic smoke and gases. The researchers also investigated the effects of sprinkler actuation, and the functional relationship between sprinklers and automatic door closers. This report presents the results of the study, and presents recommendations for health-care facilities.

Deconstructing Faculty Doors: The Humor-Pedagogy Index Reveals More about Your Colleagues than You Need to Know

ERIC Educational Resources Information Center

Petruso, Karl M.

2006-01-01

The semiotics of the stuff faculty stick to their office doors has recently attracted scholarly interest. It has been noted that these office doors represent a blank canvas, a space that a professor can fill with images and texts that furnish clues to his or her beliefs, interests, and philosophy of learning. This present study was inspired by the…

49 CFR 541.5 - Requirements for passenger motor vehicles.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) Engine. (2) Transmission. (3) Right front fender. (4) Left front fender. (5) Hood. (6) Right front door. (7) Left front door. (8) Right rear door. (9) Left rear door. (10) Sliding or cargo door(s). (11) Front bumper. (12) Rear bumper. (13) Right rear quarter panel (passenger cars). (14) Left rear quarter...

49 CFR 541.5 - Requirements for passenger motor vehicles.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Engine. (2) Transmission. (3) Right front fender. (4) Left front fender. (5) Hood. (6) Right front door. (7) Left front door. (8) Right rear door. (9) Left rear door. (10) Sliding or cargo door(s). (11) Front bumper. (12) Rear bumper. (13) Right rear quarter panel (passenger cars). (14) Left rear quarter...

Development of Integrated Die Casting Process for Large Thin-Wall Magnesium Applications

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

Carter, Jon T.; Wang, Gerry; Luo, Alan

The purpose of this project was to develop a process and product which would utilize magnesium die casting and result in energy savings when compared to the baseline steel product. The specific product chosen was a side door inner panel for a mid-size car. The scope of the project included: re-design of major structural parts of the door, design and build of the tooling required to make the parts, making of parts, assembly of doors, and testing (both physical and simulation) of doors. Additional work was done on alloy development, vacuum die casting, and overcasting, all in order to improvemore » the performance of the doors and reduce cost. The project achieved the following objectives: 1. Demonstrated ability to design a large thin-wall magnesium die casting. 2. Demonstrated ability to manufacture a large thin-wall magnesium die casting in AM60 alloy. 3. Tested via simulations and/or physical tests the mechanical behavior and corrosion behavior of magnesium die castings and/or lightweight experimental automotive side doors which incorporate a large, thin-wall, powder coated, magnesium die casting. Under some load cases, the results revealed cracking of the casting, which can be addressed with re-design and better material models for CAE analysis. No corrosion of the magnesium panel was observed. 4. Using life cycle analysis models, compared the energy consumption and global warming potential of the lightweight door with those of a conventional steel door, both during manufacture and in service. Compared to a steel door, the lightweight door requires more energy to manufacture but less energy during operation (i.e., fuel consumption when driving vehicle). Similarly, compared to a steel door, the lightweight door has higher global warming potential (GWP) during manufacture, but lower GWP during operation. 5. Compared the conventional magnesium die casting process with the “super-vacuum” die casting process. Results achieved with cast tensile bars suggest some improvement in tensile properties with vacuum casting. Plant trials with large castings revealed cavity fill issues attributed to cooling and partial solidification of metal in the shot sleeve while waiting for vacuum to be established in the die cavity. 6. Developed age-hardenable Mg-based alloys as potential alternatives to the AM60 and AZ91 alloys typically used in automotive applications. Mg-7%Al-based alloys having Sn or Sn+Si additions exhibited significant age hardening, but more work is needed to demonstrate significant improvement in tensile properties. Corrosion behavior of these alloys is between those of AM60 and AZ91 alloys. 7. Evaluated the die casting of magnesium directly onto either steel or aluminum tubes as a potential process to make large lightweight subassemblies. Samples were free of gross defects, but additional work is needed to increase the interfacial shear strength. Overall, the project demonstrated that an automotive door-in-white design incorporating a die cast magnesium inner panel and a stamped aluminum outer panel can achieve approximately 50% mass reduction compared to the stamped steel baseline door-in-white. This leads to reduced energy consumption when driving the vehicle, which should more than offset the increased embedded energy of manufacture associated with the lighter metals. However, additional design work would be needed in order to meet the mechanical performance required of a door. Development of high-strength, high-ductility magnesium alloy castings would help make this technology more attractive for potential use in the side doors on automobiles. Also, increased use of recycled magnesium and aluminum would reduce the embedded energy and greenhouse gas emissions associated with the manufacture of this type of lightweight door. Commercialization planning of the type of lightweight door technology addressed in this project would be contingent upon the doors meeting all technical performance requirements of the car maker. The specific lightweight door developed in this project didn’t meet some of those requirements, but a preliminary business case study was conducted anyhow. This study considered the ratio of cost increase to mass decrease when the lightweight door is compared to a baseline steel door. The ratio was found to be in an acceptable range for some vehicle programs, especially if the number of such vehicles to be produced is equal to or slightly less than the estimated 250,000-shot life of the die set. This would allow for the investment in the dies to be spread across many parts and thereby help minimize the cost increase.« less

AT LEFT IS WEST DOOR; AT CENTER IS CELLAR DOOR ...

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

AT LEFT IS WEST DOOR; AT CENTER IS CELLAR DOOR CHEEK TRACE. AT RIGHT IS STONE BASE COURSE AND LOCATION OF ORIGINAL EAST DOOR OPENING - Kid-Chandler House, 323 Walnut Street, Philadelphia, Philadelphia County, PA

The sound insulations of studio doors. Part 1: Door blanks

NASA Astrophysics Data System (ADS)

Plumb, G. D.; Clark, R.

The sound insulations of a range of different door blanks were measured. The results were compared with the sound insulations of existing BBC door blanks. The new doors were made from medium density fiberboard (MDF) which is more stable than the blockboard used in existing studio doors. Consequently, they should require less maintenance and adjustment and should have a longer lifespan. The doors had higher sound insulations for their weight than existing designs, which might permit savings in the costs of the surrounding building structures. Overall construction costs of the door blanks themselves are likely to be similar to those of existing designs. A companion Report (BBC RD 1994/15) describes sound insulation measurements made on plant-on door seals. The intention of this work was to simplify the construction of the door frame and the fitting of the seals to reduce costs.

Experience matters: Dogs (Canis familiaris) infer physical properties of objects from movement clues.

PubMed

Kuroshima, Hika; Nabeoka, Yukari; Hori, Yusuke; Chijiiwa, Hitomi; Fujita, Kazuo

2017-03-01

Reasoning about physical properties of objects such as heaviness by observing others' actions toward them is important and useful for adapting to the environment. In this study, we asked whether domestic dogs (Canis familiaris) can use a human's action to infer a physical property of target objects. In Experiment 1, dogs watched an experimenter opening two differently loaded swinging doors with different corresponding degrees of effort, and then were allowed to open one of the doors. Dogs chose randomly between the two doors. In Experiment 2, we gave new dogs the same test as in Experiment 1, but only after giving them experience of opening the doors by themselves, so that they already knew that the doors could be either light or heavy. In this test the dogs reliably chose the light door. These results indicate that dogs are able to infer physical characteristics of objects from the latters' movement caused by human action, but that this inferential reasoning requires direct own experience of the objects. Copyright © 2017. Published by Elsevier B.V.

Effect of interior door position on room-to-room differences in residential pollutant concentrations after short-term releases

NASA Astrophysics Data System (ADS)

Ferro, Andrea R.; Klepeis, Neil E.; Ott, Wayne R.; Nazaroff, William W.; Hildemann, Lynn M.; Switzer, Paul

Residential interior door positions influence the pollutant concentrations that result from short-term indoor sources, such as cigarettes, candles, and incense. To elucidate this influence, we reviewed past studies and conducted new experiments in three residences: a single-story 714 m 3 ranch-style house, a 510 m 3 two-story split-level house, and a 200 m 3 two-story house. During the experiments, we released sulfur hexafluoride or carbon monoxide tracer gas over short periods (≤30 min) and measured concentrations in the source room and at least one other (receptor) room for various interior door opening positions. We found that closing a door between rooms effectively prevented transport of air pollutants, reducing the average concentration in the receptor room relative to the source room by 57-100% over exposure periods of 1-8 h. When intervening doors were partially or fully open, the reduction in average concentrations ranged from 3% to 99%, varying as a function of door opening width and the distance between source and receptor rooms.

Use and acceptance of long lasting insecticidal net screens for dengue prevention in Acapulco, Guerrero, Mexico.

PubMed

Jones, Catrin H; Benítez-Valladares, David; Guillermo-May, Guillermo; Dzul-Manzanilla, Felipe; Che-Mendoza, Azael; Barrera-Pérez, Mario; Selem-Salas, Celia; Chablé-Santos, Juan; Sommerfeld, Johannes; Kroeger, Axel; O'Dempsey, Timothy; Medina-Barreiro, Anuar; Manrique-Saide, Pablo

2014-08-14

Dengue, recognized by the WHO as the most important mosquito-borne viral disease in the world, is a growing problem. Currently, the only effective way of preventing dengue is vector control. Standard methods have shown limited effect, and there have been calls to develop new integrated vector management approaches. One novel tool, protecting houses with long lasting insecticidal screens on doors and windows, is being trialled in a cluster randomised controlled trial by a joint UADY/WHO TDR/IDRC study in various districts of Acapulco, Mexico, with exceptionally high levels of crime and insecurity.This study investigated the community's perspectives of long lasting insecticidal screens on doors and windows in homes and in schools, in order to ascertain their acceptability, to identify challenges to further implementation and opportunities for future improvements. This was a sequential mixed-methods study. The quantitative arm contained a satisfaction survey administered to 288 houses that had received the intervention examining their perspectives of both the intervention and dengue prevention in general. The qualitative arm consisted of Focus Group Discussions (FGDs) with those who had accepted the intervention and key informant interviews with: schoolteachers to discuss the use of the screens in schools, program staff, and community members who had refused the intervention. Overall satisfaction and acceptance of the screens was very high, with only some operational and technical complaints relating to screen fragility and the installation process. However, the wider social context of urban violence and insecurity was a major barrier to screen acceptance. Lack of information dissemination and community collaboration were identified as project weaknesses. The screens are widely accepted by the population, but the project implementation could be improved by reassuring the community of its legitimacy in the context of insecurity. More community engagement and better information sharing structures are needed.The screens could be a major new dengue prevention tool suitable for widespread use, if further research supports their entomological and epidemiological effectiveness and their acceptability in different social and environmental contexts. Further research is needed looking at the impact of insecurity of dengue prevention programmes.

[Pre-randomisation in study designs: getting past the taboo].

PubMed

Schellings, R; Kessels, A G; Sturmans, F

2008-09-20

In October 2006 the Dutch Ministry of Health, Welfare and Sport announced that the use of pre-randomisation in study designs is admissible and not in conflict with the Dutch Medical Research in Human Subjects Act. With pre-randomisation, the conventional sequence of obtaining informed consent followed by randomisation is reversed. According to the original pre-randomisation design (Zelen design), participants are randomised before they are asked to consent; after randomisation, only participants in the experimental group are asked to consent to treatment and effect measurement. In the past, pre-randomisation has seldom been used, and when it was, it was often under the wrong circumstances. Awareness regarding the ethical, legal and methodological objections to pre-randomisation is increasing. About a decade ago, we illustrated the applicability and acceptability of pre-randomisation by means of a fictitious heroin provision trial. In general, pre-randomisation is justified if valid evaluation of the effects of an intervention is impossible using a conventional randomised design, e.g., if knowledge of the intervention may lead to non-compliance or drop-out in the control group, or when the intervention is an educational programme. Other requirements for pre-randomisation include the following: the study has a clinically relevant objective, it is likely that the study will lead to important new insights, the informed consent procedure bears no potential harm to participants, at least standard care is offered to participants in the control group, and the approval of an independent research ethics committee is obtained.

49 CFR 571.206 - Standard No. 206; Door locks and door retention components.

Code of Federal Regulations, 2012 CFR

2012-10-01

... (GVWR) of 4,536 kg or less. S3. Definitions. Auxiliary Door Latch is a latch equipped with a fully... auxiliary door latch on each hinged door shall not disengage from the fully latched position when an inertia... hinged back door shall also not disengage from the fully latched position when an inertia load is applied...

49 CFR 571.206 - Standard No. 206; Door locks and door retention components.

Code of Federal Regulations, 2013 CFR

2013-10-01

... (GVWR) of 4,536 kg or less. S3. Definitions. Auxiliary Door Latch is a latch equipped with a fully... auxiliary door latch on each hinged door shall not disengage from the fully latched position when an inertia... hinged back door shall also not disengage from the fully latched position when an inertia load is applied...

49 CFR 571.206 - Standard No. 206; Door locks and door retention components.

Code of Federal Regulations, 2011 CFR

2011-10-01

... (GVWR) of 4,536 kg or less. S3. Definitions. Auxiliary Door Latch is a latch equipped with a fully... auxiliary door latch on each hinged door shall not disengage from the fully latched position when an inertia... hinged back door shall also not disengage from the fully latched position when an inertia load is applied...

49 CFR 571.206 - Standard No. 206; Door locks and door retention components.

Code of Federal Regulations, 2014 CFR

2014-10-01

... (GVWR) of 4,536 kg or less. S3. Definitions. Auxiliary Door Latch is a latch equipped with a fully... auxiliary door latch on each hinged door shall not disengage from the fully latched position when an inertia... hinged back door shall also not disengage from the fully latched position when an inertia load is applied...

An evaluation of NCRP report 151--radiation shielding design for radiotherapy facilities, and a feasibility study for 6 MV open-door treatments in an existing high-energy radiation therapy bunker

NASA Astrophysics Data System (ADS)

Kildea, John

This thesis describes a study of shielding design techniques used for radiation therapy facilities that employ megavoltage linear accelerators. Specifically, an evaluation of the shielding design formalism described in NCRP report 151 was undertaken and a feasibility study for open-door 6 MV radiation therapy treatments in existing 6 MV, 18 MV treatment rooms at the Montreal General Hospital (MGH) was conducted. To evaluate the shielding design formalism of NCRP 151, barrier-attenuated equivalent doses were measured for several of the treatment rooms at the MGH and compared with expectations from NCRP 151 calculations. It was found that, while the insight and recommendations of NCRP 151 are very valuable, its dose predictions are not always correct. As such, the NCRP 151 methodology is best used in conjunction with physical measurements. The feasibility study for 6 MV open-door treatments made use of the NCRP 151 formalism, together with physical measurements for realistic 6 MV workloads. The results suggest that, dosimetrically, 6 MV open door treatments are feasible. A conservative estimate for the increased dose at the door arising from such treatments is 0.1 mSv, with a 1/8 occupancy factor, as recommended in NCRP 151, included.

A long-term study examining the antibacterial effectiveness of Agion silver zeolite technology on door handles within a college campus.

PubMed

Potter, B A; Lob, M; Mercaldo, R; Hetzler, A; Kaistha, V; Khan, H; Kingston, N; Knoll, M; Maloy-Franklin, B; Melvin, K; Ruiz-Pelet, P; Ozsoy, N; Schmitt, E; Wheeler, L; Potter, M; Rutter, M A; Yahn, G; Parente, D H

2015-02-01

Laboratory studies have shown that small concentrations of silver are effective at inhibiting the growth micro-organisms through the disruption of important cell structures and processes. The additional ability to incorporate silver into surfaces has increased the usage of silver in the medical field and expanded its use into the consumer market. To understand the impact of increased silver-containing antimicrobial use, it is important to determine whether silver-based consumer goods are effective at reducing bacterial populations. Our study examined the antibacterial effectiveness of Agion silver zeolite technology applied to 25 silver- and control-coated door handles across a college campus. Door handles were sampled for 6 week periods in both the fall and spring semester, and bacteria were cultured and enumerated on tryptic soy agar (TSA), MacConkey agar (MAC) and mannitol salt agar (MSA). A significant difference was observed between the bacterial populations isolated from silver- and control-coated door handles after 3 years. However, bacteria were consistently isolated from silver-coated door handles suggesting that the silver zeolite was only effective against a portion of the bacterial populations, and further studies are necessary to determine the identities of the isolated bacteria and the prevalence of silver resistance. © 2014 The Society for Applied Microbiology.

Real-time door detection for indoor autonomous vehicle

NASA Astrophysics Data System (ADS)

He, Zhihao; Zhu, Ming

2017-07-01

Indoor Autonomous Vehicle(IAV) is used in many indoor scenes. Such as hotels and hospitals. Door detection is a key issue to guide the IAV into rooms. In this paper, we consider door detection in the use of indoor navigation of IAV. Since real-time properties are important for real-world IAV, the detection algorithm must be fast enough. Most monocular-camera based door detection model need a perfect detection of the four line segments of the door or the four corners. But in many situations, line segments could be extended or cut off. And there could be many false detected corners. And few of them can distinguish doors from door-like objects with door-like shape effectively. We proposed a 2-D vision model of the door that is made up of line segments. The number of parts detected is used to determine the possibility of a door. Our algorithm is tested on a database of doors.1 The robustness and real-time are verified. The precision is 89.4%. Average time consumed for processing a 640x320 figure is 44.73ms.

Glass/Epoxy Door Panel for Automobiles

NASA Technical Reports Server (NTRS)

Bauer, J. L. JR.

1985-01-01

Lightweight panel cost-effective. Integrally-molded intrusion strap key feature of composite outer door panel. Strap replaces bulky and heavy steel instrusion beam of conventional door. Standard steel inner panel used for demonstration purposes. Door redesigned to exploit advantages of composite outer panel thinner. Outer panel for automobilie door, made of glass/epoxy composite material, lighter than conventional steel door panel, meets same strength requirements, and less expensive.

A nondestructive stratigraphic and radiographic neutron study of Lorenzo Ghiberti's reliefs from paradise and north doors of Florence baptistery

NASA Astrophysics Data System (ADS)

Festa, G.; Andreani, C.; de Pascale, M. P.; Senesi, R.; Vitali, G.; Porcinai, S.; Giusti, A. M.; Schulze, R.; Canella, L.; Kudejova, P.; Mühlbauer, M.; Schillinger, B.; Ancient Charm Collaboration

2009-10-01

A neutron study on two gilded bronze reliefs by Lorenzo Ghiberti is presented. The two reliefs, representing heads of prophets, come from the north and east doors of the Baptistery of Florence. The east door will be permanently located at the Museo dell'Opera di Santa Maria del Fiore museum at the end of its restoration, which is still in progress at the Metals Conservation Department of the Opificio delle Pietre Dure in Florence. The north door is kept in the original site, on the north facade of the Florentine Baptistery. Both reliefs exhibit critical aspects regarding their state of conservation in particular the stability of the gold layer on the bronze surface. Moreover the east head presents a remelting of which extension and composition are still unknown. The present work describes a non-destructive study of the subgilding area and bulk. The two main objectives of such analyses are: (1) to study the manufacturing technique and state of conservation of the reliefs; and (2) to assess the two cleaning techniques (laser cleaning and Rochelle salts chemical cleaning) used by the conservators during the restoration process of the east door. The experiment was carried out using prompt gamma-ray activation imaging combined with neutron radiography and conventional neutron radiography. The former method was applied to map the elemental composition of the two reliefs, while neutron radiography was used to investigate the bulk. The results provide significant information about subsuperficial areas, elemental composition of the objects from the surface down to a depth of 1 mm below gilding, and bulk structure of the remelting. Such information will guide the curators in the selection of the most suitable microclimatic conditions for the exhibition of the east door and for future conservation work on the north door.

An integrated pest control strategy against the Asian tiger mosquito in northern Italy: a case study.

PubMed

Baldacchino, Frédéric; Bussola, Francesca; Arnoldi, Daniele; Marcantonio, Matteo; Montarsi, Fabrizio; Capelli, Gioia; Rosà, Roberto; Rizzoli, Annapaola

2017-01-01

In Europe, Aedes albopictus is an invasive mosquito species known to be a major nuisance as well as a vector of a range of arboviruses. A number of studies have indicated that community participation programmes are an effective pest control tool to reduce mosquito populations. However, few studies have evaluated the effectiveness of a community-based approach in Europe. In this study, we examined two Ae. albopictus control strategies that implemented a community-based approach in northern Italy: one was a partial intervention that included a public education campaign and the larviciding of public spaces, and the other was a full intervention that additionally included a door-to-door campaign. This latter consisted of going door to door actively to educate residents about control measures and deliver larvicide tablets for treating catch basins at home. A site where no intervention measures were carried out was used as a control. In the site where a full intervention was carried out, Ae. albopictus egg density was 1.6 times less than at the site that received partial intervention, and 1.9 times less than at the non-intervention site. No significant reduction in egg density was achieved in the partial intervention site. In our study, Ae. albopictus populations were most effectively reduced by larviciding both public and private catch basins. Door-to-door education was effective in convincing residents to apply control measures on their property; however, this method was labour intensive and costly. It may be possible to reduce personnel costs by involving volunteers or using a 'hot spot' approach. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

Environmental sustainability comparison of a hypothetical pneumatic waste collection system and a door-to-door system.

PubMed

Punkkinen, Henna; Merta, Elina; Teerioja, Nea; Moliis, Katja; Kuvaja, Eveliina

2012-10-01

Waste collection is one of the life cycle phases that influence the environmental sustainability of waste management. Pneumatic waste collection systems represent a new way of arranging waste collection in densely populated urban areas. However, limited information is available on the environmental impacts of this system. In this study, we compare the environmental sustainability of conventional door-to-door waste collection with its hypothetical pneumatic alternative. Furthermore, we analyse whether the size of the hypothetical pneumatic system, or the number of waste fractions included, have an impact on the results. Environmental loads are calculated for a hypothetical pneumatic waste collection system modelled on an existing dense urban area in Helsinki, Finland, and the results are compared to those of the prevailing, container-based, door-to-door waste collection system. The evaluation method used is the life-cycle inventory (LCI). In this study, we report the atmospheric emissions of greenhouse gases (GHG), SO(2) and NO(x). The results indicate that replacing the prevailing system with stationary pneumatic waste collection in an existing urban infrastructure would increase total air emissions. Locally, in the waste collection area, emissions would nonetheless diminish, as collection traffic decreases. While the electricity consumption of the hypothetical pneumatic system and the origin of electricity have a significant bearing on the results, emissions due to manufacturing the system's components prove decisive. Copyright © 2012 Elsevier Ltd. All rights reserved.

The Vaccination of 35,000 Dogs in 20 Working Days Using Combined Static Point and Door-to-Door Methods in Blantyre, Malawi

PubMed Central

Gibson, Andrew D; Handel, Ian G; Shervell, Kate; Roux, Tarryn; Mayer, Dagmar; Muyila, Stanford; Maruwo, Golden B; Nkhulungo, Edwin M. S; Foster, Rachel A; Chikungwa, Patrick; Chimera, Bernard; Bronsvoort, Barend M.deC; Mellanby, Richard J; Gamble, Luke

2016-01-01

An estimated 60,000 people die of rabies annually. The vast majority of cases of human rabies develop following a bite from an infected dog. Rabies can be controlled in both human and canine populations through widespread vaccination of dogs. Rabies is particularly problematic in Malawi, costing the country an estimated 13 million USD and 484 human deaths annually, with an increasing paediatric incidence in Blantyre City. Consequently, the aim of this study was to vaccinate a minimum of 75% of all the dogs within Blantyre city during a one month period. Blantyre’s 25 administrative wards were divided into 204 working zones. For initial planning, a mean human:dog ratio from the literature enabled estimation of dog population size and dog surveys were then performed in 29 working zones in order to assess dog distribution by land type. Vaccination was conducted at static point stations at weekends, at a total of 44 sites, with each operating for an average of 1.3 days. On Monday to Wednesday, door-to-door vaccination sessions were undertaken in the areas surrounding the preceding static point stations. 23,442 dogs were vaccinated at static point stations and 11,774 dogs were vaccinated during door-to-door vaccinations. At the end of the 20 day vaccination programme, an assessment of vaccination coverage through door-to-door surveys found that of 10,919 dogs observed, 8,661 were vaccinated resulting in a vaccination coverage of 79.3% (95%CI 78.6–80.1%). The estimated human:dog ratio for Blantyre city was 18.1:1. Mobile technology facilitated the collection of data as well as efficient direction and coordination of vaccination teams in near real time. This study demonstrates the feasibility of vaccinating large numbers of dogs at a high vaccination coverage, over a short time period in a large African city. PMID:27414810

A comparative study of two different uncinectomy techniques: swing-door and classical.

PubMed

Singhania, Ankit A; Bansal, Chetan; Chauhan, Nirali; Soni, Saurav

2012-01-01

The aim of this study was to determine which technique of uncinectomy, classical or swing door technique. Four hundred eighty Cases of sinusitis were selected and operated for Functional Endoscopic Sinus Surgery (FESS). Out of these, in 240 uncinectomies classical uncinectomy was done whereas in another 240 uncinectomies swing door technique was used. Initially patients were medically managed treated according to their symptoms and prior management. Patients who had received previous adequate medical management were evaluated with CT scan of the sinuses. If disease still persists than they were operated for FESS. The authors' experience indicates that Functional endoscopic sinus surgery can be performed under local or general anesthesia, as permitted or tolerated. In this review classical technique was used in 240 uncinectomies. Out of this, ethmoidal complex injury was noted in 4 cases, missed maxillary ostium syndrome (incomplete removal) was reported in 12 patients and orbital fat exposure was encountered in 5 patients. As compared to 240 uncinectomies done with swing door technique, incomplete removal was evident in 2 cases and lacrimal duct injury was reported in 3 cases. 'Evidence that underscores how this 'swing door technique' successfully combines 'the conservation goals of the anterior-to-posterior approach and anatomic virtues of the posterior-to-anterior approach to ethmoidectomy of the total 480 uncinectomies operated. Out of which 240 uncinectomies have been performed using the 'swing-door' technique. The 240 uncinectomies performed using classical technique were used as controls. The incidence of orbital penetration, incomplete removal, ethmoidal complex injury and ostium non-identification was significantly less with the new technique. Three lacrimal injuries occurred with the 'swing-door' technique compared to no injuries with classical technique. The authors recommend swing door technique as it is easy to learn, allows complete removal of the uncinate flush with the lateral nasal wall and allows easy identification of the natural ostium of the maxillary sinus without injuring the ethmoidal complex.

14 CFR 23.783 - Doors.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Doors. 23.783 Section 23.783 Aeronautics... Cargo Accommodations § 23.783 Doors. (a) Each closed cabin with passenger accommodations must have at least one adequate and easily accessible external door. (b) Passenger doors must not be located with...

Serum uric acid levels and multiple health outcomes: umbrella review of evidence from observational studies, randomised controlled trials, and Mendelian randomisation studies.

PubMed

Li, Xue; Meng, Xiangrui; Timofeeva, Maria; Tzoulaki, Ioanna; Tsilidis, Konstantinos K; Ioannidis, John PA; Campbell, Harry; Theodoratou, Evropi

2017-06-07

Objective  To map the diverse health outcomes associated with serum uric acid (SUA) levels. Design  Umbrella review. Data sources  Medline, Embase, Cochrane Database of Systematic Reviews, and screening of citations and references. Eligibility criteria  Systematic reviews and meta-analyses of observational studies that examined associations between SUA level and health outcomes, meta-analyses of randomised controlled trials that investigated health outcomes related to SUA lowering treatment, and Mendelian randomisation studies that explored the causal associations of SUA level with health outcomes. Results  57 articles reporting 15 systematic reviews and144 meta-analyses of observational studies (76 unique outcomes), 8 articles reporting 31 meta-analyses of randomised controlled trials (20 unique outcomes), and 36 articles reporting 107 Mendelian randomisation studies (56 unique outcomes) met the eligibility criteria. Across all three study types, 136 unique health outcomes were reported. 16 unique outcomes in meta-analyses of observational studies had P<10 -6 , 8 unique outcomes in meta-analyses of randomised controlled trials had P<0.001, and 4 unique outcomes in Mendelian randomisation studies had P<0.01. Large between study heterogeneity was common (80% and 45% in meta-analyses of observational studies and of randomised controlled trials, respectively). 42 (55%) meta-analyses of observational studies and 7 (35%) meta-analyses of randomised controlled trials showed evidence of small study effects or excess significance bias. No associations from meta-analyses of observational studies were classified as convincing; five associations were classified as highly suggestive (increased risk of heart failure, hypertension, impaired fasting glucose or diabetes, chronic kidney disease, coronary heart disease mortality with high SUA levels). Only one outcome from randomised controlled trials (decreased risk of nephrolithiasis recurrence with SUA lowering treatment) had P<0.001, a 95% prediction interval excluding the null, and no large heterogeneity or bias. Only one outcome from Mendelian randomisation studies (increased risk of gout with high SUA levels) presented convincing evidence. Hypertension and chronic kidney disease showed concordant evidence in meta-analyses of observational studies, and in some (but not all) meta-analyses of randomised controlled trials with respective intermediate or surrogate outcomes, but they were not statistically significant in Mendelian randomisation studies. Conclusion  Despite a few hundred systematic reviews, meta-analyses, and Mendelian randomisation studies exploring 136 unique health outcomes, convincing evidence of a clear role of SUA level only exists for gout and nephrolithiasis. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

HOLE-DOOR SIGN: A Novel Intraoperative Optical Coherence Tomography Feature Predicting Macular Hole Closure.

PubMed

Kumar, Vinod; Yadav, Bhupendra

2017-08-08

To describe a novel intraoperative finding during pars plana vitrectomy for macular hole using operating microscope-integrated spectral domain optical coherence tomography that predicts the closure of macular hole. Twenty-five eyes of 25 patients with macular hole, who underwent 25-gauge pars plana vitrectomy over a period of 16 months at a tertiary eye care center by a single surgeon, were recruited in this retrospective interventional study. All eyes were assessed with intraoperative spectral domain optical coherence tomography before and after internal limiting membrane peeling. The patients were assessed in terms of best-corrected visual acuity, preoperative minimal hole diameter, and type of hole closure. After the internal limiting membrane was peeled, vertical pillars of tissue were seen at the edges of hole projecting into the vitreous cavity. This appearance was similar to that of an open door over the macular hole and was termed "hole-door sign." Hole-door sign was seen in 15 of 25 eyes (60%). All the eyes with hole-door sign had Type-1 closure of macular hole (100%), whereas only 6 of 10 eyes (60%) without hole-door sign had Type-1 closure of the macular hole. Hole-door sign is a novel intraoperative finding that predicts postoperative Type-1 closure of macular hole. This may add to the utility of intraoperative optical coherence tomography in clinical practice.

Door latching recognition apparatus and process

DOEpatents

Eakle, Jr., Robert F.

2012-05-15

An acoustic door latch detector is provided in which a sound recognition sensor is integrated into a door or door lock mechanism. The programmable sound recognition sensor can be trained to recognize the acoustic signature of the door and door lock mechanism being properly engaged and secured. The acoustic sensor will signal a first indicator indicating that proper closure was detected or sound an alarm condition if the proper acoustic signature is not detected within a predetermined time interval.

46 CFR 170.270 - Door design, operation, installation, and testing.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Door design, operation, installation, and testing. 170..., operation, installation, and testing. (a) Each Class 1 door must have a quick action closing device... the welding process so that the door frame is not distorted. (e) For each watertight door which is in...

15. INTERIOR OF BEDROOM NO. 2 SHOWING OPEN PANELED DOOR ...

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

15. INTERIOR OF BEDROOM NO. 2 SHOWING OPEN PANELED DOOR TO THE BATHROOM AT PHOTO CENTER, OPEN DOOR TO CLOSET AT RIGHT OF THE BATHROOM DOOR, AND OPEN DOOR TO LIVING ROOM AT EXTREME PHOTO RIGHT. VIEW TO NORTH. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

Tools for Requirements Management: A Comparison of Telelogic DOORS and the HiVe

DTIC Science & Technology

2006-07-01

types DOORS deals with are text files, spreadsheets, FrameMaker , rich text, Microsoft Word and Microsoft Project. 2.5.1 Predefined file formats DOORS...during the export. DOORS exports FrameMaker files in an incomplete format, meaning DOORS exported files will have to be opened in FrameMaker and saved

24 CFR 200.949 - Building product standards and certification program for exterior insulated steel door systems.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Doors and Frames; (viii) ISDSI-107-80—Thermal Performance Standard for Insulated Steel Door Systems; (ix... certification program for exterior insulated steel door systems. 200.949 Section 200.949 Housing and Urban... program for exterior insulated steel door systems. (a) Applicable standards. (1) All Exterior Insulated...

14 CFR 25.772 - Pilot compartment doors.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Pilot compartment doors. 25.772 Section 25... § 25.772 Pilot compartment doors. For an airplane that has a lockable door installed between the pilot... pilot compartment if the cockpit door becomes jammed. (c) There must be an emergency means to enable a...

14 CFR 25.772 - Pilot compartment doors.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Pilot compartment doors. 25.772 Section 25... § 25.772 Pilot compartment doors. For an airplane that has a lockable door installed between the pilot... pilot compartment if the cockpit door becomes jammed. (c) There must be an emergency means to enable a...

Air-kerma evaluation at the maze entrance of HDR brachytherapy facilities.

PubMed

Pujades, M C; Granero, D; Vijande, J; Ballester, F; Perez-Calatayud, J; Papagiannis, P; Siebert, F A

2014-12-01

In the absence of procedures for evaluating the design of brachytherapy (BT) facilities for radiation protection purposes, the methodology used for external beam radiotherapy facilities is often adapted. The purpose of this study is to adapt the NCRP 151 methodology for estimating the air-kerma rate at the door in BT facilities. Such methodology was checked against Monte Carlo (MC) techniques using the code Geant4. Five different facility designs were studied for (192)Ir and (60)Co HDR applications to account for several different bunker layouts.For the estimation of the lead thickness needed at the door, the use of transmission data for the real spectra at the door instead of the ones emitted by (192)Ir and (60)Co will reduce the lead thickness by a factor of five for (192)Ir and ten for (60)Co. This will significantly lighten the door and hence simplify construction and operating requirements for all bunkers.The adaptation proposed in this study to estimate the air-kerma rate at the door depends on the complexity of the maze: it provides good results for bunkers with a maze (i.e. similar to those used for linacs for which the NCRP 151 methodology was developed) but fails for less conventional designs. For those facilities, a specific Monte Carlo study is in order for reasons of safety and cost-effectiveness.

Response perseveration and sensitivity to reward and punishment in boys with oppositional defiant disorder.

PubMed

Matthys, Walter; van Goozen, Stephanie H M; Snoek, Heddeke; van Engeland, Herman

2004-12-01

Response perseveration is the tendency to continue a response set for reward despite punishment. In the present study, response perseveration and sensitivity to reward and punishment were assessed in boys with oppositional defiant disorder (ODD). The study also examined the relation between punishment sensitivity and autonomic arousal. Nineteen ODD boys (mean age 9.8 years) and 20 normal control boys (NC) (mean age 9.7 years) were administered the door-opening task. In this task, the subject chooses either to open the next door or to stop playing; the opening of doors is initially rewarded and then increasingly punished. ODD boys opened more doors than NC boys. Following punishment, ODD boys took less time than NC boys before opening the next door, but did not differ from NC boys in time after reward. Mean skin conductance level was lower in ODD boys than in NC boys. The correlation coefficient between time after punishment and skin conductance level was moderately positive in the total sample. These results suggest that response perseveration in ODD boys is related to low punishment sensitivity and that skin conductance level is a marker of punishment sensitivity.

DoOR 2.0 - Comprehensive Mapping of Drosophila melanogaster Odorant Responses

NASA Astrophysics Data System (ADS)

Münch, Daniel; Galizia, C. Giovanni

2016-02-01

Odors elicit complex patterns of activated olfactory sensory neurons. Knowing the complete olfactome, i.e. the responses in all sensory neurons for all relevant odorants, is desirable to understand olfactory coding. The DoOR project combines all available Drosophila odorant response data into a single consensus response matrix. Since its first release many studies were published: receptors were deorphanized and several response profiles were expanded. In this study, we add unpublished data to the odor-response profiles for four odorant receptors (Or10a, Or42b, Or47b, Or56a). We deorphanize Or69a, showing a broad response spectrum with the best ligands including 3-hydroxyhexanoate, alpha-terpineol, 3-octanol and linalool. We include all of these datasets into DoOR, provide a comprehensive update of both code and data, and new tools for data analyses and visualizations. The DoOR project has a web interface for quick queries (http://neuro.uni.kn/DoOR), and a downloadable, open source toolbox written in R, including all processed and original datasets. DoOR now gives reliable odorant-responses for nearly all Drosophila olfactory responding units, listing 693 odorants, for a total of 7381 data points.

Effectiveness and feasibility of long-lasting insecticide-treated curtains and water container covers for dengue vector control in Colombia: a cluster randomised trial.

PubMed

Quintero, Juliana; García-Betancourt, Tatiana; Cortés, Sebastian; García, Diana; Alcalá, Lucas; González-Uribe, Catalina; Brochero, Helena; Carrasquilla, Gabriel

2015-02-01

Long-lasting insecticide-treated net (LLIN) window and door curtains alone or in combination with LLIN water container covers were analysed regarding effectiveness in reducing dengue vector density, and feasibility of the intervention. A cluster randomised trial was conducted in an urban area of Colombia comparing 10 randomly selected control and 10 intervention clusters. In control clusters, routine vector control activities were performed. The intervention delivered first, LLIN curtains (from July to August 2013) and secondly, water container covers (from October to March 2014). Cross-sectional entomological surveys were carried out at baseline (February 2013 to June 2013), 9 weeks after the first intervention (August to October 2013), and 4-6 weeks after the second intervention (March to April 2014). Curtains were installed in 922 households and water container covers in 303 households. The Breteau index (BI) fell from 14 to 6 in the intervention group and from 8 to 5 in the control group. The additional intervention with LLIN covers for water containers showed a significant reduction in pupae per person index (PPI) (p=0.01). In the intervention group, the PPI index showed a clear decline of 71% compared with 25% in the control group. Costs were high but options for cost savings were identified. Short term impact evaluation indicates that the intervention package can reduce dengue vector density but sustained effect will depend on multiple factors. © The author 2015. The World Health Organization has granted Oxford University Press permission for the reproduction of this article.

ESKIMO II. Magazine Separation Test

DTIC Science & Technology

1974-09-01

were supported against blast loading at the hinges and at the top and bottom. Further door support was provided by bearings on stops welded to the...head of the door and by a round steel rod projecting rnwad and bearing on the steel beam. During the test the doors were dislodged and thrown to the...cOAcnlt projection abova door opining to It if fan haaowali. C 133 3180 • 75 153 Stoaf dowat to nmtt door movmint at top; »aas affactwa than door

2. CLOSEUP OF THE ORNAMENTAL LIGHTS, THE CENTRAL BIFOLD DOORS, ...

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

2. CLOSEUP OF THE ORNAMENTAL LIGHTS, THE CENTRAL BIFOLD DOORS, AND THE EXAGGERATED TRIGLYTHS ABOVE THE DOOR, LOOKING WEST. NOTE THE PERSONNEL DOOR COMPRISED OF THE BOTTOM THREE PANELS IN THE LEFT BIFOLD DOOR. - Wyoming Valley Flood Control System, Woodward Pumping Station, East of Toby Creek crossing by Erie-Lackawanna Railroad, Edwardsville, Luzerne County, PA

49 CFR 571.214 - Standard No. 214; Side impact protection.

Code of Federal Regulations, 2011 CFR

2011-10-01

... rearmost position. (4) Any side door that is designed to be easily attached to or removed (e.g., using... lifts, and vehicles which have no doors or exclusively have doors that are designed to be easily... have no doors, or exclusively have doors that are designed to be easily attached or removed so that the...

77 FR 19055 - Morgan Olson, LLC, Receipt of Petition for Decision of Inconsequential Noncompliance

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-29

... noncompliance is that the affected vehicles do not contain a primary door latch system or door closure warning... for either a primary door latch system or door closure warning system applied only to its vehicles... latched position. Nor are these vehicles equipped with a door closure warning system. Rule text: Paragraph...

Feasibility and Effectiveness of mHealth for Mobilizing Households for Indoor Residual Spraying to Prevent Malaria: A Case Study in Mali

PubMed Central

Mangam, Keith; Fiekowsky, Elana; Bagayoko, Moussa; Norris, Laura; Belemvire, Allison; Longhany, Rebecca; Fornadel, Christen; George, Kristen

2016-01-01

ABSTRACT Components of mHealth are increasingly being added to development interventions worldwide. A particular case of interest is in Mali where the U.S. President’s Malaria Initiative (PMI) Africa Indoor Residual Spraying (AIRS) Project piloted a mobile mass-messaging service in Koulikoro District in August 2014 to determine whether voice and/or text messages received on cell phones could effectively replace door-to-door mobilization for an indoor residual spraying (IRS) campaign. To measure the pilot’s effectiveness, we evaluated structure preparedness (all household and food items removed) in 3 pilot intervention villages compared with 3 villages prepared for spray through door-to-door mobilization that was modified by incorporating town hall meetings and radio spots. Structure preparedness was significantly lower in households mobilized through the mobile-messaging approach compared with the door-to-door approach (49% vs. 75%, respectively; P = .03). Spray coverage of targeted households also was significantly lower among the mobile-messaging villages than the door-to-door mobilization villages (86% vs. 96%, respectively; P = .02). The mobile-messaging approach, at US$8.62 per structure prepared, was both more costly and less effective than the door-to-door approach at US$1.08 per structure prepared. While literacy and familiarity with technology were major obstacles, it also became clear that by removing the face-to-face interactions between mobilizers and household residents, individuals were not as trusting or understanding of the mobilization messages. These residents felt it was easier to ignore a text or voice message than to ignore a mobilizer who could provide reassurances and preparation support. In addition, men often received the mobile messages, as they typically owned the mobile phones, while women—who were more likely to be at home at the time of spray—usually interacted with the door-to-door mobilizers. Future attempts at using mHealth approaches for similar IRS mobilization efforts in Mali should be done in a way that combines mHealth tools with more common human-based interventions, rather than as a stand-alone approach, and should be designed with a gender lens in mind. The choice of software used for mass messaging should also be considered to find a local option that is both less expensive and perhaps more attuned to the local context than a U.S.-based software solution. PMID:27353616

Feasibility and Effectiveness of mHealth for Mobilizing Households for Indoor Residual Spraying to Prevent Malaria: A Case Study in Mali.

PubMed

Mangam, Keith; Fiekowsky, Elana; Bagayoko, Moussa; Norris, Laura; Belemvire, Allison; Longhany, Rebecca; Fornadel, Christen; George, Kristen

2016-06-20

Components of mHealth are increasingly being added to development interventions worldwide. A particular case of interest is in Mali where the U.S. President's Malaria Initiative (PMI) Africa Indoor Residual Spraying (AIRS) Project piloted a mobile mass-messaging service in Koulikoro District in August 2014 to determine whether voice and/or text messages received on cell phones could effectively replace door-to-door mobilization for an indoor residual spraying (IRS) campaign. To measure the pilot's effectiveness, we evaluated structure preparedness (all household and food items removed) in 3 pilot intervention villages compared with 3 villages prepared for spray through door-to-door mobilization that was modified by incorporating town hall meetings and radio spots. Structure preparedness was significantly lower in households mobilized through the mobile-messaging approach compared with the door-to-door approach (49% vs. 75%, respectively; P = .03). Spray coverage of targeted households also was significantly lower among the mobile-messaging villages than the door-to-door mobilization villages (86% vs. 96%, respectively; P = .02). The mobile-messaging approach, at US$8.62 per structure prepared, was both more costly and less effective than the door-to-door approach at US$1.08 per structure prepared. While literacy and familiarity with technology were major obstacles, it also became clear that by removing the face-to-face interactions between mobilizers and household residents, individuals were not as trusting or understanding of the mobilization messages. These residents felt it was easier to ignore a text or voice message than to ignore a mobilizer who could provide reassurances and preparation support. In addition, men often received the mobile messages, as they typically owned the mobile phones, while women-who were more likely to be at home at the time of spray-usually interacted with the door-to-door mobilizers. Future attempts at using mHealth approaches for similar IRS mobilization efforts in Mali should be done in a way that combines mHealth tools with more common human-based interventions, rather than as a stand-alone approach, and should be designed with a gender lens in mind. The choice of software used for mass messaging should also be considered to find a local option that is both less expensive and perhaps more attuned to the local context than a U.S.-based software solution. © Mangam et al.

Local versus general anaesthesia in carotid endarterectomy: a systematic review of the evidence.

PubMed

Tangkanakul, C; Counsell, C E; Warlow, C P

1997-05-01

To determine whether carotid endarterectomy under local anaesthesia is safer and as effective as under general anaesthesia. Systematic review of the randomised and non-randomised studies. Studies were identified from the Cochrane Stroke Group's database plus additional handsearching and electronic searching. Two authors independently selected studies for inclusion and extracted details of trial quality and data on death, any stroke, myocardial infarction and other operative complications. Meta-analysis was performed using the Peto method. There were 17 non-randomised studies (about 5970 patients) and only three randomised studies (143 patients). The non-randomised studies suggested that the use of local anaesthesia may be associated with clinically important reductions (approximately 50%) in the odds of stroke, stroke or death, myocardial infarction and pulmonary complications during the perioperative period, and with reductions in hospital stay. There were far too little data from the randomised trials to confirm or refute these findings: only one death and seven strokes were reported. Non-randomised studies suggest potentially important benefits from performing carotid endarterectomy under local anaesthesia. However, these studies were seriously flawed and can only be hypothesis generating. The results must be confirmed in large well-designed randomised trials before any recommendations on the use of local anaesthetic can be made.

75 FR 4485 - Airworthiness Directives; Fokker Services B.V. Model F.28 Mark 0070 and 0100 Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-28

... have been reported where a passenger door actuator detached from the passenger door. This caused the... result in injury to persons on the ground and damage to the aircraft. * * * * * We are issuing this AD to... where a passenger door actuator detached from the passenger door. This caused the passenger door to drop...

11. INTERIOR OF BEDROOM NUMBER ONE SHOWING OPEN DOOR FROM ...

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

11. INTERIOR OF BEDROOM NUMBER ONE SHOWING OPEN DOOR FROM LIVING ROOM AT EXTREME PHOTO LEFT, OPEN DOOR TO WALK-IN CLOSET AT PHOTO LEFT CENTER, OPEN DOOR TO BATHROOM AT PHOTO CENTER, AND OPEN DOOR TO BEDROOM NUMBER TWO AT EXTREME PHOTO RIGHT. VIEW TO WEST. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

33. Detail, typical door hardware, door from front parlor to ...

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

33. Detail, typical door hardware, door from front parlor to entrance hall; view to south; 135mm lens with electronic flash illumination. - Warner Hutton House, 13495 Sousa Lane, Saratoga, Santa Clara County, CA

The Thud at the Classroom Door: Teachers' Curriculum Decision Making in Response to a New Textbook. Draft.

ERIC Educational Resources Information Center

Kon, Jane Heckley

This study, based on interviews and classroom observation, evaluates what seven fifth-grade teachers in California did one autumn when a controversial new state-approved social studies textbook arrived at their doors. By tracking the teachers' daily curriculum decisions for social studies during the first few months following receipt of the…

Nuclear Storage Overpack Door Actuator and Alignment Apparatus

DOEpatents

Andreyko, Gregory M.

2005-05-11

The invention is a door actuator and alignment apparatus for opening and closing the 15,000-pound horizontally sliding door of a storage overpack. The door actuator includes a ball screw mounted horizontally on a rigid frame including a pair of door panel support rails. An electrically powered ball nut moves along the ball screw. The ball nut rotating device is attached to a carriage. The carriage attachment to the sliding door is horizontally pivoting. Additional alignment features include precision cam followers attached to the rails and rail guides attached to the carriage.

Nuclear storage overpack door actuator and alignment apparatus

DOEpatents

Andreyko, Gregory M.

2005-05-10

The invention is a door actuator and alignment apparatus for opening and closing the 15,000-pound horizontally sliding door of a storage overpack. The door actuator includes a ball screw mounted horizontally on a rigid frame including a pair of door panel support rails. An electrically powered ball nut moves along the ball screw. The ball nut rotating device is attached to a carriage. The carriage attachment to the sliding door is horizontally pivoting. Additional alignment features include precision cam followers attached to the rails and rail guides attached to the carriage.

The effect of a paraffin screen on the neutron dose at the maze door of a 15 MV linear accelerator

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

Krmar, M.; Kuzmanović, A.; Nikolić, D.

2013-08-15

Purpose: The purpose of this study was to explore the effects of a paraffin screen located at various positions in the maze on the neutron dose equivalent at the maze door.Methods: The neutron dose equivalent was measured at the maze door of a room containing a 15 MV linear accelerator for x-ray therapy. Measurements were performed for several positions of the paraffin screen covering only 27.5% of the cross-sectional area of the maze. The neutron dose equivalent was also measured at all screen positions. Two simple models of the neutron source were considered in which the first assumed that themore » source was the cross-sectional area at the inner entrance of the maze, radiating neutrons in an isotropic manner. In the second model the reduction in the neutron dose equivalent at the maze door due to the paraffin screen was considered to be a function of the mean values of the neutron fluence and energy at the screen.Results: The results of this study indicate that the equivalent dose at the maze door was reduced by a factor of 3 through the use of a paraffin screen that was placed inside the maze. It was also determined that the contributions to the dosage from areas that were not covered by the paraffin screen as viewed from the dosimeter, were 2.5 times higher than the contributions from the covered areas. This study also concluded that the contributions of the maze walls, ceiling, and floor to the total neutron dose equivalent were an order of magnitude lower than those from the surface at the far end of the maze.Conclusions: This study demonstrated that a paraffin screen could be used to reduce the neutron dose equivalent at the maze door by a factor of 3. This paper also found that the reduction of the neutron dose equivalent was a linear function of the area covered by the maze screen and that the decrease in the dose at the maze door could be modeled as an exponential function of the product φ·E at the screen.« less

Marguerite Arnet Residence, interior walls and front door, and door ...

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

Marguerite Arnet Residence, interior walls and front door, and door leading to next room - Adam & Bessie Arnet Homestead, Marguerite Arnet Residence, 560 feet northeast of Adam & Bessie Arnet Residence, Model, Las Animas County, CO

24 CFR 3280.105 - Exit facilities; exterior doors.

Code of Federal Regulations, 2013 CFR

2013-04-01

... opening. (3) Each swinging exterior door other than screen or storm doors shall have a key-operated lock... the use of a key for operation from the inside. (4) All exterior doors, including storm and screen...

24 CFR 3280.105 - Exit facilities; exterior doors.

Code of Federal Regulations, 2012 CFR

2012-04-01

... opening. (3) Each swinging exterior door other than screen or storm doors shall have a key-operated lock... the use of a key for operation from the inside. (4) All exterior doors, including storm and screen...

24 CFR 3280.105 - Exit facilities; exterior doors.

Code of Federal Regulations, 2010 CFR

2010-04-01

... opening. (3) Each swinging exterior door other than screen or storm doors shall have a key-operated lock... the use of a key for operation from the inside. (4) All exterior doors, including storm and screen...

24 CFR 3280.105 - Exit facilities; exterior doors.

Code of Federal Regulations, 2011 CFR

2011-04-01

... opening. (3) Each swinging exterior door other than screen or storm doors shall have a key-operated lock... the use of a key for operation from the inside. (4) All exterior doors, including storm and screen...

Traffic in the operating room during joint replacement is a multidisciplinary problem

PubMed Central

Bédard, Martin; Pelletier-Roy, Rémi; Angers-Goulet, Mathieu; Leblanc, Pierre-Alexandre; Pelet, Stéphane

2015-01-01

Background Door openings disrupt the laminar air flow and increase the bacterial count in the operating room (OR). We aimed to define the incidence of door openings in the OR during primary total joint arthroplasty (TJA) surgeries and determine whether measures were needed and/or possible to reduce OR staff traffic. Methods We recorded the number of door openings during 100 primary elective TJA surgeries; the OR personnel were unaware of the observer’s intention. Operating time was divided into the preincision period, defined as the time from the opening of surgical trays to skin incision, and the postincision period, defined as time from incision to dressing application. Results The mean number of door openings during primary TJA was 71.1 (range 35–176) with a mean operative time of 111.9 (range 53–220) minutes, for an average of 0.64 (range 0.36–1.05) door openings/min. Nursing staff were responsible for 52.2% of total door openings, followed by anesthesia staff at 23.9% and orthopedic staff at 12.7%. In the preincision period, we observed an average of 0.84 door openings/min, with nursing and orthopedic personnel responsible for most of the door openings. The postincision period yielded an average of 0.54 door openings/min, with nursing and anesthesia personnel being responsible for most of the door openings. Conclusion There is a high incidence of door openings during TJA. Because we observed a range in the number of door openings per surgery, we believe it is possible to reduce this number during TJA. PMID:26022153

49 CFR 571.206 - Standard No. 206; Door locks and door retention components.

Code of Federal Regulations, 2010 CFR

2010-10-01

... components. S1. Scope and Purpose. This standard specifies requirements for vehicle door locks and door... provides access from outside the vehicle to a space wholly partitioned from the occupant compartment by a...

5. View bay door and single man door on north ...

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

5. View bay door and single man door on north elevation of power plant, looking south - Naval Air Station Fallon, Power Plant, 800 Complex, off Carson Road near intersection of Pasture & Berney Roads, Fallon, Churchill County, NV

13. Detail of hangar door showing mount of sliding door ...

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

13. Detail of hangar door showing mount of sliding door leaves at overhead girder. Viedw to north-northeast. - Ellsworth Air Force Base, Readiness Hangar, Kenny Road, southeast corner of interstction with G Avenue, Blackhawk, Meade County, SD

Super Heavy-Duty Door Hardware.

ERIC Educational Resources Information Center

Fickes, Michael

2000-01-01

Discusses the new generation of durable school-door hardware and innovations that can resist everyday abuse. Concluding comments address cross-corridor door innovations that can help doorways more easily accommodate the passage of oversized items, and classroom door locking systems. (GR)

Highly Variable Cycle Exhaust Model Test (HVC10)

NASA Technical Reports Server (NTRS)

Henderson, Brenda; Wernet, Mark; Podboy, Gary; Bozak, Rick

2010-01-01

Results from acoustic and flow-field studies using the Highly Variable Cycle Exhaust (HVC) model were presented. The model consisted of a lobed mixer on the core stream, an elliptic nozzle on the fan stream, and an ejector. For baseline comparisons, the fan nozzle was replaced with a round nozzle and the ejector doors were removed from the model. Acoustic studies showed far-field noise levels were higher for the HVC model with the ejector than for the baseline configuration. Results from Particle Image Velocimetry (PIV) studies indicated that large flow separation regions occurred along the ejector doors, thus restricting flow through the ejector. Phased array measurements showed noise sources located near the ejector doors for operating conditions where tones were present in the acoustic spectra.

Factors affecting pelvic and thoracic forces in near-side impact crashes: a study of US-NCAP, NASS, and CIREN data.

PubMed

Tencer, Allan F; Kaufman, Robert; Mack, Christopher; Mock, Charles

2005-03-01

The goal of this study was to identify variables related to vehicle design which are associated with pelvic and thoracic accelerations as measured by the driver's (near side) crash dummy during new car assessment program (NCAP) testing of motor vehicles. Vehicle specific parameters were analyzed using NCAP side impact test results. Data from national automotive sampling system, crashworthiness data system (NASS-CDS) and crash injury research and engineering network (CIREN) (both National Highway Traffic Safety Administration (NHTSA) injury databases) were assessed to confirm NCAP test observations. In addition, door armrest stiffness measurements were performed using a mechanical tester on a sample of 40 vehicles. NCAP data showed that of 10 variables tested using multiple linear regression, vehicle weight and door crush correlated with pelvic acceleration of the driver's crash dummy (overall, r2=0.58, p=0.002, n=165). For thoracic trauma index (TTI) vehicle weight and peak door velocity correlated, significantly (overall, r2=0.41, p=0.03, n=165). Mean TTI was 63.7 g with no side airbag (n=108) and 55.6 g with a thoracic side airbag (n=54), p=0.01. The mean vehicle weight and door crush between airbag and no airbag groups were not significantly different. NASS-CDS data demonstrated a direct relationship between increased door crush and increased abbreviated injury score (AIS). CIREN data showed that occupants who sustained pelvic injuries had a median AIS of 3 with 24.9 cm of door crush, with abdominal injuries, a median AIS of 3 and 30 cm of crush, and with thoracic injuries, a median AIS of 4 and 34 cm of door crush. In addition, the frequency of bilateral pelvic injuries was significantly higher for subjects in CIREN crashes who were in a vehicle with a center console, but only if door intrusion was greater than 15 cm. This information may be useful in design of vehicles with greater protection in side impact crashes.

Egress door opening assister

DOEpatents

Allison, Thomas L.

2015-10-06

A door opening spring assistance apparatus is set forth that will automatically apply a door opening assistance force using a combination of rods and coil springs. The release of the rods by the coil springs reduces the force required to set the door in motion.

20. INTERIOR OF BEDROOM NUMBER THREE SHOWING OPEN DOOR TO ...

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

20. INTERIOR OF BEDROOM NUMBER THREE SHOWING OPEN DOOR TO THE LIVING ROOM AT PHOTO LEFT, CLOSED PANEL DOOR TO WALK-IN CLOSET AT PHOTO CENTER LEFT, AND OPEN PANEL DOOR TO BATHROOM NUMBER TWO AT PHOTO RIGHT. OPEN DOOR TO BATHROOM NUMER TWO LOOKS THROUGH TO BEDROOM NUMBER FOUR. VIEW TO SOUTHEAST. - Rush Creek Hydroelectric System, Clubhouse Cottage, Rush Creek, June Lake, Mono County, CA

49 CFR Appendix A to Part 531 - Example of Calculating Compliance Under § 531.5(c)

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Transmission class Description Actualmeasured fuel economy (mpg) Volume 1 PC A FWD 1.8 A5 2-door sedan 34.0 1,500 2 PC A FWD 1.8 M6 2-door sedan 34.6 2,000 3 PC A FWD 2.5 A6 4-door wagon 33.8 2,000 4 PC A AWD 1.8 A6 4-door wagon 34.4 1,000 5 PC A AWD 2.5 M6 2-door hatchback 32.9 3,000 6 PC B RWD 2.5 A6 4-door...

Alarm sensor apparatus for closures

DOEpatents

Carlson, J.A.; Stoddard, L.M.

1984-01-31

An alarm sensor apparatus for closures such as doors and windows, and particularly for closures having loose tolerances such as overhead doors, garage doors or the like, the sensor apparatus comprising a pair of cooperating bracket members, one being attached to the door facing or framework and the other to the door member, two magnetic sensor elements carried by said bracket members, the bracket members comprising a pair of cooperating orthogonal guide slots and plates and a stop member engageable with one of the sensors for aligning the sensors with respect to each other in all three orthogonal planes when the door is closed.

Alarm sensor apparatus for closures

DOEpatents

Carlson, James A.; Stoddard, Lawrence M.

1986-01-01

An alarm sensor apparatus for closures such as doors and windows, and particularly for closures having loose tolerances such as overhead doors, garage doors or the like, the sensor apparatus comprising a pair of cooperating bracket members, one being attached to the door facing or frame work and the other to the door member, two magnetic sensor elements carried by said bracket members, the bracket members comprising a pair of cooperating orthogonal guide slots and plates and a stop member engageable with one of the sensors for aligning the sensors with respect to each other in all three orthogonal planes when the door is closed.

A protocol for a systematic review of non-randomised evaluations of strategies to improve participant recruitment to randomised controlled trials.

PubMed

Gardner, Heidi R; Fraser, Cynthia; MacLennan, Graeme; Treweek, Shaun

2016-08-02

Randomised controlled trials guard against selection bias and therefore offer the fairest way of evaluating healthcare interventions such as medicinal products, devices and services. Recruitment to trials can be extremely difficult, and poor recruitment can lead to extensions to both time and budget and may result in an underpowered study which does not satisfactorily answer the original research question. In the worst cases, a trial may be abandoned, causing huge waste. The evidence to support the choice of recruitment interventions is currently weak. Non-randomised evaluations of recruitment interventions are currently rejected on grounds of poor methodological quality, but systematic evaluation and assessment of this substantial body of work (using Grading of Recommendations Assessment, Development and Evaluation (GRADE) where possible) may provide useful information to support and inform the recruitment decisions of trialists and the research priorities of methodology researchers. The following databases will be searched for relevant studies: Cochrane Methodology Register, MEDLINE, EMBASE, CINAHL and PsycINFO. Any non-randomised study that includes a comparison of two or more interventions to improve recruitment to randomised controlled trials will be included. We will not apply any restrictions on publication date, language or journal. The primary outcome will be the number of individuals or centres recruited into a randomised controlled trial. The secondary outcome will be cost per recruit. Two reviewers will independently screen abstracts for eligible studies, and then, full texts of potentially relevant records will be reviewed. Disagreements will be resolved through discussion. The methodological quality of studies will be assessed using the Cochrane risk of bias tool for non-randomised studies, and the GRADE system will be used if studies are pooled. This review aims to summarise the evidence on methods used to improve recruitment to randomised controlled trials. Carrying out a systematic review including only data from non-randomised studies is a novel approach, and one which some may argue is futile. However, we believe that the systematic evaluation of what is likely to be a substantial amount of research activity is necessary, worthwhile, and will yield valuable results for the clinical trials community regardless of whether the outcomes find in favour of one or more interventions. Should the results of this review suggest that non-randomised evaluations do have something to offer trialists planning their recruitment strategies, the review may be combined in the future with the Cochrane review of randomised evaluations to produce a full review of recruitment strategies encompassing both randomised and non-randomised evaluation methods. PROSPERO CRD42016037718.

Traumatic asphyxia--fatal accident in an automatic revolving door.

PubMed

Cortis, J; Falk, J; Rothschild, M A

2015-09-01

Due to continuing modernisation, the number of automatic doors in routine use, including powered revolving doors, has increased in recent years. Automatic revolving doors are found mostly in department stores, airports, railway stations and hospitals. Although safety arrangements and guidelines concerning the installation of automatic doors are in existence, their disregard in conjunction with obsolete or incorrect installation can lead to fatal accidents. In this report, a 19-month-old boy is described whose right arm was caught between the elements of an automatic revolving door. As a direct result of rescue attempts, the child's body was drawn further into the narrow gap between elements of the door. To get the boy's body out of the 4-cm-wide gap between the fixed outer wall of the revolving door and the revolving inner, back-up batteries had to be disconnected so as to stop the electrical motor powering the door. Cardiopulmonary resuscitation was begun immediately after the rescue but was unsuccessful; the child was declared dead at the hospital he was taken to. The cause of death was a combination of compression-related skull and brain injury together with thoracic compression. This case shows an outstanding example of the preventive aspect as a special task of forensic medicine. Additionally, it serves as a warning for the correct installation and use of automatic revolving doors. Even so, small children should not use these doors on their own, but only with an alert companion, so as to prevent further fatal accidents of this sort.

FACILITY 713, DINING ROOM CABINET DOORS AND DOORS FROM LIVING ...

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

FACILITY 713, DINING ROOM CABINET DOORS AND DOORS FROM LIVING ROOM TO ENTRY PORCH IN RIGHT BACKGROUND, VIEW FACING NORTHWEST. - Schofield Barracks Military Reservation, Central-Entry Single-Family Housing Type, Between Bragg & Grime Streets near Ayres Avenue, Wahiawa, Honolulu County, HI

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

Wagner, J.; Sullivan, D.P.; Faulkner, D.

The purpose of this study is to quantify the effect ofvarious design and operating parameters on smoking room performance.Twenty-eight experiments were conducted in a simulated smoking room witha smoking machine and an automatic door opener. Measurements were made ofair flows, pressures, temperatures, two particle-phase ETS tracers, twogas-phase ETS tracers, and sulfur hexafluoride. Quantification of leakageflows, the effect of these leaks on smoking room performance andnon-smoker exposure, and the relative importance of each leakagemechanism are presented. The results indicate that the first priority foran effective smoking room is to depressurize it with respect to adjoiningnon-smoking areas. Another important ETS leakage mechanismmore » is the pumpingaction of the smoking room door. Substituting a sliding door for astandard swing-type door reduced this source of ETS leakagesignificantly. Measured results correlated well with model predictions(R2 = 0.82-0.99).« less

7. INTERIOR OF SOUTH MAIN BUILDING ROOM AND OPEN DOOR ...

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

7. INTERIOR OF SOUTH MAIN BUILDING ROOM AND OPEN DOOR TO SHED ADDITION, OPEN DOOR TO NORTH MAIN BUILDING ROOM, AND CLOSED DOOR TO BATHROOM. VIEW TO NORTHWEST. - Bishop Creek Hydroelectric System, Control Station, Hydrographer's Office, Bishop Creek, Bishop, Inyo County, CA

Long-lasting insecticide-treated house screens and targeted treatment of productive breeding-sites for dengue vector control in Acapulco, Mexico

PubMed Central

Che-Mendoza, Azael; Guillermo-May, Guillermo; Herrera-Bojórquez, Josué; Barrera-Pérez, Mario; Dzul-Manzanilla, Felipe; Gutierrez-Castro, Cipriano; Arredondo-Jiménez, Juan I.; Sánchez-Tejeda, Gustavo; Vazquez-Prokopec, Gonzalo; Ranson, Hilary; Lenhart, Audrey; Sommerfeld, Johannes; McCall, Philip J.; Kroeger, Axel; Manrique-Saide, Pablo

2015-01-01

Background Long-lasting insecticidal net screens (LLIS) fitted to domestic windows and doors in combination with targeted treatment (TT) of the most productive Aedes aegypti breeding sites were evaluated for their impact on dengue vector indices in a cluster-randomised trial in Mexico between 2011 and 2013. Methods Sequentially over 2 years, LLIS and TT were deployed in 10 treatment clusters (100 houses/cluster) and followed up over 24 months. Cross-sectional surveys quantified infestations of adult mosquitoes, immature stages at baseline (pre-intervention) and in four post-intervention samples at 6-monthly intervals. Identical surveys were carried out in 10 control clusters that received no treatment. Results LLIS clusters had significantly lower infestations compared to control clusters at 5 and 12 months after installation, as measured by adult (male and female) and pupal-based vector indices. After addition of TT to the intervention houses in intervention clusters, indices remained significantly lower in the treated clusters until 18 (immature and adult stage indices) and 24 months (adult indices only) post-intervention. Conclusions These safe, simple affordable vector control tools were well-accepted by study participants and are potentially suitable in many regions at risk from dengue worldwide. PMID:25604761

Care processes associated with quicker door-in-door-out times for patients with ST-elevation-myocardial infarction requiring transfer: results from a statewide regionalization program.

PubMed

Glickman, Seth W; Lytle, Barbara L; Ou, Fang-Shu; Mears, Greg; O'Brien, Sean; Cairns, Charles B; Garvey, J Lee; Bohle, David J; Peterson, Eric D; Jollis, James G; Granger, Christopher B

2011-07-01

The ability to rapidly identify patients with ST-segment elevation-myocardial infarction (STEMI) at hospitals without percutaneous coronary intervention (PCI) and transfer them to hospitals with PCI capability is critical to STEMI regionalization efforts. Our objective was to assess the association of prehospital, emergency department (ED), and hospital processes of care implemented as part of a statewide STEMI regionalization program with door-in-door-out times at non-PCI hospitals. Door-in-door-out times for 436 STEMI patients at 55 non-PCI hospitals were determined before (July 2005 to September 2005) and after (January 2007 to March 2007) a year-long implementation of standardized protocols as part of a statewide regionalization program (Reperfusion of Acute Myocardial Infarction in North Carolina Emergency Departments, RACE). The association of 8 system care processes (encompassing emergency medical services [EMS], ED, and hospital settings) with door-in-door-out times was determined using multivariable linear regression. Median door-in-door-out times improved significantly with the intervention (before: 97.0 minutes, interquartile range, 56.0 to 160.0 minutes; after: 58.0 minutes, interquartile range, 35.0 to 90.0 minutes; P<0.0001). Hospital, ED, and EMS care processes were each independently associated with shorter door-in-door-out times (-17.7 [95% confidence interval, -27.5 to -7.9]; -10.1 [95% confidence interval, -19.0 to -1.1], and -7.3 [95% confidence interval, -13.0 to -1.5] minutes for each additional hospital, ED, and EMS process, respectively). Combined, adoption of EMS processes was associated with the shortest median treatment times (44 versus 138 minutes for hospitals that adopted all EMS processes versus none). Prehospital, ED, and hospital processes of care were independently associated with shorter door-in-door-out times for STEMI patients requiring transfer. Adoption of several EMS processes was associated with the largest reduction in treatment times. These findings highlight the need for an integrated, system-based approach to improving STEMI care.

Impact of an audit program and other factors on door-to-balloon times in acute ST-elevation myocardial infarction patients destined for primary coronary intervention.

PubMed

Lai, Chao-Lun; Fan, Chieh-Min; Liao, Pen-Chih; Tsai, Kuang-Chau; Yang, Chi-Yu; Chu, Shu-Hsun; Chien, Kuo-Liong

2009-04-01

This before-after study investigated the association between an audit program and door-to-balloon times in patients with acute ST-elevation myocardial infarction (STEMI) and explored other factors associated with the door-to-balloon time. An audit program that collected time data for essential time intervals in acute STEMI was developed with data feedback to both the Department of Emergency Medicine and the Department of Cardiology. The door-to-balloon times for 76 consecutive acute STEMI patients were collected from February 16, 2007, through October 31, 2007, after the implementation of the audit program, as the intervention group. The control group was defined by 104 consecutive acute STEMI patients presenting from April 1, 2006, through February 15, 2007, before the audit was applied. A multivariate linear regression model was used for analysis of factors associated with the door-to-balloon time. The geometric mean 95% CI of the door-to-balloon time decreased from 164.9 (150.3, 180.9) minutes to 141.9 (127.4, 158.2) minutes (p = 0.039) in the intervention phase. The median door-to-balloon time was 147.5 minutes in the control group and 136.0 minutes in the intervention group (p = 0.09). In the multivariate regression model, the audit program was associated with a shortening of the door-to-balloon time by 35.5 minutes (160.4 minutes vs. 195.9 minutes, p = 0.004); female gender was associated with a mean delay of 58.4 minutes (208.9 minutes vs. 150.5 minutes; p = 0.001); posterolateral wall infarction was associated with a mean delay of 70.5 minutes compared to anterior wall infarction (215.4 minutes vs. 144.9 minutes; p = 0.037) and a mean delay of 69.5 minutes compared to inferior wall infarction (215.4 minutes vs. 145.9 minutes; p = 0.044). The use of a glycoprotein IIb/IIIa inhibitor was associated with a 46.1 minutes mean shortening of door-to-balloon time (155.7 minutes vs. 201.8 minutes; p < 0.001). The implementation of an audit program was associated with a significant reduction in door-to-balloon times among patients with acute STEMI. In addition, female patients, posterolateral wall infarction territory, and nonuse of glycoprotein IIb/IIIa inhibitor were associated with longer door-to-balloon times.

Indoor Modelling from Slam-Based Laser Scanner: Door Detection to Envelope Reconstruction

NASA Astrophysics Data System (ADS)

Díaz-Vilariño, L.; Verbree, E.; Zlatanova, S.; Diakité, A.

2017-09-01

Updated and detailed indoor models are being increasingly demanded for various applications such as emergency management or navigational assistance. The consolidation of new portable and mobile acquisition systems has led to a higher availability of 3D point cloud data from indoors. In this work, we explore the combined use of point clouds and trajectories from SLAM-based laser scanner to automate the reconstruction of building indoors. The methodology starts by door detection, since doors represent transitions from one indoor space to other, which constitutes an initial approach about the global configuration of the point cloud into building rooms. For this purpose, the trajectory is used to create a vertical point cloud profile in which doors are detected as local minimum of vertical distances. As point cloud and trajectory are related by time stamp, this feature is used to subdivide the point cloud into subspaces according to the location of the doors. The correspondence between subspaces and building rooms is not unambiguous. One subspace always corresponds to one room, but one room is not necessarily depicted by just one subspace, for example, in case of a room containing several doors and in which the acquisition is performed in a discontinue way. The labelling problem is formulated as combinatorial approach solved as a minimum energy optimization. Once the point cloud is subdivided into building rooms, envelop (conformed by walls, ceilings and floors) is reconstructed for each space. The connectivity between spaces is included by adding the previously detected doors to the reconstructed model. The methodology is tested in a real case study.

Application research of rail transit safety protection based on laser detection

NASA Astrophysics Data System (ADS)

Wang, Zhifei

2016-10-01

Platform screen door can not only prevent the passengers fell or jumped the track danger, to passengers bring comfortable waiting environment, but also has the function of environmental protection and energy saving. But platform screen door and train the full-length gap region is insecure in the system design of a hidden, such as passengers for some reason (grab the train) in the interstitial region retention, is sandwiched between the intercity safety door and the door, and such as the region lacks security detection and alarm system, once the passengers in the gap region retention (caught), bring more serious threat to the safety of passengers and traffic safety. This paper from the point of view of the design presents the physical, infrared, laser three safety protection device setting schemes. Domestic intelligence of between rail transit shield door and train security clearance processing used is screen door system standard configuration, the obstacle detection function for avoid passengers stranded in the clearance has strong prevention function. Laser detection research and development projects can access to prevent shield door and train gap clamp safety measures. Rail safety protection method are studied applying laser detection technique. According to the laser reflection equation of foreign body, the characteristics of laser detection of foreign bodies are given in theory. By using statistical analysis method, the workflow of laser detection system is established. On this basis, protection methods is proposed. Finally the simulation and test results show that the laser detection technology in the rail traffic safety protection reliability and stability, And the future laser detection technology in is discussed the development of rail transit.

Conformational states and recognition of amyloidogenic peptides of human insulin-degrading enzyme.

PubMed

McCord, Lauren A; Liang, Wenguang G; Dowdell, Evan; Kalas, Vasilios; Hoey, Robert J; Koide, Akiko; Koide, Shohei; Tang, Wei-Jen

2013-08-20

Insulin-degrading enzyme (IDE) selectively degrades the monomer of amyloidogenic peptides and contributes to clearance of amyloid β (Aβ). Thus, IDE retards the progression of Alzheimer's disease. IDE possesses an enclosed catalytic chamber that engulfs and degrades its peptide substrates; however, the molecular mechanism of IDE function, including substrate access to the chamber and recognition, remains elusive. Here, we captured a unique IDE conformation by using a synthetic antibody fragment as a crystallization chaperone. An unexpected displacement of a door subdomain creates an ~18-Å opening to the chamber. This swinging-door mechanism permits the entry of short peptides into the catalytic chamber and disrupts the catalytic site within IDE door subdomain. Given the propensity of amyloidogenic peptides to convert into β-strands for their polymerization into amyloid fibrils, they also use such β-strands to stabilize the disrupted catalytic site resided at IDE door subdomain for their degradation by IDE. Thus, action of the swinging door allows IDE to recognize amyloidogenicity by substrate-induced stabilization of the IDE catalytic cleft. Small angle X-ray scattering (SAXS) analysis revealed that IDE exists as a mixture of closed and open states. These open states, which are distinct from the swinging door state, permit entry of larger substrates (e.g., Aβ, insulin) to the chamber and are preferred in solution. Mutational studies confirmed the critical roles of the door subdomain and hinge loop joining the N- and C-terminal halves of IDE for catalysis. Together, our data provide insights into the conformational changes of IDE that govern the selective destruction of amyloidogenic peptides.

The sound insulations of studio doors. Part 2: Door seals

NASA Astrophysics Data System (ADS)

Plumb, G. D.; Clark, R.

The acoustic performances of a range of proprietary acoustic door seals were measured in the Transmission Suite. The seals were fitted to a standard BBC lead-cored door hung in a purpose-built blockwork wall. As a result of the work, suitable plant-on magnetic perimeter seals and drop-down threshold seals are recommended. The use of these seals will simplify the existing door frame design and should reduce costs without compromising the acoustic performances. The sound insulations were also measured of a range of door blanks with the intention of improving the performances. This work is documented in a companion Report (BBC RD 1994/14).

16 CFR 1211.13 - Inherent force activated secondary door sensors.

Code of Federal Regulations, 2011 CFR

2011-01-01

... sensors. 1211.13 Section 1211.13 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT... § 1211.13 Inherent force activated secondary door sensors. (a) Normal operation test. (1) A force activated door sensor of a door system installed according to the installation instructions shall actuate...

16 CFR 1211.13 - Inherent force activated secondary door sensors.

Code of Federal Regulations, 2014 CFR

2014-01-01

... sensors. 1211.13 Section 1211.13 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT... § 1211.13 Inherent force activated secondary door sensors. (a) Normal operation test. (1) A force activated door sensor of a door system installed according to the installation instructions shall actuate...

16 CFR 1211.13 - Inherent force activated secondary door sensors.

Code of Federal Regulations, 2012 CFR

2012-01-01

... sensors. 1211.13 Section 1211.13 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT... § 1211.13 Inherent force activated secondary door sensors. (a) Normal operation test. (1) A force activated door sensor of a door system installed according to the installation instructions shall actuate...

ACORN's Accelerated Income Redistribution Project: A Program Evaluation

ERIC Educational Resources Information Center

Brooks, Fred; Russell, Daniel; Fisher, Robert

2006-01-01

Objective: This study evaluated the Association of Community Organizations for Reform Now's (ACORN) efforts to increase the uptake of families claiming the earned income tax credit through door-to-door canvassing and managing free tax preparation clinics in three pilot cities. Method: The mixed-method program evaluation included administrative…

Euthanasia Acceptance: An Attitudinal Inquiry.

ERIC Educational Resources Information Center

Klopfer, Fredrick J.; Price, William F.

The study presented was conducted to examine potential relationships between attitudes regarding the dying process, including acceptance of euthanasia, and other attitudinal or demographic attributes. The data of the survey was comprised of responses given by 331 respondents to a door-to-door interview. Results are discussed in terms of preferred…

Genetics Home Reference: DOORS syndrome

MedlinePlus

... reduce or eliminate the function of the TBC1D24 protein, but the specific mechanism by which loss of TBC1D24 function leads to the ... RC, Gibbs RA, Lee BH, Sisodiya SM. The genetic basis of DOORS syndrome: an exome-sequencing study. Lancet Neurol. 2014 Jan;13(1):44- ...

Special sliding door with storable handrail to support senior and handicapped persons to walk by themselves

NASA Astrophysics Data System (ADS)

Saitou, K.; Noda, N.-A.; Sano, Y.; Takase, Y.; Murai, K.; Wang, Z. F.; Li, S. Q.; Liu, X.; Tanaka, H.; Kubo, Y.

2018-06-01

In this paper, special sliding door is designed in order to support senior and handicapped persons to walk by themselves in hospitals and nursing facilities. This semiautomatic lifting equipment is utilized for the storable handrail to make sure the bad health persons are able to open the door by using a weak force. In this study, to design the equipment of the handrail, the theoretical formula of opening force is derived. Then the simulation is performed by varying geometrical conditions. The simulation results are compared with the experiment results.

14 CFR 23.783 - Doors.

Code of Federal Regulations, 2010 CFR

2010-01-01

... least one adequate and easily accessible external door. (b) Passenger doors must not be located with...) Each external passenger or crew door must comply with the following requirements: (1) There must be a... the internal locking mechanism is in the locked position. (3) There must be a means of opening which...

AXONOMETRIC, LAUNCH DOOR AND DOOR CYLINDER, LAUNCH PLATFORM ROLLER GUIDE, ...

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

AXONOMETRIC, LAUNCH DOOR AND DOOR CYLINDER, LAUNCH PLATFORM ROLLER GUIDE, CRIB SUSPENSION SHOCK STRUT, LAUNCH PLATFORM - Dyess Air Force Base, Atlas F Missle Site S-8, Launch Facility, Approximately 3 miles east of Winters, 500 feet southwest of Highway 1770, center of complex, Winters, Runnels County, TX

46 CFR 122.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Watertight doors and watertight hatches. 122.610 Section... Markings Required § 122.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25 millimeters (1 inch) high...

46 CFR 122.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Watertight doors and watertight hatches. 122.610 Section... Markings Required § 122.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25 millimeters (1 inch) high...

46 CFR 169.747 - Watertight doors and hatches.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Watertight doors and hatches. 169.747 Section 169.747... Vessel Control, Miscellaneous Systems, and Equipment Markings § 169.747 Watertight doors and hatches. Each watertight door and watertight hatch must be marked on both sides in at least 1-inch letters...

46 CFR 122.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Watertight doors and watertight hatches. 122.610 Section... Markings Required § 122.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25 millimeters (1 inch) high...

46 CFR 169.747 - Watertight doors and hatches.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Watertight doors and hatches. 169.747 Section 169.747... Vessel Control, Miscellaneous Systems, and Equipment Markings § 169.747 Watertight doors and hatches. Each watertight door and watertight hatch must be marked on both sides in at least 1-inch letters...

46 CFR 122.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Watertight doors and watertight hatches. 122.610 Section... Markings Required § 122.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25 millimeters (1 inch) high...

46 CFR 169.747 - Watertight doors and hatches.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Watertight doors and hatches. 169.747 Section 169.747... Vessel Control, Miscellaneous Systems, and Equipment Markings § 169.747 Watertight doors and hatches. Each watertight door and watertight hatch must be marked on both sides in at least 1-inch letters...

46 CFR 169.747 - Watertight doors and hatches.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Watertight doors and hatches. 169.747 Section 169.747... Vessel Control, Miscellaneous Systems, and Equipment Markings § 169.747 Watertight doors and hatches. Each watertight door and watertight hatch must be marked on both sides in at least 1-inch letters...

46 CFR 122.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Watertight doors and watertight hatches. 122.610 Section... Markings Required § 122.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25 millimeters (1 inch) high...

46 CFR 169.747 - Watertight doors and hatches.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Watertight doors and hatches. 169.747 Section 169.747... Vessel Control, Miscellaneous Systems, and Equipment Markings § 169.747 Watertight doors and hatches. Each watertight door and watertight hatch must be marked on both sides in at least 1-inch letters...

LOFT. Interior view of entry (TAN624) rollup door. Camera is ...

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

LOFT. Interior view of entry (TAN-624) rollup door. Camera is inside entry building facing south. Rollup door was a modification of the original ANP door arrangement. Date: March 2004. INEEL negative no. HD-39-5-2 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

11. INTERIOR OF BEDROOM NO. 1 SHOWING OPEN DOOR TO ...

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

11. INTERIOR OF BEDROOM NO. 1 SHOWING OPEN DOOR TO KITCHEN AT PHOTO LEFT, OPEN DOOR TO WALK-IN CLOSET AT PHOTO LEFT CENTER, AND OPEN DOOR TO BATHROOM AT PHOTO RIGHT. VIEW TO SOUTH. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

16. INTERIOR OF REAR BEDROOM SHOWING BUILTIN COMBINATION CABINET/SLIDING DOOR ...

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

16. INTERIOR OF REAR BEDROOM SHOWING BUILT-IN COMBINATION CABINET/SLIDING DOOR CLOSET, OPEN FIVE-PANELED DOOR TO KITCHEN AT PHOTO CENTER, AND OPEN SOLID DOOR TO BATHROOM AT PHOTO LEFT. VIEW TO SOUTHEAST. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

13. INTERIOR OF BEDROOM NO. 1 SHOWING OPEN DOOR TO ...

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

13. INTERIOR OF BEDROOM NO. 1 SHOWING OPEN DOOR TO KITCHEN AT PHOTO LEFT, OPEN DOOR TO WALK-IN CLOSET AT PHOTO CENTER, AND OPEN DOOR TO BATHROOM AT PHOTO RIGHT. VIEW TO NORTHEAST. - Bishop Creek Hydroelectric System, Control Station, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

INTERIOR DETAIL, SOUTHEAST CABINET NORTH WALL. THE DOORS TO THE ...

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

INTERIOR DETAIL, SOUTHEAST CABINET NORTH WALL. THE DOORS TO THE LEFT OF THE CHIMNEY MASS OPEN ONTO CLOSETS. ON THE RIGHT, THERE ARE TWO CLOSETS WITH JIB DOORS WITHIN THE CHIMNEY MASS. THE OPEN DOOR CONNECTS WITH THE DRAWING ROOM - The Woodlands, 4000 Woodlands Avenue, Philadelphia, Philadelphia County, PA

49 CFR 230.82 - Fire doors.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false Fire doors. 230.82 Section 230.82 Transportation... Signals, Sanders and Lights § 230.82 Fire doors. (a) General provisions. Each steam locomotive shall have a fire door which shall latch securely when closed and which shall be maintained in a safe and...

77 FR 42016 - Product Change-Every Door Direct Mail-Retail

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-17

... POSTAL SERVICE Product Change--Every Door Direct Mail--Retail AGENCY: Postal Service\\TM\\. ACTION... Regulatory Commission to add Every Door Direct Mail--Retail to the market-dominant product list within the... Request of the United States Postal Service to Add Every Door Direct Mail--Retail to the Mail...

Airborne particle dispersion to an operating room environment during sliding and hinged door opening.

PubMed

Sadrizadeh, Sasan; Pantelic, Jovan; Sherman, Max; Clark, Jordan; Abouali, Omid

2018-03-08

Operating rooms (ORs) are usually over-pressurized in order to prevent the penetration of contaminated air and the consequent risk of surgical site infection. However, a door-opening can result in the rapid disappearance of pressure and contaminants can then easily penetrate into the surgical zone. Therefore, a broad knowledge and understanding of OR ventilation systems and their protective potential is essential for optimizing the surgical environment. This study investigated the air quality and level of airborne particles during a single and multiple door-opening cycles in an operating room supplied by a turbulent-mixing ventilation system. The exploration was carried out numerically using computational fluid dynamics. Model validation was performed to ensure the validity of the achieved results. The OR was initially over-pressurized by approximately 15Pa, relative to the adjacent corridors. Both sliding and hinged doors were simulated and compared. Penetration of bacteria carrying particles from the corridors to the OR can be successfully restricted by using a positive-pressure system. However, the results clearly indicate that frequent door opening can interfere with airflow ventilation systems, alter the pressure gradient, and increase the infection risk for the patient undergoing surgical intervention. Door-opening disturbs the airflow field and could result in containment failure. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

Epidemiology and genetics of FTD: a door-to-door survey in Southern Italy

PubMed Central

Colao, Rosanna; Puccio, Gianfranco; Curcio, Sabrina AM; Mirabelli, Maria; Maletta, Raffaele; Anfossi, Maria; Gallo, Maura; Geracitano, Silvana; Conidi, Maria Elena; Di Lorenzo, Raffale; Clodomiro, Alessandra; Cupidi, Chiara; Marzano, Sandra; Comito, Francesco; Valenti, Vincenzo; Zirilli, Maria Angela; Ghani, Mahdi; Xi, Zhengrui; Sato, Christine; Moreno, Danielle; Borelli, Annelisa; Leone, Rosa Anna; St George-Hyslop, Peter; Rogaeva, Ekaterina; Bruni, Amalia C.

2016-01-01

Objectives To estimate FTD prevalence, identify FTD-related mutations, correlate FTD phenotype with mutations in a Southern Italian population. Methods Study population consisting of subjects ≥50 years of age residing in the Community of Biv. on January 1, 2004. Door-to-door two-phase design. Genetic and biochemical analyses were done on samples collected from 32 patients. Results Prevalence rates were 0.6 for AD, 0.4 for VD, 3.5 for FTD, 0.2 for Parkinson Dementia and 1.2 for unspecified dementia. Three GRN (one known and two novel) mutations with reduced plasma protein levels were found associated to three distinct phenotypes (behavioural, affective and delirious type). Conclusions We report an unusually high FTD prevalence in the investigated population, but a low prevalence of AD. We confirm the heterogeneity of FTD phenotype associated with different GRN mutations. PMID:22819134

46 CFR 32.56-35 - Doors-T/ALL.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 1 2011-10-01 2011-10-01 false Doors-T/ALL. 32.56-35 Section 32.56-35 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS SPECIAL EQUIPMENT, MACHINERY, AND HULL REQUIREMENTS... Doors—T/ALL. (a) Casing doors in category A machinery spaces and all elevator doors must be self-closing...

46 CFR 32.56-35 - Doors-T/ALL.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 1 2010-10-01 2010-10-01 false Doors-T/ALL. 32.56-35 Section 32.56-35 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY TANK VESSELS SPECIAL EQUIPMENT, MACHINERY, AND HULL REQUIREMENTS... Doors—T/ALL. (a) Casing doors in category A machinery spaces and all elevator doors must be self-closing...

46 CFR 108.157 - Locked doors.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Locked doors. 108.157 Section 108.157 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS DESIGN AND EQUIPMENT... may be designed to lock except— (a) A crash door or a door that has a locking device that can be...

46 CFR 185.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Watertight doors and watertight hatches. 185.610 Section... (UNDER 100 GROSS TONS) OPERATIONS Markings Required § 185.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25...

46 CFR 185.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Watertight doors and watertight hatches. 185.610 Section... (UNDER 100 GROSS TONS) OPERATIONS Markings Required § 185.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25...

46 CFR 185.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false Watertight doors and watertight hatches. 185.610 Section... (UNDER 100 GROSS TONS) OPERATIONS Markings Required § 185.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25...

46 CFR 185.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 7 2011-10-01 2011-10-01 false Watertight doors and watertight hatches. 185.610 Section... (UNDER 100 GROSS TONS) OPERATIONS Markings Required § 185.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25...

46 CFR 185.610 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Watertight doors and watertight hatches. 185.610 Section... (UNDER 100 GROSS TONS) OPERATIONS Markings Required § 185.610 Watertight doors and watertight hatches. Watertight doors and watertight hatches must be marked on both sides in clearly legible letters at least 25...

16 CFR § 1211.13 - Inherent force activated secondary door sensors.

Code of Federal Regulations, 2013 CFR

2013-01-01

... sensors. § 1211.13 Section § 1211.13 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER... Standard § 1211.13 Inherent force activated secondary door sensors. (a) Normal operation test. (1) A force activated door sensor of a door system installed according to the installation instructions shall actuate...

77 FR 58785 - Airworthiness Directives; Airbus Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-24

...-620, B4-605R, and B4-622R airplanes. This proposed AD was prompted by a report that the door frame... operate safely. This proposed AD would require reinforcing of the door frame shells of passenger doors 2... door frame shells, which could result in in-flight decompression of the airplane and consequent injury...

46 CFR 170.270 - Door design, operation, installation, and testing.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 7 2012-10-01 2012-10-01 false Door design, operation, installation, and testing. 170.270 Section 170.270 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY STABILITY REQUIREMENTS FOR ALL INSPECTED VESSELS Watertight Bulkhead Doors § 170.270 Door design, operation, installation, and testing. (a...

46 CFR 170.270 - Door design, operation, installation, and testing.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 7 2014-10-01 2014-10-01 false Door design, operation, installation, and testing. 170.270 Section 170.270 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY STABILITY REQUIREMENTS FOR ALL INSPECTED VESSELS Watertight Bulkhead Doors § 170.270 Door design, operation, installation, and testing. (a...

46 CFR 170.270 - Door design, operation, installation, and testing.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 7 2013-10-01 2013-10-01 false Door design, operation, installation, and testing. 170.270 Section 170.270 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) SUBDIVISION AND STABILITY STABILITY REQUIREMENTS FOR ALL INSPECTED VESSELS Watertight Bulkhead Doors § 170.270 Door design, operation, installation, and testing. (a...

10. INTERIOR OF BEDROOM NUMBER ONE SHOWING OPEN PANEL DOOR ...

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

10. INTERIOR OF BEDROOM NUMBER ONE SHOWING OPEN PANEL DOOR TO LIVING ROOM AT EXTREME PHOTO RIGHT, OPEN DOOR TO BATHROOM AT PHOTO CENTER, AND OPEN PANEL DOOR TO WALK-IN CLOSET AT PHOTO LEFT. VIEW TO NORTHEAST. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

24. INTERIOR OF BEDROOM NUMBER FOUR SHOWING OPEN DOOR TO ...

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

24. INTERIOR OF BEDROOM NUMBER FOUR SHOWING OPEN DOOR TO BATHROOM NUMBER TWO AT PHOTO LEFT, OPEN PANEL DOOR TO WALK-IN CLOSET AT PHOTO LEFT CENTER, AND OPEN DOOR TO LIVING ROOM AT PHOTO RIGHT CENTER. VIEW TO NORTH. - Rush Creek Hydroelectric System, Clubhouse Cottage, Rush Creek, June Lake, Mono County, CA

17. INTERIOR OF BEDROOM NO. 2 SHOWING OPEN DOOR TO ...

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

17. INTERIOR OF BEDROOM NO. 2 SHOWING OPEN DOOR TO LIVING ROOM AT PHOTO RIGHT, OPEN DOOR TO WALK-IN CLOSET AT PHOTO CENTER RIGHT, AND OPEN DOOR TO BATHROOM AT PHOTO CENTER. VIEW TO WEST. - Bishop Creek Hydroelectric System, Control Station, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

13. SOUTH BEDROOM INTERIOR SHOWING OPEN DOOR TO WALKIN CLOSET ...

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

13. SOUTH BEDROOM INTERIOR SHOWING OPEN DOOR TO WALKIN CLOSET AT PHOTO CENTER, OPEN DOOR TO LIVING ROOM AT PHOTO RIGHT, AND OPEN DOOR TO BATHROOM AT PHOTO LEFT. VIEW TO NORTH. - Big Creek Hydroelectric System, Big Creek Town, Operator House, Orchard Avenue south of Huntington Lake Road, Big Creek, Fresno County, CA

46 CFR 78.47-35 - Fire doors.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 3 2010-10-01 2010-10-01 false Fire doors. 78.47-35 Section 78.47-35 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) PASSENGER VESSELS OPERATIONS Markings for Fire and Emergency Equipment, Etc. § 78.47-35 Fire doors. (a) All doors in main vertical zone bulkheads or stairway...

24 CFR 200.949 - Building product standards and certification program for exterior insulated steel door systems.

Code of Federal Regulations, 2012 CFR

2012-04-01

... certification program for exterior insulated steel door systems. 200.949 Section 200.949 Housing and Urban... program for exterior insulated steel door systems. (a) Applicable standards. (1) All Exterior Insulated Steel Door Systems shall be designed, manufactured, and tested in compliance with the following...

24 CFR 200.949 - Building product standards and certification program for exterior insulated steel door systems.

Code of Federal Regulations, 2013 CFR

2013-04-01

... certification program for exterior insulated steel door systems. 200.949 Section 200.949 Housing and Urban... program for exterior insulated steel door systems. (a) Applicable standards. (1) All Exterior Insulated Steel Door Systems shall be designed, manufactured, and tested in compliance with the following...

16 CFR 1211.15 - Field-installed labels.

Code of Federal Regulations, 2010 CFR

2010-01-01

... a child running toward or under a garage door. A red prohibition symbol (slash, oriented from the... automatic garage door resulting in severe injury or death.” (2) Avoidance Statements— (i) “Do not allow children to walk or run under a closing door.” (ii) “Do not allow children to operate door operator...

Motor actuated vacuum door. [for photography from sounding rockets

NASA Technical Reports Server (NTRS)

Hanagud, A. V.

1986-01-01

Doors that allow scientific instruments to record and retrieve the observed data are often required to be designed and installed as a part of sounding rocket hardware. The motor-actuated vacuum door was designed to maintain a medium vacuum of the order of 0.0001 torr or better while closed, and to provide an opening 15 inches long x 8.5 inches wide while open for cameras to image Halley's comet. When the electric motor receives the instruction to open the door through the payload battery, timer, and relay circuit, the first operation is to unlock the door. After unlatching, the torque transmitted by the motor to the main shaft through the links opens the door. A microswitch actuator, which rides on the linear motion conversion mechanism, is adjusted to trip the limit switch at the end of the travel. The process is repeated in the reverse order to close the door. 'O' rings are designed to maintain the seal. Door mechanisms similar to the one described have flown on Aerobee 17.018 and Black Brant 27.047 payloads.

Research on some auxiliary mechanisms used in passenger cars

NASA Astrophysics Data System (ADS)

Antonescu, Daniela; Iozsa, Daniel; Antonescu, Ovidiu; Fratila, Gh.

2017-10-01

The paper presents the results of researches on the topological structure and geometrical analysis of the planar mechanisms with articulated bars, which are used for actuating the doors of cars. The main five types of car doors with rotate movement (folding) are presented, being described both as constructive structure and mode of operation, through suitable kinematic schemes. Some innovative solutions for vehicle door actuating mechanisms aim to use as little space as possible, which is beneficial for car parking. There are three types of car door movements: rotation, sliding and planar rotational-sliding. Most of the cars are equipped with folding doors, where the rotate movement is limited and operates horizontally. Almost all sliding doors are placed on the rear of the car (only for passengers, not for driver). Unlike rotate doors, the sliding doors require a minimum lateral space, which is an advantage, especially in parking places. In the end of the paper, a kinematic analysis of the canopy 4-bar mechanism has been performed, in order to increase the passenger comfort on the access into the vehicle.

Increasing smoke alarm operability through theory-based health education: a randomised trial

PubMed Central

Miller, Ted R; Bergen, Gwen; Ballesteros, Michael F; Bhattacharya, Soma; Gielen, Andrea Carlson; Sheppard, Monique S

2015-01-01

Background Although working smoke alarms halve deaths in residential fires, many households do not keep alarms operational. We tested whether theory-based education increases alarm operability. Methods Randomised multiarm trial, with a single arm randomly selected for use each day, in low-income neighbourhoods in Maryland, USA. Intervention arms: (1) Full Education combining a health belief module with a social-cognitive theory module that provided hands-on practice installing alarm batteries and using the alarm’s hush button; (2) Hands-on Practice social-cognitive module supplemented by typical fire department education; (3) Current Norm receiving typical fire department education only. Four hundred and thirty-six homes recruited through churches or by knocking on doors in 2005–2008. Followup visits checked alarm operability in 370 homes (85%) 1–3.5 years after installation. Main outcome measures: number of homes with working alarms defined as alarms with working batteries or hard-wired and number of working alarms per home. Regressions controlled for alarm status preintervention; demographics and beliefs about fire risks and alarm effectiveness. Results Homes in the Full Education and Practice arms were more likely to have a functioning smoke alarm at follow-up (OR=2.77, 95% CI 1.09 to 7.03) and had an average of 0.32 more working alarms per home (95% CI 0.09 to 0.56). Working alarms per home rose 16%. Full Education and Practice had similar effectiveness (p=0.97 on both outcome measures). Conclusions Without exceeding typical fire department installation time, installers can achieve greater smoke alarm operability. Hands-on practice is key. Two years after installation, for every three homes that received hands-on practice, one had an additional working alarm. Trial registration number http://www.clinicaltrials.gov number NCT00139126. PMID:25165090

Renal denervation after Symplicity HTN-3: an update.

PubMed

Persu, Alexandre; Jin, Yu; Fadl Elmula, Fadl Elmula Mohamed; Jacobs, Lotte; Renkin, Jean; Kjeldsen, Sverre

2014-08-01

After three years of excessive confidence, overoptimistic expectations and performance of 15 to 20,000 renal denervation procedures in Europe, the failure of a single well-designed US trial--Symplicity HTN-3--to meet its primary efficacy endpoint has cast doubt on renal denervation as a whole. The use of a sound methodology, including randomisation and blinded endpoint assessment was enough to see the typical 25-30 mmHg systolic blood pressure decrease observed after renal denervation melt down to less than 3 mmHg, the rest being likely explained by Hawthorne and placebo effects, attenuation of white coat effect, regression to the mean and other physician and patient-related biases. The modest blood pressure benefit directly assignable to renal denervation should be balanced with unresolved safety issues, such as potentially increased risk of renal artery stenosis after the procedure (more than ten cases reported up to now, most of them in 2014), unclear long-term impact on renal function and lack of morbidity-mortality data. Accordingly, there is no doubt that renal denervation is not ready for clinical use. Still, renal denervation is supported by a strong rationale and is occasionally followed by major blood pressure responses in at-risk patients who may otherwise have remained uncontrolled. Upcoming research programmes should focus on identification of those few patients with truly resistant hypertension who may derive a substantial benefit from the technique, within the context of well-designed randomised trials and independent registries. While electrical stimulation of baroreceptors and other interventional treatments of hypertension are already "knocking at the door", the premature and uncontrolled dissemination of renal denervation should remain an example of what should not be done, and trigger radical changes in evaluation processes of new devices by national and European health authorities.

The Power of Traditional Design Techniques: The Effects of Viewing a Japanese Garden on Individuals With Cognitive Impairment.

PubMed

Goto, Seiko; Gianfagia, Thomas J; Munafo, John P; Fujii, Eijiro; Shen, Xuting; Sun, Minkai; Shi, Bertram Emil; Liu, Congcong; Hamano, Hiroshi; Herrup, Karl

2017-07-01

This study is to examine how viewing a Japanese garden affects Japanese patients with dementia. In a previous study, authors explored the effect on individuals with Alzheimer's disease of viewing an indoor Japanese garden at a nursing home in the United States and reported that viewing the garden significantly reduced the heart rate, evoked short-term and long-term memories, and improved behavioral symptoms. However, it was unclear whether these effects were caused by the design of Japanese garden or unfamiliarity of the design to Caucasians. We constructed a Japanese garden on the rooftop of a hospital in Japan and assessed with a total of 25 subjects on the following categories: (1) eye movement, (2) heart rate, and (3) behavior under four different conditions: (a) open view of the site before construction of the Japanese garden (the control space), (b) open view of the Japanese garden, (c) view of the Japanese garden through closed door, and (d) view of Japanese garden through closed door with the chrysanthemum scent. Findings/Results: Viewers' eyes scanned larger area while viewing the Japanese garden, and viewing the Japanese garden significantly reduced heart rate and improved behavioral symptoms than the control space. We also found that the effect of viewing the same Japanese garden differed across three conditions: the view through an open door, a closed door, and a closed door with added scent.

Aggression and violence in psychiatric hospitals with and without open door policies: A 15-year naturalistic observational study.

PubMed

Schneeberger, Andres R; Kowalinski, Eva; Fröhlich, Daniela; Schröder, Katrin; von Felten, Stefanie; Zinkler, Martin; Beine, Karl H; Heinz, Andreas; Borgwardt, Stefan; Lang, Undine E; Bux, Donald A; Huber, Christian G

2017-12-01

Aggressive behavior and violence in psychiatric patients have often been quoted to justify more restrictive settings in psychiatric facilities. However, the effects of open vs. locked door policies on aggressive incidents remain unclear. This study had a naturalistic observational design and analyzed the occurrence of aggressive behavior as well as the use of seclusion or restraint in 21 German hospitals. The analysis included data from 1998 to 2012 and contained a total of n = 314,330 cases, either treated in one of 17 hospitals with (n = 68,135) or in one of 4 hospitals without an open door policy (n = 246,195). We also analyzed the data according to participants' stay on open, partially open, or locked wards. To compare hospital and ward types, we used generalized linear mixed-effects models on a propensity score matched subset (n = 126,268) and on the total dataset. The effect of open vs. locked door policy was non-significant in all analyses of aggressive behavior during treatment. Restraint or seclusion during treatment was less likely in hospitals with an open door policy. On open wards, any aggressive behavior and restraint or seclusion were less likely, whereas bodily harm was more likely than on closed wards. Hospitals with open door policies did not differ from hospitals with locked wards regarding different forms of aggression. Other restrictive interventions used to control aggression were significantly reduced in open settings. Open wards seem to have a positive effect on reducing aggression. Future research should focus on mental health care policies targeted at empowering treatment approaches, respecting the patient's autonomy and promoting reductions of institutional coercion. Copyright © 2017 Elsevier Ltd. All rights reserved.

Could Sensory Mechanisms Be a Core Factor That Underlies Freezing of Gait in Parkinson’s Disease?

PubMed Central

Ehgoetz Martens, Kaylena A.; Pieruccini-Faria, Frederico; Almeida, Quincy J.

2013-01-01

The main objective of this study was to determine how manipulating the amount of sensory information available about the body and surrounding environment influenced freezing of gait (FOG), while walking through a doorway. It was hypothesized that the more limited the sensory information, the greater the occurrence of freezing of gait. Nineteen patients with Parkinsoǹs disease who experience freezing of gait (PD-FOG) walked through a doorway or into open space in complete darkness. The three doorway conditions included: (i) FRAME (DARK) – walking through the remembered door frame; (ii) FRAME - walking through the door with the door frame illuminated; (iii) FRAME+BODY - walking through the door (both the door and the limbs illuminated). Additionally, two conditions of walking away from the doorway included: (iv) NO FRAME (DARK) - walking into open space; (v) NO FRAME+BODY - walking into open space with the limbs illuminated, to evaluate whether perception (or fear) of the doorway might account for FOG behaviour. Key outcome measures included: the number of freezing of gait episodes recorded, total duration of freezing of gait, and the percentage of time spent frozen. Significantly more freezing of gait episodes occurred when participants walked toward the doorway in complete darkness compared to walking into open space (p<0.05). Similar to previous studies, velocity (p<0.001) and step length (p<0.0001) significantly decreased when walking through the door in complete darkness, compared to all other conditions. Significant increases in step width variability were also identified but only when walking into open space (p<0.005). These results support the notion that sensory deficits may have a profound impact on freezing of gait that need to be carefully considered. PMID:23667499

Better gas tight access doors for power plants

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

Rutledge, C.K.; Emsbo, J.

1996-12-31

This paper presents useful information concerning access doors for equipment at power plants and similar industries. Such doors are used for: Boilers and Boiler Penthouses Economizers and Air Heaters Gas Ducts and Precipitators Baghouses, Absorbers and Stacks. Easy access into such equipment by personnel enhances the speed and thoroughness with which inspections and maintenance tasks are performed. This paper shows how to select and correctly install new doors or replace older models which may cumbersome to operate or unable to seal properly. Good, gas tight access doors should not be overlooked as a contributor to top performance at power plants.more » Loss of efficiency or interior deterioration due to leakage are obvious targets and should be of prime concern. However, the ease of access may be equally important. Lasting reliability of any type of industrial equipment is usually a function of two things: First, the quality and care in design, manufacture and installation. Second, the ability and dedication to maintain the equipment. If the ability or dedication to maintain the equipment is diminished it will impact on the lasting reliability of even the best designed equipment. Extensive engineering efforts, many pages of specifications and large sums of money are used on new power plants to assure practical, adequate and safe access to all parts of the equipment. Many times this is in stark contrast to the money and efforts used on the access doors, through which personnel has to enter for inspection and maintenance. This paper highlights the basic functions which should be expected from all types of access doors. The special functions which should be expected from all types of access doors. The special functions required by individual door types are also explained. This includes all the door types serving the different applications all the way along the gas passage from the high temperature boiler doors to the corrosion resistant doors for absorbers and stacks.« less

Do presenting symptoms explain sex differences in emergency department delays among patients with acute stroke?

PubMed

Gargano, Julia Warner; Wehner, Susan; Reeves, Mathew J

2009-04-01

Previous studies report that women with stroke may experience longer delays in diagnostic workup than men after arriving at the emergency department. We hypothesized that presenting symptom differences could explain these delays. Data were collected on 1922 acute stroke cases who presented to 15 hospitals participating in a statewide stroke registry. We evaluated 2 in-hospital time intervals: emergency department arrival to physician examination ("door-to-doctor") and emergency department arrival to brain imaging ("door-to-image"). We used parametric survival models to estimate time ratios, which represent the ratio of average times comparing women to men, after adjusting for symptom presentation and other confounders. Women were significantly less likely than men to present with any stroke warning sign or suspected stroke (87.5% versus 91.4%) or to report trouble with walking, balance, or dizziness (9.5% versus 13.7%). Difficulty speaking and loss of consciousness were associated with shorter door-to-doctor times. Weakness, facial droop, difficulty speaking, and loss of consciousness were associated with shorter door-to-image times, whereas difficulty with walking/balance was associated with longer door-to-image times. In adjusted analyses, women had 11% longer door-to-doctor intervals (time ratio, 1.11; 95%, CI 1.02 to 1.22) and 15% longer door-to-image intervals (time ratio, 1.15; 95% CI, 1.08 to 1.25) after accounting for presenting symptoms, age, and other confounders. Furthermore, these sex differences remained evident after restricting to patients who arrived within 6 or within 2 hours of symptom onset. Women with acute stroke experienced greater emergency department delays than men, which were not attributable to differences in presenting symptoms, time of arrival, age, or other confounders.

A study on leakage radiation dose at ELV-4 electron accelerator bunker

NASA Astrophysics Data System (ADS)

Chulan, Mohd Rizal Md; Yahaya, Redzuwan; Ghazali, Abu BakarMhd

2014-09-01

Shielding is an important aspect in the safety of an accelerator and the most important aspects of a bunker shielding is the door. The bunker's door should be designed properly to minimize the leakage radiation and shall not exceed the permitted limit of 2.5μSv/hr. In determining the leakage radiation dose that passed through the door and gaps between the door and the wall, 2-dimensional manual calculations are often used. This method is hard to perform because visual 2-dimensional is limited and is also very difficult in the real situation. Therefore estimation values are normally performed. In doing so, the construction cost would be higher because of overestimate or underestimate which require costly modification to the bunker. Therefore in this study, two methods are introduced to overcome the problem such as simulation using MCNPX Version 2.6.0 software and manual calculation using 3-dimensional model from Autodesk Inventor 2010 software. The values from the two methods were eventually compared to the real values from direct measurements using Ludlum Model 3 with Model 44-9 probe survey meter.

10. INTERIOR OF SOUTH SIDE ENCLOSED SCREEN PORCH SHOWING 1/2 ...

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

10. INTERIOR OF SOUTH SIDE ENCLOSED SCREEN PORCH SHOWING 1/2 SCREEN DOOR TO EXTERIOR AND DOUBLE FRENCH DOORS TO DINING ROOM. HOLE AT BOTTOM LEFT OF 1/2 SCREEN DOOR WAS A CAT DOOR. VIEW TO EAST. - Big Creek Hydroelectric System, Powerhouse 8, Operator Cottage, Big Creek, Big Creek, Fresno County, CA

30 CFR 77.303 - Hot gas inlet chamber dropout doors.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Hot gas inlet chamber dropout doors. 77.303... COAL MINES Thermal Dryers § 77.303 Hot gas inlet chamber dropout doors. Thermal dryer systems which employ a hot gas inlet chamber shall be equipped with drop-out doors at the bottom of the inlet chamber...

30 CFR 77.303 - Hot gas inlet chamber dropout doors.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Hot gas inlet chamber dropout doors. 77.303... COAL MINES Thermal Dryers § 77.303 Hot gas inlet chamber dropout doors. Thermal dryer systems which employ a hot gas inlet chamber shall be equipped with drop-out doors at the bottom of the inlet chamber...

30 CFR 77.303 - Hot gas inlet chamber dropout doors.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Hot gas inlet chamber dropout doors. 77.303... COAL MINES Thermal Dryers § 77.303 Hot gas inlet chamber dropout doors. Thermal dryer systems which employ a hot gas inlet chamber shall be equipped with drop-out doors at the bottom of the inlet chamber...

30 CFR 77.303 - Hot gas inlet chamber dropout doors.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Hot gas inlet chamber dropout doors. 77.303... COAL MINES Thermal Dryers § 77.303 Hot gas inlet chamber dropout doors. Thermal dryer systems which employ a hot gas inlet chamber shall be equipped with drop-out doors at the bottom of the inlet chamber...

16 CFR 1211.13 - Inherent force activated secondary door sensors.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Inherent force activated secondary door... § 1211.13 Inherent force activated secondary door sensors. (a) Normal operation test. (1) A force... when the door applies a 15 pound (66.7 N) or less force in the down or closing direction and when the...

75 FR 7370 - Federal Motor Vehicle Safety Standards; Door Locks and Door Retention Components

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-19

... at (202) 366-2990. For legal issues, contact Ms. Sarah Alves, Office of the Chief Counsel, by... have secondary latching positions and to remove the option for a visual door closure warning system... test plates; and, S4, to reinstate an exclusion of doors equipped with wheelchair lift systems. This...

46 CFR 173.057 - Permitted locations for Class I watertight doors.

Code of Federal Regulations, 2013 CFR

2013-10-01

... STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.057 Permitted locations for Class I watertight doors. (a) Class I doors are permitted in any location on a sailing school vessel which has a mean... 46 Shipping 7 2013-10-01 2013-10-01 false Permitted locations for Class I watertight doors. 173...

46 CFR 173.057 - Permitted locations for Class I watertight doors.

Code of Federal Regulations, 2011 CFR

2011-10-01

... STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.057 Permitted locations for Class I watertight doors. (a) Class I doors are permitted in any location on a sailing school vessel which has a mean... 46 Shipping 7 2011-10-01 2011-10-01 false Permitted locations for Class I watertight doors. 173...

46 CFR 173.057 - Permitted locations for Class I watertight doors.

Code of Federal Regulations, 2010 CFR

2010-10-01

... STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.057 Permitted locations for Class I watertight doors. (a) Class I doors are permitted in any location on a sailing school vessel which has a mean... 46 Shipping 7 2010-10-01 2010-10-01 false Permitted locations for Class I watertight doors. 173...

46 CFR 173.057 - Permitted locations for Class I watertight doors.

Code of Federal Regulations, 2014 CFR

2014-10-01

... STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.057 Permitted locations for Class I watertight doors. (a) Class I doors are permitted in any location on a sailing school vessel which has a mean... 46 Shipping 7 2014-10-01 2014-10-01 false Permitted locations for Class I watertight doors. 173...

46 CFR 173.057 - Permitted locations for Class I watertight doors.

Code of Federal Regulations, 2012 CFR

2012-10-01

... STABILITY SPECIAL RULES PERTAINING TO VESSEL USE School Ships § 173.057 Permitted locations for Class I watertight doors. (a) Class I doors are permitted in any location on a sailing school vessel which has a mean... 46 Shipping 7 2012-10-01 2012-10-01 false Permitted locations for Class I watertight doors. 173...

75 FR 28485 - Airworthiness Directives; Gulfstream Aerospace LP (Type Certificate Previously Held by Israel...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-21

... caution light CABIN DOOR signaling both MED Improper Closure and MED Inflatable Seal Failure into two separate lights: CABIN DOOR and CABIN DOOR SEAL. 2. Converting the separated CABIN DOOR Caution light into a Warning light by changing its color to red. Note: Aircraft Flight Manuals (AFM'S) refer to these...

Door Locking Options in Schools

ERIC Educational Resources Information Center

National Clearinghouse for Educational Facilities, 2009

2009-01-01

Doors serve a variety of needs and purposes in schools: (1) Exterior doors provide building security and protection from the elements; and (2) Interior doors control the movement of people among school spaces, help control noise and air flow, and act as flame and smoke barriers during a fire. In a lockdown, they serve as safety barriers. From a…

46 CFR 116.435 - Doors.

Code of Federal Regulations, 2010 CFR

2010-10-01

... boundary in which the doors are fitted; (5) Door frames must be of rigid construction and provide at least... inches) square. A self-closing hinged or pivoted steel or equivalent material cover must be fitted in the...) A door in a bulkhead required to be A-60, A-30, or A-15 Class must be of hollow steel or equivalent...

46 CFR 116.435 - Doors.

Code of Federal Regulations, 2011 CFR

2011-10-01

... boundary in which the doors are fitted; (5) Door frames must be of rigid construction and provide at least... inches) square. A self-closing hinged or pivoted steel or equivalent material cover must be fitted in the...) A door in a bulkhead required to be A-60, A-30, or A-15 Class must be of hollow steel or equivalent...

Practicalities of Using a Modified Version of the Cochrane Collaboration Risk of Bias Tool for Randomised and Non-Randomised Study Designs Applied in a Health Technology Assessment Setting

ERIC Educational Resources Information Center

Robertson, Clare; Ramsay, Craig; Gurung, Tara; Mowatt, Graham; Pickard, Robert; Sharma, Pawana

2014-01-01

We describe our experience of using a modified version of the Cochrane risk of bias (RoB) tool for randomised and non-randomised comparative studies. Objectives: (1) To assess time to complete RoB assessment; (2) To assess inter-rater agreement; and (3) To explore the association between RoB and treatment effect size. Methods: Cochrane risk of…

Apparatus for transporting hazardous materials

DOEpatents

Osterman, Robert A.; Cox, Robert

1992-01-01

An apparatus and method are provided for selectively receiving, transporting, and releasing one or more radioactive or other hazardous samples for analysis on a differential thermal analysis (DTA) apparatus. The apparatus includes a portable sample transporting apparatus for storing and transporting the samples and includes a support assembly for supporting the transporting apparatus when a sample is transferred to the DTA apparatus. The transporting apparatus includes a storage member which includes a plurality of storage chambers arrayed circumferentially with respect to a central axis. An adjustable top door is located on the top side of the storage member, and the top door includes a channel capable of being selectively placed in registration with the respective storage chambers thereby permitting the samples to selectively enter the respective storage chambers. The top door, when closed, isolates the respective samples within the storage chambers. A plurality of spring-biased bottom doors are located on the bottom sides of the respective storage chambers. The bottom doors isolate the samples in the respective storage chambers when the bottom doors are in the closed position. The bottom doors permit the samples to leave the respective storage chambers from the bottom side when the respective bottom doors are in respective open positions. The bottom doors permit the samples to be loaded into the respective storage chambers after the analysis for storage and transport to a permanent storage location.

Comparing energy use and environmental emissions of reinforced wood doors and steel doors

Treesearch

Lynn Knight; Melissa Huff; Janet I. Stockhausen; Robert J. Ross

2005-01-01

The USDA Forest Service Forest Products Laboratory has patented a technology that incorporates fiberglass-reinforced wood into the structure of wood doors and other wood building products. The process of reinforcing wood doors with epoxy and fiberglass increases the strength and durability of the product. Also, it allows the use of low-value, small-diameter wood which...

Entry door with sidelights, southwest looking northeast. Reverse view of ...

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

Entry door with sidelights, southwest looking northeast. Reverse view of HABS ME-229-6, more clarity to the newel post and balusters. The curve of the second floor landing is just visible at the top of the image. Note the six-panel entry door is taller than the interior doors. - Samuel P. Grindle House, 13 School Street, Castine, Hancock County, ME

75 FR 19458 - Petition for Exemption From the Vehicle Theft Prevention Standard; Nissan

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-14

... vehicle itself from being stolen when the back door and all of the side doors are closed and locked. If... occurs when the ignition is turned to the ``OFF'' position and all the doors are closed and locked through the use of the key or the remote control mechanism. Deactivation occurs when all the doors are...

76 FR 36615 - Petition for Exemption From the Vehicle Theft Prevention Standard; Nissan

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-22

... from being stolen when the back door and all of the side doors are closed and locked. If any of the... the ``OFF'' position and all the doors are closed and locked through the use of the key or the remote control mechanism. Deactivation occurs when all the doors are unlocked with the key or remote [[Page 36616...

77 FR 15843 - Petition for Exemption From the Vehicle Theft Prevention Standard; Nissan

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-16

... vehicle and the vehicle itself from being stolen when the back door and all of the side doors are closed... automatically when the ignition key is turned to the ``OFF'' position and all the doors are closed and locked through the use of the key or the remote control mechanism. Deactivation occurs when all the doors are...

75 FR 1533 - Airworthiness Directives; The Boeing Company Model 747-200F, 747-200C, 747-400, 747-400D, and 747...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-12

... frames, upper deck floor beams, electronic bay access door cutout, nose wheel well, and main entry doors... intervals for certain airplanes. This AD results from fatigue tests and analysis that identified additional... frames, upper deck floor beams, electronic bay access door cutout, nose wheel well, and main entry doors...

An unexpected knock on Corrigan's secret door.

PubMed

Woywodt, Alexander

2010-10-01

Corrigan's secret door describes a metaphorical escape route for busy physicians. The term was derived from the successful and exceptionally busy professional life of Irish physician Dominic John Corrigan (1802-80). It is claimed that Corrigan's outpatient clinic was so busy that he required a secret door in his consulting rooms to escape from the ever-growing queue of eager patients. The origins of this charming story are unknown, and the door may have never existed. However, at present, Corrigan's secret door is often quoted when busy physicians have their own little ways in surviving a stressful professional life. Generations of British-trained doctors have grown up with Corrigan's secret door, as it was featured in the introduction of the Oxford Handbook of Clinical Medicine. Accordingly, trainees as well as more senior doctors are often reminded that having a 'secret door' is vital in surviving in the medical profession. My own escape is through classical music and the violoncello, in particular. As the name implies, my own secret door is normally invisible to colleagues and patients. This little article is about a patient who found me out, and a reflection on the role of classical music and the cello in my professional life.

WAC: Closing Doors or Opening Doors for Second Language Writers?

ERIC Educational Resources Information Center

Cox, Michelle

2011-01-01

Written by a WAC program director and second language writing studies scholar, this article raises questions about how second language writers are faring in WAC programs and the extent to which the fields of second language writing and WAC are informed by each other's scholarship. In this article, Cox draws from her review of 26 journal articles…

"Can't Afford To Lose a Bad Job": Latino Workers in Dane County.

ERIC Educational Resources Information Center

Wisconsin Univ., Madison. Center on Wisconsin Strategy.

A study explored the quality of life of Latinos living in Dane County, Wisconsin. Data collection included door-to-door surveys, in-depth interviews, and analysis of government reports. Findings indicated Latinos often work in bad jobs, characterized by poverty-level wages, rare and inconsistent overtime pay, erratic and inflexible schedules, few…

The Pioneer Student Textbook. Mohican School in the Out-of-Doors.

ERIC Educational Resources Information Center

Mohican School in the Out-of-Doors, Perrysville, OH.

Designed for pre-camp and in-camp studies, this text presents materials relative to the Mohican School in the Out-of-Doors (Perrysville, Ohio). The following areas are covered: (1) the daily camp schedule (includes sections on community life, utilization of the senses, and the art of observation); (2) an historical/geographical review of the…

Holiday Door Decorating Contest Brings Cheer | Poster

Cancer.gov

By Carolynne Keenan, Contributing Writer Other than the time of year, what do the following have in common: the leg lamp from the movie “A Christmas Story,” a compilation of silly holiday jokes, a gingerbread house, and Santa on a motorcycle? All four were among the individual door winners for the Holiday Door Decorating Contest, held at NCI at Frederick in December. Employees dressed up their office doors, hallways, and even stairwells to participate. Entries for the contest included individual office doors as well as groups. Some employees even “decked the halls” of whole office buildings to participate.

78 FR 3855 - Rule Concerning Cooling-Off Period for Sales Made at Homes or at Certain Other Locations

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-17

... comments concerning the Cooling-Off Rule must be received no later than March 4, 2013. ADDRESSES..., declares it an unfair and deceptive act or practice for a seller engaged in a door-to-door sale \\4\\ of...- Substantive Amendments to the Rule, 60 FR 54180 (Oct. 20, 1995). \\4\\ Door-to-door sales includes sales, leases...

Patient-oriented randomisation: A new trial design applied in the Neuroleptic Strategy Study.

PubMed

Schulz, Constanze; Timm, Jürgen; Cordes, Joachim; Gründer, Gerhard; Mühlbauer, Bernd; Rüther, Eckart; Heinze, Martin

2016-06-01

The 'gold standard' for clinical studies is a randomised controlled trial usually comparing specific treatments. If the scientific study expands to strategy comparison with each strategy including various treatments, the research problems are increasingly complicated. The strategy debate in the psychiatric community is the starting point for the development of our new design. It is widely accepted that second-generation antipsychotics are the therapy of choice in the treatment of schizophrenia. However, their general superiority over first-generation antipsychotics could not be demonstrated in recent randomised controlled trials. Furthermore, we are becoming increasingly aware that the experimental conditions of randomised controlled trials, as in the European First Episode Schizophrenia Trial and Clinical Antipsychotic Trials of Intervention Effectiveness Phase 1 studies, may be inappropriate for psychiatric treatments. The high heterogeneity in the patient population produces discrepancies between daily clinical perception and randomised controlled trials results. The patient-oriented approach in the Cost Utility of the Latest Antipsychotic drugs in Schizophrenia Study reflects everyday clinical practice. The results, however, are highly dependent on the physicians' preferences. The goal of the design described here is to take an intermediate path between randomised controlled trials and clinical studies such as Cost Utility of the Latest Antipsychotic Drugs in Schizophrenia Study, combining the advantages of both study types. The idea is to randomise two treatment pairs each consisting of one first-generation antipsychotic and one second-generation antipsychotic in a first step and subsequently, to involve the investigators in deciding for a pair most appropriate to the patients' needs and then to randomise the allocation to one drug (first-generation antipsychotic or second-generation antipsychotic) of that chosen pair. This idea was first implemented in the clinical trial, the Neuroleptic Strategy Study, with a randomised design comparing efficacy and safety of two different strategies: either to use first-generation antipsychotics (haloperidol and flupentixol) or second-generation antipsychotics (olanzapine, aripiprazole and quetiapine) in patients suffering from schizophrenia. In the course of the Neuroleptic Strategy Study, feasibility of this design was demonstrated. All aspects of the new design were implemented: randomisation process, documentation of responses from investigators as well as patients and drug logistic experience. In implementing the design, furthermore, we could investigate its theoretical properties. The physicians' preferences for specific drugs used for the respective patients were analysed. The idea of patient-oriented randomisation can be generalised. In light of the heterogeneity and complexity of patient-drug interaction, this design should prove particularly useful. © The Author(s) 2016.

Improving Emergency Department Door to Doctor Time and Process Reliability

PubMed Central

El Sayed, Mazen J.; El-Eid, Ghada R.; Saliba, Miriam; Jabbour, Rima; Hitti, Eveline A.

2015-01-01

Abstract The aim of this study is to determine the effectiveness of using lean management methods on improving emergency department door to doctor times at a tertiary care hospital. We performed a before and after study at an academic urban emergency department with 49,000 annual visits after implementing a series of lean driven interventions over a 20 month period. The primary outcome was mean door to doctor time and the secondary outcome was length of stay of both admitted and discharged patients. A convenience sample from the preintervention phase (February 2012) was compared to another from the postintervention phase (mid-October to mid-November 2013). Individual control charts were used to assess process stability. Postintervention there was a statistically significant decrease in the mean door to doctor time measure (40.0 minutes ± 53.44 vs 25.3 minutes ± 15.93 P < 0.001). The postintervention process was more statistically in control with a drop in the upper control limits from 148.8 to 72.9 minutes. Length of stay of both admitted and discharged patients dropped from 2.6 to 2.0 hours and 9.0 to 5.5 hours, respectively. All other variables including emergency department visit daily volumes, hospital occupancy, and left without being seen rates were comparable. Using lean change management techniques can be effective in reducing door to doctor time in the Emergency Department and improving process reliability. PMID:26496278

[Three dimensional finite element model of a modified posterior cervical single open-door laminoplasty].

PubMed

Wang, Q; Yang, Y; Fei, Q; Li, D; Li, J J; Meng, H; Su, N; Fan, Z H; Wang, B Q

2017-06-06

Objective: To build a three-dimensional finite element models of a modified posterior cervical single open-door laminoplasty with short-segmental lateral mass screws fusion. Methods: The C(2)-C(7) segmental data were obtained from computed tomography (CT) scans of a male patient with cervical spondylotic myelopathy and spinal stenosis.Three-dimensional finite element models of a modified cervical single open-door laminoplasty (before and after surgery) were constructed by the combination of software package MIMICS, Geomagic and ABAQUS.The models were composed of bony vertebrae, articulating facets, intervertebral disc and associated ligaments.The loads of moments 1.5Nm at different directions (flexion, extension, lateral bending and axial rotation)were applied at preoperative model to calculate intersegmental ranges of motion.The results were compared with the previous studies to verify the validation of the models. Results: Three-dimensional finite element models of the modified cervical single open- door laminoplasty had 102258 elements (preoperative model) and 161 892 elements (postoperative model) respectively, including C(2-7) six bony vertebraes, C(2-3)-C(6-7) five intervertebral disc, main ligaments and lateral mass screws.The intersegmental responses at the preoperative model under the loads of moments 1.5 Nm at different directions were similar to the previous published data. Conclusion: Three-dimensional finite element models of the modified cervical single open- door laminoplasty were successfully established and had a good biological fidelity, which can be used for further study.

14 CFR 23.813 - Emergency exit access.

Code of Federal Regulations, 2010 CFR

2010-01-01

... the door is subjected to the inertia loads resulting from the ultimate static load factors prescribed... it by the door when the door is subjected to the inertia loads resulting from the ultimate static...

14 CFR 23.813 - Emergency exit access.

Code of Federal Regulations, 2013 CFR

2013-01-01

... the door is subjected to the inertia loads resulting from the ultimate static load factors prescribed... it by the door when the door is subjected to the inertia loads resulting from the ultimate static...

14 CFR 23.813 - Emergency exit access.

Code of Federal Regulations, 2014 CFR

2014-01-01

... the door is subjected to the inertia loads resulting from the ultimate static load factors prescribed... it by the door when the door is subjected to the inertia loads resulting from the ultimate static...

14 CFR 23.813 - Emergency exit access.

Code of Federal Regulations, 2012 CFR

2012-01-01

... the door is subjected to the inertia loads resulting from the ultimate static load factors prescribed... it by the door when the door is subjected to the inertia loads resulting from the ultimate static...

14 CFR 23.813 - Emergency exit access.

Code of Federal Regulations, 2011 CFR

2011-01-01

... the door is subjected to the inertia loads resulting from the ultimate static load factors prescribed... it by the door when the door is subjected to the inertia loads resulting from the ultimate static...

Psychiatric wards with locked doors--advantages and disadvantages according to nurses and mental health nurse assistants.

PubMed

Haglund, K; von Knorring, L; von Essen, L

2006-04-01

To describe nurses' and mental health nurse assistants' perceptions of advantages and disadvantages about working on a psychiatric ward with a locked entrance door. Psychiatric staff sometimes needs to protect patients from harming themselves or others. To keep the entrance door locked may help staff to achieve this goal. How locked entrance doors at psychiatric wards are experienced by staff, working on these wards, has been investigated to a very limited extent. The study was explorative and descriptive. Audio taped, semi-structured interviews with open-ended questions about advantages and disadvantages about working on a psychiatric ward with a locked entrance door, were conducted with 20 nurses and 20 mental health nurse assistants. Data were analyzed with content analysis. A content analysis revealed eight categories of advantages and 18 categories of disadvantages. Most advantages mentioned by nurses and mental health nurse assistants were categorized as providing staff with control over patients, providing patients with a secure and efficient care and protecting patients and staff against 'the outside'. Most disadvantages mentioned by nurses were categorized as causing extra work for staff, making patients feel confined, making patients feel dependent and creating a non-caring environment. Most disadvantages mentioned by mental health nurse assistants were categorized as causing extra work for staff, making patients feel confined, causing emotional problems for patients, making staff's power obvious and forcing patients to adapt to other patients' needs. Nurses and mental health nurse assistants mentioned more disadvantages than advantages and nurses mentioned more disadvantages than mental health nurse assistants. Nurses and mental health nurse assistants perceive a number of advantages and disadvantages for themselves, patients and significant others with a locked door at a psychiatric ward. Most of these concern patients' experiences. It is important for staff working within psychiatric care to reflect upon the fact that a locked entrance door is connected with a range of negative as well as positive perceptions and to minimize patient and own concerns connected to the locked door.

Is a controlled randomised trial the non-plus-ultra design? A contribution to discussion on comparative, controlled, non-randomised trials.

PubMed

Gaus, Wilhelm; Muche, Rainer

2013-05-01

Clinical studies provide formalised experience for evidence-based medicine (EBM). Many people consider a controlled randomised trial (CRT, identical to a randomised controlled trial RCT) to be the non-plus-ultra design. However, CRTs also have limitations. The problem is not randomisation itself but informed consent for randomisation and masking of therapies according to today's legal and ethical standards. We do not want to de-rate CRTs, but we would like to contribute to the discussion on clinical research methodology. Informed consent to a CRT and masking of therapies plainly select patients. The excellent internal validity of CRTs can be counterbalanced by poor external validity, because internal and external validity act as antagonists. In a CRT, patients may feel like guinea pigs, this can decrease compliance, cause protocol violations, reduce self-healing properties, suppress unspecific therapeutic effects and possibly even modify specific efficacy. A control group (comparative study) is most important for the degree of evidence achieved by a trial. Study control by detailed protocol and good clinical practice (controlled study) is second in importance and randomisation and masking is third (thus the sequence CRT instead of RCT). Controlled non-randomised trials are just as ambitious and detailed as CRTs. We recommend clinicians and biometricians to take high quality controlled non-randomised trials into consideration more often. They combine good internal and external validity, better suit daily medical practice, show better patient compliance and fewer protocol violations, deliver estimators unbiased by alienated patients, and perhaps provide a clearer explanation of the achieved success. Copyright © 2013 Elsevier Inc. All rights reserved.

Effectiveness of strategies incorporating training and support of traditional birth attendants on perinatal and maternal mortality: meta-analysis

PubMed Central

Wilson, Amie; Gallos, Ioannis D; Plana, Nieves; Lissauer, David; Khan, Khalid S; Zamora, Javier; MacArthur, Christine

2011-01-01

Objective To assess the effectiveness of strategies incorporating training and support of traditional birth attendants on the outcomes of perinatal, neonatal, and maternal death in developing countries. Design Systematic review with meta-analysis. Data sources Medline, Embase, the Allied and Complementary Medicine database, British Nursing Index, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, BioMed Central, PsycINFO, Latin American and Caribbean Health Sciences Literature database, African Index Medicus, Web of Science, Reproductive Health Library, and Science Citation Index (from inception to April 2011), without language restrictions. Search terms were “birth attend*”, “traditional midwife”, “lay birth attendant”, “dais”, and “comadronas”. Review methods We selected randomised and non-randomised controlled studies with outcomes of perinatal, neonatal, and maternal mortality. Two independent reviewers undertook data extraction. We pooled relative risks separately for the randomised and non-randomised controlled studies, using a random effects model. Results We identified six cluster randomised controlled trials (n=138 549) and seven non-randomised controlled studies (n=72 225) that investigated strategies incorporating training and support of traditional birth attendants. All six randomised controlled trials found a reduction in adverse perinatal outcomes; our meta-analysis showed significant reductions in perinatal death (relative risk 0.76, 95% confidence interval 0.64 to 0.88, P<0.001; number needed to treat 35, 24 to 70) and neonatal death (0.79, 0.69 to 0.88, P<0.001; 98, 66 to 170). Meta-analysis of the non-randomised studies also showed a significant reduction in perinatal mortality (0.70, 0.57 to 0.84, p<0.001; 48, 32 to 96) and neonatal mortality (0.61, 0.48 to 0.75, P<0.001; 96, 65 to 168). Six studies reported on maternal mortality and our meta-analysis showed a non-significant reduction (three randomised trials, relative risk 0.79, 0.53 to 1.05, P=0.12; three non-randomised studies, 0.80, 0.44 to 1.15, P=0.26). Conclusion Perinatal and neonatal deaths are significantly reduced with strategies incorporating training and support of traditional birth attendants. PMID:22134967

Effectiveness of strategies incorporating training and support of traditional birth attendants on perinatal and maternal mortality: meta-analysis.

PubMed

Wilson, Amie; Gallos, Ioannis D; Plana, Nieves; Lissauer, David; Khan, Khalid S; Zamora, Javier; MacArthur, Christine; Coomarasamy, Arri

2011-12-01

To assess the effectiveness of strategies incorporating training and support of traditional birth attendants on the outcomes of perinatal, neonatal, and maternal death in developing countries. Systematic review with meta-analysis. Medline, Embase, the Allied and Complementary Medicine database, British Nursing Index, Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, BioMed Central, PsycINFO, Latin American and Caribbean Health Sciences Literature database, African Index Medicus, Web of Science, Reproductive Health Library, and Science Citation Index (from inception to April 2011), without language restrictions. Search terms were "birth attend*", "traditional midwife", "lay birth attendant", "dais", and "comadronas". Review methods We selected randomised and non-randomised controlled studies with outcomes of perinatal, neonatal, and maternal mortality. Two independent reviewers undertook data extraction. We pooled relative risks separately for the randomised and non-randomised controlled studies, using a random effects model. We identified six cluster randomised controlled trials (n=138 549) and seven non-randomised controlled studies (n=72 225) that investigated strategies incorporating training and support of traditional birth attendants. All six randomised controlled trials found a reduction in adverse perinatal outcomes; our meta-analysis showed significant reductions in perinatal death (relative risk 0.76, 95% confidence interval 0.64 to 0.88, P<0.001; number needed to treat 35, 24 to 70) and neonatal death (0.79, 0.69 to 0.88, P<0.001; 98, 66 to 170). Meta-analysis of the non-randomised studies also showed a significant reduction in perinatal mortality (0.70, 0.57 to 0.84, p<0.001; 48, 32 to 96) and neonatal mortality (0.61, 0.48 to 0.75, P<0.001; 96, 65 to 168). Six studies reported on maternal mortality and our meta-analysis showed a non-significant reduction (three randomised trials, relative risk 0.79, 0.53 to 1.05, P=0.12; three non-randomised studies, 0.80, 0.44 to 1.15, P=0.26). Perinatal and neonatal deaths are significantly reduced with strategies incorporating training and support of traditional birth attendants.

INTERIOR DETAIL, NORTH GARRET DOOR. THE WIRES VISIBLE ABOVE THE ...

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

INTERIOR DETAIL, NORTH GARRET DOOR. THE WIRES VISIBLE ABOVE THE DOOR ARE REMNANTS OF AN EARLY ELECTRICAL SYSTEM INSTALLED BY THE CEMETERY COMPANY - The Woodlands, 4000 Woodlands Avenue, Philadelphia, Philadelphia County, PA

24 CFR 3280.113 - Glass and glazed openings.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Glass and glazed openings. (a) Windows and sliding glass doors. All windows and sliding glass doors shall meet the requirements of § 3280.403 the “Standard for Windows and Sliding Glass Doors Used in...

Detail view from the east of the west door in ...

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

Detail view from the east of the west door in the Grand Banqueting Hall. Note plaster turkey ornament in the door pediment. - Masonic Temple, 1 North Broad Street, Philadelphia, Philadelphia County, PA

Minimizing pathogen growth and quality deterioration of packaged leafy greens by maintaining optimum temperature in refrigerated display cases with doors

USDA-ARS?s Scientific Manuscript database

Retail display of packaged fresh-cut leafy greens is a critical stage of cold chain management and is prone to temperature abuse when produce is displayed in open cases, due to infiltration of ambient air into the case. Previous studies demonstrated that retrofitting open display cases with doors is...

The evaluation of the neutron dose equivalent in the two-bend maze.

PubMed

Tóth, Á Á; Petrović, B; Jovančević, N; Krmar, M; Rutonjski, L; Čudić, O

2017-04-01

The purpose of this study was to explore the effect of the second bend of the maze, on the neutron dose equivalent, in the 15MV linear accelerator vault, with two bend maze. These two bends of the maze were covered by 32 points where the neutron dose equivalent was measured. There is one available method for estimation of the neutron dose equivalent at the entrance door of the two bend maze which was tested using the results of the measurements. The results of this study show that the neutron equivalent dose at the door of the two bend maze was reduced almost three orders of magnitude. The measured TVD in the first bend (closer to the inner maze entrance) is about 5m. The measured TVD result is close to the TVD values usually used in the proposed models for estimation of neutron dose equivalent at the entrance door of the single bend maze. The results also determined that the TVD in the second bend (next to the maze entrance door) is significantly lower than the TVD values found in the first maze bend. Copyright © 2017 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

Ensuring respect for persons in COMPASS: a cluster randomised pragmatic clinical trial.

PubMed

Andrews, Joseph E; Moore, J Brian; Weinberg, Richard B; Sissine, Mysha; Gesell, Sabina; Halladay, Jacquie; Rosamond, Wayne; Bushnell, Cheryl; Jones, Sara; Means, Paula; King, Nancy M P; Omoyeni, Diana; Duncan, Pamela W

2018-05-02

Cluster randomised clinical trials present unique challenges in meeting ethical obligations to those who are treated at a randomised site. Obtaining informed consent for research within the context of clinical care is one such challenge. In order to solve this problem it is important that an informed consent process be effective and efficient, and that it does not impede the research or the healthcare. The innovative approach to informed consent employed in the COMPASS study demonstrates the feasibility of upholding ethical standards without imposing undue burden on clinical workflows, staff members or patients who may participate in the research by virtue of their presence in a cluster randomised facility. The COMPASS study included 40 randomised sites and compared the effectiveness of a postacute stroke intervention with standard care. Each site provided either the comprehensive postacute stroke intervention or standard care according to the randomisation assignment. Working together, the study team, institutional review board and members of the community designed an ethically appropriate and operationally reasonable consent process which was carried out successfully at all randomised sites. This achievement is noteworthy because it demonstrates how to effectively conduct appropriate informed consent in cluster randomised trials, and because it provides a model that can easily be adapted for other pragmatic studies. With this innovative approach to informed consent, patients have access to the information they need about research occurring where they are seeking care, and medical researchers can conduct their studies without ethical concerns or unreasonable logistical impediments. NCT02588664, recruiting. This article covers the development of consent process that is currentlty being employed in the study. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

23. POWELLTYPE CAR THROUGH GRIP REMOVAL DOOR: View looking through ...

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

23. POWELL-TYPE CAR THROUGH GRIP REMOVAL DOOR: View looking through grip removal door into interior of a Powell-type cable car. - San Francisco Cable Railway, Washington & Mason Streets, San Francisco, San Francisco County, CA

VIEW THROUGH AN ORIGINAL DOOR OF AIRLOCK TO A MODERN ...

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

VIEW THROUGH AN ORIGINAL DOOR OF AIRLOCK TO A MODERN REPLACEMENT DOOR ON OPPOSITE SIDE. - U.S. Naval Base, Pearl Harbor, Bombproof Communication Center, Hornet Avenue at Liscome Bay Street, Pearl City, Honolulu County, HI

12. CAPSTANS OF FRONT DECK. MIDDLE DOOR IS OPEN. ALL ...

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

12. CAPSTANS OF FRONT DECK. MIDDLE DOOR IS OPEN. ALL DOORS COULD OPEN, TO GIVE OPERATOR AN UNIMPEDED VIEW. - Dredge CINCINNATI, Docked on Ohio River at foot of Lighthill Street, Pittsburgh, Allegheny County, PA

Detail view of the west elevation entrance door, showing the ...

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

Detail view of the west elevation entrance door, showing the door knocker & house numbers (Duplicate view of HABS DC-832-3) - Clements-de Sibour House, 1539 Twenty-ninth Street, Northwest, Washington, District of Columbia, DC

29. BEDROOM #3 INTERIOR SHOWING DOUBLE FRENCH DOORS TO SCREENED ...

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

29. BEDROOM #3 INTERIOR SHOWING DOUBLE FRENCH DOORS TO SCREENED PORCH AND FIVE-PANELED DOOR TO HALL. VIEW TO WEST. - Big Creek Hydroelectric System, Powerhouse 8, Operator Cottage, Big Creek, Big Creek, Fresno County, CA

2. EXTERIOR FRONT (SOUTHEAST) SIDE OF BUILDING 117 SHOWING MAIN ...

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

2. EXTERIOR FRONT (SOUTHEAST) SIDE OF BUILDING 117 SHOWING MAIN RESIDENTIAL STREET IN LOWER FOREGROUND, CEMENT-LAID ROCK RETAINING WALL IN FRONT OF HOUSE, AND CONCRETE STEPS AND WALKWAY TO FRONT PORCH AND DOOR. NOTE SLIDING GLASS DOOR REPLACEMENT FOR ORIGINAL DOOR WHICH HAS SUBSEQUENTLY BEEN REMODELED BACK TO A SINGLE ENTRY DOOR. VIEW TO NORTHWEST. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

27. View of entry door to vestibule to MWOC entry ...

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

27. View of entry door to vestibule to MWOC entry door in transmitter building no. 102 (note coded key pad to left and intercom phone on left) and door to the central systems monitor room (CSMR) to right (out of sight). - Clear Air Force Station, Ballistic Missile Early Warning System Site II, One mile west of mile marker 293.5 on Parks Highway, 5 miles southwest of Anderson, Anderson, Denali Borough, AK

17. INTERIOR OF BEDROOM NUMBER TWO SHOWING OPEN DOOR TO ...

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

17. INTERIOR OF BEDROOM NUMBER TWO SHOWING OPEN DOOR TO BATHROOM NUMBER ONE AT EXTREME PHOTO LEFT, OPEN PANEL DOOR TO THE WALK-IN CLOSET AT PHOTO CENTER LEFT, OPEN PANEL DOOR TO HALL AT PHOTO CENTER RIGHT, AND A 6-LIGHT OVER 1-LIGHT SASH WINDOW ON THE WEST WALL AT PHOTO RIGHT. VIEW TO SOUTH. - Rush Creek Hydroelectric System, Clubhouse Cottage, Rush Creek, June Lake, Mono County, CA

Investigations of Shuttle Main Landing Gear Door Environmental Seals

NASA Technical Reports Server (NTRS)

Finkbeiner, Joshua; Dunlap, Pat; Steinetz, Bruce; DeMango, Jeff; Newswander, Daniel

2005-01-01

The environmental seals for the main landing gear doors of the Shuttle Orbiters were raised by the Columbia Accident Investigation Board as a potential safety concern. Inspections of seals installed on the Shuttle Discovery revealed that they were permanently deformed and no longer met certified seal compression requirements. Replacement of the seals led to the inability to fully close the main landing gear doors. Johnson Space Center requested that Glenn Research Center conduct tests on the main landing gear door environmental seals to assist in installing the seals in a manner to allow the main landing gear doors to fully close. Further testing was conducted to fill out the seal performance database. Results from the testing indicated that the method of bonding the seals was important in reducing seal loads on the main landing gear doors. Also, the replacement seals installed in Shuttle Discovery were found to have leakage performance sufficient to meet the certification requirements.

Detecting Signage and Doors for Blind Navigation and Wayfinding

PubMed Central

Wang, Shuihua; Yang, Xiaodong; Tian, Yingli

2013-01-01

Signage plays a very important role to find destinations in applications of navigation and wayfinding. In this paper, we propose a novel framework to detect doors and signage to help blind people accessing unfamiliar indoor environments. In order to eliminate the interference information and improve the accuracy of signage detection, we first extract the attended areas by using a saliency map. Then the signage is detected in the attended areas by using a bipartite graph matching. The proposed method can handle multiple signage detection. Furthermore, in order to provide more information for blind users to access the area associated with the detected signage, we develop a robust method to detect doors based on a geometric door frame model which is independent to door appearances. Experimental results on our collected datasets of indoor signage and doors demonstrate the effectiveness and efficiency of our proposed method. PMID:23914345

Detecting Signage and Doors for Blind Navigation and Wayfinding.

PubMed

Wang, Shuihua; Yang, Xiaodong; Tian, Yingli

2013-07-01

Signage plays a very important role to find destinations in applications of navigation and wayfinding. In this paper, we propose a novel framework to detect doors and signage to help blind people accessing unfamiliar indoor environments. In order to eliminate the interference information and improve the accuracy of signage detection, we first extract the attended areas by using a saliency map. Then the signage is detected in the attended areas by using a bipartite graph matching. The proposed method can handle multiple signage detection. Furthermore, in order to provide more information for blind users to access the area associated with the detected signage, we develop a robust method to detect doors based on a geometric door frame model which is independent to door appearances. Experimental results on our collected datasets of indoor signage and doors demonstrate the effectiveness and efficiency of our proposed method.

Migrating data from TcSE to DOORS : an evaluation of the T-Plan Integrator software application.

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

Post, Debra S.; Manzanares, David A.; Taylor, Jeffrey L.

2011-02-01

This report describes our evaluation of the T-Plan Integrator software application as it was used to transfer a real data set from the Teamcenter for Systems Engineering (TcSE) software application to the DOORS software application. The T-Plan Integrator was evaluated to determine if it would meet the needs of Sandia National Laboratories to migrate our existing data sets from TcSE to DOORS. This report presents the struggles of migrating data and focuses on how the Integrator can be used to map a data set and its data architecture from TcSE to DOORS. Finally, this report describes how the bulk ofmore » the migration can take place using the Integrator; however, about 20-30% of the data would need to be transferred from TcSE to DOORS manually. This report does not evaluate the transfer of data from DOORS to TcSE.« less

"You Have to Knock at the Door for the Door Get Open": Alternative Literacy Narratives and the Development of Textual Agency in Writing by Newly Literate Adults

ERIC Educational Resources Information Center

Rosenberg, Lauren

2008-01-01

This article is part of a project that involves case studies of four adults who attend an informal literacy center. I examine people's motivations to write when their main purpose is not to gain a degree or other credentials. Here I focus on one study member and how she uses writing to gain textual agency. By composing narratives that investigate…

Long-lasting insecticidal net (LLIN) ownership, use and cost of implementation after a mass distribution campaign in Kasaï Occidental Province, Democratic Republic of Congo.

PubMed

Ntuku, Henry Maggi; Ruckstuhl, Laura; Julo-Réminiac, Jean-Emmanuel; Umesumbu, Solange E; Bokota, Alain; Tshefu, Antoinette Kitoto; Lengeler, Christian

2017-01-09

Long-lasting insecticidal nets (LLIN) are a highly effective means for preventing malaria infection and reducing associated morbidity and mortality. Mass free distribution campaigns have been shown to rapidly increase LLIN ownership and use. Around 3.5 million LLINs were distributed free of charge in the Kasaï Occidental Province in the Democratic Republic of Congo (DRC) in September-October 2014, using two different approaches, a fixed delivery strategy and a door-to-door strategy including hang-up activities. Repeated community-based cross-sectional surveys were conducted 2 months before and six months after the mass distribution. Descriptive statistics were used to measure changes in key malaria household indicators. LLIN ownership and use were compared between delivery strategies. Univariate and multivariate logistic regression analyses were used to identify factors associated with LLIN use before and after the mass distribution. A comparative financial cost analysis between the fixed delivery and door-to-door distribution strategies was carried out from the provider's perspective. Household ownership of at least one LLIN increased from 39.4% pre-campaign to 91.4% post-campaign and LLIN universal coverage, measured as the proportion of households with at least one LLIN for every two people increased from 4.1 to 41.1%. Population access to LLIN within the household increased from 22.2 to 80.7%, while overall LLIN use increased from 18.0 to 68.3%. Higher LLIN ownership was achieved with the fixed delivery strategy compared with the door-to-door (92.5% [95% CI 90.2-94.4%] versus 85.2% [95% CI 78.5-90.0%]), while distribution strategy did not have a significant impact on LLIN use (69.6% [95% CI 63.1-75.5%] versus 65.7% [95% CI 52.7-76.7%]). Malaria prevalence among children aged 6-59 months was 44.8% post-campaign. Living in a household with sufficient numbers of LLIN to cover all members was the strongest determinant of LLIN use. The total financial cost per LLIN distributed was 6.58 USD for the fixed distribution strategy and 6.61 USD for the door-to-door strategy. The mass distribution campaign was effective for rapidly increasing LLIN ownership and use. These gains need to be sustained for long-term reduction in malaria burden. The fixed delivery strategy achieved a higher LLIN coverage at lower delivery cost compared with the door-to-door strategy and seems to be a better distribution strategy in the context of the present study setting.

2. DETAIL, EAST ENTRANCE, SHOWING OUTER BLAST DOOR AND INNER ...

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

2. DETAIL, EAST ENTRANCE, SHOWING OUTER BLAST DOOR AND INNER DOORS. - Edwards Air Force Base, Air Force Rocket Propulsion Laboratory, Instrumentation & Control Building, Test Area 1-115, northwest end of Saturn Boulevard, Boron, Kern County, CA

76 FR 7874 - Buy American Exceptions Under the American Recovery and Reinvestment Act of 2009

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-11

.../CATV combo communication wall plates, three-way switches, single pole switches, dryer outlets, door... switches, single pole switches, dryer outlets, door chimes and door viewers) are not produced in the U.S...

40 CFR 745.65 - Lead-based paint hazards.

Code of Federal Regulations, 2010 CFR

2010-07-01

... caused by impact from a related building component (such as a door knob that knocks into a wall or a door that knocks against its door frame. (3) Any chewable lead-based painted surface on which there is...

40 CFR 745.65 - Lead-based paint hazards.

Code of Federal Regulations, 2011 CFR

2011-07-01

... caused by impact from a related building component (such as a door knob that knocks into a wall or a door that knocks against its door frame. (3) Any chewable lead-based painted surface on which there is...

31. HALL INTERIOR SHOWING SINGLE FRENCH DOOR TO NORTH SIDE ...

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

31. HALL INTERIOR SHOWING SINGLE FRENCH DOOR TO NORTH SIDE SCREENED PORCH, AND TRAP-DOOR ACCESS TO ATTIC. VIEW TO NORTHEAST. - Big Creek Hydroelectric System, Powerhouse 8, Operator Cottage, Big Creek, Big Creek, Fresno County, CA

Driving and latching of the Starlab pointing mirror doors

NASA Technical Reports Server (NTRS)

Beaven, Herbert R., Jr.; Avina, Raymond R.

1990-01-01

The Starlab Experiment, a major SDIO technology initiative, is an attached payload which will be delivered into Earth orbit aboard NASA's Space Shuttle in 1991. Starlab will generate and aim an 80 cm diameter laser beam into space through a large opening in the structure which houses the pointing mirror. Two doors, each somewhat larger than a desktop, cover the opening when the laser optics system is nonoperational. Latch Mechanism Assemblies hold the doors shut during liftoff and ascent and, again, during Orbiter reentry. Each door is powered by a Door Drive System during the many open/close cycles between various experiments. The design, testing, and resultant failure modes of these mechanisms are examined.

SOFIA Closed- and Open-Door Aerodynamic Analyses

NASA Technical Reports Server (NTRS)

Cumming, Stephen; Frederick, Mike; Smith, Mark

2012-01-01

Work to evaluate the aerodynamic characteristics and the cavity acoustic environment of the SOFIA (Stratospheric Observatory for Infrared Astronomy) airplane has been completed. The airplane has been evaluated in its closed-door configuration, as well as several open-door configurations. Work performed included: acoustic analysis tool development, cavity acoustic evaluation, stability and control parameter estimation, air data calibration, and external flow evaluation. Qualitative airflow data were obtained during the closed- and open-door flights using tufts on the aft portion of the fuselage. Video was taken from a chase plane. This video was analyzed for various flight conditions, and general flow descriptions of the aft fuselage of the 747SP were developed for the different closed and open door configurations.

Long-lasting insecticide-treated house screens and targeted treatment of productive breeding-sites for dengue vector control in Acapulco, Mexico.

PubMed

Che-Mendoza, Azael; Guillermo-May, Guillermo; Herrera-Bojórquez, Josué; Barrera-Pérez, Mario; Dzul-Manzanilla, Felipe; Gutierrez-Castro, Cipriano; Arredondo-Jiménez, Juan I; Sánchez-Tejeda, Gustavo; Vazquez-Prokopec, Gonzalo; Ranson, Hilary; Lenhart, Audrey; Sommerfeld, Johannes; McCall, Philip J; Kroeger, Axel; Manrique-Saide, Pablo

2015-02-01

Long-lasting insecticidal net screens (LLIS) fitted to domestic windows and doors in combination with targeted treatment (TT) of the most productive Aedes aegypti breeding sites were evaluated for their impact on dengue vector indices in a cluster-randomised trial in Mexico between 2011 and 2013. Sequentially over 2 years, LLIS and TT were deployed in 10 treatment clusters (100 houses/cluster) and followed up over 24 months. Cross-sectional surveys quantified infestations of adult mosquitoes, immature stages at baseline (pre-intervention) and in four post-intervention samples at 6-monthly intervals. Identical surveys were carried out in 10 control clusters that received no treatment. LLIS clusters had significantly lower infestations compared to control clusters at 5 and 12 months after installation, as measured by adult (male and female) and pupal-based vector indices. After addition of TT to the intervention houses in intervention clusters, indices remained significantly lower in the treated clusters until 18 (immature and adult stage indices) and 24 months (adult indices only) post-intervention. These safe, simple affordable vector control tools were well-accepted by study participants and are potentially suitable in many regions at risk from dengue worldwide. © The author 2015. The World Health Organization has granted Oxford University Press permission for the reproduction of this article.

Interventions to increase immunisation coverage among children 12–23 months of age in India through participatory learning and community engagement: pilot study for a cluster randomised trial

PubMed Central

Johri, Mira; Chandra, Dinesh; Koné, Georges K; Dudeja, Sakshi; Sylvestre, Marie-Pierre; Sharma, Jitendar K; Pahwa, Smriti

2015-01-01

Objective With the aim of conducting a future cluster randomised trial to assess intervention impact on child vaccination coverage, we designed a pilot study to assess feasibility and aid in refining methods for the larger study. Trial design Cluster-randomised design with a 1:1 allocation ratio. Methods Clusters were 12 villages in rural Uttar Pradesh. All women residing in a selected village who were mothers of a child 0–23 months of age were eligible; participants were chosen at random. Over 4 months, intervention group (IG) villages received: (1) home visits by volunteers; (2) community mobilisation events to promote immunisation. Control group (CG) villages received community mobilisation to promote nutrition. A toll-free number for immunisation was offered to all IG and CG village residents. Primary outcomes were ex-ante criteria for feasibility of the main study related to processes for recruitment and randomisation (50% of villages would agree to participate and accept randomisation; 30 women could be recruited in 70% of villages), and retention of participants (50% of women retained from baseline to endline). Clusters were assigned to IG or CG using a computer-generated randomisation schedule. Neither participants nor those delivering interventions were blinded, but those assessing outcomes were blinded to group assignment. Results All villages contacted agreed to participate and accepted randomisation. 36 women were recruited per village; 432 participants were randomised (IG n=216; CG n=216). No clusters were lost to follow-up. The main analysis included 86% (373/432) of participants, 90% (195/216) from the IG and 82% (178/216) from the CG. Conclusions Criteria related to feasibility were satisfied, giving us confidence that we can successfully conduct a larger cluster randomised trial. Methodological lessons will inform design of the main study. Trial registration number ISRCTN16703097 PMID:26384721

Maintenance Resources by Building Use for Installations in Germany

DTIC Science & Technology

1991-11-01

125125. .01 0531140 STEEL ( INSULATED ) PAINTED INTERIOR DOOR 124956. .01 0432710 DOUBLE PANE STEEL FIXED WNDW. 1ST FLOOR 124922. .01 1131200 QUARTZ...FINISH 8507. .00 0535400 ALUMINUM DOUBLE ROLL-UP INTERIOR DOOR 8490. .00 0424310 ALUMINUM LOUVERED EXT DOORS 7973. .00 0421340 STEEL ( INSUL CORE) UNPUT...H.P. 0831130 20 1.09 Clay Block (Painted) Interior 0612200 21 1.08 Wall Sink. Stainless Steel 0811F00 22 1.03 Steel (Painted) Exterior Door 0421210 23

Environmental Assessment of Proposed Upgrades to Military Family Housing, Phase I

DTIC Science & Technology

2003-03-01

contributions to the economic, ecological , recreational, and human health of a community or locale. Stormwater flows, which are increased by high proportions...positive at least once include the following: • Metal beams or columns (87 percent positive results) • Wood beams or columns (24 percent) • Wood ...cabinet doors (4 percent) • Wood ceiling (ə percent) • Varnished wood closet door (ə percent) • Wood door frames (ə percent) • Interior metal door

Orange Is the New Who: Reflections on Teaching a College-Level Art Appreciation Course at Six New Jersey State Prisons

ERIC Educational Resources Information Center

McGuire, J. D.

2017-01-01

The process of entering prison as a civilian is such … sign in … send stuff through x-ray … walk through metal detector … get patted down by officer … show badge, get buzzed through steel door … get buzzed through another steel door … get buzzed through another steel door … show badge to officer, get buzzed through steel door. Enter the yard and…

17. VIEW OF AIR LOCK ENTRY DOOR. BANKS OF AIR ...

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

17. VIEW OF AIR LOCK ENTRY DOOR. BANKS OF AIR FILTERS ARE VISIBLE TO THE SIDES OF THE DOORS. THE BUILDING WAS DIVIDED INTO ZONES BY AIRLOCK DOORS AND AIR FILTERS. AIR PRESSURE DIFFERENTIALS WERE MAINTAINED IN THE ZONES, SUCH THAT AIRFLOW WAS PROGRESSIVELY TOWARD AREAS WITH THE HIGHEST POTENTIAL FOR CONTAMINATION. (9/24/91) - Rocky Flats Plant, Plutonium Manufacturing Facility, North-central section of Plant, just south of Building 776/777, Golden, Jefferson County, CO

Device for reducing vehicle aerodynamic resistance

DOEpatents

Graham, Sean C.

2005-02-15

A device for a vehicle with a pair of swinging rear doors, which converts flat sheets of pliable material hinged to the sides of the vehicle adjacent the rear thereof into effective curved airfoils that reduce the aerodynamic resistance of the vehicle, when the doors are closed by hand, utilizing a plurality of stiffeners disposed generally parallel to the doors and affixed to the sheets and a plurality of collapsible tension bearings struts attached to each stiffener and the adjacent door.

3. EXTERIOR OF SOUTH SIDE SHOWING DOOR TO ENCLOSED FRONT ...

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

3. EXTERIOR OF SOUTH SIDE SHOWING DOOR TO ENCLOSED FRONT PORCH ON PHOTO RIGHT AND DOOR TO KITCHEN AT PHOTO LEFT. VIEW TO NORTH. - Bishop Creek Hydroelectric System, Control Station, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

The Ins and Outs of Modern Doors.

ERIC Educational Resources Information Center

College Planning & Management, 1999

1999-01-01

Discusses the qualities and trends in modern metal doors for educational facilities that include fire protection and sound-control attributes. Important differences in door manufacturing methods and materials are addressed and sound-transmission class values, ratings, and rating descriptions are listed. (GR)

ARC-2006-ACD06-0213-013

NASA Image and Video Library

2006-09-25

Ames and Moffett Field (MFA) historical sites and memorials Entry of building N-210 Ames Flight System Research Laboratory architectural detail. Eastside showing NACA brass inset wing over front doors, light fixtures flanking the doors and glass brick window wall above the doors

ARC-2006-ACD06-0213-014

NASA Image and Video Library

2006-09-25

Ames and Moffett Field (MFA) historical sites and memorials Entry of building N-210 Ames Flight System Research Laboratory architectural detail. Eastside showing NACA brass inset wing over front doors, light fixtures flanking the doors and glass brick window wall above the doors

DOOR AT LEFT IS IN ORIGINAL BRICKWORK OPENING. AT CENTER ...

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

DOOR AT LEFT IS IN ORIGINAL BRICKWORK OPENING. AT CENTER IS REMAINS OF STONE BASE COURSE AND CELLAR DOOR CHEEK TRACE. AT RIGHT IS WINDOW IN ORIGINAL BRICKWORK OPENING - Kid-Chandler House, 323 Walnut Street, Philadelphia, Philadelphia County, PA

Detail view from the east of the west door in ...

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

Detail view from the east of the west door in the Grand Banqueting Hall. Note scale laid against the right pilaster and plaster turkey ornament in the door pediment. - Masonic Temple, 1 North Broad Street, Philadelphia, Philadelphia County, PA

27. BEDROOM #2 INTERIOR SHOWING DOUBLE FRENCH DOORS TO SCREENED ...

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

27. BEDROOM #2 INTERIOR SHOWING DOUBLE FRENCH DOORS TO SCREENED PORCH AND UNUSUAL WINDOWED CLOSET THROUGH OPEN FIVE-PANELED DOOR. VIEW TO WEST. - Big Creek Hydroelectric System, Powerhouse 8, Operator Cottage, Big Creek, Big Creek, Fresno County, CA

16. DINING ROOM INTERIOR SHOWING DOUBLE DOOR ARCHWAY INTO LIVING ...

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

16. DINING ROOM INTERIOR SHOWING DOUBLE DOOR ARCHWAY INTO LIVING ROOM AND DOUBLE FRENCH DOORS INTO SOUTH END SCREENED PORCH. VIEW TO SOUTHWEST. - Big Creek Hydroelectric System, Powerhouse 8, Operator Cottage, Big Creek, Big Creek, Fresno County, CA

Mendelian randomisation in cardiovascular research: an introduction for clinicians

PubMed Central

Bennett, Derrick A; Holmes, Michael V

2017-01-01

Understanding the causal role of biomarkers in cardiovascular and other diseases is crucial in order to find effective approaches (including pharmacological therapies) for disease treatment and prevention. Classical observational studies provide naïve estimates of the likely role of biomarkers in disease development; however, such studies are prone to bias. This has direct relevance for drug development as if drug targets track to non-causal biomarkers, this can lead to expensive failure of these drugs in phase III randomised controlled trials. In an effort to provide a more reliable indication of the likely causal role of a biomarker in the development of disease, Mendelian randomisation studies are increasingly used, and this is facilitated by the availability of large-scale genetic data. We conducted a narrative review in order to provide a description of the utility of Mendelian randomisation for clinicians engaged in cardiovascular research. We describe the rationale and provide a basic description of the methods and potential limitations of Mendelian randomisation. We give examples from the literature where Mendelian randomisation has provided pivotal information for drug discovery including predicting efficacy, informing on target-mediated adverse effects and providing potential new evidence for drug repurposing. The variety of the examples presented illustrates the importance of Mendelian randomisation in order to prioritise drug targets for cardiovascular research. PMID:28596306

Opening Doors to Student Success: A Synthesis of Findings from an Evaluation at Six Community Colleges. Policy Brief

ERIC Educational Resources Information Center

Scrivener, Susan; Coghlan, Erin

2011-01-01

Only one-third of all students who enter community colleges with the intent to earn a degree or certificate actually meet this goal within six years. MDRC launched the Opening Doors Demonstration in 2003--the first large-scale random assignment study in a community college setting--to tackle this problem. Partnering with six community colleges,…

Survey II of Public and Leadership Attitudes Toward Nuclear Power Development in the United States. Study No. 2628.

ERIC Educational Resources Information Center

Harris (Louis) and Associates, Inc., New York, NY.

This publication details a national survey done by Louis Harris and Associates, similar to one done in 1975, to assess attitudes toward nuclear power in the United States. The survey consisted of three parts. The first part was in-person, door-to-door interviews with 1,597 randomly selected households nationwide. The second part was 309…

Abriendo Puertas/Opening Doors Parenting Program: Summary Report of Program Implementation and Impacts. Publication #2014-24

ERIC Educational Resources Information Center

Moore, Kristin A.; Caal, Selma; Lawner, Elizabeth K.; Rojas, Angela; Walker, Karen

2014-01-01

Child Trends conducted a random assignment evaluation of the Abriendo Puertas/Opening Doors program, one of the largest programs in the United States working with low-income Latino parents of children ages zero to five. Since it began in 2007, the program has served over 30,000 parents/families in 34 states. The evaluation study examined the…

Challenges Faced by African International Students at a Metropolitan Research University: A Phenomenological Case Study

ERIC Educational Resources Information Center

Evivie, Loretta Gbemudu

2009-01-01

The number of international students coming to the United States has increased from 48,486 in 1959-1960 to 623,805 in the 2007-2008 academic years (Open Doors, 2008). These students contributed $15.5 billion to the United States economy, making education the nation's fifth largest service export (Open Doors, 2008). The literature has focused on…

Self-Assessed Disability and Self-Rated Health among Rural Villagers in Peru: A Brief Report

ERIC Educational Resources Information Center

Rohrer, James E.; Merry, Stephen P.; Thacher, Thomas D.; Summers, Matthew R.; Alpern, Jonathan D.; Contino, Robert W.

2010-01-01

Context: Risks for poor self-rated overall health in rural areas of developing nations have not been thoroughly investigated. Purpose: The objective of this study was to assess potential risk factors for poor self-rated health among rural villagers in Peru. Methods: A door-to-door survey of villagers residing in the Pampas Grande region in Peru,…

A Difference-In-Differences Study of the Effects of a New Abandoned Building Remediation Strategy on Safety

Treesearch

Michelle C. Kondo; Danya Keene; Bernadette C. Hohl; John M. MacDonald; Charles C. Branas

2015-01-01

Vacant and abandoned buildings pose significant challenges to the health and safety of communities. In 2011 the City of Philadelphia began enforcing a Doors and Windows Ordinance that required property owners of abandoned buildings to install working doors and windows in all structural openings or face significant fines. We tested the effects of the new ordinance on...

Evaluation of pre-hospital transport time of stroke patients to thrombolytic treatment.

PubMed

Simonsen, Sofie Amalie; Andresen, Morten; Michelsen, Lene; Viereck, Søren; Lippert, Freddy K; Iversen, Helle Klingenberg

2014-11-13

Effective treatment of stroke is time dependent. Pre-hospital management is an important link in reducing the time from occurrence of stroke symptoms to effective treatment. The aim of this study was to evaluate time used by emergency medical services (EMS) for stroke patients during a five-year period in order to identify potential delays and evaluate the reorganization of EMS in Copenhagen in 2009. We performed a retrospective analysis of ambulance records from stroke patients suitable for thrombolysis from 1 January 2006 to 7 July 2011. We noted response time from dispatch of the ambulance to arrival at the scene, on-scene time and transport time to the hospital-in total, alarm-to-door time. In addition, we noted baseline characteristics. We reviewed 481 records (58% male, median age 66 years). The median (IQR) alarm-to-door time in minutes was 41 (33-52), of which 18 (12-24) minutes were spent on scene. Response time was reduced from the period before to the period after reorganization (7 vs. 5 minutes, p <0.001). In a linear multiple regression model, higher patient age and longer distance to the hospital correlated with significantly longer transportation time (p <0.001). This study shows an unchanged alarm-to-door time of 41 minutes over a five-year period. Response time, but not total alarm-to-door time, was reduced during the five years. On-scene time constituted nearly half of the total alarm-to-door time and is thus a point of focus for improvement.

Air curtain development: an energy harvesting solution for hinged doors

NASA Astrophysics Data System (ADS)

Dayal, Vineed; Lee, Soobum

2017-04-01

The paper proposes a fully mechanical air curtain system that will be powered solely by harvested energy from common hinged doors. The average person uses this type of door several times a day with an almost unconscious amount of applied force and effort. This leads to a high potential of energy to be harvested in doorways that see high traffic and frequent operation7 . Frequently opened door entry ways have always been regarded as a major element that causes significant energy loss and contaminated air conditions in buildings6 . Private companies, particularly those with warehouses, have introduced commercial electrical air curtains to block the open entrances from invading cold air11. This project intends to introduce an original design of air curtain which operates fans only when the door opens and closes, by directly converting door motion to fan rotation without any electronic motor or power cable. The air stream created by this device will prevent the transfer of outside air and contaminants. Research will be conducted to determine the most efficient method of harvesting energy from door use, and the prototyping process will be conducted to meet the required performance of current air curtain models.

DETAIL OF ORIGINAL SLIDING DOORS ALTERED WITH OPENING FOR HINGED ...

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

DETAIL OF ORIGINAL SLIDING DOORS ALTERED WITH OPENING FOR HINGED DOOR. WITH GRADUATED SCALE IN 1' INCREMENTS. VIEW FACING NORTHWEST - U.S. Naval Base, Pearl Harbor, Gymnasium Building, North Waterfront & Pierce Street near Berth S-13, Pearl City, Honolulu County, HI

Stair and entry room, bunkhouse, first floor interior. Door from ...

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

Stair and entry room, bunkhouse, first floor interior. Door from entry hall leads to toilets and bathing rooms. A coat and hat rack is on each side of the door. - Sespe Ranch, Bunkhouse, 2896 Telegraph Road, Fillmore, Ventura County, CA

8. INTERIOR OF FRONT SCREENEDIN PORCH SHOWING PORCH ENTRY DOOR ...

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

8. INTERIOR OF FRONT SCREENED-IN PORCH SHOWING PORCH ENTRY DOOR AT PHOTO CENTER AND FRONT ENTRY DOOR TO LIVING ROOM AT PHOTO LEFT. VIEW TO NORTHWEST. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

22. DOOR CONTROL BOX AT STATION 70.5 OF MST FOR ...

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

22. DOOR CONTROL BOX AT STATION 70.5 OF MST FOR CONTROL OF SOUTH DOORS. NITROGEN PRESSURE REGULATOR ON LEFT. - Vandenberg Air Force Base, Space Launch Complex 3, Launch Pad 3 East, Napa & Alden Roads, Lompoc, Santa Barbara County, CA

28. INTERIOR OF KITCHEN SHOWING OPEN PANEL DOOR TO PANTRY ...

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

28. INTERIOR OF KITCHEN SHOWING OPEN PANEL DOOR TO PANTRY AT PHOTO RIGHT AND OPEN DOOR TO ORIGINAL SIDE-ENTRY UTILITY ROOM AT PHOTO LEFT. VIEW TO SOUTHWEST. - Rush Creek Hydroelectric System, Clubhouse Cottage, Rush Creek, June Lake, Mono County, CA

24. BEDROOM #1 INTERIOR SHOWING OPEN DOOR TO HALL WITH ...

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

24. BEDROOM #1 INTERIOR SHOWING OPEN DOOR TO HALL WITH HALL LINEN CLOSETS VISIBLE IN BACKGROUND, AND PARTIALLY OPEN DOOR TO CLOSET. VIEW TO EAST. - Big Creek Hydroelectric System, Powerhouse 8, Operator Cottage, Big Creek, Big Creek, Fresno County, CA

11. INTERIOR OF BEDROOM NUMBER ONE SHOWING OPEN PANEL DOOR ...

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

11. INTERIOR OF BEDROOM NUMBER ONE SHOWING OPEN PANEL DOOR TO LIVING ROOM AT PHOTO RIGHT AND OPEN DOOR TO BATHROOM AT PHOTO LEFT. VIEW TO SOUTHEAST. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

46 CFR 111.97-7 - Distribution.

Code of Federal Regulations, 2012 CFR

2012-10-01

... REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-7 Distribution. (a) Each distribution... locking. (b) Each feeder supplying a watertight door operating system must be above the uppermost continuous deck. (c) Each watertight door operating system must have a separate branch circuit. ...

46 CFR 111.97-7 - Distribution.

Code of Federal Regulations, 2011 CFR

2011-10-01

... REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-7 Distribution. (a) Each distribution... locking. (b) Each feeder supplying a watertight door operating system must be above the uppermost continuous deck. (c) Each watertight door operating system must have a separate branch circuit. ...

46 CFR 111.97-7 - Distribution.

Code of Federal Regulations, 2010 CFR

2010-10-01

... REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-7 Distribution. (a) Each distribution... locking. (b) Each feeder supplying a watertight door operating system must be above the uppermost continuous deck. (c) Each watertight door operating system must have a separate branch circuit. ...

46 CFR 111.97-7 - Distribution.

Code of Federal Regulations, 2014 CFR

2014-10-01

... REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-7 Distribution. (a) Each distribution... locking. (b) Each feeder supplying a watertight door operating system must be above the uppermost continuous deck. (c) Each watertight door operating system must have a separate branch circuit. ...

46 CFR 111.97-7 - Distribution.

Code of Federal Regulations, 2013 CFR

2013-10-01

... REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-7 Distribution. (a) Each distribution... locking. (b) Each feeder supplying a watertight door operating system must be above the uppermost continuous deck. (c) Each watertight door operating system must have a separate branch circuit. ...

Oblique view of radio room from outside door, looking southeast. ...

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

Oblique view of radio room from outside door, looking southeast. Note main electronics rack (left), battery room (through door), and overhead cable ducts. - Western Union Telegraph Company, Jennerstown Relay, Laurel Summit Road off U.S. 30, Laughlintown, Westmoreland County, PA

67. The "new" cellar had a communicating door with the ...

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

67. The "new" cellar had a communicating door with the parlor cellar to the west. These fragments are what remains of the door between the two spaces. - John Bartram House & Garden, House, 54th Street & Lindbergh Boulevard, Philadelphia, Philadelphia County, PA

6. DETAIL OF FLATARCHED WOODEN DOORS USED FOR ANIMAL ENTRY ...

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

6. DETAIL OF FLAT-ARCHED WOODEN DOORS USED FOR ANIMAL ENTRY AT CENTER OF SOUTHWEST FACADE. DOORS ARE COMPRISED OF THREE WOOD PANELS WITH A KICKPLATE ON SIDES. SMALL, SIX LITE WINDOWS COVERED BY GRILLS AND DETAILED WITH A THICK MASONRY LEDGE ARE LOCATED UNDER THE EAVE ON EITHER SIDE OF DOOR. A DRAINPIPE WITH A CONCRETE SPLASH BLOCK IS A LATER ADDITION. - Presidio of San Francisco, Cavalry Stables, Cowles Street, between Lincoln Boulevard & McDowell Street, San Francisco, San Francisco County, CA

An anticipative escape system for vehicles in water crashes

NASA Astrophysics Data System (ADS)

Shen, Chuanliang; Wang, Jiawei; Yin, Qi; Zhu, Yantao; Yang, Jiawei; Liao, Mengdi; Yang, Liming

2017-07-01

In this article, it designs an escape system for vehicles in water crashes. The structure mainly contains sensors, control organs and actuating mechanism for both doors and windows. Sensors judge whether the vehicle falls into water or is in the falling process. The actuating mechanism accepts the signal delivered by the control organs, then open the electronic central lock on doors and meanwhile lower the window. The water escape system is able to anticipate drowning situations for vehicles and controls both doors and windows in such an emergency. Under the premise of doors staying in an undamaged state, it is for sure that people in the vehicle can open the door while drowning in the water and safely escape.

4. AFRD WAREHOUSE, WEST SIDE DETAIL OF ALTERED SLIDING DOORS, ...

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

4. AFRD WAREHOUSE, WEST SIDE DETAIL OF ALTERED SLIDING DOORS, FACING EAST. WEATHER COVER OVER RAIL IS ORIGINAL. SHEET METAL SIDING HAS BEEN INSERTED BETWEEN TWO HALVES OF SLIDING DOORS. - Minidoka Relocation Center Warehouse, 111 South Fir Street, Shoshone, Lincoln County, ID

7. INTERIOR OF VESTIBULE SHOWING OPEN 1LIGHT FRONT DOOR AT ...

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

7. INTERIOR OF VESTIBULE SHOWING OPEN 1-LIGHT FRONT DOOR AT PHOTO RIGHT, AND OPEN PANEL DOOR TO BEDROOM ADDITION (BEDROOM NUMBER TWO) AT PHOTO CENTER. VIEW TO WEST. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

12. INTERIOR OF HALL SHOWING OPEN PANEL DOOR TO BEDROOM ...

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

12. INTERIOR OF HALL SHOWING OPEN PANEL DOOR TO BEDROOM NUMBER TWO AT PHOTO CENTER, AND OPEN PANEL DOOR TO BEDROOM NUMBER ONE AT RIGHT PHOTO CENTER. VIEW TO NORTHWEST. - Rush Creek Hydroelectric System, Clubhouse Cottage, Rush Creek, June Lake, Mono County, CA

33 CFR 100.905 - Door County Triathlon; Door County, WI.

Code of Federal Regulations, 2010 CFR

2010-07-01

... in position 45°00′46″ N, 087°20′30″ W. (DATUM: NAD 83). (b) Special Local Regulations. The...; Door County, WI. (a) Regulated Area. A regulated area is established to include all waters of Green Bay...

Understanding the molecular mechanism of aryl acylamidase activity of acetylcholinesterase - An in silico study.

PubMed

Chinnadurai, Raj Kumar; Saravanaraman, Ponne; Boopathy, Rathanam

2015-08-15

Acetylcholinesterase (AChE) exhibits two different activities, namely esterase and aryl acylamidase (AAA). Unlike esterase, AAA activity of AChE is inhibited by the active site inhibitors while remaining unaffected by the peripheral anionic site inhibitors. This differential inhibitory pattern of active and peripheral anionic site inhibitors on the AAA activity remains unanswered. To answer this, we investigated the mechanism of binding and trafficking of AAA substrates using in silico tools. Molecular docking of serotonin and AAA substrates (o-nitroacetanilide, and o-nitrotrifluoroacetanilide,) onto AChE shows that these compounds bind at the side door of AChE. Thus, we conceived that the AAA substrates prefer the side door to reach the active site for their catalysis. Further, steered molecular dynamics simulations show that the force required for binding and trafficking of the AAA substrate through the side door is comparatively lesser than their dissociation (900kJ/mol/nm). Among the two substrates, o-nitrotrifluoroacetanilide required lesser force (380kJ/mol/nm) than o-nitroacetanilide the (550kJ/mol/nm) for its binding, thus validating o-nitrotrifluoroacetanilide as a better substrate. With these observations, we resolve that the AAA activity of AChE is mediated through its side door. Therefore, binding of PAS inhibitors at the main door of AChE remain ineffective against AAA activity. Copyright © 2015 Elsevier Inc. All rights reserved.

Randomised controlled trial of rhinothermy for treatment of the common cold: a feasibility study

PubMed Central

van de Hei, Susanne; McKinstry, Steven; Bardsley, George; Weatherall, Mark; Beasley, Richard; Fingleton, James

2018-01-01

Objective To determine the feasibility of a randomised controlled trial (RCT) of rhinothermy for the common cold. Design Open label, randomised, controlled feasibility study. Setting Single-centre research institute in New Zealand recruiting participants from the community. Participants 30 adult participants with symptoms of a common cold, presenting within 48 hours of the onset of symptoms. Interventions Participants were randomly assigned 2:1 to receive either 35 L/min of 100% humidified air at 41°C via high flow nasal cannulae, 2 hours per day for up to 5 days (rhinothermy), or vitamin C 250 mg daily for 5 days (control). Primary and secondary outcome measures The primary outcome was the proportion of screened candidates who were randomised. Secondary outcomes included: proportion of randomised participants who completed the study; modified Jackson scores from randomisation to 10 days after initiation of randomised regimen; time until feeling ‘a lot better’ compared with study entry; time until resolution of symptoms or symptom score at 10 days postrandomisation; proportion of organisms identified by PCR analysis of nasal swabs taken at baseline; the patterns of use of the rhinothermy device; estimated adherence of the control group; and rhinothermy device tolerability. Results In all 30/79 (38%, 95% CI 27% to 50%) of potential participants screened for eligibility were randomised. Rhinothermy was well tolerated, and all randomised participants completed the study (100%, 95% CI 88% to 100%). The reduction from baseline in the modified Jackson score was greater with rhinothermy compared with control at days 2, 3, 4, 5 and 6, with the maximum difference at day 4 (−6.4, 95% CI −9.4 to −3.3). The substantial clinical benefit threshold for modified Jackson score was a 5-unit change. Conclusions This study shows that an RCT of rhinothermy compared with low-dose vitamin C in the treatment of the common cold is feasible. Trial registration number ACTRN12616000470493; Results. PMID:29593018

KSC-2010-1075

NASA Image and Video Library

2010-01-07

CAPE CANAVERAL, Fla. - In Orbiter Processing Facility 1 at NASA's Kennedy Space Center in Florida, United Space Alliance technicians study the results of a push test performed on an external tank door on space shuttle Atlantis. Two umbilical doors, located on the shuttle's aft fuselage, close after external tank separation following launch. The test confirms that the door's actuators are functioning properly and that signals sent from the actuators correctly indicate that the doors have closed, creating the necessary thermal barrier for reentry. Atlantis is next slated to deliver an Integrated Cargo Carrier and Russian-built Mini Research Module to the International Space Station on the STS-132 mission. The second in a series of new pressurized components for Russia, the module will be permanently attached to the Zarya module. Three spacewalks are planned to store spare components outside the station, including six spare batteries, a boom assembly for the Ku-band antenna and spares for the Canadian Dextre robotic arm extension. A radiator, airlock and European robotic arm for the Russian Multi-purpose Laboratory Module also are payloads on the flight. Launch is targeted for May 14, 2010. Photo credit: NASA/Troy Cryder

Requester's Acceptance and Non-Acceptance of the Refusal of the Initial Request: How to Improve the Door-in-the-Face Effects?

ERIC Educational Resources Information Center

Terrier, Lohyd; Joule, Robert-Vincent; Marfaing, Benedicte

2011-01-01

The door-in-the-face technique (Cialdini, Vincent, Lewis, Catalan, Wheeler & Darby, 1975) increases the likelihood that subjects will comply with a target request after they have been submitted first to a request too costly to for agreement. This study tests the effects of the requester's acceptance versus non-acceptance of the refusal of the…

Interior view, secondfloor corridor looking east. Note the door to ...

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

Interior view, second-floor corridor looking east. Note the door to Egyptian Hall in the center distance and the door to Gothic Hall on the eastern entresol (third floor) at the top of the stairs - Masonic Temple, 1 North Broad Street, Philadelphia, Philadelphia County, PA

Hangar no. 1 perspective view of south doors and west ...

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

Hangar no. 1 perspective view of south doors and west side doors. Seen from hangar apron. Note hydrogen building at left edge distance. Looking 44 NE. - Marine Corps Air Station Tustin, Northern Lighter Than Air Ship Hangar, Meffett Avenue & Maxfield Street, Tustin, Orange County, CA

46 CFR 116.435 - Doors.

Code of Federal Regulations, 2012 CFR

2012-10-01

... in a fire control boundary must meet the following requirements: (1) A door in an accommodation space... either side by one person; (3) With the exception of staterooms, a door in an accommodation space, stairway, stairtower, passageway, or control space must open in the direction of escape, where practicable...

46 CFR 116.435 - Doors.

Code of Federal Regulations, 2013 CFR

2013-10-01

... in a fire control boundary must meet the following requirements: (1) A door in an accommodation space... either side by one person; (3) With the exception of staterooms, a door in an accommodation space, stairway, stairtower, passageway, or control space must open in the direction of escape, where practicable...

46 CFR 116.435 - Doors.

Code of Federal Regulations, 2014 CFR

2014-10-01

... in a fire control boundary must meet the following requirements: (1) A door in an accommodation space... either side by one person; (3) With the exception of staterooms, a door in an accommodation space, stairway, stairtower, passageway, or control space must open in the direction of escape, where practicable...

11. INTERIOR OF LIVING ROOM SHOWING OPEN PANEL DOOR TO ...

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

11. INTERIOR OF LIVING ROOM SHOWING OPEN PANEL DOOR TO BEDROOM NUMBER THREE AT LEFT PHOTO CENTER, AND OPEN PANEL DOOR TO THE HALL AT RIGHT PHOTO CENTER. VIEW TO WEST. - Rush Creek Hydroelectric System, Clubhouse Cottage, Rush Creek, June Lake, Mono County, CA

8. INTERIOR OF LIVING ROOM SHOWING OPEN DOOR TO KITCHEN ...

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

8. INTERIOR OF LIVING ROOM SHOWING OPEN DOOR TO KITCHEN NEXT TO BRICKED HEATER ENCLAVE (PHOTO CENTER), AND OPEN DOOR TO BEDROOM NO. 2 AT PHOTO LEFT. VIEW TO WEST. - Bishop Creek Hydroelectric System, Control Station, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

18. INTERIOR OF KITCHEN SHOWING OPEN 6LIGHT DOOR TO SIDEENTRY ...

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

18. INTERIOR OF KITCHEN SHOWING OPEN 6-LIGHT DOOR TO SIDE-ENTRY UTILITY ROOM AT PHOTO LEFT, AND OPEN DOOR TO WALK-IN PANTRY AT PHOTO RIGHT. VIEW TO SOUTHWEST. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

31. INTERIOR OF ORIGINAL SIDEENTRY UTILITY ROOM FROM KITCHEN DOOR ...

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

31. INTERIOR OF ORIGINAL SIDE-ENTRY UTILITY ROOM FROM KITCHEN DOOR SHOWING OPEN BROOM CLOSET DOOR AT PHOTO RIGHT AND DOORWAY INTO STORM PORCH ADDITION AT PHOTO LEFT. VIEW TO SOUTHWEST. - Rush Creek Hydroelectric System, Clubhouse Cottage, Rush Creek, June Lake, Mono County, CA

46 CFR 174.335 - Watertight doors.

Code of Federal Regulations, 2010 CFR

2010-10-01

... SPECIFIC VESSEL TYPES Hopper Dredges With Working Freeboard Assignments Design § 174.335 Watertight doors. (a) Each hopper dredge must have sliding watertight doors (Class 3) approved under § 170.270 of this... to and including the maximum amount of assumed damage. (b) Each hopper dredge must have sliding...

46 CFR 174.335 - Watertight doors.

Code of Federal Regulations, 2011 CFR

2011-10-01

... SPECIFIC VESSEL TYPES Hopper Dredges With Working Freeboard Assignments Design § 174.335 Watertight doors. (a) Each hopper dredge must have sliding watertight doors (Class 3) approved under § 170.270 of this... to and including the maximum amount of assumed damage. (b) Each hopper dredge must have sliding...

7. EXTERIOR DETAIL OF FRONT DOOR ON CASHBAUGH PERIOD PORTION ...

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

7. EXTERIOR DETAIL OF FRONT DOOR ON CASHBAUGH PERIOD PORTION OF HOUSE SHOWING PEDIMENTED LINTEL. DOOR TO BEDROOM NO. 1 ON SAME WALL AT PHOTO RIGHT. VIEW TO NORTHEAST. - Bishop Creek Hydroelectric System, Plant 6, Cashbaugh-Kilpatrick House, Bishop Creek, Bishop, Inyo County, CA

8. INTERIOR OF LIVING ROOM SHOWING 6LIGHT FRONT ENTRY DOOR ...

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

8. INTERIOR OF LIVING ROOM SHOWING 6-LIGHT FRONT ENTRY DOOR AND TWO 6-LIGHT OVER 1-LIGHT SASH WINDOWS TO PHOTO RIGHT OF FRONT DOOR OVERLOOKING PORCH. VIEW TO NORTHEAST. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

Problems of older persons using a wheeled walker.

PubMed

Lindemann, Ulrich; Schwenk, Michael; Klenk, Jochen; Kessler, Max; Weyrich, Michael; Kurz, Franziska; Becker, Clemens

2016-04-01

Wheeled walkers (WWs) are used to improve mobility and for fall prevention in older persons, but not all users are satisfied with the usability of WWs. Intelligent WWs are being developed to improve the usability. The aim of this study was to support the development of intelligent WWs by investigating possible problems of using a WW. This study investigated 22 geriatric in-patients (median age 82 years) with and without their WW while opening a door against the direction of walking and passing through. Other possible problems when using WWs were identified by interview. Walking through the door was faster without than with using the WW (8.71 versus 12.86 s, p < 0.001), while interference between door and WW was documented in 41 of 44 (93 %) cases. Backward walking performance was better when using a WW with regard to gait speed, step width and walk ratio (all p < 0.002). Most referred problems when using a WW were walking downhill (83 %) and uphill (77 %) and obstacle crossing in general (77 %). Problems with opening a door against the direction of walking and the optimization of downhill and uphill walking as well as obstacle crossing should be regarded when developing an intelligent WW.

Increasing the acceptability of HIV counseling and testing with three C's: convenience, confidentiality and credibility.

PubMed

Angotti, Nicole; Bula, Agatha; Gaydosh, Lauren; Kimchi, Eitan Zeev; Thornton, Rebecca L; Yeatman, Sara E

2009-06-01

Agencies engaged in humanitarian efforts to prevent the further spread of HIV have emphasized the importance of voluntary counseling and testing (VCT), and most high-prevalence countries now have facilities that offer testing free of charge. The utilization of these services is disappointingly low, however, despite high numbers reporting that they would like to be tested. Explanations of this discrepancy typically rely on responses to hypothetical questions posed in terms of psychological or social barriers; often, the explanation is that people fear learning that they are infected with a disease that they understand to be fatal and stigmatizing. Yet when we offered door-to-door rapid blood testing for HIV as part of a longitudinal study in rural Malawi, the overwhelming majority agreed to be tested and to receive their results immediately. Thus, in this paper, we ask: why are more people not getting tested? Using an explanatory research design, we find that rural Malawians are responsive to door-to-door HIV testing for the following reasons: it is convenient, confidential, and the rapid blood test is credible. Our study suggests that attention to these factors in VCT strategies may mitigate the fear of HIV testing, and ultimately increase uptake in rural African settings.

Vaccine testing for emerging infections: the case for individual randomisation

PubMed Central

Eyal, Nir; Lipsitch, Marc

2017-01-01

During the 2014–2015 Ebola outbreak in Guinea, Liberia and Sierra Leone, many opposed the use of individually randomised controlled trials to test candidate Ebola vaccines. For a raging fatal disease, they explained, it is unethical to relegate some study participants to control arms. In Zika and future emerging infections, similar opposition may hinder urgent vaccine research, so it is best to address these questions now. This article lays out the ethical case for individually randomised control in testing vaccines against many emerging infections, including lethal infections in low-income countries, even when at no point in the trial do the controls receive the countermeasures being tested. When individual randomisation is feasible—and it often will be—it tends to save more lives than alternative designs would. And for emerging infections, individual randomisation also tends as such to improve care, access to the experimental vaccine and prospects for all participants relative to their opportunities absent the trial, and no less than alternative designs would. That obtains even under placebo control and without equipoise—requiring which would undermine individual randomisation and the alternative designs that opponents proffered. Our arguments expound four often-neglected factors: benefits to non-participants, benefits to participants once a trial is over including post-trial access to the study intervention, participants’ prospects before randomisation to arms and the near-inevitable disparity between arms in any randomised controlled trial. PMID:28396558

12. VIEW OF (PRESUMED) OUTHOUSE SHED. DOOR HAS AN AIR ...

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

12. VIEW OF (PRESUMED) OUTHOUSE SHED. DOOR HAS AN AIR FORCE INSIGNIA EMBLEM AFFIXED, 'AIR FORCE WEAPONS LABORATORY.' OTHER SIGN ON DOOR SAYS, 'BSD LIASON OFFICE.' INEL PHOTO NUMBER 65-6173, TAKEN NOVEMBER 10, 1965. - Idaho National Engineering Laboratory, Advanced Reentry Vehicle Fusing System, Scoville, Butte County, ID

14. INTERIOR OF SOUTH BEDROOM SHOWING FOURPANEL DOORS TO KITCHEN ...

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

14. INTERIOR OF SOUTH BEDROOM SHOWING FOUR-PANEL DOORS TO KITCHEN AT PHOTO LEFT AND BATHROOM AT PHOTO RIGHT, AND BUILT-IN CLOSET BETWEEN THE DOORS ON NORTH WALL. VIEW TO NORTH. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

16. INTERIOR OF NORTH BEDROOM SHOWING FOURPANEL DOORS TO LIVING ...

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

16. INTERIOR OF NORTH BEDROOM SHOWING FOUR-PANEL DOORS TO LIVING ROOM AT PHOTO RIGHT AND BATHROOM AT PHOTO LEFT, AND BUILT-IN CLOSET BETWEEN THE DOORS ON SOUTH WALL. VIEW TO SOUTH. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

South west corner of Bunkhouse showing the door to the ...

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

South west corner of Bunkhouse showing the door to the basement, electric panels and the hinged door to the basement used for unloading items into the basement. A small ranch hand's house sits adjacent to the west. - Sespe Ranch, Bunkhouse, 2896 Telegraph Road, Fillmore, Ventura County, CA

29 CFR 1917.114 - Cargo doors.

Code of Federal Regulations, 2010 CFR

2010-07-01

... counterweights shall be guarded. (2) Lift trucks and cranes shall not be used to move mechanically operated doors.... (1) The door shall be connected to its lifting tackle with shackles or equally secure means. (2) Lifting bridles and tackles shall have a safety factor of five, based upon maximum anticipated static...

77 FR 6522 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-08

...Rulemaking Portal: Go to http://www.regulations.gov . Follow the instructions for submitting comments. Fax... hold the door closed for the design loads. Fractured and missing latch pin retention bolts, if not... cargo door, fuselage frames, internal and external skin of the fuselage, cargo door frames, mid-span...

77 FR 30228 - Airworthiness Directives; Airbus Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-22

... fatigue cracking in the crossbeams at the junction of the actuator beam of the lower deck cargo door. This... junction of the actuator beam of the lower deck cargo door, which could result in failure to withstand... deck cargo door actuator beam. The investigation results indicate that these cracks initiated in the...

15. NORTH BEDROOM INTERIOR SHOWING OPEN DOOR TO WALKIN CLOSET ...

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

15. NORTH BEDROOM INTERIOR SHOWING OPEN DOOR TO WALKIN CLOSET AT PHOTO RIGHT, AND OPEN DOOR TO LIVING ROOM AT PHOTO LEFT. VIEW TO EAST. - Big Creek Hydroelectric System, Big Creek Town, Operator House, Orchard Avenue south of Huntington Lake Road, Big Creek, Fresno County, CA

46 CFR 111.97-5 - Electric and hydraulic power supply.

Code of Federal Regulations, 2013 CFR

2013-10-01

... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-5 Electric and hydraulic power supply. (a) Each electric motor-driven door operating system must have the same.... (f) The source of power for each hydraulically operated watertight door system using an independent...

46 CFR 111.97-5 - Electric and hydraulic power supply.

Code of Federal Regulations, 2012 CFR

2012-10-01

... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-5 Electric and hydraulic power supply. (a) Each electric motor-driven door operating system must have the same.... (f) The source of power for each hydraulically operated watertight door system using an independent...

46 CFR 111.97-5 - Electric and hydraulic power supply.

Code of Federal Regulations, 2010 CFR

2010-10-01

... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-5 Electric and hydraulic power supply. (a) Each electric motor-driven door operating system must have the same.... (f) The source of power for each hydraulically operated watertight door system using an independent...

46 CFR 111.97-5 - Electric and hydraulic power supply.

Code of Federal Regulations, 2011 CFR

2011-10-01

... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-5 Electric and hydraulic power supply. (a) Each electric motor-driven door operating system must have the same.... (f) The source of power for each hydraulically operated watertight door system using an independent...

46 CFR 111.97-5 - Electric and hydraulic power supply.

Code of Federal Regulations, 2014 CFR

2014-10-01

... ELECTRIC SYSTEMS-GENERAL REQUIREMENTS Electric Power-Operated Watertight Door Systems § 111.97-5 Electric and hydraulic power supply. (a) Each electric motor-driven door operating system must have the same.... (f) The source of power for each hydraulically operated watertight door system using an independent...

40 CFR 745.227 - Work practice standards for conducting lead-based paint activities: target housing and child...

Code of Federal Regulations, 2011 CFR

2011-07-01

... impact surface that is cause by impact from a related building component (such as a door knob that knocks into a wall or a door that knocks against its door frame; and (iv) If there is any other deteriorated...

40 CFR 745.227 - Work practice standards for conducting lead-based paint activities: target housing and child...

Code of Federal Regulations, 2010 CFR

2010-07-01

... impact surface that is cause by impact from a related building component (such as a door knob that knocks into a wall or a door that knocks against its door frame; and (iv) If there is any other deteriorated...

16 CFR 1211.11 - Requirements for photoelectric sensors.

Code of Federal Regulations, 2010 CFR

2010-01-01

....11 Section 1211.11 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY...) long. The obstruction is to be centered under the door perpendicular to the plane of the door when in... photoelectric sensor's beam from a position 45 degrees from the plane of the door when in the closed position...

A Foot Operated Timeout Room Door Latch.

ERIC Educational Resources Information Center

Foxx, R. M.; And Others

1982-01-01

This report describes the design and implementation of a foot operated timeout room door latch that permits staff members to maintain a misbehaving retarded individual in timeout without locking the door. Use of the latch also frees the staff member involved to record behavioral observations or reinforce appropriate behavior. (Author)

If I Could Be a Door: Unlocking Imagination and Creativity.

ERIC Educational Resources Information Center

Skophammer, Karen

2003-01-01

Presents an art project used with fifth- and sixth-grade students in which they designed a door using clay. Explains that the students used mood to create a door for a specific person. States that this project teaches students how to express mood through their artwork. (CMK)

13. Detail of vestibule, or main entrance, showing lamp and ...

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

13. Detail of vestibule, or main entrance, showing lamp and eastern set of doors. (Sept. 1991) The other sides of these doors are seen from the inside in WA-197-14. The 'ghosts' of ornamental wooden griffins can be seen above the doors. These griffins were stolen shortly after protective plywood doors were removed on Sept. 6, 1991 in preparation for the public auction on Sept. 10. At the time of the theft, the griffins had not yet been photographed. - Fox Theater, Seventh Avenue & Olive Way, Seattle, King County, WA

Development of the CLAES instrument aperture door system

NASA Technical Reports Server (NTRS)

Stubbs, D. M.

1990-01-01

The design, assembly, and test processes followed in developing a space-qualified aperture door system are described. A blackbody calibration source is mounted inside the door, requiring the assembly to open and close a minimum of 150 cycles for instrument recalibration. Within the door system are four separate mechanisms, three of which are redundant; a pyro launch latch, a hinge bearing assembly, and a pair of pivot mechanisms. Decoupling devices within the pivot mechanisms allow an active drive unit to automatically overdrive a failed drive unit. The door is also stowable for possible Shuttle retrieval and re-entry. Illustrations and photographs of the flight hardware help acquaint the reader with the design. The aim is to pass on lessons learned in all phases of developing this spaceflight mechanism.

Effects of wing/elevon gap sealing flapper doors on orbiter elevon effectiveness of model 16-0 in the NAAL 7.75 by 11 foot continuous flow wind tunnel (OA119A)

NASA Technical Reports Server (NTRS)

Mennell, R.

1974-01-01

Space shuttle orbiter elevon effectiveness was measured with the 6 inch elevon/elevon and elevon/fuselage gaps and various configurations of wing/elevon upper hingeline gap sealing flapper doors. The elevon configuration parametric variations consisted of sealing the lower hingeline to prevent flow-through and testing a long chord flapper door, a short chord flapper door, no flapper door (elevon/wing gap upper hingeline completely open), and a completely sealed elevon at elevon deflections from +20 deg to -40 deg. Preliminary data analysis indicates loss of elevon effectiveness at deflections more negative than -20 deg, and little or no effect of flapper door configuration on elevon effectiveness. Flow visualization photographs taken at alpha = 15 deg for two flapper door configurations substantiated the force data results. Aerodynamic force and moment data were measured in the body axis by a 2.5 inch task type internal strain gage balance. The model was sting supported through the base region with a nominal angle of attack range of -10 deg less than or equal to alpha less than or equal to 24 deg at a model angle of sideslip of Beta equal to 0 deg.

An unexpected knock on Corrigan’s secret door

PubMed Central

Woywodt, Alexander

2010-01-01

Corrigan’s secret door describes a metaphorical escape route for busy physicians. The term was derived from the successful and exceptionally busy professional life of Irish physician Dominic John Corrigan (1802–80). It is claimed that Corrigan’s outpatient clinic was so busy that he required a secret door in his consulting rooms to escape from the ever-growing queue of eager patients. The origins of this charming story are unknown, and the door may have never existed. However, at present, Corrigan’s secret door is often quoted when busy physicians have their own little ways in surviving a stressful professional life. Generations of British-trained doctors have grown up with Corrigan’s secret door, as it was featured in the introduction of the Oxford Handbook of Clinical Medicine. Accordingly, trainees as well as more senior doctors are often reminded that having a ‘secret door’ is vital in surviving in the medical profession. My own escape is through classical music and the violoncello, in particular. As the name implies, my own secret door is normally invisible to colleagues and patients. This little article is about a patient who found me out, and a reflection on the role of classical music and the cello in my professional life. PMID:25984078

Testing for altruism and social pressure in charitable giving.

PubMed

DellaVigna, Stefano; List, John A; Malmendier, Ulrike

2012-01-01

Every year, 90% of Americans give money to charities. Is such generosity necessarily welfare enhancing for the giver? We present a theoretical framework that distinguishes two types of motivation: individuals like to give, for example, due to altruism or warm glow, and individuals would rather not give but dislike saying no, for example, due to social pressure. We design a door-to-door fund-raiser in which some households are informed about the exact time of solicitation with a flyer on their doorknobs. Thus, they can seek or avoid the fund-raiser. We find that the flyer reduces the share of households opening the door by 9% to 25% and, if the flyer allows checking a Do Not Disturb box, reduces giving by 28% to 42%. The latter decrease is concentrated among donations smaller than $10. These findings suggest that social pressure is an important determinant of door-to-door giving. Combining data from this and a complementary field experiment, we structurally estimate the model. The estimated social pressure cost of saying no to a solicitor is $3.80 for an in-state charity and $1.40 for an out-of-state charity. Our welfare calculations suggest that our door-to-door fund-raising campaigns on average lower the utility of the potential donors.

Randomised studies of income supplementation: a lost opportunity to assess health outcomes.

PubMed

Connor, J; Rodgers, A; Priest, P

1999-11-01

Despite the wealth of evidence linking low income to ill health, there is little information from randomised studies on how much and how quickly these risks can be reversed by improvements in income. To conduct a systematic review of randomised studies of income supplementation, with particular reference to health outcomes. Extensive searches of electronic databases and contact with previous authors. As well as searching for trials that were specifically designed to assess the effects of increased income, studies of winners and losers of lotteries were also sought: if winning is purely chance, such studies are, in effect, randomised trials of increased income. Ten relevant studies were identified, all conducted in North America, mostly in the late 1960s and 1970s. Five trials were designed to assess the effects of income supplementation on workforce participation and randomised a total of 10,000 families to 3-5 years of various combinations of minimum income guarantees and reduced tax rates. Two trials were designed to assess re-offending rates in recently released prisoners and randomised a total of 2400 people to 3-6 months of benefits. One trial was designed to assess housing allowances and randomised 3500 families to three years of income supplements. One trial assessed the health effects of 12 months of income supplementation in 54 people with severe mental illness. Finally, one study compared three groups of people who won different amounts of money in a state lottery. In all these studies the interventions resulted in increases in income of at least one fifth. However, no reliable analyses of health outcome data are available. Extensive opportunities to reliably assess the effects of increases in income on health outcomes have been missed. Such evidence might have increased the consideration of potential health effects during deliberations about policies that have major implications for income, such as taxation rates, benefit policies, and minimum wage levels. Randomised evidence could still be obtained with innovative new studies, such as trials of full benefit uptake or prospective studies of lottery winners in which different sized winnings are paid in monthly installments over many years.

The use of a prospective audit proforma to improve door-to-mask times for acute exacerbations chronic obstructive pulmonary disease (COPD) requiring non-invasive ventilation (NIV).

PubMed

Mandal, S; Howes, T Q; Parker, M; Roberts, C M

2014-12-01

Non-invasive ventilation (NIV) is an evidence based management of acidotic, hypercapnic exacerbations of COPD. Previous national and international audits of clinical practice have shown variation against guideline standards with significant delays in initiating NIV. We aimed to map the clinical pathway to better understand delays and reduce the door-to-NIV time to less than 3 hours for all patients with acidotic, hypercapnic exacerbations of COPD requiring this intervention, by mandating the use of a guideline based educational management proforma.The proforma was introduced at 7 acute hospitals in North London and Essex and initiated at admission of the patient. It was used to record the clinical pathway and patient outcomes until the point of discharge or death. Data for 138 patients were collected. 48% of patients commenced NIV within 3 hours with no reduction in door-to-mask time during the study period. Delays in starting NIV were due to: time taken for review by the medical team (101 minutes) and time taken for NIV to be started once a decision had been made (49 minutes). There were significant differences in door-to-NIV decision and mask times between differing respiratory on-call systems, p < 0.05). The introduction of the proforma had no effect on door-to-mask times over the study period. Main reasons for delay were related to timely access to medical staff and to NIV equipment; however, a marked variation in practice within these hospitals was been noted, with a 9-5 respiratory on-call system associated with shorter NIV initiation times.

The Effectiveness of Disaster Risk Communication: A Systematic Review of Intervention Studies

PubMed Central

Bradley, Declan T; McFarland, Marie; Clarke, Mike

2014-01-01

Introduction: A disaster is a serious disruption to the functioning of a community that exceeds its capacity to cope within its own resources. Risk communication in disasters aims to prevent and mitigate harm from disasters, prepare the population before a disaster, disseminate information during disasters and aid subsequent recovery. The aim of this systematic review is to identify, appraise and synthesise the findings of studies of the effects of risk communication interventions during four stages of the disaster cycle. Methods: We searched the Cochrane Central Register of Controlled Trials, Embase, MEDLINE, PsycInfo, Sociological Abstracts, Web of Science and grey literature sources for randomised trials, cluster randomised trials, controlled and uncontrolled before and after studies, interrupted time series studies and qualitative studies of any method of disaster risk communication to at-risk populations. Outcome criteria were disaster-related knowledge and behaviour, and health outcomes. Results: Searches yielded 5,224 unique articles, of which 100 were judged to be potentially relevant. Twenty-five studies met the inclusion criteria, and two additional studies were identified from other searching. The studies evaluated interventions in all four stages of the disaster cycle, included a variety of man-made, natural and infectious disease disasters, and were conducted in many disparate settings. Only one randomised trial and one cluster randomised trial were identified, with less robust designs used in the other studies. Several studies reported improvements in disaster-related knowledge and behaviour. Discussion: We identified and appraised intervention studies of disaster risk communication and present an overview of the contemporary literature. Most studies used non-randomised designs that make interpretation challenging. We do not make specific recommendations for practice but highlight the need for high-quality randomised trials and appropriately-analysed cluster randomised trials in the field of disaster risk communication where these can be conducted within an appropriate research ethics framework. PMID:25642365

Treatment of hydrocele: randomised prospective study of simple aspiration and sclerotherapy with tetracycline.

PubMed

Breda, G; Giunta, A; Gherardi, L; Xausa, D; Silvestre, P; Tamai, A

1992-07-01

Following reports in the literature on the efficacy of tetracycline sclerotherapy in the treatment of hydroceles, we carried out a randomised prospective study of 45 patients (50 hydroceles), comparing simple evacuation with tetracycline sclerotherapy. The results revealed no statistically significant difference in the percentage of success between the 2 groups, but complications were more common in the patients treated with tetracycline. The good results reported by other authors in non-randomised studies are, therefore, not confirmed.

Science Opens Doors

ERIC Educational Resources Information Center

Smyth, Steve; Smyth, Jen

2016-01-01

Science Opens Doors is the creation of Clive Thompson of the Horners' Livery Company. The Science Opens Doors project philosophy is strongly based upon the King's College London ASPIRES project, which established that children like doing science in junior school (ages 7-11), but that by the age of 12-14 they are firmly against becoming scientists.…

77 FR 53914 - Horton Automatics, Inc., a Subsidiary of Overhead Door Corporation Including On-Site Leased...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-04

...., a Subsidiary of Overhead Door Corporation Including On-Site Leased Workers From Remedy Intelligent..., including on-site leased workers from Remedy Intelligent Staffing, Corpus Christi, Texas. The workers are... Automatics, Inc., a subsidiary of Overhead Door Corporation, including on-site leased workers from Remedy...

46 CFR 131.893 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 4 2010-10-01 2010-10-01 false Watertight doors and watertight hatches. 131.893 Section... hatches. Each watertight door in a bulkhead that must be watertight in compliance with the requirements in part 174 of this chapter, and each watertight hatch, must be marked on both sides in letters at least...

46 CFR 131.893 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 46 Shipping 4 2012-10-01 2012-10-01 false Watertight doors and watertight hatches. 131.893 Section... hatches. Each watertight door in a bulkhead that must be watertight in compliance with the requirements in part 174 of this chapter, and each watertight hatch, must be marked on both sides in letters at least...

46 CFR 131.893 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 4 2011-10-01 2011-10-01 false Watertight doors and watertight hatches. 131.893 Section... hatches. Each watertight door in a bulkhead that must be watertight in compliance with the requirements in part 174 of this chapter, and each watertight hatch, must be marked on both sides in letters at least...

29 CFR 1915.506 - Hazards of fixed extinguishing systems on board vessels and vessel sections.

Code of Federal Regulations, 2010 CFR

2010-07-01

... operational. (d) Doors and hatches. The employer must: (1) Take protective measures to ensure that all doors, hatches, scuttles, and other exit openings remain working and accessible for escape in the event the systems are activated; and (2) Ensure that all inward opening doors, hatches, scuttles, and other...

46 CFR 131.893 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 46 Shipping 4 2013-10-01 2013-10-01 false Watertight doors and watertight hatches. 131.893 Section... hatches. Each watertight door in a bulkhead that must be watertight in compliance with the requirements in part 174 of this chapter, and each watertight hatch, must be marked on both sides in letters at least...

46 CFR 131.893 - Watertight doors and watertight hatches.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 46 Shipping 4 2014-10-01 2014-10-01 false Watertight doors and watertight hatches. 131.893 Section... hatches. Each watertight door in a bulkhead that must be watertight in compliance with the requirements in part 174 of this chapter, and each watertight hatch, must be marked on both sides in letters at least...

Opening Doors to Cultural Diversity

ERIC Educational Resources Information Center

Vidmar, Lou Ann

2007-01-01

The artwork created by David Hammons titled "The Door," is a glass in wood door that shows the words "Admissions Office" on it in reverse. There is a black shadow image of a person peering in. This powerful statement of inequality reflected the frustration of African-Americans trying to get into colleges and universities during…

24 CFR 3280.113 - Glass and glazed openings.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Glass and glazed openings. 3280.113... Glass and glazed openings. (a) Windows and sliding glass doors. All windows and sliding glass doors shall meet the requirements of § 3280.403 the “Standard for Windows and Sliding Glass Doors Used in...

46 CFR 72.05-25 - Doors, other than watertight.

Code of Federal Regulations, 2013 CFR

2013-10-01

... bulkheads required to be Class A-0 shall be of solid or hollow steel or equivalent metal construction... top of approved deck covering. Rugs, and carpets, shall not pass through doorways, but linoleum and... 1/2 inch door stop at the sides and top, except: (i) Double doors capable of independent operation...

46 CFR 72.05-25 - Doors, other than watertight.

Code of Federal Regulations, 2014 CFR

2014-10-01

... bulkheads required to be Class A-0 shall be of solid or hollow steel or equivalent metal construction... top of approved deck covering. Rugs, and carpets, shall not pass through doorways, but linoleum and... 1/2 inch door stop at the sides and top, except: (i) Double doors capable of independent operation...

46 CFR 72.05-25 - Doors, other than watertight.

Code of Federal Regulations, 2012 CFR

2012-10-01

... bulkheads required to be Class A-0 shall be of solid or hollow steel or equivalent metal construction... top of approved deck covering. Rugs, and carpets, shall not pass through doorways, but linoleum and... 1/2 inch door stop at the sides and top, except: (i) Double doors capable of independent operation...

49 CFR 238.439 - Doors.

Code of Federal Regulations, 2010 CFR

2010-10-01

... tool or other implement. (c) The status of each powered, exterior side door in a passenger car shall be displayed to the crew in the operating cab. If door interlocks are used, the sensors used to detect train... car shall be connected to an emergency back-up power system. (e) A railroad may protect a manual...

49 CFR 238.439 - Doors.

Code of Federal Regulations, 2011 CFR

2011-10-01

... tool or other implement. (c) The status of each powered, exterior side door in a passenger car shall be displayed to the crew in the operating cab. If door interlocks are used, the sensors used to detect train... car shall be connected to an emergency back-up power system. (e) A railroad may protect a manual...

14 CFR Appendix - Special Federal Aviation Regulation No. 109

Code of Federal Regulations, 2011 CFR

2011-01-01

... absorbing protective padding (foam or equivalent) such as Ensolite. (6) Shoulder Strap Loads. Where upper... must have a means to signal to the flightcrew, at the flightdeck, that the door is in the open position... that any such door is in the open configuration for takeoff and landing. (c) Each door between any...

14 CFR Appendix - Special Federal Aviation Regulation No. 109

Code of Federal Regulations, 2012 CFR

2012-01-01

... absorbing protective padding (foam or equivalent) such as Ensolite. (6) Shoulder Strap Loads. Where upper... must have a means to signal to the flightcrew, at the flightdeck, that the door is in the open position... that any such door is in the open configuration for takeoff and landing. (c) Each door between any...

14 CFR Appendix - Special Federal Aviation Regulation No. 109

Code of Federal Regulations, 2013 CFR

2013-01-01

... absorbing protective padding (foam or equivalent) such as Ensolite. (6) Shoulder Strap Loads. Where upper... must have a means to signal to the flightcrew, at the flightdeck, that the door is in the open position... that any such door is in the open configuration for takeoff and landing. (c) Each door between any...

14 CFR Appendix - Special Federal Aviation Regulation No. 109

Code of Federal Regulations, 2014 CFR

2014-01-01

... absorbing protective padding (foam or equivalent) such as Ensolite. (6) Shoulder Strap Loads. Where upper... must have a means to signal to the flightcrew, at the flightdeck, that the door is in the open position... that any such door is in the open configuration for takeoff and landing. (c) Each door between any...

16 CFR 1201.40 - Interpretation concerning bathtub and shower doors and enclosures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 2 2011-01-01 2011-01-01 false Interpretation concerning bathtub and shower... Policy and Interpretation § 1201.40 Interpretation concerning bathtub and shower doors and enclosures. (a... and enclosures” and “shower door and enclosure” as they are used in the Standard in subpart A. The...

49 CFR 38.153 - Doors, steps and thresholds.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false Doors, steps and thresholds. 38.153 Section 38.153... SPECIFICATIONS FOR TRANSPORTATION VEHICLES Over-the-Road Buses and Systems § 38.153 Doors, steps and thresholds. (a) Floor surfaces on aisles, step treads and areas where wheelchair and mobility aid users are to be...

36 CFR 1192.153 - Doors, steps and thresholds.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Doors, steps and thresholds... Over-the-Road Buses and Systems § 1192.153 Doors, steps and thresholds. (a) Floor surfaces on aisles, step treads and areas where wheelchair and mobility aid users are to be accommodated shall be slip...

13. INTERIOR OF BEDROOM NUMBER TWO SHOWING OPEN PANEL DOOR ...

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

13. INTERIOR OF BEDROOM NUMBER TWO SHOWING OPEN PANEL DOOR FROM BEDROOM NUMBER ONE AT PHOTO LEFT, AND OPEN DOORS TO THE TWO SEPARATE WALK-IN CLOSETS AT REAR OF ROOM AT PHOTO CENTER AND RIGHT. VIEW TO SOUTH. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

Doors to Discovery[TM]. What Works Clearinghouse Intervention Report

ERIC Educational Resources Information Center

What Works Clearinghouse, 2007

2007-01-01

"Doors to Discovery"[TM] is an early childhood curriculum that uses thematic units to engage young children and support them as they build an understanding of their world. "Doors to Discovery"[TM] literacy activities are used to encourage children's development in a number of areas identified by research as the foundation for…

24 CFR 200.955 - Supplementary specific requirements under the HUD building product standard and certification...

Code of Federal Regulations, 2010 CFR

2010-04-01

... under the HUD building product standard and certification program for fenestration products (windows and... fenestration products (windows and doors). (a) Applicable standards. (1) All windows and doors shall be... Windows and Glass Doors. (2) This standard has been approved by the Director of the Federal Register for...

Through the Sliding Glass Door: #EmpowerTheReader

ERIC Educational Resources Information Center

Johnson, Nancy J.; Koss, Melanie D.; Martinez, Miriam

2018-01-01

This article seeks to complicate the understanding of Bishop's (1990) metaphor of mirrors, windows, and sliding glass doors, with particular emphasis on sliding glass doors and the emotional connections needed for readers to move through them. The authors begin by examining the importance of the reader and the characters he or she meets. Next, the…

46 CFR 190.10-20 - No means for locking doors.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 7 2010-10-01 2010-10-01 false No means for locking doors. 190.10-20 Section 190.10-20 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OCEANOGRAPHIC RESEARCH VESSELS CONSTRUCTION AND ARRANGEMENT Means of Escape § 190.10-20 No means for locking doors. (a) No means shall be...

Students' Perspectives on Materials Posted on Faculty Office Doors

ERIC Educational Resources Information Center

Kelly, David B.

2008-01-01

Undergraduates (N = 459) completed a survey in which they rated the appropriateness of various materials that might be posted on the outside of faculty office doors. Results indicated that students considered school-related items to be the most appropriate for posting on faculty doors; items of personal expression were rated second most…

Revolving Classroom Door: Management Strategies To Eliminate the Quick Spin.

ERIC Educational Resources Information Center

Rancifer, Jesse L.

This paper presents classroom management practices that can be used to avoid the "revolving classroom door." In the revolving classroom door, misbehaving students are sent to the principal, and eventually returned to the classroom with no gains in student behavior or opportunity for learning. The paper begins by discussing the meaning of classroom…

21. INTERIOR OF UTILITY ROOM SHOWING OPEN REAR DOOR AT ...

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

21. INTERIOR OF UTILITY ROOM SHOWING OPEN REAR DOOR AT PHOTO CENTER, PAIRED NARROW 1-LIGHT OVER 1-LIGHT, DOUBLE-HUNG, WOOD-FRAMED WINDOWS AT PHOTO LEFT. OPEN DOOR AT PHOTO RIGHT LEADS TO BATHROOM. VIEW TO SOUTHWEST. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

Door detection in images based on learning by components

NASA Astrophysics Data System (ADS)

Cicirelli, Grazia; D'Orazio, Tiziana; Ancona, Nicola

2001-10-01

In this paper we present a vision-based technique for detecting targets of the environment which has to be reached by an autonomous mobile robot during its navigational task. The targets the robot has to reach are the doors of our office building. Color and shape information are used as identifying features for detecting principal components of the door. In fact in images the door can appear of different dimensions depending on the attitude of the robot with respect to the door, therefore detection of the door is performed by detecting its most significant components in the image. Positive and negative examples, in form of image patterns, are manually selected from real images for training two neural classifiers in order to recognize the single components. Each classifier has been realized by a feed-forward neural network with one hidden layer and sigmoid activation function. Moreover for selecting negative examples, relevant for the problem at hand, a bootstrap technique has been used during the training process. Finally the detecting system has been applied to several test real images for evaluating its performance.

7. View (looking west) of the second floor corridor in ...

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

7. View (looking west) of the second floor corridor in the south segment of building. The second floor was designed for residential rental rooms. The guardrail, balusters, newel posts, and handrail, as well as the two upper-level door openings with transoms, are original features. The doors, proper, are nonoriginal and probably were installed when the second floor was converted to office use. The pair of doors (one leaf is open and one is closed) is located at the intermediate stair landing. The original exterior doorway (without a door) is located at the bottom of the stair. The upper-level door without a transom is nonoriginal, as are the floor tile and wall paneling. At the time of documentation a suspended ceiling and duct were removed to ... - Stroud Building, 31-33 North Central Avenue, Phoenix, Maricopa County, AZ

Cost-effective recruitment methods for a large randomised trial in people with diabetes: A Study of Cardiovascular Events iN Diabetes (ASCEND).

PubMed

Aung, Theingi; Haynes, Richard; Barton, Jill; Cox, Jolyon; Murawska, Aleksandra; Murphy, Kevin; Lay, Michael; Armitage, Jane; Bowman, Louise

2016-06-13

Clinical trials require cost-effective methods for identifying, randomising, and following large numbers of people in order to generate reliable evidence. ASCEND (A Study of Cardiovascular Events iN Diabetes) is a randomised '2 × 2 factorial design' study of aspirin and omega-3 fatty acid supplements for the primary prevention of cardiovascular events in people with diabetes; this study used central disease registers and a mail-based approach to identify, randomise, and follow 15,000 people. In collaboration with UK consultants and general practitioners (GPs), researchers identified potentially eligible people with diabetes from centrally held registers (e.g. for retinopathy screening) and GP-held disease registers. Permission was obtained under section 251 of the National Health Service Act 2006 (previously section 60 of the NHS act 2001) to allow invitation letters to be generated centrally in the name of the holder of the register. In addition, with the collaboration of the National Institutes for Health Research (NIHR) Diabetes and Primary Care Research Networks (DRN and PCRN), general practices sent pre-assembled invitation packs to people with a diagnosis of diabetes. Invitation packs included a cover letter, screening questionnaire (with consent form), information leaflet, and a Freepost envelope. Eligible patients entered a 2-month, pre-randomisation, run-in phase on placebo tablets and were only randomised if they completed a randomisation form and remained willing and eligible at the end of the run-in. Follow-up is ongoing, using mail-based approaches that are being supplemented by central registry data. Information on approximately 600,000 people listed on 58 centrally held diabetes registers was obtained, and 300,188 potentially eligible patients were invited to join the study. In addition, 785 GP practices mailed invitations to 120,875 patients. A further 2,340 potential study participants were identified via other routes. In total, 423,403 people with diabetes were invited to take part; 26,462 entered the 2-month, pre-randomisation, run-in phase; and 15,480 were randomised. If sufficient numbers of potentially eligible patients can be identified centrally and the trial treatments do not require participants to attend clinics, the recruitment and follow-up of patients by mail is feasible and cost-effective. Wider use of these methods could allow more, large, randomised trials to be undertaken successfully and cost-effectively. Current Controlled Trials, ISRCTN60635500 , registered on 14 July 2005.

Passive rejection of heat from an isotope heat source through an open door

NASA Technical Reports Server (NTRS)

Burns, R. K.

1971-01-01

The isotope heat-source design for a Brayton power system includes a door in the thermal insulation through which the heat can be passively rejected to space when the power system is not operating. The results of an analysis to predict the heat-source surface temperature and the heat-source heat-exchanger temperature during passive heat rejection as a function of insulation door opening angle are presented. They show that for a door opening angle greater than 20 deg, the temperatures are less than the steady-state temperatures during power system operation.

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

PubMed

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

2011-08-30

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

Perceived freedom of choice is associated with neural encoding of option availability.

PubMed

Rens, Natalie; Bode, Stefan; Cunnington, Ross

2018-05-03

Freedom of choice has been defined as the opportunity to choose alternative plans of action. In this fMRI study, we investigated how the perceived freedom of choice and the underlying neural correlates are influenced by the availability of options. Participants made an initial free choice between left or right doors before beginning a virtual walk along a corridor. At the mid-point of the corridor, lock cues appeared to reveal whether one or both doors remained available, requiring participants either to select a particular door or allowing them to freely choose to stay or switch their choice. We found that participants rated trials as free when they were able to carry out their initial choice, but even more so when both doors remained available. Multi-voxel pattern analysis showed that upcoming choices could initially be decoded from visual cortices before the appearance of the lock cues, and additionally from the motor cortex after the lock cues had confirmed which doors were open. When participants were able to maintain the same choice that they originally selected, the availability of alternative options was represented in fine-grained patterns of activity in the dorsolateral prefrontal cortex. Further, decoding accuracy in this region correlated with the subjective level of freedom that participants reported. These results suggest that there is neural encoding of the availability of alternative options in the dorsolateral prefrontal cortex, and the degree of this encoding predicts an individual's perceived freedom of choice. Copyright © 2018 Elsevier Inc. All rights reserved.

Large-eddy simulation of human-induced contaminant transport in room compartments.

PubMed

Choi, J-I; Edwards, J R

2012-02-01

A large-eddy simulation is used to investigate contaminant transport owing to complex human and door motions and vent-system activity in room compartments where a contaminated and clean room are connected by a vestibule. Human and door motions are simulated with an immersed boundary procedure. We demonstrate the details of contaminant transport owing to human- and door-motion-induced wake development during a short-duration event involving the movement of a person (or persons) from a contaminated room, through a vestibule, into a clean room. Parametric studies that capture the effects of human walking pattern, door operation, over-pressure level, and vestibule size are systematically conducted. A faster walking speed results in less mass transport from the contaminated room into the clean room. The net effect of increasing the volume of the vestibule is to reduce the contaminant transport. The results show that swinging-door motion is the dominant transport mechanism and that human-induced wake motion enhances compartment-to-compartment transport. The effect of human activity on contaminant transport may be important in design and operation of clean or isolation rooms in chemical or pharmaceutical industries and intensive care units for airborne infectious disease control in a hospital. The present simulations demonstrate details of contaminant transport in such indoor environments during human motion events and show that simulation-based sensitivity analysis can be utilized for the diagnosis of contaminant infiltration and for better environmental protection. © 2011 John Wiley & Sons A/S.

Prevalence of Essential Tremor on Arosa Island, Spain: a Community-based, Door-to-Door Survey.

PubMed

Seijo-Martínez, Manuel; Del Río, María Castro; Alvarez, Jose Ramon Rodríguez; Prado, Ramon Suarez; Salgado, Eugenio Torres; Esquete, Javier Paz; Sobrido-Gómez, Maria Jesus

2013-01-01

The prevalence of essential tremor (ET) is still not well understood and the various studies performed to date have generated highly variable results. Few epidemiologic studies on the prevalence of ET have been reported from Spain. A one-stage door-to-door survey was conducted on Arosa Island, northwestern Spain, to determine the prevalence of ET in the population aged 65 years and older. The diagnostic criteria for ET were the presence of non-dystonic head tremor or moderate- to severe-amplitude tremor on at least four tests of the revised Washington Heights-Inwood Genetic Study of Essential Tremor (WHIGET) Scale. A total of 65 individuals with ET (28 males, 37 females) were identified, resulting in a crude prevalence of 8.63% (adjusted rate 8.42%). Prevalence increased with advancing age. There were no significant differences in prevalence between sexes in any of the age groups. Among the prevalent cases, 12.3% (n = 8) had been previously diagnosed. Only 29.2% (n = 19) reported functional disability caused by tremor. A family history of tremor was reported in 35.4% (n = 23). The prevalence of ET was higher than that seen in similar populations in Spain and other countries. A high proportion of those with ET were previously undiagnosed. Since Arosa Island has been a relatively isolated area, these results might indicate a predominant role, at least in the elderly, for genetic factors in the development of ET.

Prevalence of Essential Tremor on Arosa Island, Spain: a Community-based, Door-to-Door Survey

PubMed Central

Seijo-Martínez, Manuel; del Río, María Castro; Álvarez, Jose Ramon Rodríguez; Prado, Ramon Suarez; Salgado, Eugenio Torres; Esquete, Javier Paz; Sobrido-Gómez, Maria Jesus

2013-01-01

Background The prevalence of essential tremor (ET) is still not well understood and the various studies performed to date have generated highly variable results. Few epidemiologic studies on the prevalence of ET have been reported from Spain. Methods A one-stage door-to-door survey was conducted on Arosa Island, northwestern Spain, to determine the prevalence of ET in the population aged 65 years and older. The diagnostic criteria for ET were the presence of non-dystonic head tremor or moderate- to severe-amplitude tremor on at least four tests of the revised Washington Heights-Inwood Genetic Study of Essential Tremor (WHIGET) Scale. Results A total of 65 individuals with ET (28 males, 37 females) were identified, resulting in a crude prevalence of 8.63% (adjusted rate 8.42%). Prevalence increased with advancing age. There were no significant differences in prevalence between sexes in any of the age groups. Among the prevalent cases, 12.3% (n = 8) had been previously diagnosed. Only 29.2% (n = 19) reported functional disability caused by tremor. A family history of tremor was reported in 35.4% (n = 23). Discussion The prevalence of ET was higher than that seen in similar populations in Spain and other countries. A high proportion of those with ET were previously undiagnosed. Since Arosa Island has been a relatively isolated area, these results might indicate a predominant role, at least in the elderly, for genetic factors in the development of ET. PMID:24116344

4. WEST FACADE, DOOR LEADING TO THE ELECTRICAL ROOM ON ...

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

4. WEST FACADE, DOOR LEADING TO THE ELECTRICAL ROOM ON RIGHT. THE DOOR TO THE LEFT IS THE WEST ENTRANCE TO THE CATWALK LOCATED OVER THE STORAGE TANKS. - Rocky Mountain Arsenal, Tank House, Quadrant 1, approximately 1000 feet South of December Seventh Avenue; 2200 feet East of D Street, Commerce City, Adams County, CO

"Behind the Doors of Learning": The Transmission of Racist and Sexist Discourses in a History Classroom

ERIC Educational Resources Information Center

Wilmot, Mark; Naidoo, Devika

2011-01-01

Now that the doors of historically white schools have officially been opened to Black learners, this paper presents a critical analysis of discourses of domination transmitted behind the doors of learning in a History classroom. While the official History curriculum (NCS, 2002) advocates multi-perspectival epistemological approaches, this paper…

78 FR 31389 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-24

... requires repetitive inspections to detect cracking of the lower corners of the door frame and cross beam of... modification of the outboard radius of the lower corners of the door frame and reinforcement of the cross beam... of the lower frames and in the lower number 5 cross beam of the forward cargo door. We are issuing...

Keeping the Doors of Learning Open for Adult Student-Workers within Higher Education?

ERIC Educational Resources Information Center

Walters, Shirley; Abrahams, Mark; Witbooi, Sally

2015-01-01

The Freedom Charter of the African National Congress (ANC), the triumphant South African liberation movement, proclaims that "the doors of learning shall be open" for all. Twenty years since coming to power, the doors of the universities are struggling to stay open for adult student-workers. An action research project into implementation…

Wood Performance in Doorways of Single-Family Houses

Treesearch

Thomas W. Popham; Rodney C. DeGroot; Ronald W. Howe

1978-01-01

Front doors and door frames in 175 new houses with slab-on-ground foundations were examined for moisture and decay problems in three Mississippi counties that border the Gulf of Mexico during summer 1973. Defects were often the result of building techniques of particular developers. No special problem was detected that would cause frames or doors to have excessively...

6. ENTRANCE DETAIL AT TECHWOOD DORMITORY, SHOWING NORTH ENTRANCE FROM ...

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

6. ENTRANCE DETAIL AT TECHWOOD DORMITORY, SHOWING NORTH ENTRANCE FROM CENTRAL COURTYARD INTO CENTER WING. ORIGINAL DOUBLE DOORS HAVE BEEN REPLACED WITH A SINGLE, WIDER DOOR. STONE USED FOR DOOR SURROUND AND WINDOW LINTEL AND AS A DECORATIVE BAND BETWEEN SECOND AND THIRD FLOORS. - Techwood Homes, McDaniel Dormitory, 581-587 Techwood Drive, Atlanta, Fulton County, GA

77 FR 50407 - Airworthiness Directives; The Boeing Company Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-21

... requires repetitive inspections to detect cracking of the lower corners of the door frame and cross beam of... modification of the outboard radius of the lower corners of the door frame and reinforcement of the cross beam... the lower frames and in the lower number 5 cross beam of the forward cargo door. This proposed AD...

49 CFR 571.214 - Standard No. 214; Side impact protection.

Code of Federal Regulations, 2010 CFR

2010-10-01

... of the cushion with the seat adjusted to its rearmost position. (4) Any side door that is designed to... exclusively have doors that are designed to be easily attached or removed so the vehicle can be operated... have doors that are designed to be easily attached or removed so that the vehicle can be operated...

49 CFR 571.214 - Standard No. 214; Side impact protection.

Code of Federal Regulations, 2013 CFR

2013-10-01

... of the cushion with the seat adjusted to its rearmost position. (4) Any side door that is designed to... exclusively have doors that are designed to be easily attached or removed so the vehicle can be operated... have doors that are designed to be easily attached or removed so that the vehicle can be operated...

49 CFR 571.214 - Standard No. 214; Side impact protection.

Code of Federal Regulations, 2012 CFR

2012-10-01

... of the cushion with the seat adjusted to its rearmost position. (4) Any side door that is designed to... exclusively have doors that are designed to be easily attached or removed so the vehicle can be operated... have doors that are designed to be easily attached or removed so that the vehicle can be operated...

49 CFR 571.214 - Standard No. 214; Side impact protection.

Code of Federal Regulations, 2014 CFR

2014-10-01

... of the cushion with the seat adjusted to its rearmost position. (4) Any side door that is designed to... exclusively have doors that are designed to be easily attached or removed so the vehicle can be operated... have doors that are designed to be easily attached or removed so that the vehicle can be operated...

36 CFR 1192.25 - Doors, steps and thresholds.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) Contrast. All step edges, thresholds, and the boarding edge of ramps or lift platforms shall have a band of... lift or ramp surface, either light-on-dark or dark-on-light. (c) Door height. For vehicles in excess of 22 feet in length, the overhead clearance between the top of the door opening and the raised lift...

36 CFR 1192.25 - Doors, steps and thresholds.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Contrast. All step edges, thresholds, and the boarding edge of ramps or lift platforms shall have a band of... lift or ramp surface, either light-on-dark or dark-on-light. (c) Door height. For vehicles in excess of 22 feet in length, the overhead clearance between the top of the door opening and the raised lift...

11. LIVING ROOM INTERIOR SHOWING BUILTIN CUPBOARD AND OPEN DOOR ...

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

11. LIVING ROOM INTERIOR SHOWING BUILT-IN CUPBOARD AND OPEN DOOR TO KITCHEN ON THE NORTH WALL AT PHOTO CENTER. OPEN DOOR ON WEST WALL AT PHOTO LEFT ENTERS NORTH BEDROOM. VIEW TO NORTH. - Big Creek Hydroelectric System, Big Creek Town, Operator House, Orchard Avenue south of Huntington Lake Road, Big Creek, Fresno County, CA

High speed door assembly

DOEpatents

Shapiro, Carolyn

1993-01-01

A high speed door assembly, comprising an actuator cylinder and piston rods, a pressure supply cylinder and fittings, an electrically detonated explosive bolt, a honeycomb structured door, a honeycomb structured decelerator, and a structural steel frame encasing the assembly to close over a 3 foot diameter opening within 50 milliseconds of actuation, to contain hazardous materials and vapors within a test fixture.

78 FR 57786 - Airworthiness Directives; AgustaWestland S.p.A. Helicopters

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-20

... to ensure that the windows are properly bonded within the doors. If the windows are not properly bonded, the AD requires applying bonding to the windows, the seals, and the window frames of the pilot and co-pilot doors. This AD was prompted by the loss of a pilot-door window during a test flight. The...

78 FR 24367 - Airworthiness Directives; AgustaWestland S.p.A. Helicopters

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-25

... to ensure that the windows are properly bonded within the doors. If the windows are not properly bonded, the proposed AD would require applying bonding to the windows, the seals, and the window frames of the pilot and co-pilot doors. This proposed AD is prompted by the loss of a pilot-door window...

9. VIEW TO SOUTH SHOWING ENTRANCES TO BUILDING AT NORTHEAST ...

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

9. VIEW TO SOUTH SHOWING ENTRANCES TO BUILDING AT NORTHEAST CORNER. DOORS TO LEFT WERE FOR INTERIOR RAILROAD SPUR. ROLL-UP GARAGE DOOR TO RIGHT HAS REPLACED ORIGINAL PEDESTRIAN DOORS WHERE HOURLY SHIP WORKERS REPORTED TO WORK. - Rosie the Riveter National Historical Park, Ford Assembly Plant, 1400 Harbour Way South, Richmond, Contra Costa County, CA

7. INTERIOR OF LIVING ROOM SHOWING DISTINCTIVE 6LIGHT THREEPANEL DOOR, ...

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

7. INTERIOR OF LIVING ROOM SHOWING DISTINCTIVE 6-LIGHT THREE-PANEL DOOR, ONE OF THE NARROW 4-LIGHT OVER 4-LIGHT, DOUBLE-HUNG WINDOWS FRAMING THE FRONT DOOR, AND THE PAIRED 6-LIGHT OVER 1-LIGHT, DOUBLE-HUNG WINDOWS. VIEW TO NORTHWEST. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

Use of qualitative methods alongside randomised controlled trials of complex healthcare interventions: methodological study

PubMed Central

Glenton, Claire; Oxman, Andrew D

2009-01-01

Objective To examine the use of qualitative approaches alongside randomised trials of complex healthcare interventions. Design Review of randomised controlled trials of interventions to change professional practice or the organisation of care. Data sources Systematic sample of 100 trials published in English from the register of the Cochrane Effective Practice and Organisation of Care Review Group. Methods Published and unpublished qualitative studies linked to the randomised controlled trials were identified through database searches and contact with authors. Data were extracted from each study by two reviewers using a standard form. We extracted data describing the randomised controlled trials and qualitative studies, the quality of these studies, and how, if at all, the qualitative and quantitative findings were combined. A narrative synthesis of the findings was done. Results 30 of the 100 trials had associated qualitative work and 19 of these were published studies. 14 qualitative studies were done before the trial, nine during the trial, and four after the trial. 13 studies reported an explicit theoretical basis and 11 specified their methodological approach. Approaches to sampling and data analysis were poorly described. For most cases (n=20) we found no indication of integration of qualitative and quantitative findings at the level of either analysis or interpretation. The quality of the qualitative studies was highly variable. Conclusions Qualitative studies alongside randomised controlled trials remain uncommon, even where relatively complex interventions are being evaluated. Most of the qualitative studies were carried out before or during the trials with few studies used to explain trial results. The findings of the qualitative studies seemed to be poorly integrated with those of the trials and often had major methodological shortcomings. PMID:19744976

Randomised Controlled Trials in Education Research: A Case Study of an Individually Randomised Pragmatic Trial

ERIC Educational Resources Information Center

Torgerson, Carole J.

2009-01-01

The randomised controlled trial (RCT) is an evaluative method used by social scientists in order to establish whether or not an intervention is effective. This contribution discusses the fundamental aspects of good RCT design. These are illustrated through the use of a recently completed RCT which evaluated an information and communication…

Targeted application of an organophosphate-based paint applied on windows and doors against Anopheles coluzzii resistant to pyrethroids under real life conditions in Vallée du Kou, Burkina Faso (West Africa).

PubMed

Poda, Serge B; Soma, Dieudonné D; Hien, Aristide; Namountougou, Moussa; Gnankiné, Olivier; Diabaté, Abdoulaye; Fournet, Florence; Baldet, Thierry; Mas-Coma, Santiago; Mosqueira, Beatriz; Dabiré, Roch K

2018-04-02

A novel strategy applying an organophosphate-based insecticide paint on doors and windows in combination with long-lasting insecticide-treated nets (LLINs) was tested for the control of pyrethroid-resistant malaria vectors in a village setting in Vallée du Kou, a rice-growing area west of Burkina Faso. Insecticide Paint Inesfly 5A IGR™, comprised of two organophosphates and an insect growth regulator, was applied to doors and windows and tested in combination with pyrethroid-treated LLINs. The killing effect was monitored for 5 months by early morning collections of anophelines and other culicids. The residual efficacy was evaluated monthly by WHO bioassays using Anopheles gambiae 'Kisumu' and local populations of Anopheles coluzzii resistant to pyrethroids. The spatial mortality efficacy (SME) at distances of 1 m was also assessed against pyrethroid-susceptible and -resistant malaria vectors. The frequency of L1014F kdr and Ace-1 R G119S mutations was, respectively, reported throughout the study. The Insecticide Paint Inesfly 5A IGR had been tested in past studies yielding a long-term mortality rate of 80% over 12 months against An. coluzzii, the local pyrethroid-resistant malaria vector. The purpose of the present study is to test if treating smaller, targeted surfaces (e.g. doors and windows) was also efficient in killing malaria vectors. Treating windows and doors alone yielded a killing efficacy of 100% for 1 month against An. coluzzii resistant to pyrethroids, but efficacy reduced quickly afterwards. Likewise, WHO cone bioassays yielded mortalities of 80-100% for 2 months but declined to 90 and 40% 2 and 3 months after treatment, respectively. Mosquitoes exposed to insecticide paint-treated surfaces at distances of 1 m, yielded mortality rates of about 90-80% against local pyrethroids-resistant An. coluzzii during the first 2 months, but decreased to 30% afterwards. Anopheles coluzzii was reported to be exclusively the local malaria vector and resistant to pyrethroids with high L1014 kdr frequency. The combination of insecticide paint on doors and windows with LLINs yielded high mortality rates in the short term against wild pyrethroid-resistant malaria vector populations. A high SME was observed against laboratory strains of pyrethroid-resistant malaria vectors placed for 30 min at 1 m from the treated/control walls. The application of the insecticide paint on doors and windows led to high but short-lasting mortality rates. The strategy may be an option in a context where low cost, rapid responses need to be implemented in areas where malaria vectors are resistant to pyrethroids.

Effectiveness of a myocardial infarction protocol in reducing door-to-ballon time.

PubMed

Correia, Luis Cláudio Lemos; Brito, Mariana; Kalil, Felipe; Sabino, Michael; Garcia, Guilherme; Ferreira, Felipe; Matos, Iracy; Jacobs, Peter; Ronzoni, Liliana; Noya-Rabelo, Márcia

2013-07-01

An adequate door-to-balloon time (<120 minutes) is the necessary condition for the efficacy of primary angioplasty in infarction to translate into effectiveness. To describe the effectiveness of a quality of care protocol in reducing the door-to-balloon time. Between May 2010 and August 2012, all individuals undergoing primary angioplasty in our hospital were analyzed. The door time was electronically recorded at the moment the patient took a number to be evaluated in the emergency room, which occurred prior to filling the check-in forms and to the triage. The balloon time was defined as the beginning of artery opening (introduction of the first device). The first 5 months of monitoring corresponded to the period of pre-implementation of the protocol. The protocol comprised the definition of a flowchart of actions from patient arrival at the hospital, the team's awareness raising in relation to the prioritization of time, and provision of a periodic feedback on the results and possible inadequacies. A total of 50 individuals were assessed. They were divided into five groups of 10 sequential patients (one group pre- and four groups post-protocol). The door-to-balloon time regarding the 10 cases recorded before protocol implementation was 200 ± 77 minutes. After protocol implementation, there was a progressive reduction of the door-to-balloon time to 142±78 minutes in the first 10 patients, then to 150±50 minutes, 131±37 minutes and, finally, 116±29 minutes in the three sequential groups of 10 patients, respectively. Linear regression between sequential patients and the door-to-balloon time (r = - 0.41) showed a regression coefficient of - 1.74 minutes. The protocol implementation proved effective in the reduction of the door-to-balloon time.

Increasing smoke alarm operability through theory-based health education: a randomised trial.

PubMed

Miller, Ted R; Bergen, Gwen; Ballesteros, Michael F; Bhattacharya, Soma; Gielen, Andrea Carlson; Sheppard, Monique S

2014-12-01

Although working smoke alarms halve deaths in residential fires, many households do not keep alarms operational. We tested whether theory-based education increases alarm operability. Randomised multiarm trial, with a single arm randomly selected for use each day, in low-income neighbourhoods in Maryland, USA. Intervention arms: (1) Full Education combining a health belief module with a social-cognitive theory module that provided hands-on practice installing alarm batteries and using the alarm's hush button; (2) Hands-on Practice social-cognitive module supplemented by typical fire department education; (3) Current Norm receiving typical fire department education only. Four hundred and thirty-six homes recruited through churches or by knocking on doors in 2005-2008. Follow-up visits checked alarm operability in 370 homes (85%) 1-3.5 years after installation. number of homes with working alarms defined as alarms with working batteries or hard-wired and number of working alarms per home. Regressions controlled for alarm status preintervention; demographics and beliefs about fire risks and alarm effectiveness. Homes in the Full Education and Practice arms were more likely to have a functioning smoke alarm at follow-up (OR=2.77, 95% CI 1.09 to 7.03) and had an average of 0.32 more working alarms per home (95% CI 0.09 to 0.56). Working alarms per home rose 16%. Full Education and Practice had similar effectiveness (p=0.97 on both outcome measures). Without exceeding typical fire department installation time, installers can achieve greater smoke alarm operability. Hands-on practice is key. Two years after installation, for every three homes that received hands-on practice, one had an additional working alarm. http://www.clinicaltrials.gov number NCT00139126. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

A systematic review of training programmes for recruiters to randomised controlled trials.

PubMed

Townsend, Daisy; Mills, Nicola; Savović, Jelena; Donovan, Jenny L

2015-09-28

Recruitment to randomised controlled trials (RCTs) is often difficult. Clinician related factors have been implicated as important reasons for low rates of recruitment. Clinicians (doctors and other health professionals) can experience discomfort with some underlying principles of RCTs and experience difficulties in conveying them positively to potential trial participants. Recruiter training has been suggested to address identified problems but a synthesis of this research is lacking. The aim of our study was to systematically review the available evidence on training interventions for recruiters to randomised trials. Studies that evaluated training programmes for trial recruiters were included. Those that provided only general communication training not linked to RCT recruitment were excluded. Data extraction and quality assessment were completed by two reviewers independently, with a third author where necessary. Seventeen studies of 9615 potentially eligible titles and abstracts were included in the review: three randomised controlled studies, two non-randomised controlled studies, nine uncontrolled pre-test/post-test studies, two qualitative studies, and a post-training questionnaire survey. Most studies were of moderate or weak quality. Training programmes were mostly set within cancer trials, and usually consisted of workshops with a mix of health professionals over one or two consecutive days covering generic and trial specific issues. Recruiter training programmes were well received and some increased recruiters' self-confidence in communicating key RCT concepts to patients. There was, however, little evidence that this training increased actual recruitment rates or patient understanding, satisfaction, or levels of informed consent. There is a need to develop recruiter training programmes that can lead to improved recruitment and informed consent in randomised trials.

The Randomised Intervention Treatment of Angina (RITA) Trial protocol: a long term study of coronary angioplasty and coronary artery bypass surgery in patients with angina.

PubMed Central

Henderson, R A

1989-01-01

The Randomised Intervention Treatment of Angina (RITA) Trial is a prospective, randomised study to compare the short term and long term effects of percutaneous transluminal coronary angioplasty and coronary artery bypass surgery. During the study a register of patients undergoing coronary arteriography at the fourteen participating centres is being maintained to assess the overall context of patient recruitment. Patients with arteriographically proven coronary artery disease are considered for the trial if the participating cardiologist and surgeon agree that equivalent revascularisation could be achieved by either treatment method. Patients who satisfy the trial entry criteria are randomised to treatment by coronary angioplasty or coronary artery bypass surgery, with prospective stratification into groups with one, two, or three treatment vessels. Randomisation implies an intention to treat the patient by the assigned procedure and the analysis of long term results will include all randomised cases. The trial will recruit at least 1000 patients who will be followed for five years. The major trial end points include death, new myocardial infarction, and new coronary angioplasty or coronary artery bypass procedures. Other outcome measures include symptom and employment status, quality of life, exercise tolerance, and left ventricular function. PMID:2486557

Stroke survivors in Nigeria: A door-to-door prevalence survey from the Niger Delta region.

PubMed

Ezejimofor, Martinsixtus C; Uthman, Olalekan A; Maduka, Omosivie; Ezeabasili, Aloysius C; Onwuchekwa, Arthur C; Ezejimofor, Benedeth C; Asuquo, Eme; Chen, Yen-Fu; Stranges, Saverio; Kandala, Ngianga-Bakwin

2017-01-15

The burden of stroke has been projected to increase in low-and middle-income countries due to the ongoing epidemiological transition. However, community-based stroke prevalence studies are sparse in sub-Saharan Africa particularly in Nigeria. This study aimed to provide a comparative estimate of the prevalence of stroke survivors in the rural Niger Delta region. A three-phased door-to-door survey was conducted using WHO modified instruments. In the first-phase, 2028 adults (≥18years) participants randomly selected from two rural communities were screened by trained health research assistants for probable stroke. In the second phase, suspected cases were screened with stroke-specific tool. Positive cases were made to undergo complete neurological evaluation by two study neurologist in phase-three. Stroke diagnosis was based on clinical evaluation using WHO criteria. Overall, 27 (8 first-ever and 19 recurrent cases) stroke survivors with crude prevalence of 13.31/1000 (95% CI, 8.32-18.31) and a non-significant difference in prevalence between the two study communities were found, (P=0.393I). In addition, age-adjusted prevalence of stroke survivors was 14.6/1000 person, about 7-folds higher than previous estimates outside the Niger Delta region. The prevalence increases significantly with advancing in age, P<0·001. Among others, hypertension (92.59%) was the commonest risk factor and comorbidity found. Improved stroke surveillance and care, as well as better management of the underlying risk factors, primarily undetected or uncontrolled high blood pressure, remains a public health priority. Copyright © 2016 Elsevier B.V. All rights reserved.

Chlorella mirabilis as a Potential Species for Biomass Production in Low-Temperature Environment.

PubMed

Shukla, S P; Kvíderová, J; Tříska, J; Elster, J

2013-01-01

Successful adaptation/acclimatization to low temperatures in micro-algae is usually connected with production of specific biotechnologically important compounds. In this study, we evaluated the growth characteristics in a micro-scale mass cultivation of the Antarctic soil green alga Chlorella mirabilis under different nitrogen and carbon sources followed by analyses of fatty acid contents. The micro-scale mass cultivation was performed in stable (in-door) and variable (out-door) conditions during winter and/or early spring in the Czech Republic. In the in-door cultivation, the treatments for nitrogen and carbon sources determination included pure Z medium (control, Z), Z medium + 5% glycerol (ZG), Z medium + 5% glycerol + 50 μM KNO3 (ZGN), Z medium + 5% glycerol + 200 μM NH4Cl (ZGA), Z medium + 5% glycerol + 1 mM Na2CO3 (ZNC), Z medium + 5% glycerol + 1 mM Na2CO3 + 200 μM NH4Cl (ZGCA) and Z medium + 5% glycerol + 1 mM Na2CO3 + 50 μM KNO3 (ZGCN) and were performed at 15°C with an irradiance of 75 μmol m(-2) s(-1). During the out-door experiments, the night-day temperature ranged from -6.6 to 17.5°C (daily average 3.1 ± 5.3°C) and irradiance ranged from 0 to 2,300 μmol m(-2) s(-1) (daily average 1,500 ± 1,090 μmol m(-2) s(-1)). Only the Z, ZG, ZGN, and ZGC treatments were used in the out-door cultivation. In the in-door mass cultivation, all nitrogen and carbon sources additions increased the growth rate with the exception of ZGA. When individual sources were considered, only the effect of 5% glycerol addition was significant. On the other hand, the growth rate decreased in the ZG and ZGN treatments in the out-door experiment, probably due to carbon limitation. Fatty acid composition showed increased production of linoleic acid in the glycerol treatments. The studied strain of C. mirabilis is proposed to be a promising source of linoleic acid in low-temperature-mass cultivation biotechnology. This strain is a perspective model organism for biotechnology in low-temperature conditions.

Chlorella mirabilis as a Potential Species for Biomass Production in Low-Temperature Environment

PubMed Central

Shukla, S. P.; Kvíderová, J.; Tříska, J.; Elster, J.

2013-01-01

Successful adaptation/acclimatization to low temperatures in micro-algae is usually connected with production of specific biotechnologically important compounds. In this study, we evaluated the growth characteristics in a micro-scale mass cultivation of the Antarctic soil green alga Chlorella mirabilis under different nitrogen and carbon sources followed by analyses of fatty acid contents. The micro-scale mass cultivation was performed in stable (in-door) and variable (out-door) conditions during winter and/or early spring in the Czech Republic. In the in-door cultivation, the treatments for nitrogen and carbon sources determination included pure Z medium (control, Z), Z medium + 5% glycerol (ZG), Z medium + 5% glycerol + 50 μM KNO3 (ZGN), Z medium + 5% glycerol + 200 μM NH4Cl (ZGA), Z medium + 5% glycerol + 1 mM Na2CO3 (ZNC), Z medium + 5% glycerol + 1 mM Na2CO3 + 200 μM NH4Cl (ZGCA) and Z medium + 5% glycerol + 1 mM Na2CO3 + 50 μM KNO3 (ZGCN) and were performed at 15°C with an irradiance of 75 μmol m−2 s−1. During the out-door experiments, the night-day temperature ranged from −6.6 to 17.5°C (daily average 3.1 ± 5.3°C) and irradiance ranged from 0 to 2,300 μmol m−2 s−1 (daily average 1,500 ± 1,090 μmol m−2 s−1). Only the Z, ZG, ZGN, and ZGC treatments were used in the out-door cultivation. In the in-door mass cultivation, all nitrogen and carbon sources additions increased the growth rate with the exception of ZGA. When individual sources were considered, only the effect of 5% glycerol addition was significant. On the other hand, the growth rate decreased in the ZG and ZGN treatments in the out-door experiment, probably due to carbon limitation. Fatty acid composition showed increased production of linoleic acid in the glycerol treatments. The studied strain of C. mirabilis is proposed to be a promising source of linoleic acid in low-temperature-mass cultivation biotechnology. This strain is a perspective model organism for biotechnology in low-temperature conditions. PMID:23630521

Human-like characteristics for high degree of freedom robotic door-opening end-effector

NASA Astrophysics Data System (ADS)

Gray, Jeremy P.; Campagna, Frank

2011-05-01

In the field of military Unmanned Ground Vehicles (UGV's), military units are forced to sweep largely populated cities and towns in search of hostile enemies. These urban types of operations are referred to as MOUT (Military Operations on Urban Terrain). During urban operations, these UGV's encounter difficulties when opening doors. Current manipulator end effectors have these difficulties, because they are not designed to mimic human hand operations. This paper explains the mechanical nature of the Modular Universal Door Opening End-effector (MUDOE). MUDOE is a result of our development research to improve robotic manipulators ability to negotiate closed doors. The presented solution has the ability to mimic human hand characteristics when opening doors. The end-effector possesses an ability to maintain a high Degree of Freedom (DoF), and grasp the doorknob by applying equally distributed forces to all points of contact.

Scale model test results of several STOVL ventral nozzle concepts

NASA Technical Reports Server (NTRS)

Meyer, B. E.; Re, R. J.; Yetter, J. A.

1991-01-01

Short take-off and vertical landing (STOVL) ventral nozzle concepts are investigated by means of a static cold flow scale model at a NASA facility. The internal aerodynamic performance characteristics of the cruise, transition, and vertical lift modes are considered for four ventral nozzle types. The nozzle configurations examined include those with: butterfly-type inner doors and vectoring exit vanes; circumferential inner doors and thrust vectoring vanes; a three-port segmented version with circumferential inner doors; and a two-port segmented version with cylindrical nozzle exit shells. During the testing, internal and external pressure is measured, and the thrust and flow coefficients and resultant vector angles are obtained. The inner door used for ventral nozzle flow control is found to affect performance negatively during the initial phase of transition. The best thrust performance is demonstrated by the two-port segmented ventral nozzle due to the elimination of the inner door.

Rotational and frictional dynamics of the slamming of a door

NASA Astrophysics Data System (ADS)

Klein, Pascal; Müller, Andreas; Gröber, Sebastian; Molz, Alexander; Kuhn, Jochen

2017-01-01

A theoretical and experimental investigation of the rotational dynamics, including friction, of a slamming door is presented. Based on existing work regarding different damping models for rotational and oscillatory motions, we examine different forms for the (angular) velocity dependence (ωn, n = 0, 1, 2) of the frictional force. An analytic solution is given when all three friction terms are present and several solutions for specific cases known from the literature are reproduced. The motion of a door is investigated experimentally using a smartphone, and the data are compared with the theoretical results. A laboratory experiment under more controlled conditions is conducted to gain a deeper understanding of the movement of a slammed door. Our findings provide quantitative evidence that damping models involving quadratic air drag are most appropriate for the slamming of a door. Examining this everyday example of a physical phenomenon increases student motivation, because they can relate it to their own personal experience.

Timing of oral anticoagulant therapy in acute ischemic stroke with atrial fibrillation: study protocol for a registry-based randomised controlled trial.

PubMed

Åsberg, Signild; Hijazi, Ziad; Norrving, Bo; Terént, Andreas; Öhagen, Patrik; Oldgren, Jonas

2017-12-02

Oral anticoagulation therapy is recommended for the prevention of recurrent ischemic stroke in patients with atrial fibrillation (AF). Current guidelines do not provide evidence-based recommendations on optimal time-point to start anticoagulation therapy after an acute ischemic stroke. Non-vitamin K antagonist oral anticoagulants (NOACs) may offer advantages compared to warfarin because of faster and more predictable onset of action and potentially a lower risk of intracerebral haemorrhage also in the acute phase after an ischemic stroke. The TIMING study aims to establish the efficacy and safety of early vs delayed initiation of NOACs in patients with acute ischemic stroke and AF. The TIMING study is a national, investigator-led, registry-based, multicentre, open-label, randomised controlled study. The Swedish Stroke Register is used for enrolment, randomisation and follow-up of 3000 patients, who are randomised (1:1) within 72 h from ischemic stroke onset to either early (≤ 4 days) or delayed (≥ 5-10 days) start of NOAC therapy. The primary outcome is the composite of recurrent ischemic stroke, symptomatic intracerebral haemorrhage, or all-cause mortality within 90 days after randomisation. Secondary outcomes include: individual components of the primary outcome at 90 and 365 days; major haemorrhagic events; functional outcome by the modified Rankin Scale at 90 days; and health economics. In an optional biomarker sub-study, blood samples will be collected after randomisation from approximately half of the patients for central analysis of cardiovascular biomarkers after study completion. The study is funded by the Swedish Medical Research Council. Enrolment of patients started in April 2017. The TIMING study addresses the ongoing clinical dilemma of when to start NOAC after an acute ischemic stroke in patients with AF. By the inclusion of a randomisation module within the Swedish Stroke Register, the advantages of a prospective randomised study design are combined with the strengths of a national clinical quality register in allowing simplified enrolment and follow-up of study patients. In addition, the register adds the possibility of directly assessing the external validity of the study findings. ClinicalTrials.gov, NCT02961348 . Registered on 8 November 2016.

Mixture of natural fiber with gypsum to improve the fire resistance rating of a fire door: The effect of kapok fiber

NASA Astrophysics Data System (ADS)

Azieyanti, N. A.; Hakim, Alif; Hasini, Hasril

2017-10-01

A composite mixture of gypsum and natural fibers has been considered in this study to enhance the fire resistance rating of a fire door. Previously the materials used to make a fire door are gypsum and fiber wool where it acts as a protective coating. Normally this fire door must be compact and able to close on its own. Natural fibers have the ability to replace glass fiber cotton because of its features that are available in fiber glass wool. When using fiberglass, it can cause health problem once it is swallowed and inhaled, and may remain in the lungs indefinitely. It also can contribute to lungs cancer. Kapok fiber has been used in this experiment as natural fibers. The objective of the experiment is to analyze the fire resistant rating of the composite mixture of gypsum with kapok fiber. The scopes of the experiment consist of a preparation of composite mixture samples of gypsum with kapok fiber with different composition and thickness, and the fabrication of a fire resistant testing furnace. A testing of samples which were conducted in accordance with the standard MS 1073: PART 2:1996.

Prevalence and reporting of recruitment, randomisation and treatment errors in clinical trials: A systematic review.

PubMed

Yelland, Lisa N; Kahan, Brennan C; Dent, Elsa; Lee, Katherine J; Voysey, Merryn; Forbes, Andrew B; Cook, Jonathan A

2018-06-01

Background/aims In clinical trials, it is not unusual for errors to occur during the process of recruiting, randomising and providing treatment to participants. For example, an ineligible participant may inadvertently be randomised, a participant may be randomised in the incorrect stratum, a participant may be randomised multiple times when only a single randomisation is permitted or the incorrect treatment may inadvertently be issued to a participant at randomisation. Such errors have the potential to introduce bias into treatment effect estimates and affect the validity of the trial, yet there is little motivation for researchers to report these errors and it is unclear how often they occur. The aim of this study is to assess the prevalence of recruitment, randomisation and treatment errors and review current approaches for reporting these errors in trials published in leading medical journals. Methods We conducted a systematic review of individually randomised, phase III, randomised controlled trials published in New England Journal of Medicine, Lancet, Journal of the American Medical Association, Annals of Internal Medicine and British Medical Journal from January to March 2015. The number and type of recruitment, randomisation and treatment errors that were reported and how they were handled were recorded. The corresponding authors were contacted for a random sample of trials included in the review and asked to provide details on unreported errors that occurred during their trial. Results We identified 241 potentially eligible articles, of which 82 met the inclusion criteria and were included in the review. These trials involved a median of 24 centres and 650 participants, and 87% involved two treatment arms. Recruitment, randomisation or treatment errors were reported in 32 in 82 trials (39%) that had a median of eight errors. The most commonly reported error was ineligible participants inadvertently being randomised. No mention of recruitment, randomisation or treatment errors was found in the remaining 50 of 82 trials (61%). Based on responses from 9 of the 15 corresponding authors who were contacted regarding recruitment, randomisation and treatment errors, between 1% and 100% of the errors that occurred in their trials were reported in the trial publications. Conclusion Recruitment, randomisation and treatment errors are common in individually randomised, phase III trials published in leading medical journals, but reporting practices are inadequate and reporting standards are needed. We recommend researchers report all such errors that occurred during the trial and describe how they were handled in trial publications to improve transparency in reporting of clinical trials.

Are pilot trials useful for predicting randomisation and attrition rates in definitive studies: A review of publicly funded trials.

PubMed

Cooper, Cindy L; Whitehead, Amy; Pottrill, Edward; Julious, Steven A; Walters, Stephen J

2018-04-01

External pilot trials are recommended for testing the feasibility of main or confirmatory trials. However, there is little evidence that progress in external pilot trials actually predicts randomisation and attrition rates in the main trial. To assess the use of external pilot trials in trial design, we compared randomisation and attrition rates in publicly funded randomised controlled trials with rates in their pilots. Randomised controlled trials for which there was an external pilot trial were identified from reports published between 2004 and 2013 in the Health Technology Assessment Journal. Data were extracted from published papers, protocols and reports. Bland-Altman plots and descriptive statistics were used to investigate the agreement of randomisation and attrition rates between the full and external pilot trials. Of 561 reports, 41 were randomised controlled trials with pilot trials and 16 met criteria for a pilot trial with sufficient data. Mean attrition and randomisation rates were 21.1% and 50.4%, respectively, in the pilot trials and 16.8% and 65.2% in the main. There was minimal bias in the pilot trial when predicting the main trial attrition and randomisation rate. However, the variation was large: the mean difference in the attrition rate between the pilot and main trial was -4.4% with limits of agreement of -37.1% to 28.2%. Limits of agreement for randomisation rates were -47.8% to 77.5%. Results from external pilot trials to estimate randomisation and attrition rates should be used with caution as comparison of the difference in the rates between pilots and their associated full trial demonstrates high variability. We suggest using internal pilot trials wherever appropriate.

Are pilot trials useful for predicting randomisation and attrition rates in definitive studies: A review of publicly funded trials

PubMed Central

Whitehead, Amy; Pottrill, Edward; Julious, Steven A; Walters, Stephen J

2018-01-01

Background/aims: External pilot trials are recommended for testing the feasibility of main or confirmatory trials. However, there is little evidence that progress in external pilot trials actually predicts randomisation and attrition rates in the main trial. To assess the use of external pilot trials in trial design, we compared randomisation and attrition rates in publicly funded randomised controlled trials with rates in their pilots. Methods: Randomised controlled trials for which there was an external pilot trial were identified from reports published between 2004 and 2013 in the Health Technology Assessment Journal. Data were extracted from published papers, protocols and reports. Bland–Altman plots and descriptive statistics were used to investigate the agreement of randomisation and attrition rates between the full and external pilot trials. Results: Of 561 reports, 41 were randomised controlled trials with pilot trials and 16 met criteria for a pilot trial with sufficient data. Mean attrition and randomisation rates were 21.1% and 50.4%, respectively, in the pilot trials and 16.8% and 65.2% in the main. There was minimal bias in the pilot trial when predicting the main trial attrition and randomisation rate. However, the variation was large: the mean difference in the attrition rate between the pilot and main trial was −4.4% with limits of agreement of −37.1% to 28.2%. Limits of agreement for randomisation rates were −47.8% to 77.5%. Conclusion: Results from external pilot trials to estimate randomisation and attrition rates should be used with caution as comparison of the difference in the rates between pilots and their associated full trial demonstrates high variability. We suggest using internal pilot trials wherever appropriate. PMID:29361833

16 CFR 1211.7 - Inherent entrapment protection requirements.

Code of Federal Regulations, 2010 CFR

2010-01-01

... door a minimum of 2 inches (50.8 mm). (b)(1) A solid object is to be placed on the floor of the test... the operator. When tested on the floor, the object shall be 1 inch (25.4 mm) high. In the test... when the door is fully closed. (2) For operators other than those attached to the door, a solid object...

Enhancing Student Services at Lorain County Community College: Early Results from the Opening Doors Demonstration in Ohio

ERIC Educational Resources Information Center

Scrivener, Susan; Au, Jenny

2007-01-01

In 2003, MDRC and a consortium of funders launched the Opening Doors demonstration to test reforms in six community colleges aimed at helping students stay in school and earn credentials. This report presents early results from the Opening Doors program at Lorain County Community College in Elyria, Ohio. The program provided intensive advising and…

16. NORTH BEDROOM INTERIOR SHOWING OPEN DOOR TO BATHROOM AT ...

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

16. NORTH BEDROOM INTERIOR SHOWING OPEN DOOR TO BATHROOM AT PHOTO LEFT, TWO 1 OVER 1 LIGHT DOUBLEHUNG, WOODFRAME WINDOWS IN A PAIRED ARRANGEMENT AT PHOTO CENTER, AND THE CLOSED DOOR TO THE KITCHEN AT PHOTO RIGHT. VIEW TO WEST. - Big Creek Hydroelectric System, Big Creek Town, Operator House, Orchard Avenue south of Huntington Lake Road, Big Creek, Fresno County, CA

46 CFR 170.255 - Class 1 doors; permissible locations.

Code of Federal Regulations, 2010 CFR

2010-10-01

... point at side, is at least 7 feet (2.14 meters) above the deepest load line. (b) Class 1 doors are..., the door is in a location where it will be closed at all times except when actually in use; and (2... lowest point at side is less than 7 feet (2.14 meters) above the deepest load line, an indicator light...

76 FR 48745 - Energy Conservation Program: Compliance Date Regarding the Test Procedures for Walk-In Coolers...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-09

...), specified a test procedure that must be followed when determining the insulation value of the insulating... tests must be performed on walk-in panels and when tests may be performed on insulation foam used in the... WICF doors: The door type, R-value of the door insulation, and a declaration that the manufacturer has...

10. WEST FRONT OF SOUTH WING OF TECHWOOD DORMITORY, SHOWING ...

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

10. WEST FRONT OF SOUTH WING OF TECHWOOD DORMITORY, SHOWING MAIN ENTRANCE INTO SOUTH WING. ORIGINAL DOUBLE DOORS HAVE BEEN REPLACED WITH A SINGLE, WIDER DOOR. DOOR IS RECESSED AND HAS AN ELABORATE SURROUND LIKE THAT OF THE MAIN ENTRANCE (WEST FRONT) INTO THE NORTH WING. - Techwood Homes, McDaniel Dormitory, 581-587 Techwood Drive, Atlanta, Fulton County, GA

3. Detail of airplane tail protruding out of hangar doors, ...

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

3. Detail of airplane tail protruding out of hangar doors, dock no. 491. Detail of canvas gasket allowing doors to close tightly around fuselage. View to north. - Offutt Air Force Base, Looking Glass Airborne Command Post, Nose Docks, On either side of Hangar Access Apron at Northwest end of Project Looking Glass Historic District, Bellevue, Sarpy County, NE

16. INTERIOR OF BEDROOM NUMBER TWO SHOWING OPEN PANEL DOOR ...

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

16. INTERIOR OF BEDROOM NUMBER TWO SHOWING OPEN PANEL DOOR TO WALK-IN CLOSET AT PHOTO CENTER, OPEN PANEL DOOR FROM BEDROOM NUMBER ONE AT EXTREME PHOTO LEFT, AND 6-LIGHT OVER 1-LIGHT SASH WINDOW ON NORTH WALL AT PHOTO RIGHT. VIEW TO WEST. - Rush Creek Hydroelectric System, Worker Cottage, Rush Creek, June Lake, Mono County, CA

16 CFR Appendix A7 to Part 305 - Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service A7 Appendix A7 to Part 305 Commercial... With Through-the-door Ice Service Range Information Manufacturer's Rated Total Refrigerated Volume in...

16 CFR Appendix A4 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service A4 Appendix A4 to Part 305 Commercial... Without Through-the-Door Ice Service Range Information Manufacturer's Rated Total Refrigerated Volume in...

16 CFR Appendix A5 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service A5 Appendix A5 to Part 305 Commercial... Without Through-the-Door Ice Service Range Information Manufacturer's Rated Total Refrigerated Volume in...

16 CFR Appendix A6 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service A6 Appendix A6 to Part 305 Commercial... Freezer Without Through-the-Door Ice Service Range Information Manufacturer's Rated Total Refrigerated...

16 CFR Appendix A8 to Part 305 - Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service A8 Appendix A8 to Part 305 Commercial... With Through-the-door Ice Service Range Information Manufacturer's Rated Total Refrigerated Volume in...

High speed door assembly

DOEpatents

Shapiro, C.

1993-04-27

A high speed door assembly is described, comprising an actuator cylinder and piston rods, a pressure supply cylinder and fittings, an electrically detonated explosive bolt, a honeycomb structured door, a honeycomb structured decelerator, and a structural steel frame encasing the assembly to close over a 3 foot diameter opening within 50 milliseconds of actuation, to contain hazardous materials and vapors within a test fixture.

16 CFR 1211.7 - Inherent entrapment protection requirements.

Code of Federal Regulations, 2011 CFR

2011-01-01

... door a minimum of 2 inches (50.8 mm). (b)(1) A solid object is to be placed on the floor of the test... when the door is fully closed. (2) For operators other than those attached to the door, a solid object is not required to be located in line with the driving point of the operator. The solid object is to...

16 CFR 1211.7 - Inherent entrapment protection requirements.

Code of Federal Regulations, 2014 CFR

2014-01-01

... door a minimum of 2 inches (50.8 mm). (b)(1) A solid object is to be placed on the floor of the test... when the door is fully closed. (2) For operators other than those attached to the door, a solid object is not required to be located in line with the driving point of the operator. The solid object is to...

High Temperature Solar Electrothermal Processing-III. Zinc from Zinc Oxide at 1200-1675K Using a Non-Consumable Anode.

DTIC Science & Technology

1987-09-09

and the flow of Ar, about 5 1/min, begun. The heliostat was set to track with the doors closed. The instrumentation was activated. Then both furnace...experiment, we closed both doors, stowed the heliostat and reopened the doors to provide good ventilation to the concentrator room. Then we disconnected the

MTR WING, TRA604, INTERIOR. BASEMENT. INTERIOR VIEW FROM SAME LOCATION ...

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

MTR WING, TRA-604, INTERIOR. BASEMENT. INTERIOR VIEW FROM SAME LOCATION IN WEST CORRIDOR AS PHOTO ID-33-G-42 BUT CAMERA FACES SOUTH. SIGN ON DOOR FOR "PIPE TUNNEL" WARNS OF RADIOLOGICAL AND ASBESTOS HAZARDS. DOOR HAS METAL HASPS. SIGN ON OVERHEAD WASTE HEAT RECOVERY PIPES SAYS THEY CONTAIN "ASBESTOS FREE INSULATION." FIRE DOOR AT LEFT LEADS TO STAIRWAY TO FIRST FLOOR. DOOR AT RIGHT LEADS TO ROOM WHICH ONCE CONTAINED MTR LIBRARY. INL NEGATIVE NO. HD46-13-4. Mike Crane, Photographer, 2/2005 - Idaho National Engineering Laboratory, Test Reactor Area, Materials & Engineering Test Reactors, Scoville, Butte County, ID

Modeling and Simulation of Two Wheelchair Accessories for Pushing Doors.

PubMed

Abdullah, Soran Jalal; Shaikh Mohammed, Javeed

2017-03-27

Independent mobility is vital to individuals of all ages, and wheelchairs have proven to be great personal mobility devices. The tasks of opening and navigating through a door are trivial for healthy people, while the same tasks could be difficult for some wheelchair users. A wide range of intelligent wheelchair controllers and systems, robotic arms, or manipulator attachments integrated with wheelchairs have been developed for various applications, including manipulating door knobs. Unfortunately, the intelligent wheelchairs and robotic attachments are not widely available as commercial products. Therefore, the current manuscript presents the modeling and simulation of a novel but simple technology in the form of a passive wheelchair accessory (straight, arm-like with a single wheel, and arc-shaped with multiple wheels) for pushing doors open from a wheelchair. From the simulations using different wheel shapes and sizes, it was found that the arc-shaped accessory could push open the doors faster and with almost half the required force as compared to the arm-like accessory. Also, smaller spherical wheels were found to be best in terms of reaction forces on the wheels. Prototypes based on the arc-shaped accessory design will be manufactured and evaluated for pushing doors open and dodging or gliding other obstacles.

Hospital factors impact variation in emergency department length of stay more than physician factors.

PubMed

Krall, Scott P; Cornelius, Angela P; Addison, J Bruce

2014-03-01

To analyze the correlation between the many different emergency department (ED) treatment metric intervals and determine if the metrics directly impacted by the physician correlate to the "door to room" interval in an ED (interval determined by ED bed availability). Our null hypothesis was that the cause of the variation in delay to receiving a room was multifactorial and does not correlate to any one metric interval. We collected daily interval averages from the ED information system, Meditech©. Patient flow metrics were collected on a 24-hour basis. We analyzed the relationship between the time intervals that make up an ED visit and the "arrival to room" interval using simple correlation (Pearson Correlation coefficients). Summary statistics of industry standard metrics were also done by dividing the intervals into 2 groups, based on the average ED length of stay (LOS) from the National Hospital Ambulatory Medical Care Survey: 2008 Emergency Department Summary. Simple correlation analysis showed that the doctor-to-discharge time interval had no correlation to the interval of "door to room (waiting room time)", correlation coefficient (CC) (CC=0.000, p=0.96). "Room to doctor" had a low correlation to "door to room" CC=0.143, while "decision to admitted patients departing the ED time" had a moderate correlation of 0.29 (p <0.001). "New arrivals" (daily patient census) had a strong correlation to longer "door to room" times, 0.657, p<0.001. The "door to discharge" times had a very strong correlation CC=0.804 (p<0.001), to the extended "door to room" time. Physician-dependent intervals had minimal correlation to the variation in arrival to room time. The "door to room" interval was a significant component to the variation in "door to discharge" i.e. LOS. The hospital-influenced "admit decision to hospital bed" i.e. hospital inpatient capacity, interval had a correlation to delayed "door to room" time. The other major factor affecting department bed availability was the "total patients per day." The correlation to the increasing "door to room" time also reflects the effect of availability of ED resources (beds) on the patient evaluation time. The time that it took for a patient to receive a room appeared more dependent on the system resources, for example, beds in the ED, as well as in the hospital, than on the physician.

Vaccine testing for emerging infections: the case for individual randomisation.

PubMed

Eyal, Nir; Lipsitch, Marc

2017-09-01

During the 2014-2015 Ebola outbreak in Guinea, Liberia and Sierra Leone, many opposed the use of individually randomised controlled trials to test candidate Ebola vaccines. For a raging fatal disease, they explained, it is unethical to relegate some study participants to control arms. In Zika and future emerging infections, similar opposition may hinder urgent vaccine research, so it is best to address these questions now. This article lays out the ethical case for individually randomised control in testing vaccines against many emerging infections, including lethal infections in low-income countries, even when at no point in the trial do the controls receive the countermeasures being tested. When individual randomisation is feasible-and it often will be-it tends to save more lives than alternative designs would. And for emerging infections, individual randomisation also tends as such to improve care, access to the experimental vaccine and prospects for all participants relative to their opportunities absent the trial, and no less than alternative designs would. That obtains even under placebo control and without equipoise-requiring which would undermine individual randomisation and the alternative designs that opponents proffered. Our arguments expound four often-neglected factors: benefits to non-participants, benefits to participants once a trial is over including post-trial access to the study intervention, participants' prospects before randomisation to arms and the near-inevitable disparity between arms in any randomised controlled trial. 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/.

Do clinical pathways enhance access to evidence-based acute myocardial infarction treatment in rural emergency departments?

PubMed

Kinsman, Leigh D; Rotter, Thomas; Willis, Jon; Snow, Pamela C; Buykx, Penny; Humphreys, John S

2012-04-01

 The objective of this study is to measure the impact of a five-step implementation process for an acute myocardial infarction (AMI) clinical pathway (CPW) on thrombolytic administration in rural emergency departments.  Cluster randomised controlled trial.   Six rural Victorian emergency departments participated.   The five-step CPW implementation process comprised (i) engaging clinicians; (ii) CPW development; (iii) reminders; (iv) education; and (v) audit and feedback. The impact of the intervention was assessed by measuring the proportion of eligible AMI patients receiving a thrombolytic and time to thrombolysis and electrocardiogram. Nine hundred and fifteen medical records were audited, producing a final sample of 108 patients eligible for thrombolysis. There was no significant difference between intervention and control groups for median door-to-needle time (29 mins versus 29 mins; P = 0.632), proportion of those eligible receiving a thrombolytic (78% versus 84%; P = 0.739), median time to electrocardiogram (7 mins versus 6 mins; P = 0.669) and other outcome measures. Results showed superior outcome measures than other published studies. The lack of impact of the implementation process for a chest pain CPW on thrombolytic delivery or time to electrocardiogram in these rural hospitals can be explained by a ceiling effect in outcome measures but was also compromised by the small sample. Results suggest that quality of AMI treatment in rural emergency departments (EDs) is high and does not contribute to the worse mortality rate reported for AMIs in rural areas. © 2012 The Authors. Australian Journal of Rural Health © 2012 National Rural Health Alliance Inc.

RANDOMISED ASPIRIN ASSIGNMENT AND RISK OF ADULT-ONSET ASTHMA IN THE WOMEN'S HEALTH STUDY

PubMed Central

Kurth, Tobias; Barr, R. Graham; Gaziano, J. Michael; Buring, Julie E.

2008-01-01

Rationale Randomised data in men showed a small but significant reduction in risk of adult-onset asthma among those assigned to aspirin. Results from an observational study in women suggest that frequent use of aspirin decreased the risk of adult-onset asthma. Randomised data in women are lacking. Objective To test the effect of 100 mg of aspirin on alternate days or placebo on the risk of adult-onset asthma in the Women's Health Study. Methods Post-hoc analyses from a randomised, double-blind, placebo-controlled clinical trial of aspirin and vitamin E in apparently healthy US women with no indication or contraindication to aspirin therapy and free of a history of asthma at study entry. Measurements Female health professionals could self-report an asthma diagnosis on yearly questionnaires. Results Among 37,270 women without reported history of asthma prior to randomisation and during 10 years of follow-up, there were 872 new reports of asthma diagnosis in the aspirin group and 963 in the placebo group (hazard ratio=0.90; 95% confidence interval=0.82−0.99; P=0.027). This apparent 10% lower relative risk of incident adult-onset asthma among those assigned to aspirin was significantly modified by body mass index, indicating no effect among women with a body mass index of ≥30 kg/m2. There was no significant effect modification by age, smoking status, exercise levels, postmenopausal hormone use, or randomised vitamin E assignment. Conclusions In this large, randomised clinical trial of apparently healthy adult women, assignment of 100 mg of aspirin on alternate days reduced the relative risk of newly reported diagnosis of asthma. PMID:18339679

Preventive PCI versus culprit lesion stenting during primary PCI in acute STEMI: a systematic review and meta-analysis

PubMed Central

Pandit, Anil; Aryal, Madan Raj; Aryal Pandit, Aashrayata; Hakim, Fayaz Ahmad; Giri, Smith; Mainali, Naba Raj; Sharma, Prashant; Lee, Howard R; Fortuin, F David; Mookadam, Farouk

2014-01-01

Aim The benefit of preventive percutaneous coronary intervention (PCI) in ST elevation myocardial infarction (STEMI) has been shown in randomised trials. However, all the randomised trials are underpowered to detect benefit in cardiac death. We aim to systematically review evidence on the cardiac mortality benefit of preventive PCI in patients presenting with acute STEMI in randomised patient populations. Methods PubMed, Scopus, Cochrane and clinicaltrials.gov databases were searched for studies published until 30 September 2013. The studies were limited to randomised clinical trials. Independent observers abstracted the data on outcomes, characteristics and qualities of studies included. Fixed effect model was employed for meta-analysis. Heterogeneity of studies included was analysed using I2 statistics. Results In three randomised clinical trials published, involving 748 patients with acute STEMI and multivessel disease, 416 patients were randomised to preventive PCI and 332 to culprit-only PCI. Patients undergoing preventive PCI had significant lower risk of cardiovascular deaths (pooled OR 0.39, 95% CI 0.18 to 0.83, p=0.01, I2=0%), repeat revascularisation (pooled OR 0.28, 95% CI 0.18 to 0.44, p=0.00001, I2=0%) and non-fatal myocardial infarction (pooled OR 0.38, 95% CI 0.20 to 0.75, p=0.005, I2=0%) compared with culprit-only revascularisation. Conclusions In patients presenting with acute STEMI and significant multivessel coronary artery disease, based on our data, preventive PCI is associated with lower risk of cardiovascular mortality compared with primary PCI of only the culprit artery. This finding needs to be confirmed in larger adequately powered randomised clinical trials. PMID:25332779

Association between bibliometric parameters, reporting and methodological quality of randomised controlled trials in vascular and endovascular surgery.

PubMed

Hajibandeh, Shahab; Hajibandeh, Shahin; Antoniou, George A; Green, Patrick A; Maden, Michelle; Torella, Francesco

2017-04-01

Purpose We aimed to investigate association between bibliometric parameters, reporting and methodological quality of vascular and endovascular surgery randomised controlled trials. Methods The most recent 75 and oldest 75 randomised controlled trials published in leading journals over a 10-year period were identified. The reporting quality was analysed using the CONSORT statement, and methodological quality with the Intercollegiate Guidelines Network checklist. We used exploratory univariate and multivariable linear regression analysis to investigate associations. Findings Bibliometric parameters such as type of journal, study design reported in title, number of pages; external funding, industry sponsoring and number of citations are associated with reporting quality. Moreover, parameters such as type of journal, subject area and study design reported in title are associated with methodological quality. Conclusions The bibliometric parameters of randomised controlled trials may be independent predictors for their reporting and methodological quality. Moreover, the reporting quality of randomised controlled trials is associated with their methodological quality and vice versa.

49 CFR 1242.74 - Adjusting and transferring loads, and car loading devices and grain doors (accounts XX-33-71 and...

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 9 2010-10-01 2010-10-01 false Adjusting and transferring loads, and car loading devices and grain doors (accounts XX-33-71 and XX-33-72). 1242.74 Section 1242.74 Transportation Other... loads, and car loading devices and grain doors (accounts XX-33-71 and XX-33-72). These accounts pertain...

Sweet Spots and Door Stops

ERIC Educational Resources Information Center

Thompson, Michael; Tsui, Stella; Leung, Chi Fan

2011-01-01

A sweet spot is referred to in sport as the perfect place to strike a ball with a racquet or bat. It is the point of contact between bat and ball where maximum results can be produced with minimal effort from the hand of the player. Similar physics can be applied to the less inspiring examples of door stops; the perfect position of a door stop is…

40 CFR 63.5830 - What are my options for meeting the standards for pultrusion operations subject to the 60 weight...

Code of Federal Regulations, 2012 CFR

2012-07-01

... included in the total open area calculation with the exception of access panels, doors, and/or hatches that... than 1.0 inch clearance. (7) The access panels, doors, and/or hatches that are part of the enclosure must close tightly. Damaged access panels, doors, and/or hatches that do not close tightly must be...

PBF Reactor Building (PER620). Camera faces south toward verticallift door, ...

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

PBF Reactor Building (PER-620). Camera faces south toward vertical-lift door, which is closed. Note crane and its trolley positioned near door; its rails along side walls. Reactor vessel and lifting beams are positioned above reactor pit. Photographer: John Capek. Date: January 9, 1970. INEEL negative no. 70-132 - Idaho National Engineering Laboratory, SPERT-I & Power Burst Facility Area, Scoville, Butte County, ID

Holiday Door Decorating Contest Brings Cheer | Poster

Cancer.gov

By Carolynne Keenan, Contributing Writer Other than the time of year, what do the following have in common: the leg lamp from the movie “A Christmas Story,” a compilation of silly holiday jokes, a gingerbread house, and Santa on a motorcycle? All four were among the individual door winners for the Holiday Door Decorating Contest, held at NCI at Frederick in December. Employees

12. INTERIOR OF KITCHEN/UTILITY AREA SHOWING OPEN FOURPANEL WOOD DOOR ...

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

12. INTERIOR OF KITCHEN/UTILITY AREA SHOWING OPEN FOUR-PANEL WOOD DOOR TO SOUTH BEDROOM AT PHOTO CENTER RIGHT, OPEN DOORWAY TO LIVING ROOM AT PHOTO CENTER LEFT, AND BUILT-IN CABINETS AND CEILING VENT BETWEEN THE DOORS AND AROUND THE STOVE/RANGE POSITION. VIEW TO NORTHEAST. - Bishop Creek Hydroelectric System, Plant 4, Worker Cottage, Bishop Creek, Bishop, Inyo County, CA

Design concepts for a composite door frame system for general automotive applications

NASA Technical Reports Server (NTRS)

Tauber, J. A.

1976-01-01

Conceptual design, manufacturing process, and costs are explored to determine the feasibility of replacing present steel parts in automotive door structures with various composite materials. The problems of conforming to present anti-intrusion specifications with advanced materials are examined and discussed. Modest weight reductions, at competitive costs, were identified for the utilization of specific composite materials in automotive door structures.

16 CFR Appendix A5 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service A5 Appendix A5 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A7 to Part 305 - Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service A7 Appendix A7 to Part 305 Commercial...—Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service Range...

16 CFR Appendix A4 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service A4 Appendix A4 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A6 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service A6 Appendix A6 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A4 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service A4 Appendix A4 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A5 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service A5 Appendix A5 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A6 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service A6 Appendix A6 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A7 to Part 305 - Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service A7 Appendix A7 to Part 305 Commercial...—Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service Range...

16 CFR Appendix A5 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service A5 Appendix A5 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A6 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service A6 Appendix A6 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A8 to Part 305 - Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service A8 Appendix A8 to Part 305 Commercial...—Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service Range...

16 CFR Appendix A8 to Part 305 - Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service A8 Appendix A8 to Part 305 Commercial...—Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service Range...

16 CFR Appendix A4 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service A4 Appendix A4 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A7 to Part 305 - Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service A7 Appendix A7 to Part 305 Commercial...—Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service Range...

16 CFR Appendix A4 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service A4 Appendix A4 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Top-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A8 to Part 305 - Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service A8 Appendix A8 to Part 305 Commercial...—Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service Range...

16 CFR Appendix A5 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service A5 Appendix A5 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Side-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A7 to Part 305 - Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service A7 Appendix A7 to Part 305 Commercial...—Refrigerator-freezers With Automatic Defrost With Top-mounted Freezer With Through-the-door Ice Service Range...

16 CFR Appendix A6 to Part 305 - Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door...

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service A6 Appendix A6 to Part 305 Commercial...—Refrigerator-Freezers With Automatic Defrost With Bottom-Mounted Freezer Without Through-the-Door Ice Service...

16 CFR Appendix A8 to Part 305 - Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice...

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service A8 Appendix A8 to Part 305 Commercial...—Refrigerator-freezers With Automatic Defrost With Side-mounted Freezer With Through-the-door Ice Service Range...

NREL and iUnit Open the Door to Grid-Integrated, Multifamily Construction |

Science.gov Websites

Open the Door to Grid-Integrated, Multifamily Construction May 11, 2017 A photo of a group of people News | NREL and iUnit Open the Door to Grid-Integrated, Multifamily Construction NREL and iUnit apartment created by Denver developer, iUnit. Open house participants were able to tour the unit in person

4. Detail of inner side of northernmost door of Bunker ...

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

4. Detail of inner side of northernmost door of Bunker 103 (seen from outside in photo WA-203-B-2). Stenciling on door includes warning: 'CAUTION: Do not drag or pull powder kegs over deck or other cans. Tanks must be lifted or carried.' - Puget Sound Naval Shipyard, Munitions Storage Bunker, Naval Ammunitions Depot, North of Campbell Trail, Bremerton, Kitsap County, WA

16 CFR § 1211.7 - Inherent entrapment protection requirements.

Code of Federal Regulations, 2013 CFR

2013-01-01

... operator reverses the door a minimum of 2 inches (50.8 mm). (b)(1) A solid object is to be placed on the... the door, a solid object is not required to be located in line with the driving point of the operator. The solid object is to be located at points at the center, and within 1 foot of each end of the door...

75 FR 16683 - Airworthiness Directives; The Boeing Company Model 777-200LR and -300ER Series Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-02

... eddy current inspection for cracking of the keyway of the fuel tank access door cutout on the left and... frequency eddy current (HFEC) inspection for cracking at the keyway of the fuel tank access door cutout on... frequency eddy current (HFEC) inspection for cracking of the keyway of the fuel tank access door cutout on...

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

PubMed Central

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

2012-01-01

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

ACIS Door Failure Investigation and Mitigation Procedures

NASA Technical Reports Server (NTRS)

Podgorski, William A.; Tice, Neil W.; Plucinsky, Paul P.

2000-01-01

NASA's Chandra X-ray Observatory (formerly AXAF) was launched on July 23, 1999 and is currently in orbit performing scientific studies. Chandra is the third of NASA's Great Observatories to be launched, following the Hubble Space Telescope and the Compton Gamma Ray Observatory. One of four primary science instruments on Chandra, and one of only two focal plane instruments, is the Advanced CCD Imaging Spectrometer, or ACIS. The ACIS focal plane and Optical Blocking Filter (OBF) must be launched under vacuum, so a tightly sealed, functioning door and venting subsystem were implemented. The door was opened two and one-half weeks after launch (after most out-gassing of composite materials) and allowed X-rays to be imaged by the ACIS CCD's in the focal plane. A failure of this door to open on-orbit would have eliminated all ACIS capabilities, severely degrading mission science. During the final pre-flight thermal-vacuum test of the fully integrated Chandra Observatory at TRW, the ACIS door failed to open when commanded to do so. This paper describes the efforts, under considerable time pressure, by NASA, its contractors and outside review teams to investigate the failure and to develop modified hardware and procedures which would correct the problem. Of interest is the fact that the root cause of the test failure was never clearly identified despite massive effort. We ultimately focussed on hardware and procedures designed to mitigate the effects of potential, but unproven, failure modes. We describe a frequent real-world engineering situation in which one must proceed on the best basis possible in the absence of the complete set of facts.

Numerical modeling of cold room's hinged door opening and closing processes

NASA Astrophysics Data System (ADS)

Carneiro, R.; Gaspar, P. D.; Silva, P. D.; Domingues, L. C.

2016-06-01

The need of rationalize energy consumption in agrifood industry has fasten the development of methodologies to improve the thermal and energy performances of cold rooms. This paper presents a three-dimensional (3D) transient Computational Fluid Dynamics (CFD) modelling of a cold room to evaluate the air infiltration rate through hinged doors. A species transport model is used for modelling the tracer gas concentration decay technique. Numerical predictions indicate that air temperature difference between spaces affects the air infiltration. For this case study, the infiltration rate increases 0.016 m3 s-1 per K of air temperature difference. The knowledge about the evolution of air infiltration during door opening/closing times allows to draw some conclusions about its influence on the air conditions inside the cold room, as well as to suggest best practices and simple technical improvements that can minimize air infiltration, and consequently improve thermal performance and energy consumption rationalization.

Technology Solutions Case Study: Predicting Envelope Leakage in Attached Dwellings

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

None

2013-11-01

The most common method of measuring air leakage is to perform single (or solo) blower door pressurization and/or depressurization test. In detached housing, the single blower door test measures leakage to the outside. In attached housing, however, this “solo” test method measures both air leakage to the outside and air leakage between adjacent units through common surfaces. In an attempt to create a simplified tool for predicting leakage to the outside, Building America team Consortium for Advanced Residential Buildings (CARB) performed a preliminary statistical analysis on blower door test results from 112 attached dwelling units in four apartment complexes. Althoughmore » the subject data set is limited in size and variety, the preliminary analyses suggest significant predictors are present and support the development of a predictive model. Further data collection is underway to create a more robust prediction tool for use across different construction types, climate zones, and unit configurations.« less

First floor plan. (Also includes a door schedule and door ...

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

First floor plan. (Also includes a door schedule and door elevations). March Air Force Base, Riverside, California, Combat Operations Center, Combat Operations Building. By Moffatt and Nichol, Engineers, 122 West Fifth Street, Long Beach, California; for the Corps of Engineers, U.S. Army, Office of the District Engineer, Los Angeles, California. Drawing no. AW-60-02-03, sheet no. 12, approved March 1962; specifications no. OCI-62-66; D.O. series AW 1596/12, Rev. "C"; file drawer 1290. Last revised 25 August 1975. Scale one-eighth inch to one foot. 28.5x 41 inches. pencil on paper - March Air Force Base, Strategic Air Command, Combat Operations Center, 5220 Riverside Drive, Moreno Valley, Riverside County, CA

A randomised controlled trial to assess the effectiveness of a nurse-led palliative care intervention for HIV positive patients on antiretroviral therapy: recruitment, refusal, randomisation and missing data.

PubMed

Lowther, Keira; Higginson, Irene J; Simms, Victoria; Gikaara, Nancy; Ahmed, Aabid; Ali, Zipporah; Afuande, Gaudencia; Kariuki, Hellen; Sherr, Lorraine; Jenkins, Rachel; Selman, Lucy; Harding, Richard

2014-09-03

Despite the life threatening nature of an HIV diagnosis and the multidimensional problems experienced by this patient population during antiretroviral therapy, the effectiveness of a palliative care approach for HIV positive patients on ART is as yet unknown. A randomised controlled trial (RCT) was conducted in a sample of 120 HIV positive patients on ART in an urban clinic in Mombasa, Kenya. The intervention was a minimum of seven sessions of multidimensional, person-centred care, given by HIV nurses trained in the palliative care approach over a period of 5 months. Rates of recruitment and refusal, the effectiveness of the randomisation procedure, trial follow-up and attrition and extent of missing data are reported.120 patients (60 randomised to control arm, 60 randomised to intervention arm) were recruited over 5.5 months, with a refusal rate of 55.7%. During the study period, three participants died from cancer, three withdrew (two moved away and one withdrew due to time constraints). All of these patients were in the intervention arm: details are reported. There were five additional missing monthly interviews in both the control and intervention study arm, bringing the total of missing data to 26 data points (4.3%). The quality and implications of these data are discussed extensively and openly, including the effect of full and ethical consent procedures, respondent burden, HIV stigma, accurate randomisation, patient safety and the impact of the intervention. Data on recruitment randomisation, attrition and missing data in clinical trials should be routinely reported, in conjunction with the now established practice of publishing study protocols to enhance research integrity, transparency and quality. Transparency is especially important in cross cultural settings, in which the sources of funding and trial design are often not based in the country of data collection. Findings reported can be used to inform future RCTs in this area. Clinicaltrials.gov NCT01608802.

An optimised patient information sheet did not significantly increase recruitment or retention in a falls prevention study: an embedded randomised recruitment trial.

PubMed

Cockayne, Sarah; Fairhurst, Caroline; Adamson, Joy; Hewitt, Catherine; Hull, Robin; Hicks, Kate; Keenan, Anne-Maree; Lamb, Sarah E; Green, Lorraine; McIntosh, Caroline; Menz, Hylton B; Redmond, Anthony C; Rodgers, Sara; Torgerson, David J; Vernon, Wesley; Watson, Judith; Knapp, Peter; Rick, Jo; Bower, Peter; Eldridge, Sandra; Madurasinghe, Vichithranie W; Graffy, Jonathan

2017-03-28

Randomised controlled trials are generally regarded as the 'gold standard' experimental design to determine the effectiveness of an intervention. Unfortunately, many trials either fail to recruit sufficient numbers of participants, or recruitment takes longer than anticipated. The current embedded trial evaluates the effectiveness of optimised patient information sheets on recruitment of participants in a falls prevention trial. A three-arm, embedded randomised methodology trial was conducted within the National Institute for Health Research-funded REducing Falls with ORthoses and a Multifaceted podiatry intervention (REFORM) cohort randomised controlled trial. Routine National Health Service podiatry patients over the age of 65 were randomised to receive either the control patient information sheet (PIS) for the host trial or one of two optimised versions, a bespoke user-tested PIS or a template-developed PIS. The primary outcome was the proportion of patients in each group who went on to be randomised to the host trial. Six thousand and nine hundred patients were randomised 1:1:1 into the embedded trial. A total of 193 (2.8%) went on to be randomised into the main REFORM trial (control n = 62, template-developed n = 68; bespoke user-tested n = 63). Information sheet allocation did not improve recruitment to the trial (odds ratios for the three pairwise comparisons: template vs control 1.10 (95% CI 0.77-1.56, p = 0.60); user-tested vs control 1.01 (95% CI 0.71-1.45, p = 0.94); and user-tested vs template 0.92 (95% CI 0.65-1.31, p = 0.65)). This embedded methodology trial has demonstrated limited evidence as to the benefit of using optimised information materials on recruitment and retention rates in the REFORM study. International Standard Randomised Controlled Trials Number registry, ISRCTN68240461 . Registered on 01 July 2011.

Prostate cancer - evidence of exercise and nutrition trial (PrEvENT): study protocol for a randomised controlled feasibility trial.

PubMed

Hackshaw-McGeagh, Lucy; Lane, J Athene; Persad, Raj; Gillatt, David; Holly, Jeff M P; Koupparis, Anthony; Rowe, Edward; Johnston, Lyndsey; Cloete, Jenny; Shiridzinomwa, Constance; Abrams, Paul; Penfold, Chris M; Bahl, Amit; Oxley, Jon; Perks, Claire M; Martin, Richard

2016-03-07

A growing body of observational evidence suggests that nutritional and physical activity interventions are associated with beneficial outcomes for men with prostate cancer, including brisk walking, lycopene intake, increased fruit and vegetable intake and reduced dairy consumption. However, randomised controlled trial data are limited. The 'Prostate Cancer: Evidence of Exercise and Nutrition Trial' investigates the feasibility of recruiting and randomising men diagnosed with localised prostate cancer and eligible for radical prostatectomy to interventions that modify nutrition and physical activity. The primary outcomes are randomisation rates and adherence to the interventions at 6 months following randomisation. The secondary outcomes are intervention tolerability, trial retention, change in prostate specific antigen level, change in diet, change in general physical activity levels, insulin-like growth factor levels, and a range of related outcomes, including quality of life measures. The trial is factorial, randomising men to both a physical activity (brisk walking or control) and nutritional (lycopene supplementation or increased fruit and vegetables with reduced dairy consumption or control) intervention. The trial has two phases: men are enrolled into a cohort study prior to radical prostatectomy, and then consented after radical prostatectomy into a randomised controlled trial. Data are collected at four time points (cohort baseline, true trial baseline and 3 and 6 months post-randomisation). The Prostate Cancer: Evidence of Exercise and Nutrition Trial aims to determine whether men with localised prostate cancer who are scheduled for radical prostatectomy can be recruited into a cohort and subsequently randomised to a 6-month nutrition and physical activity intervention trial. If successful, this feasibility trial will inform a larger trial to investigate whether this population will gain clinical benefit from long-term nutritional and physical activity interventions post-surgery. Prostate Cancer: Evidence of Exercise and Nutrition Trial (PrEvENT) is registered on the ISRCTN registry, ref number ISRCTN99048944. Date of registration 17 November 2014.

Subgroup analyses in randomised controlled trials: cohort study on trial protocols and journal publications.

PubMed

Kasenda, Benjamin; Schandelmaier, Stefan; Sun, Xin; von Elm, Erik; You, John; Blümle, Anette; Tomonaga, Yuki; Saccilotto, Ramon; Amstutz, Alain; Bengough, Theresa; Meerpohl, Joerg J; Stegert, Mihaela; Olu, Kelechi K; Tikkinen, Kari A O; Neumann, Ignacio; Carrasco-Labra, Alonso; Faulhaber, Markus; Mulla, Sohail M; Mertz, Dominik; Akl, Elie A; Bassler, Dirk; Busse, Jason W; Ferreira-González, Ignacio; Lamontagne, Francois; Nordmann, Alain; Gloy, Viktoria; Raatz, Heike; Moja, Lorenzo; Rosenthal, Rachel; Ebrahim, Shanil; Vandvik, Per O; Johnston, Bradley C; Walter, Martin A; Burnand, Bernard; Schwenkglenks, Matthias; Hemkens, Lars G; Bucher, Heiner C; Guyatt, Gordon H; Briel, Matthias

2014-07-16

To investigate the planning of subgroup analyses in protocols of randomised controlled trials and the agreement with corresponding full journal publications. Cohort of protocols of randomised controlled trial and subsequent full journal publications. Six research ethics committees in Switzerland, Germany, and Canada. 894 protocols of randomised controlled trial involving patients approved by participating research ethics committees between 2000 and 2003 and 515 subsequent full journal publications. Of 894 protocols of randomised controlled trials, 252 (28.2%) included one or more planned subgroup analyses. Of those, 17 (6.7%) provided a clear hypothesis for at least one subgroup analysis, 10 (4.0%) anticipated the direction of a subgroup effect, and 87 (34.5%) planned a statistical test for interaction. Industry sponsored trials more often planned subgroup analyses compared with investigator sponsored trials (195/551 (35.4%) v 57/343 (16.6%), P<0.001). Of 515 identified journal publications, 246 (47.8%) reported at least one subgroup analysis. In 81 (32.9%) of the 246 publications reporting subgroup analyses, authors stated that subgroup analyses were prespecified, but this was not supported by 28 (34.6%) corresponding protocols. In 86 publications, authors claimed a subgroup effect, but only 36 (41.9%) corresponding protocols reported a planned subgroup analysis. Subgroup analyses are insufficiently described in the protocols of randomised controlled trials submitted to research ethics committees, and investigators rarely specify the anticipated direction of subgroup effects. More than one third of statements in publications of randomised controlled trials about subgroup prespecification had no documentation in the corresponding protocols. Definitive judgments regarding credibility of claimed subgroup effects are not possible without access to protocols and analysis plans of randomised controlled trials. © The DISCO study group 2014.

Comparative effectiveness of fourth-line anti-hypertensive agents in resistant hypertension: A systematic review and meta-analysis.

PubMed

Sinnott, Sarah-Jo; Tomlinson, Laurie A; Root, Adrian A; Mathur, Rohini; Mansfield, Kathryn E; Smeeth, Liam; Douglas, Ian J

2017-02-01

Aim We assessed the effectiveness of fourth-line mineralocorticoid receptor antagonists in comparison with other fourth-line anti-hypertensive agents in resistant hypertension. Methods and results We systematically searched Medline, EMBASE and the Cochrane library from database inception until January 2016. We included randomised and non-randomised studies that compared mineralocorticoid receptor antagonists with other fourth-line anti-hypertensive agents in patients with resistant hypertension. The outcome was change in systolic blood pressure, measured in the office, at home or by ambulatory blood pressure monitoring. Secondary outcomes were changes in serum potassium and occurrence of hyperkalaemia. We used random effects models and assessed statistical heterogeneity using the I 2 test and corresponding 95% confidence intervals. From 2,506 records, 5 studies met our inclusion criteria with 755 included patients. Two studies were randomised and three were non-randomised. Comparative fourth-line agents included bisoprolol, doxazosin, furosemide and additional blockade of the renin angiotensin-aldosterone system. Using data from randomised studies, mineralocorticoid receptor antagonists reduced blood pressure by 7.4 mmHg (95%CI 3.2 - 11.6) more than the active comparator. When limited to non-randomised studies, mineralocorticoid receptor antagonists reduced blood pressure by 11.9 mmHg (95% CI 9.3 - 14.4) more than the active comparator. Conclusion On the basis of this meta-analysis, mineralocorticoid receptor antagonists reduce blood pressure more effectively than other fourth-line agents in resistant hypertension. Effectiveness stratified by ethnicity and comorbidities, in addition to information on clinical outcomes such as myocardial infarction and stroke, now needs to be determined.

Landing Gear Door Liners for Airframe Noise Reduction

NASA Technical Reports Server (NTRS)

Jones, Michael G. (Inventor); Howerton, Brian M. (Inventor); Van De Ven, Thomas (Inventor)

2014-01-01

A landing gear door for retractable landing gear of aircraft includes an acoustic liner. The acoustic liner includes one or more internal cavities or chambers having one or more openings that inhibit the generation of sound at the surface and/or absorb sound generated during operation of the aircraft. The landing gear door may include a plurality of internal chambers having different geometries to thereby absorb broadband noise.

A&M. TAN633. Sections show view of hot cell caskentry doors, ...

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

A&M. TAN-633. Sections show view of hot cell cask-entry doors, manipulators in each cell, drainage trenches, door and room details. Ralph M. Parsons 1229-13-ANP/GE-3-633-A-2. Date: December 1956. Approved by INEEL Classification Office for public release. INNEL index code no. 034-0633-00-693-107316 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

The Analysis and Development of a Mechanical Breadboard Structure

DTIC Science & Technology

2006-12-01

a George Foreman© grill, a garage door opener, a smoothie blender, and a heavy duty stapler. The customer needs for each product and their...cordless drill, a smoothie blender, a small George Foreman© grill, a garage door opener, and heavy duty stapler. The cordless drill and smoothie ...individually. Table 6: Sample Products and Mechanical Areas Product George Foreman Grill Cordless Drill Garage Door Opener Smoothie Blender

18. BATHROOM INTERIOR SHOWING OPEN DOOR TO SOUTH BEDROOM AT ...

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

18. BATHROOM INTERIOR SHOWING OPEN DOOR TO SOUTH BEDROOM AT PHOTO CENTER, TOILET AT EXTREME PHOTO RIGHT BOTTOM, OPEN DOOR TO MEDICINE CABINET AT PHOTO RIGHT. A WALLPAPER WAINSCOT COVERS THE LOWER PORTION OF THE ORIGINAL FIBERBOARD WALL COVERING. THE FLOOR IS LINOLEUM. VIEW TO SOUTHEAST. - Big Creek Hydroelectric System, Big Creek Town, Operator House, Orchard Avenue south of Huntington Lake Road, Big Creek, Fresno County, CA

Desirability of Outcome Ranking (DOOR) and Response Adjusted for Duration of Antibiotic Risk (RADAR).

PubMed

Evans, Scott R; Rubin, Daniel; Follmann, Dean; Pennello, Gene; Huskins, W Charles; Powers, John H; Schoenfeld, David; Chuang-Stein, Christy; Cosgrove, Sara E; Fowler, Vance G; Lautenbach, Ebbing; Chambers, Henry F

2015-09-01

Clinical trials that compare strategies to optimize antibiotic use are of critical importance but are limited by competing risks that distort outcome interpretation, complexities of noninferiority trials, large sample sizes, and inadequate evaluation of benefits and harms at the patient level. The Antibacterial Resistance Leadership Group strives to overcome these challenges through innovative trial design. Response adjusted for duration of antibiotic risk (RADAR) is a novel methodology utilizing a superiority design and a 2-step process: (1) categorizing patients into an overall clinical outcome (based on benefits and harms), and (2) ranking patients with respect to a desirability of outcome ranking (DOOR). DOORs are constructed by assigning higher ranks to patients with (1) better overall clinical outcomes and (2) shorter durations of antibiotic use for similar overall clinical outcomes. DOOR distributions are compared between antibiotic use strategies. The probability that a randomly selected patient will have a better DOOR if assigned to the new strategy is estimated. DOOR/RADAR represents a new paradigm in assessing the risks and benefits of new strategies to optimize antibiotic use. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Lessons Learned Implementing DOORS in a Citrix Environment

NASA Technical Reports Server (NTRS)

Bussman, Marie

2005-01-01

NASA's James Web Space Telescope (JWST) Project is a large multi-national project with geographically dispersed contractors that all need access to the Projects requirement database. Initially, the project utilized multiple DOORS databases with the built-in partitions feature to exchange modules amongst the various contractor sites. As the requirements databases matured the use of partitions became extremely difficult. There have been many issues such as incompatible versions of DOORS, inefficient mechanism for sharing modules, security concerns, performance issues, and inconsistent document import and export formats. Deployment of the client software with limited IT resources available was also an issue. The solution chosen by JWST was to integrate the use of a Citrix environment with the DOORS database to address most of the project concerns. The use of the Citrix solution allowed a single Requirements database in a secure environment via a web interface. The Citrix environment allows JWST to upgrade to the most current version of DOORS without having to coordinate multiple sites and user upgrades. The single requirements database eliminates a multitude of Configuration Management concerns and facilitated the standardization of documentation formats. This paper discusses the obstacles and the lessons learned throughout the installation, implementation, usage and deployment process of a centralized DOORS database solution.

A Study of Platelet Inhibition, Using a 'Point of Care' Platelet Function Test, following Primary Percutaneous Coronary Intervention for ST-Elevation Myocardial Infarction [PINPOINT-PPCI].

PubMed

Johnson, Thomas W; Mumford, Andrew D; Scott, Lauren J; Mundell, Stuart; Butler, Mark; Strange, Julian W; Rogers, Chris A; Reeves, Barnaby C; Baumbach, Andreas

2015-01-01

Rapid coronary recanalization following ST-elevation myocardial infarction (STEMI) requires effective anti-platelet and anti-thrombotic therapies. This study tested the impact of door to end of procedure ('door-to-end') time and baseline platelet activity on platelet inhibition within 24hours post-STEMI. 108 patients, treated with prasugrel and procedural bivalirudin, underwent Multiplate® platelet function testing at baseline, 0, 1, 2 and 24hours post-procedure. Major adverse cardiac events (MACE), bleeding and stent thrombosis (ST) were recorded. Baseline ADP activity was high (88.3U [71.8-109.0]), procedural time and consequently bivalirudin infusion duration were short (median door-to-end time 55minutes [40-70] and infusion duration 30minutes [20-42]). Baseline ADP was observed to influence all subsequent measurements of ADP activity, whereas door-to-end time only influenced ADP immediately post-procedure. High residual platelet reactivity (HRPR ADP>46.8U) was observed in 75% of patients immediately post-procedure and persisted in 24% of patients at 2hours. Five patients suffered in-hospital MACE (4.6%). Acute ST occurred in 4 patients, all were <120mins post-procedure and had HRPR. No significant bleeding was observed. In a post-hoc analysis, pre-procedural morphine use was associated with significantly higher ADP activity following intervention. Baseline platelet function, time to STEMI treatment and opiate use all significantly influence immediate post-procedural platelet activity.

Solution for Direct Solar Impingement Problem on Landsat-7 ETM+ Cooler Door During Cooler Outgas in Flight

NASA Technical Reports Server (NTRS)

Choi, Michael K.

1999-01-01

There was a thermal anomaly of the Landsat-7 Enhanced Thematic Mapper Plus (ETM+) radiative cooler cold stage during the cooler outgas phase in flight. With the cooler door in the outgas position and the outgas heaters enabled, the cold stage temperature increased to a maximum of 323 K when the spacecraft was in the sunlight, which was warmer than the 316.3 K upper set point of the outgas heater controller on the cold stage. Also, the outgas heater cycled off when the cold stage was warming up to 323 K. A corrective action was taken before the attitude of the spacecraft was changed during the first week in flight. One orbit before the attitude was changed, the outgas heaters were disabled to cool off the cold stage. The cold stage temperature increase was strongly dependent on the spacecraft roll and yaw. It provided evidence that direct solar radiation entered the gap between the cooler door and cooler shroud. There was a concern that the direct solar radiation could cause polymerization of hydrocarbons, which could contaminate the cooler and lead to a thermal short. After outgas with the cooler door in the outgas position for seven days, the cooler door was changed to the fully open position. With the cooler door fully open, the maximum cold stage temperature was 316.3 K when the spacecraft was in the sunlight, and the duty cycle of the outgas heater in the eclipse was the same as that in the sunlight. It provided more evidence that direct solar radiation had entered the gap between the cooler door and cooler shroud. Cooler outgas continued for seven more days, with the cooler door fully open. The corrective actions had prevented overheating of the cold stage and cold focal plane array (CFPA), which could damage these two components. They also minimized the risk of contamination on the cold stage, which could lead to a thermal short.

Tuberculosis active case finding in Cambodia: a pragmatic, cost-effectiveness comparison of three implementation models.

PubMed

James, Richard; Khim, Keovathanak; Boudarene, Lydia; Yoong, Joanne; Phalla, Chea; Saint, Saly; Koeut, Pichenda; Mao, Tan Eang; Coker, Richard; Khan, Mishal Sameer

2017-08-22

Globally, almost 40% of tuberculosis (TB) patients remain undiagnosed, and those that are diagnosed often experience prolonged delays before initiating correct treatment, leading to ongoing transmission. While there is a push for active case finding (ACF) to improve early detection and treatment of TB, there is extremely limited evidence about the relative cost-effectiveness of different ACF implementation models. Cambodia presents a unique opportunity for addressing this gap in evidence as ACF has been implemented using different models, but no comparisons have been conducted. The objective of our study is to contribute to knowledge and methodology on comparing cost-effectiveness of alternative ACF implementation models from the health service perspective, using programmatic data, in order to inform national policy and practice. We retrospectively compared three distinct ACF implementation models - door to door symptom screening in urban slums, checking contacts of TB patients, and door to door symptom screening focusing on rural populations aged above 55 - in terms of the number of new bacteriologically-positive pulmonary TB cases diagnosed and the cost of implementation assuming activities are conducted by the national TB program of Cambodia. We calculated the cost per additional case detected using the alternative ACF models. Our analysis, which is the first of its kind for TB, revealed that the ACF model based on door to door screening in poor urban areas of Phnom Penh was the most cost-effective (249 USD per case detected, 737 cases diagnosed), followed by the model based on testing contacts of TB patients (308 USD per case detected, 807 cases diagnosed), and symptomatic screening of older rural populations (316 USD per case detected, 397 cases diagnosed). Our study provides new evidence on the relative effectiveness and economics of three implementation models for enhanced TB case finding, in line with calls for data from 'routine conditions' to be included in disease control program strategic planning. Such cost-effectiveness comparisons are essential to inform resource allocation decisions of national policy makers in resource constraint settings. We applied a novel, pragmatic methodological approach, which was designed to provide results that are directly relevant to policy makers, costing the interventions from Cambodia's national TB program's perspective and using case finding data from implementation activities, rather than experimental settings.

Reduced frequency and severity of residential fires following delivery of fire prevention education by on-duty fire fighters: cluster randomized controlled study.

PubMed

Clare, Joseph; Garis, Len; Plecas, Darryl; Jennings, Charles

2012-04-01

In 2008, Surrey Fire Services, British Columbia, commenced a firefighter-delivered, door-to-door fire-prevention education and smoke alarm examination/installation initiative with the intention of reducing the frequency and severity of residential structure fires in the City of Surrey. High-risk zones within the city were identified and 18,473 home visits were undertaken across seven temporal delivery cohorts (13.8% of non-apartment dwellings in the city). The frequency and severity of fires pre- and post- the home visit intervention was examined in comparison to randomized high-risk cluster controls. Overall, the frequency of fires was found to have reduced in the city overall, however, the reduction in the intervention cohorts was significantly larger than for controls. Furthermore, when fires did occur within the intervention cohorts, smoke detectors were activated more frequently and the fires were confined to the object of origin more often post-home visits. No equivalent pattern was observed for the cluster control. On-duty fire fighters can reduce the frequency and severity of residential fires through targeted, door-to-door distribution of fire prevention education in high-risk areas. Copyright © 2012 Elsevier Ltd. All rights reserved.

The REstart or STop Antithrombotics Randomised Trial (RESTART) after stroke due to intracerebral haemorrhage: study protocol for a randomised controlled trial.

PubMed

Al-Shahi Salman, Rustam; Dennis, Martin S; Murray, Gordon D; Innes, Karen; Drever, Jonathan; Dinsmore, Lynn; Williams, Carol; White, Philip M; Whiteley, William N; Sandercock, Peter A G; Sudlow, Cathie L M; Newby, David E; Sprigg, Nikola; Werring, David J

2018-03-05

For adults surviving stroke due to spontaneous (non-traumatic) intracerebral haemorrhage (ICH) who had taken an antithrombotic (i.e. anticoagulant or antiplatelet) drug for the prevention of vaso-occlusive disease before the ICH, it is unclear whether starting antiplatelet drugs results in an increase in the risk of recurrent ICH or a beneficial net reduction of all serious vascular events compared to avoiding antiplatelet drugs. The REstart or STop Antithrombotics Randomised Trial (RESTART) is an investigator-led, randomised, open, assessor-blind, parallel-group, randomised trial comparing starting versus avoiding antiplatelet drugs for adults surviving antithrombotic-associated ICH at 122 hospital sites in the United Kingdom. RESTART uses a central, web-based randomisation system using a minimisation algorithm, with 1:1 treatment allocation to which central research staff are masked. Central follow-up includes annual postal or telephone questionnaires to participants and their general (family) practitioners, with local provision of information about adverse events and outcome events. The primary outcome is recurrent symptomatic ICH. The secondary outcomes are: symptomatic haemorrhagic events; symptomatic vaso-occlusive events; symptomatic stroke of uncertain type; other fatal events; modified Rankin Scale score; adherence to antiplatelet drug(s). The magnetic resonance imaging (MRI) sub-study involves the conduct of brain MRI according to a standardised imaging protocol before randomisation to investigate heterogeneity of treatment effect according to the presence of brain microbleeds. Recruitment began on 22 May 2013. The target sample size is at least 720 participants in the main trial (at least 550 in the MRI sub-study). Final results of RESTART will be analysed and disseminated in 2019. ISRCTN71907627 ( www.isrctn.com/ISRCTN71907627 ). Prospectively registered on 25 April 2013.

Vitamin K for upper gastrointestinal bleeding in people with acute or chronic liver diseases.

PubMed

Martí-Carvajal, Arturo J; Solà, Ivan

2015-06-09

Upper gastrointestinal bleeding is one of the most frequent causes of morbidity and mortality in the course of liver cirrhosis. Several treatments are used for upper gastrointestinal bleeding in people with liver diseases. One of them is vitamin K administration, but it is not known whether it benefits or harms people with acute or chronic liver disease and upper gastrointestinal bleeding. This is an update of this Cochrane review. To assess the beneficial and harmful effects of vitamin K for people with acute or chronic liver disease and upper gastrointestinal bleeding. We searched The Cochrane Hepato-Biliary Controlled Trials Register (February 2015), the Cochrane Central Register of Controlled Trials (CENTRAL) (Issue 2 of 12, 2015), MEDLINE (Ovid SP) (1946 to February 2015), EMBASE (Ovid SP) (1974 to February 2015), Science Citation Index EXPANDED (1900 to February 2015), and LILACS (1982 to 25 February 2015). We sought additional randomised trials from two registries of clinical trials: the World Health Organization Clinical Trials Search Portal and the metaRegister of Controlled Trials. We looked through the reference lists of the retrieved publications and review articles. Randomised clinical trials irrespective of blinding, language, or publication status for assessment of benefits and harms. We considered observational studies for assessment of harms only. \\We aimed to summarise data from randomised clinical trials using Standard Cochrane methodology and assess them according to the GRADE approach. We found no randomised trials on vitamin K for upper gastrointestinal bleeding in people with liver diseases assessing benefits and harms of the intervention. We identified no quasi-randomised studies, historically controlled studies, or observational studies assessing harms. This updated review found no randomised clinical trials of vitamin K for upper gastrointestinal bleeding in people with liver diseases. The benefits and harms of vitamin K need to be tested in randomised clinical trials. Until randomised clinical trials are conducted to assess the trade-off between benefits and harms, we cannot recommend or refute the use of vitamin K for upper gastrointestinal bleeding in people with liver diseases.

Hemicraniectomy after middle cerebral artery infarction with life-threatening Edema trial (HAMLET). Protocol for a randomised controlled trial of decompressive surgery in space-occupying hemispheric infarction.

PubMed

Hofmeijer, Jeannette; Amelink, G Johan; Algra, Ale; van Gijn, Jan; Macleod, Malcolm R; Kappelle, L Jaap; van der Worp, H Bart

2006-09-11

Patients with a hemispheric infarct and massive space-occupying brain oedema have a poor prognosis. Despite maximal conservative treatment, the case fatality rate may be as high as 80%, and most survivors are left severely disabled. Non-randomised studies suggest that decompressive surgery reduces mortality substantially and improves functional outcome of survivors. This study is designed to compare the efficacy of decompressive surgery to improve functional outcome with that of conservative treatment in patients with space-occupying supratentorial infarction The study design is that of a multi-centre, randomised clinical trial, which will include 112 patients aged between 18 and 60 years with a large hemispheric infarct with space-occupying oedema that leads to a decrease in consciousness. Patients will be randomised to receive either decompressive surgery in combination with medical treatment or best medical treatment alone. Randomisation will be stratified for the intended mode of conservative treatment (intensive care or stroke unit care). The primary outcome measure will be functional outcome, as determined by the score on the modified Rankin Scale, at one year.

27. WEST FRONT OF NORTH WING OF TECHWOOD DORMITORY, SHOWING ...

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

27. WEST FRONT OF NORTH WING OF TECHWOOD DORMITORY, SHOWING MAIN ENTRANCE INTO NORTH WING. ORIGINAL DOUBLE DOORS HAVE BEEN REPLACED BY A SINGLE, WIDER DOOR. DOOR IS RECESSED AND HAS AN ELABORATE SURROUND LIKE THAT OF THE MAIN ENTRANCE (WEST FRONT) INTO THE SOUTH WING. THE 'TECHWOOD' LETTERING OVER THE DOORWAY IS UNIQUE TO THIS ENTRANCE OF THE DORMITORY. - Techwood Homes, McDaniel Dormitory, 581-587 Techwood Drive, Atlanta, Fulton County, GA

30 CFR 57.22205 - Doors on main fans (I-A, II-A, III, and V-A mines).

Code of Federal Regulations, 2010 CFR

2010-07-01

... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Doors on main fans (I-A, II-A, III, and V-A... main fans (I-A, II-A, III, and V-A mines). In mines ventilated by multiple main fans, each main fan... reversal through the fan. The doors shall be located so that they are not in direct line with explosive...

Conference room 211, adjacent to commander's quarters, with vault door ...

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

Conference room 211, adjacent to commander's quarters, with vault door at right. Projection area at center is equipped with automatic security drapes. Projection room uses a 45 degree mirror to reflect the image onto the frosted glass screen. Door on far left leads to display area senior battle staff viewing bridge, and the commander's quarters - March Air Force Base, Strategic Air Command, Combat Operations Center, 5220 Riverside Drive, Moreno Valley, Riverside County, CA

ETR BUILDING, TRA642, INTERIOR. BASEMENT. CAMERA FACES SOUTH AND LOOKS ...

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

ETR BUILDING, TRA-642, INTERIOR. BASEMENT. CAMERA FACES SOUTH AND LOOKS AT DOOR TO M-3 CUBICLE. CUBICLE WALLS ARE MADE OF LEAD SHIELDING BRICKS. VALVE HANDLES AND STEMS PERTAIN TO SAMPLING. METAL SHIELDING DOOR. NOTE GLOVE BOX TO RIGHT OF CUBICLE DOOR. INL NEGATIVE NO. HD-46-21-3. Mike Crane, Photographer, 2/2005 - Idaho National Engineering Laboratory, Test Reactor Area, Materials & Engineering Test Reactors, Scoville, Butte County, ID

The effectiveness and cost-effectiveness of a mindfulness training programme in schools compared with normal school provision (MYRIAD): study protocol for a randomised controlled trial.

PubMed

Kuyken, Willem; Nuthall, Elizabeth; Byford, Sarah; Crane, Catherine; Dalgleish, Tim; Ford, Tamsin; Greenberg, Mark T; Ukoumunne, Obioha C; Viner, Russell M; Williams, J Mark G

2017-04-26

Mindfulness-based approaches for adults are effective at enhancing mental health, but few controlled trials have evaluated their effectiveness or cost-effectiveness for young people. The primary aim of this trial is to evaluate the effectiveness and cost-effectiveness of a mindfulness training (MT) programme to enhance mental health, wellbeing and social-emotional behavioural functioning in adolescence. To address this aim, the design will be a superiority, cluster randomised controlled, parallel-group trial in which schools offering social and emotional provision in line with good practice (Formby et al., Personal, Social, Health and Economic (PSHE) Education: A mapping study of the prevalent models of delivery and their effectiveness, 2010; OFSTED, Not Yet Good Enough: Personal, Social, Health and Economic Education in schools, 2013) will be randomised to either continue this provision (control) or include MT in this provision (intervention). The study will recruit and randomise 76 schools (clusters) and 5700 school students aged 12 to 14 years, followed up for 2 years. The study will contribute to establishing if MT is an effective and cost-effective approach to promoting mental health in adolescence. International Standard Randomised Controlled Trials, identifier: ISRCTN86619085 . Registered on 3 June 2016.

28 CFR 36.304 - Removal of barriers.

Code of Federal Regulations, 2014 CFR

2014-07-01

..., providing Brailled and raised character signage, widening doors, providing visual alarms, and installing... doors, installation of ramps, providing accessible signage, widening of toilet stalls, and installation...

28 CFR 36.304 - Removal of barriers.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., providing Brailled and raised character signage, widening doors, providing visual alarms, and installing... doors, installation of ramps, providing accessible signage, widening of toilet stalls, and installation...

28 CFR 36.304 - Removal of barriers.

Code of Federal Regulations, 2013 CFR

2013-07-01

..., providing Brailled and raised character signage, widening doors, providing visual alarms, and installing... doors, installation of ramps, providing accessible signage, widening of toilet stalls, and installation...

28 CFR 36.304 - Removal of barriers.

Code of Federal Regulations, 2012 CFR

2012-07-01

..., providing Brailled and raised character signage, widening doors, providing visual alarms, and installing... doors, installation of ramps, providing accessible signage, widening of toilet stalls, and installation...

28 CFR 36.304 - Removal of barriers.

Code of Federal Regulations, 2011 CFR

2011-07-01

..., providing Brailled and raised character signage, widening doors, providing visual alarms, and installing... doors, installation of ramps, providing accessible signage, widening of toilet stalls, and installation...

Foot orthoses in the treatment of symptomatic midfoot osteoarthritis using clinical and biomechanical outcomes: a randomised feasibility study.

PubMed

Halstead, Jill; Chapman, Graham J; Gray, Janine C; Grainger, Andrew J; Brown, Sarah; Wilkins, Richard A; Roddy, Edward; Helliwell, Philip S; Keenan, Anne-Maree; Redmond, Anthony C

2016-04-01

This randomised feasibility study aimed to examine the clinical and biomechanical effects of functional foot orthoses (FFOs) in the treatment of midfoot osteoarthritis (OA) and the feasibility of conducting a full randomised controlled trial. Participants with painful, radiographically confirmed midfoot OA were recruited and randomised to receive either FFOs or a sham control orthosis. Feasibility measures included recruitment and attrition rates, practicality of blinding and adherence rates. Clinical outcome measures were: change from baseline to 12 weeks for severity of pain (numerical rating scale), foot function (Manchester Foot Pain and Disability Index) and patient global impression of change scale. To investigate the biomechanical effect of foot orthoses, in-shoe foot kinematics and plantar pressures were evaluated at 12 weeks. Of the 119 participants screened, 37 were randomised and 33 completed the study (FFO = 18, sham = 15). Compliance with foot orthoses and blinding of the intervention was achieved in three quarters of the group. Both groups reported improvements in pain, function and global impression of change; the FFO group reporting greater improvements compared to the sham group. The biomechanical outcomes indicated the FFO group inverted the hindfoot and increased midfoot maximum plantar force compared to the sham group. The present findings suggest FFOs worn over 12 weeks may provide detectable clinical and biomechanical benefits compared to sham orthoses. This feasibility study provides useful clinical, biomechanical and statistical information for the design and implementation of a definitive randomised controlled trial to evaluate the effectiveness of FFOs in treating painful midfoot OA.

Custom Residential Housing Construction: A Case Study

DTIC Science & Technology

1994-01-01

Medicine Cabinets Allowance: 0 Vacuum System: Shower Door Allowance: Mailbox Allowance: Grab Ban Allowa a__: Skylights Allowance: Wet Bar Allowance: Bar-B...20030 IRONING BOARD 20040 SKYLIGHTS 20050 SHOWER DOORS/ITUB 21000 SECURITY SYSTEM 21010 PREWIREfTELF/CABLE 21020 INTERCOM 22000 CABINETS/VANITIES 44 JS...25FEB94 24FEB94 25FEB94 0 570 1 1 0 A/C PONS 23FEB94 28FE994 28FEB94 28FEB94 0 54 UUMm. WILOMS. In. PREWVUA PROJEC P1.411U TYPICAL MOMi CPM 41 DUll

Obtaining real-world evidence: the Salford Lung Study

PubMed Central

New, John P; Bakerly, Nawar Diar; Leather, David; Woodcock, Ashley

2014-01-01

We need to assess clinical treatments in real-life settings outside of randomised controlled trials (RCTs). Pragmatic RCT (pRCT) data can supplement RCTs by providing effectiveness information to support healthcare decisions. Electronic health records can facilitate concurrent safety monitoring and data collection without direct patient contact for large randomised study populations in pRCTs. The Salford Lung Study is the world's first phase III pRCT in asthma and chronic obstructive pulmonary disease (COPD), which aims to randomise over 7000 patients. This paper describes the hurdles overcome and the enormous effort and resource required to establish this comparative effectiveness study of a prelicence intervention. GlaxoSmithKline protocol HZC115151 Asthma study clinicaltrials.gov registration NCT01706198 COPD study clinicaltrials.gov registration NCT01551758 PMID:24603195