KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE erect a ladder to reach the top of the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE erect a ladder to reach the top of the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE remove a portion of a transportation canister from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE remove a portion of a transportation canister from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE remove sections of the transportation canister from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE remove sections of the transportation canister from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE prepare to remove the canister from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE prepare to remove the canister from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

KENNEDY SPACE CENTER, FLA. - In the NASA Spacecraft Hangar AE, the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad, is uncovered by workers following its arrival. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - In the NASA Spacecraft Hangar AE, the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad, is uncovered by workers following its arrival. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE lift the protective cover from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE lift the protective cover from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE remove the protective cover from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE remove the protective cover from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

Quantitative Investigation of Room-Temperature Breakdown Effects in Pixelated TlBr Detectors

NASA Astrophysics Data System (ADS)

Koehler, Will; He, Zhong; Thrall, Crystal; O'Neal, Sean; Kim, Hadong; Cirignano, Leonard; Shah, Kanai

2014-10-01

Due to favorable material properties such as high atomic number (Tl: 81, Br: 35), high density ( 7.56 g/cm3), and a wide band gap (2.68 eV), thallium-bromide (TlBr) is currently under investigation for use as an alternative room-temperature semiconductor gamma-ray spectrometer. TlBr detectors can achieve less than 1% FWHM energy resolution at 662 keV, but these results are limited to stable operation at - 20°C. After days to months of room-temperature operation, ionic conduction causes these devices to fail. This work correlates the varying leakage current with alpha-particle and gamma-ray spectroscopic performances at various operating temperatures. Depth-dependent photopeak centroids exhibit time-dependent transient behavior, which indicates trapping sites form near the anode surface during room-temperature operation. After refabrication, similar performance and functionality of failed detectors returned.

76 FR 51053 - Notice of Public Meetings, Twin Falls District Resource Advisory Council, Idaho

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-17

... afternoon, the RAC will return to the Burley Fire Conference room to discuss Wilderness and Wild and Scenic... Fire Conference Room, located at 3630 Overland Ave., Burley, Idaho 83318. The meeting will begin at 8...

Episodic foresight beyond the very next event in 3- and 4-year-old children.

PubMed

Boden, Hannah; Labuschagne, Lisa G; Hinten, Ashley E; Scarf, Damian

2017-11-01

Testing episodic foresight in children generally involves presenting them with a problem in one location (e.g., Room A) and, after a spending a delay in a different location, telling them they will be returning to Room A. Before they go, children are presented with a number of items, one of which will allow them to solve the problem in Room A. At around 3 to 4 years of age children display episodic foresight, selecting the item that will allow them to solve the problem. To date, however, no study has assessed whether 3- and 4-year-old children can plan beyond the very next event, selecting the correct item when there is a delay before returning to Room A. Here, we show that 3- and 4-year-old children can pass when a delay is imposed but that their performance is significantly worse than when they are planning for an immediate event. © 2017 Wiley Periodicals, Inc.

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is lowered to the ground and taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is lowered to the ground and taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is on a transporter to be taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is on a transporter to be taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is lowered onto a transporter to be taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is lowered onto a transporter to be taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE prepare to begin further processing of the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. Sections of the transportation canister used in the move are in the foreground. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE prepare to begin further processing of the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. Sections of the transportation canister used in the move are in the foreground. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

Employee perception of breastfeeding-friendly support and benefits of breastfeeding as a predictor of intention to use breast-pumping breaks after returning to work among employed mothers.

PubMed

Tsai, Su-Ying

2014-01-01

Although increasing numbers of large companies are complying with demands for a breastfeeding-friendly workplace by providing lactation rooms and breast-pumping breaks, the effectiveness for intention to use breast-pumping breaks to express breast milk among employed mothers is uncertain. To explore the impact of employees' perceived breastfeeding support from the workplace and the benefits of breastfeeding on a woman's intention to use breast-pumping breaks after returning to work, we conducted a survey at a female labor-intensive electronics manufacturer in Taiwan. A structured questionnaire survey was administered to 715 working mothers employed in an electronics manufacturing plant in Tainan Science Park in Southern Taiwan. Questionnaire content included female employee demographics, employment characteristics, and breastfeeding behavior after returning to work, as well as employees' perception of breastfeeding-friendly support and awareness of the benefits of breastfeeding when raising their most recently born child. Higher education (odds ratio [OR] 2.33), non-clean room worksite (OR 1.51), awareness of breast-pumping breaks (OR 4.70), encouragement by colleagues to use breast-pumping breaks (OR 1.76), and greater awareness of the benefits of breastfeeding (OR 1.08) were significant predictors of the use of breast-pumping breaks after returning to work, whereas the perception of inefficiency when using breast-pumping breaks reduced an employed mother's intention to use breast-pumping breaks (OR 0.55). This study finds an association between an appreciation of the benefits provided by the employer and the likelihood of increased usage of breastfeeding breaks. Workplaces and employers can help employed mothers to understand the benefits of breastfeeding, which may increase the intention of the mother to take breast-pumping breaks after returning to work.

Object Permanence After a 24-Hr Delay and Leaving the Locale of Disappearance: The Role of Memory, Space, and Identity

PubMed Central

Moore, M. Keith; Meltzoff, Andrew N.

2005-01-01

Fourteen-month-old infants saw an object hidden inside a container and were removed from the disappearance locale for 24 hr. Upon their return, they searched correctly for the hidden object, demonstrating object permanence and long-term memory. Control infants who saw no disappearance did not search. In Experiment 2, infants returned to see the container either in the same or a different room. Performance by room-change infants dropped to baseline levels, suggesting that infant search for hidden objects is guided by numerical identity. Infants seek the individual object that disappeared, which exists in its original location, not in a different room. A new behavior, identity-verifying search, was discovered and quantified. Implications are drawn for memory, spatial understanding, object permanence, and object identity. PMID:15238047

Object permanence after a 24-hr delay and leaving the locale of disappearance: the role of memory, space, and identity.

PubMed

Moore, M Keith; Meltzoff, Andrew N

2004-07-01

Fourteen-month-old infants saw an object hidden inside a container and were removed from the disappearance locale for 24 hr. Upon their return, they searched correctly for the hidden object, demonstrating object permanence and long-term memory. Control infants who saw no disappearance did not search. In Experiment 2, infants returned to see the container either in the same or a different room. Performance by room-change infants dropped to baseline levels, suggesting that infant search for hidden objects is guided by numerical identity. Infants seek the individual object that disappeared, which exists in its original location, not in a different room. A new behavior, identity-verifying search, was discovered and quantified. Implications are drawn for memory, spatial understanding, object permanence, and object identity. Copyright 2004 APA, all rights reserved

Improving the safety of room air pneumoperitoneum for diagnostic laparoscopy.

PubMed

Ikechebelu, J I; Okeke, C A F

2008-06-01

Laparoscopic examination is a useful investigation in the evaluation of infertile women. To perform this test, pneumoperitoneum is required to distend the abdomen, improve visibility and displace the intestines out of the pelvis. Several gases have been used to achieve this purpose including Nitrous Oxide (N2O), Carbondioxide (CO2), Helium, Xenon andAir. This was a prospective study in a private fertility centre in Nnewi, Nigeria aimed at reducing the morbidities inherent in the use Room Air pneumoperitoneum for diagnostic laparoscopy. This was sequel to an earlier study, which revealed that women who had Room Air pneumoperitoneum had a higher port wound infection rate, abdominal discomfort (feeling of retained gas in the abdomen) and shoulder pain with resultant delayed return to normal activity than women who had Co2 pneumoperitoneum. This study demonstrated that the use of soda lime to purify the Room Air and a low pressure suction pump to evacuate the air after the procedure significantly reduced the wound infection rate and virtually eliminated the abdominal discomfort and shoulder pain associated with Room Air pneumoperitoneum. This was followed by early return to normal activity. Therefore, use of Room Air for pneumoperitoneum is safe and affordable. It is recommended for low resource settings.

Influence of partner support on an employed mother's intention to breastfeed after returning to work.

PubMed

Tsai, Su-Ying

2014-05-01

Despite the increasing number of large companies complying with the demands for a breastfeeding-friendly workplace, providing on-site lactation support, some mothers still find continuing to breastfeed a challenge. We postulated that greater support and encouragement from the partner would be independently predictive of whether the mother would take advantage of workplace milk expression breaks and lactation rooms and continue to breastfeed after returning to work. To evaluate this hypothesis, we conducted a survey at a female labor-intensive electronics manufacturer in Taiwan. Six hundred eight working mothers in an electronics manufacturing plant in Tainan Science Park in Southern Taiwan who had access to dedicated lactation rooms at the workplace were interviewed. Questionnaire content included female employee demographics, employment characteristics, partner-related characteristics, and breastfeeding behavior after returning to work following the birth of their most recently born child. The partner's initial support of the choice to breastfeed and encouragement to use the lactation room and milk expression breaks and the mother's perception of the partner's support for baby care were significant predictors of the intention to continue to breastfeed after returning to work, after adjusting for the employed mother's demographics and employment characteristics, supporting our hypothesis. These findings suggest that antenatal education or activities provided by the workplace should include the partner, which may improve workplace breastfeeding rates.

Influence of Partner Support on an Employed Mother's Intention to Breastfeed After Returning to Work

PubMed Central

2014-01-01

Abstract Background: Despite the increasing number of large companies complying with the demands for a breastfeeding-friendly workplace, providing on-site lactation support, some mothers still find continuing to breastfeed a challenge. We postulated that greater support and encouragement from the partner would be independently predictive of whether the mother would take advantage of workplace milk expression breaks and lactation rooms and continue to breastfeed after returning to work. To evaluate this hypothesis, we conducted a survey at a female labor-intensive electronics manufacturer in Taiwan. Subjects and Methods: Six hundred eight working mothers in an electronics manufacturing plant in Tainan Science Park in Southern Taiwan who had access to dedicated lactation rooms at the workplace were interviewed. Questionnaire content included female employee demographics, employment characteristics, partner-related characteristics, and breastfeeding behavior after returning to work following the birth of their most recently born child. Results: The partner's initial support of the choice to breastfeed and encouragement to use the lactation room and milk expression breaks and the mother's perception of the partner's support for baby care were significant predictors of the intention to continue to breastfeed after returning to work, after adjusting for the employed mother's demographics and employment characteristics, supporting our hypothesis. Conclusions: These findings suggest that antenatal education or activities provided by the workplace should include the partner, which may improve workplace breastfeeding rates. PMID:24650363

75 FR 53020 - Proposed Collection: Comment Request for Regulation Project

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-30

... record for the tax imposed on the entry of taxable fuel into the U.S. and revises definition of ``enterer.... ADDRESSES: Direct all written comments to Gerald Shields, Internal Revenue Service, Room 6129, 1111... the administration of any internal revenue law. Generally, tax returns and tax return information are...

The impact of electrocautery method on post-operative bleeding complications after non-newborn circumcision and revision circumcision.

PubMed

Harty, Niall J; Nelson, Caleb P; Cendron, Marc; Turner, Shaunna; Borer, Joseph G

2013-10-01

We evaluated post-operative bleeding complications in non-newborns following use of monopolar versus bipolar electrocautery for circumcision or revision circumcision. We retrospectively reviewed sequentially performed cases of circumcision and revision circumcision performed by nine pediatric urologists at our institution from 2005 to 2010. In order to incorporate both the monopolar and bipolar electrocautery experience for a single surgeon employing bipolar technique, sequential cases from 2002 to 2010 were reviewed. Variables assessed included age, procedure, method of electrocautery, skin approximation and dressing, and bleeding complications. 1810 patients that underwent either circumcision or revision circumcision were reviewed. Complete data was available for 1617 patients. Age at operation was a mean 3.7 ± 4.9 yrs and median 1.5 yrs. Return for bleeding complication for all surgeons, was 2/336 (0.6%) for bipolar and 28/1281 (2.2%) for monopolar (p = 0.0545). For the single surgeon using bipolar technique, returns were 2/336 (0.6%) for bipolar and 5/309 (1.6%) for monopolar (p = 0.2133). Returns per procedure type were 1/200 (0.5%) bipolar and 24/844 (2.8%) monopolar for primary circumcision (p = 0.0513), and 1/136 (0.7%) bipolar and 4/437 (0.9%) monopolar (p = 0.84) for revision. Four of 1617 (0.2%) patients returned to the operating room [4/1281 (0.3%) monopolar (p = 0.31)]. There was no difference in return to the operating room for circumcision versus revision. Return for bleeding complications after circumcision and revision circumcision occurred more frequently after monopolar electrocautery compared to bipolar. However, there was no significant difference between the two electrocautery methods. Either form of electrocautery appears to be effective for this common pediatric urologic procedure. Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is ready to be lowered to the ground and taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is ready to be lowered to the ground and taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is being dismantled from atop the Delta II rocket. It will be taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is being dismantled from atop the Delta II rocket. It will be taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

KENNEDY SPACE CENTER, FLA. - Workers on Launch Complex 17-B, Cape Canaveral Air Force Station, start dismantling the Space Infrared Telescope Facility (SIRTF) observatory from atop the Delta II rocket. It will be taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers on Launch Complex 17-B, Cape Canaveral Air Force Station, start dismantling the Space Infrared Telescope Facility (SIRTF) observatory from atop the Delta II rocket. It will be taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

36 CFR 1254.34 - What are my responsibilities when using documents?

Code of Federal Regulations, 2010 CFR

2010-07-01

... RECORDS ADMINISTRATION PUBLIC AVAILABILITY AND USE USING RECORDS AND DONATED HISTORICAL MATERIALS Research... delivered to you until you return them. Specific handling instructions are given in §§ 1254.36 and 1254.38. (c) When you finish using the documents, you must return them to the research room attendant. (d) You...

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE (background) remove sections of the transportation canister from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. Additional workers (foreground) prepare the Delta payload attach fitting, from which SIRTF was demated, for further use. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - Workers in NASA Spacecraft Hangar AE (background) remove sections of the transportation canister from around the Space Infrared Telescope Facility (SIRTF), which has been returned to the hangar from the launch pad. Additional workers (foreground) prepare the Delta payload attach fitting, from which SIRTF was demated, for further use. SIRTF will remain in the clean room until it returns to the pad in early August. One of NASA's largest infrared telescopes to be launched, SIRTF will obtain images and spectra by detecting the infrared energy, or heat, radiated by objects in space.

Impact of a breastfeeding-friendly workplace on an employed mother's intention to continue breastfeeding after returning to work.

PubMed

Tsai, Su-Ying

2013-04-01

Ever-increasing populations of women in their childbearing years are choosing to become employed. Breastfeeding provides unique health advantages to both the infant and mother. A breastfeeding-friendly workplace might be an important factor for predicting breastfeeding rates among working women. To explore the impact of breastfeeding-friendly support on the intention of working mothers to continue breastfeeding, we conducted a survey at a female labor-intensive electronics manufacturer in Taiwan. A structured questionnaire survey was administered to 715 working mothers employed in an electronics manufacturing plant in Tainan Science Park in Southern Taiwan. Questionnaire content included female employee demographics, employment characteristics, continued breastfeeding behavior after returning to work, access to lactation rooms, and employee perception of the breastfeeding policy and support when raising their most recently born child. A higher education level (odds ratio [OR]=2.66), lower work load (8 work hours/day) (OR=2.66), lactation room with dedicated space (OR=2.38), use of breast pumping breaks (OR=61.6), and encouragement from colleagues (OR=2.78) and supervisors (OR=2.44) to use breast pumping breaks were significant predictors of continued breastfeeding for more than 6 months after returning to work. The findings of the present study suggest that to encourage and increase the rate of continued breastfeeding, workplaces should establish dedicated breastfeeding rooms and maintain a comfortable and clean environment. Furthermore, employers should provide encouragement and support for working mothers to continue breastfeeding after returning to work.

The use of bipolar technology in hysteroscopy.

PubMed

Calabrese, Stefania; DE Alberti, Davide; Garuti, Giancarlo

2016-04-01

Bipolar technology was introduced in the hysteroscopic clinical use in 1999, by the design of both loop electrodes addressed to resectoscopic surgery and miniaturized electrodes adaptable to small-size hysteroscopes. The need of an electrolytic solution as distension medium and the spatial relationships between the active and return bipolar electrode avoid, by definition, the risks of severe electrolyte imbalance syndromes and unpredictable electrical burns, sometimes complicating monopolar surgery. The true revolution in the hysteroscopy care has achieved through the availability of mini-hysteroscopes not requiring cervical dilatation, thus limiting uterine wall damages and allowing surgeons to manage several endometrial pathologies by mini-invasive procedures using an effective electrosurgical bipolar instrumentation. Many surgical interventions, traditionally accomplished by the resectoscope in a surgical room theatre, can be now carried out in an outpatient setting without any support from anesthesia. The patients' avoidance of surgical room access and the quick return to daily activities lead to an obvious - but not fully demonstrated - improvement in the medical and social costs associated to outpatient operative hysteroscopy. In the field of resectoscopy, bipolar electrodes are clinically as effective as monopolar devices. Randomized trials showed that bipolar resectoscopic technology prevents the electrolyte imbalance observed after monopolar surgery. However, in daily clinical practice the assumedly safer profile of bipolar with respect to monopolar resectoscopy has not been demonstrated yet.

Dynamic Acquisition and Retrieval Tool (DART) for Comet Sample Return : Session: 2.06.Robotic Mobility and Sample Acquisition Systems

NASA Technical Reports Server (NTRS)

Badescu, Mircea; Bonitz, Robert; Kulczycki, Erick; Aisen, Norman; Dandino, Charles M.; Cantrell, Brett S.; Gallagher, William; Shevin, Jesse; Ganino, Anthony; Haddad, Nicolas;

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is moved toward the outside of the launch tower. It will be lowered and taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

NASA Image and Video Library

2003-05-02

KENNEDY SPACE CENTER, FLA. - On Launch Complex 17-B, Cape Canaveral Air Force Station, the Space Infrared Telescope Facility (SIRTF) observatory is moved toward the outside of the launch tower. It will be lowered and taken back to NASA Spacecraft Hangar AE. SIRTF will remain in the clean room at Hangar AE until it returns to the pad in early August.

Differential responses of individuals with late-stage dementia to two novel environments: a multimedia room and an interior garden.

PubMed

Goto, Seiko; Kamal, Naveed; Puzio, Helene; Kobylarz, Fred; Herrup, Karl

2014-01-01

The purpose of this study was to determine the responses of individuals with advanced dementia to two novel sensory environments in a nursing home facility. The first was a multisensory Snoezelen room; the second was a temporary Japanese garden. Subjects viewed each environment twice a week for 15 minutes during the study. Stress was measured using heart rate and informant-based behavioral changes. By these criteria, the garden-viewing group showed positive behavioral changes while the responses of the subjects in the Snoezelen group were more negative. The response of the subjects' pulse rate was most dramatic. During the 15 minutes in the garden, the average rate (all subjects/all visits) was significantly less than in their residential room. In the Snoezelen room, we detected little or no change. The impact of the garden could also be seen in the negative behavioral signs elicited upon returning the subjects to the garden room after the installation had been replaced with plants and furniture arranged with no formal design. We propose that exposure to a small interior Japanese garden could be an effective intervention for individuals suffering from late stage Alzheimer's disease.

STS-95 Mission Specialist Steve Robinson in white room

NASA Technical Reports Server (NTRS)

1998-01-01

In the environmental chamber known as the white room, STS-95 Mission Specialist Stephen K. Robinson is prepared by white room crew members (left) Danny Wyatt and Dave Law (right) for entry into the Space Shuttle Discovery for his second flight into space. The STS-95 mission, targeted for launch at 2 p.m. EST on Oct. 29, is expected to last 8 days, 21 hours and 49 minutes, and return to KSC at 11:49 a.m. EST on Nov. 7.

Sample Curation at a Lunar Outpost

NASA Technical Reports Server (NTRS)

Allen, Carlton C.; Lofgren, Gary E.; Treiman, A. H.; Lindstrom, Marilyn L.

2007-01-01

The six Apollo surface missions returned 2,196 individual rock and soil samples, with a total mass of 381.6 kg. Samples were collected based on visual examination by the astronauts and consultation with geologists in the science back room in Houston. The samples were photographed during collection, packaged in uniquely-identified containers, and transported to the Lunar Module. All samples collected on the Moon were returned to Earth. NASA's upcoming return to the Moon will be different. Astronauts will have extended stays at an out-post and will collect more samples than they will return. They will need curation and analysis facilities on the Moon in order to carefully select samples for return to Earth.

Employee Perception of Breastfeeding-Friendly Support and Benefits of Breastfeeding as a Predictor of Intention to Use Breast-Pumping Breaks After Returning to Work Among Employed Mothers

PubMed Central

2014-01-01

Abstract Background: Although increasing numbers of large companies are complying with demands for a breastfeeding-friendly workplace by providing lactation rooms and breast-pumping breaks, the effectiveness for intention to use breast-pumping breaks to express breast milk among employed mothers is uncertain. To explore the impact of employees' perceived breastfeeding support from the workplace and the benefits of breastfeeding on a woman's intention to use breast-pumping breaks after returning to work, we conducted a survey at a female labor-intensive electronics manufacturer in Taiwan. Subjects and Methods: A structured questionnaire survey was administered to 715 working mothers employed in an electronics manufacturing plant in Tainan Science Park in Southern Taiwan. Questionnaire content included female employee demographics, employment characteristics, and breastfeeding behavior after returning to work, as well as employees' perception of breastfeeding-friendly support and awareness of the benefits of breastfeeding when raising their most recently born child. Results: Higher education (odds ratio [OR] 2.33), non–clean room worksite (OR 1.51), awareness of breast-pumping breaks (OR 4.70), encouragement by colleagues to use breast-pumping breaks (OR 1.76), and greater awareness of the benefits of breastfeeding (OR 1.08) were significant predictors of the use of breast-pumping breaks after returning to work, whereas the perception of inefficiency when using breast-pumping breaks reduced an employed mother's intention to use breast-pumping breaks (OR 0.55). Conclusions: This study finds an association between an appreciation of the benefits provided by the employer and the likelihood of increased usage of breastfeeding breaks. Workplaces and employers can help employed mothers to understand the benefits of breastfeeding, which may increase the intention of the mother to take breast-pumping breaks after returning to work. PMID:24304034

Knowledge of Deaths in Hotel Rooms Diminishes Perceived Value and Elicits Guest Aversion.

PubMed

Bering, Jesse M; Curtin, Emma R; Jong, Jonathan

2017-01-01

Guest deaths are an inevitable aspect of the hospitality industry. In Study 1, participants read a vignette in which the previous guest died of natural causes, suicide, or homicide. Those who learned of a death (a) saw the room as less valuable, (b) opted to stay in a more basic room in which no death occurred, despite both rooms being offered for free, and (c) anticipated feeling uneasy when imagining an overnight stay. In Study 2, we investigated the persistence of this bias. Perceived room value and anticipatory well-being can be expected to return to baseline levels only many years after the death event. Similar to "stigmatized properties" in real estate, these data confirm an irrational and recalcitrant cognitive bias surrounding consumers' views of death-affected hotel rooms.

Societal costs in displaced transverse olecranon fractures: using decision analysis tools to find the most cost-effective strategy between tension band wiring and locked plating.

PubMed

Francis, Tittu; Washington, Travis; Srivastava, Karan; Moutzouros, Vasilios; Makhni, Eric C; Hakeos, William

2017-11-01

Tension band wiring (TBW) and locked plating are common treatment options for Mayo IIA olecranon fractures. Clinical trials have shown excellent functional outcomes with both techniques. Although TBW implants are significantly less expensive than a locked olecranon plate, TBW often requires an additional operation for implant removal. To choose the most cost-effective treatment strategy, surgeons must understand how implant costs and return to the operating room influence the most cost-effective strategy. This cost-effective analysis study explored the optimal treatment strategies by using decision analysis tools. An expected-value decision tree was constructed to estimate costs based on the 2 implant choices. Values for critical variables, such as implant removal rate, were obtained from the literature. A Monte Carlo simulation consisting of 100,000 trials was used to incorporate variability in medical costs and implant removal rates. Sensitivity analysis and strategy tables were used to show how different variables influence the most cost-effective strategy. TBW was the most cost-effective strategy, with a cost savings of approximately $1300. TBW was also the dominant strategy by being the most cost-effective solution in 63% of the Monte Carlo trials. Sensitivity analysis identified implant costs for plate fixation and surgical costs for implant removal as the most sensitive parameters influencing the cost-effective strategy. Strategy tables showed the most cost-effective solution as 2 parameters vary simultaneously. TBW is the most cost-effective strategy in treating Mayo IIA olecranon fractures despite a higher rate of return to the operating room. Copyright © 2017 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Elsevier Inc. All rights reserved.

How do line managers experience and handle the return to work of employees on sick leave due to work-related stress? A one-year follow-up study.

PubMed

Ladegaard, Yun; Skakon, Janne; Elrond, Andreas Friis; Netterstrøm, Bo

2017-08-28

To examine how line managers experience and manage the return to work process of employees on sick leave due to work-related stress and to identify supportive and inhibiting factors. Semi-structured interviews with 15 line managers who have had employees on sick leave due to work-related stress. The grounded theory approach was employed. Even though managers may accept the overall concept of work-related stress, they focus on personality and individual circumstances when an employee is sick-listed due to work-related stress. The lack of a common understanding of stress creates room for this focus. Line managers experience cross-pressure, discrepancies between strategic and human-relationship perspectives and a lack of organizational support in the return to work process. Organizations should aim to provide support for line managers. Research-based knowledge and guidelines on work-related stress and return to work process are essential, as is the involvement of coworkers. A commonly accepted definition of stress and a systematic risk assessment is also important. Cross-pressure on line managers should be minimized and room for adequate preventive actions should be provided as such an approach could support both the return to work process and the implementation of important interventions in the work environment. Implication for rehabilitation Organizations should aim to provide support for line managers handling the return to work process. Cross-pressure on line managers should be minimized and adequate preventive actions should be provided in relation to the return to work process. Research-based knowledge and guidelines on work-related stress and return to work are essential. A common and formal definition of stress should be emphasized in the workplace.

5. INTERIOR VIEW OF LAUNDRY ROOM ON GALLERY LEVEL, NEAR ...

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

5. INTERIOR VIEW OF LAUNDRY ROOM ON GALLERY LEVEL, NEAR SOUTHWEST CORNER OF BUILDING 149; WORKERS' UNIFORMS AND BEEF SHROUDS WERE LAUNDERED HERE; CLEAN BEEF SHROUDS WERE RETURNED TO DISASSEMBLY LINE ON LEVEL 4 THROUGH FUNNEL-SHAPED CHUTE AT LOWER LEFT - Rath Packing Company, Beef Killing Building, Sycamore Street between Elm & Eighteenth Streets, Waterloo, Black Hawk County, IA

Impact of a Breastfeeding-Friendly Workplace on an Employed Mother's Intention to Continue Breastfeeding After Returning to Work

PubMed Central

2013-01-01

Abstract Background Ever-increasing populations of women in their childbearing years are choosing to become employed. Breastfeeding provides unique health advantages to both the infant and mother. A breastfeeding-friendly workplace might be an important factor for predicting breastfeeding rates among working women. To explore the impact of breastfeeding-friendly support on the intention of working mothers to continue breastfeeding, we conducted a survey at a female labor-intensive electronics manufacturer in Taiwan. Subjects and Methods A structured questionnaire survey was administered to 715 working mothers employed in an electronics manufacturing plant in Tainan Science Park in Southern Taiwan. Questionnaire content included female employee demographics, employment characteristics, continued breastfeeding behavior after returning to work, access to lactation rooms, and employee perception of the breastfeeding policy and support when raising their most recently born child. Results A higher education level (odds ratio [OR]=2.66), lower work load (8 work hours/day) (OR=2.66), lactation room with dedicated space (OR=2.38), use of breast pumping breaks (OR=61.6), and encouragement from colleagues (OR=2.78) and supervisors (OR=2.44) to use breast pumping breaks were significant predictors of continued breastfeeding for more than 6 months after returning to work. Conclusions The findings of the present study suggest that to encourage and increase the rate of continued breastfeeding, workplaces should establish dedicated breastfeeding rooms and maintain a comfortable and clean environment. Furthermore, employers should provide encouragement and support for working mothers to continue breastfeeding after returning to work. PMID:23390987

STS-95 Mission Specialist Pedro Duque in white room

NASA Technical Reports Server (NTRS)

1998-01-01

In the environmental chamber known as the white room, STS-95 Mission Specialist Pedro Duque of Spain, with the European Space Agency, is prepared by white room crew members Danny Wyatt (left) and Travis Thompson (right) for entry into the Space Shuttle Discovery for his first flight into space. The STS-95 mission, targeted for launch at 2 p.m. EST on Oct. 29, is expected to last 8 days, 21 hours and 49 minutes, and return to KSC at 11:49 a.m. EST on Nov. 7.

Managing risk and expected financial return from selective expansion of operating room capacity: mean-variance analysis of a hospital's portfolio of surgeons.

PubMed

Dexter, Franklin; Ledolter, Johannes

2003-07-01

Surgeons using the same amount of operating room (OR) time differ in their achieved hospital contribution margins (revenue minus variable costs) by >1000%. Thus, to improve the financial return from perioperative facilities, OR strategic decisions should selectively focus additional OR capacity and capital purchasing on a few surgeons or subspecialties. These decisions use estimates of each surgeon's and/or subspecialty's contribution margin per OR hour. The estimates are subject to uncertainty (e.g., from outliers). We account for the uncertainties by using mean-variance portfolio analysis (i.e., quadratic programming). This method characterizes the problem of selectively expanding OR capacity based on the expected financial return and risk of different portfolios of surgeons. The assessment reveals whether the choices, of which surgeons have their OR capacity expanded, are sensitive to the uncertainties in the surgeons' contribution margins per OR hour. Thus, mean-variance analysis reduces the chance of making strategic decisions based on spurious information. We also assess the financial benefit of using mean-variance portfolio analysis when the planned expansion of OR capacity is well diversified over at least several surgeons or subspecialties. Our results show that, in such circumstances, there may be little benefit from further changing the portfolio to reduce its financial risk. Surgeon and subspecialty specific hospital financial data are uncertain, a fact that should be taken into account when making decisions about expanding operating room capacity. We show that mean-variance portfolio analysis can incorporate this uncertainty, thereby guiding operating room management decision-making and reducing the chance of a strategic decision being made based on spurious information.

Time to first take-back operation predicts successful primary fascial closure in patients undergoing damage control laparotomy.

PubMed

Pommerening, Matthew J; DuBose, Joseph J; Zielinski, Martin D; Phelan, Herb A; Scalea, Thomas M; Inaba, Kenji; Velmahos, George C; Whelan, James F; Wade, Charles E; Holcomb, John B; Cotton, Bryan A

2014-08-01

Failure to achieve primary fascial closure (PFC) after damage control laparotomy is costly and carries great morbidity. We hypothesized that time from the initial laparotomy to the first take-back operation would be predictive of successful PFC. Trauma patients managed with open abdominal techniques after damage control laparotomy were prospectively followed at 14 Level 1 trauma centers during a 2-year period. Time to the first take-back was evaluated as a predictor of PFC using hierarchical multivariate logistic regression analysis. A total of 499 patients underwent damage control laparotomy and were included in this analysis. PFC was achieved in 327 (65.5%) patients. Median time to the first take-back operation was 36 hours (interquartile range 24-48). After we adjusted for patient demographics, resuscitation volumes, and operative characteristics, increasing time to the first take-back was associated with a decreased likelihood of PFC. Specifically, each hour delay in return to the operating room (24 hours after initial laparotomy) was associated with a 1.1% decrease in the odds of PFC (odds ratio 0.989; 95% confidence interval 0.978-0.999; P = .045). In addition, there was a trend towards increased intra-abdominal complications in patients returning after 48 hours (odds ratio 1.80; 95% confidence interval 1.00-3.25; P = .05). Data from this prospective, multicenter study demonstrate that delays in returning to the operating room after damage control laparotomy are associated with reductions in PFC. These findings suggest that emphasis should be placed on returning to the operating room within 24 hours after the initial laparotomy if possible (and no later than 48 hours). Copyright © 2014 Mosby, Inc. All rights reserved.

[How many patient transfer rooms are necessary for my OR suite? : Effect of the number of OR transfer rooms on waiting times and patient throughput in the OR - analysis by simulation].

PubMed

Messer, C; Zander, A; Arnolds, I V; Nickel, S; Schuster, M

2015-12-01

In most hospitals the operating rooms (OR) are separated from the rest of the hospital by transfer rooms where patients have to pass through for reasons of hygiene. In the OR transfer room patients are placed on the OR table before surgery and returned to the hospital bed after surgery. It could happen that the number of patients who need to pass through a transfer room at a certain point in time exceed the number of available transfer rooms. As a result the transfer rooms become a bottleneck where patients have to wait and which, in turn, may lead to delays in the OR suite. In this study the ability of a discrete event simulation to analyze the effect of the duration of surgery and the number of ORs on the number of OR transfer rooms needed was investigated. This study was based on a discrete event simulation model developed with the simulation software AnyLogic®. The model studied the effects of the number of OR transfer rooms on the processes in an OR suite of a community hospital by varying the number of ORs from one to eight and using different surgical portfolios. Probability distributions for the process duration of induction, surgery and recovery and transfer room processes were calculated on the basis of real data from the community hospital studied. Furthermore, using a generic simulation model the effect of the average duration of surgery on the number of OR transfer rooms needed was examined. The discrete event simulation model enabled the analysis of both quantitative as well as qualitative changes in the OR process and setting. Key performance indicators of the simulation model were patient throughput per day, the probability of waiting and duration of waiting time in front of OR transfer rooms. In the case of a community hospital with 1 transfer room the average proportion of patients waiting before entering the OR was 17.9 % ± 9.7 % with 3 ORs, 37.6 % ± 9.7 % with 5 ORs and 62.9 % ± 9.1 % with 8 ORs. The average waiting time of patients in the setting with 3 ORs was 3.1 ± 2.7 min, with 5 ORs 5.0 ± 5.8 min and with 8 ORs 11.5 ± 12.5 min. Based on this study the community hospital needs a second transfer room starting from 4 ORs so that there is no bottleneck for the subsequent OR processes. The average patient throughput in a setting with 4 ORs increased significantly by 0.3 patients per day when a second transfer room is available. The generic model showed a strong effect of the average duration of surgery on the number of transfer rooms needed. There was no linear correlation between the number of transfer rooms and the number of ORs. The shorter the average duration of surgery, the earlier an additional transfer room is required. Thus, hospitals with shorter duration of surgery and fewer ORs may need the same or more transfer rooms than a hospital with longer duration of surgery and more ORs. However, with respect to an economic analysis, the costs and benefits of installing additional OR transfer rooms need to be calculated using the profit margins of the specific hospital.

The study of a space configuration using space syntax analysis Case study: an elderly housing

NASA Astrophysics Data System (ADS)

Mariana, Yosica; Triwardhani, Arindra J.; Isnaeni Djimantoro, Michael

2017-12-01

The improvement in various aspect leads to prolong the life span of human life, which increasing the number of elderly in the urban areas in return. But the increasing population is not supported by the provision of adequate housing facilities for them. Most of the elderly house in Jakarta, is designed just like for common people without relizing thatthey had physical and mentally degradation following the age. Therefore, the elderly house need to design with special attention to their daily activity mobility which applied in effective room configuration. The connectivity between the activities is most important element to order the room configuration. This research conduct to search the room configuration in elderly house which can improve their productivity and live quality by using the space syntax theory. The research methods by using the syntactic plug-in in Grasshooper software and analyse the integration, choice, control value and entrophy in the activity configuration. The result show that the effective and efficient for elderly house is cluster centralized pattern. The lobby and reception take the important role as the integration aspect and the spatial awareness according to elderly activity.

ARC-1979-AC79-9114-70

NASA Image and Video Library

1979-08-02

Jules Bergman, ABC Science Newscaster stands by a NASA Ames press room for the continuing information being returned by the Pioneer spacecraft during it's encounter with the planet Saturn and it's rings.

Tips for Travel

EPA Pesticide Factsheets

Avoid bringing bed bugs home by taking precautions when traveling such as inspecting bedding and luggage racks in hotel rooms, and upon returning home unpacking directly into a washing machine and dry at high temperatures.

Space Policy Directive - 1 Signing

NASA Image and Video Library

2017-12-11

President Donald Trump, speaks before signing Space Policy Directive - 1, directing NASA to return to the moon, in the Roosevelt room of the White House in Washington, Monday, Dec. 11, 2017. Photo Credit: (NASA/Aubrey Gemignani)

Telephone-assisted placement of air nicotine monitors to validate self-reported smoke-free home policies

PubMed Central

Berg, C.J.; Bundy, L.; Escoffery, C.; Haardörfer, R.; Kegler, M.C.

2013-01-01

SUMMARY Objectives To examine the feasibility of telephone-assisted placement of air nicotine monitors among low socio-economic intervention participants, and examine the use of this strategy in differentiating air nicotine concentrations in rooms where smoking is allowed from rooms where smoking is not allowed. Methods Forty participants were recruited from a county health department clinic and were enrolled in a brief smoke-free home policy intervention study. Twenty participants were selected at random for air nicotine monitor placement, and were instructed to telephone study staff who assisted them in monitor placement in their homes at the end of the intervention. Assessments were conducted at Weeks 0 and 8, with air nicotine assessment performed post-test. Results Of the 20 participants, 17 placed and returned the air nicotine monitors, and 16 also completed the follow-up survey. Follow-up survey data were not obtained on one monitor, and one participant who did not return the monitor completed the follow-up survey. Among those who reported a smoke-free policy (n=7), the average nicotine concentration was 0.62 μg/m3 [standard deviation (SD) 0.48]. Among those without a smoke-free policy (n=9), the average nicotine concentration was 2.30 μg/m3 (SD 2.04). Thus, the air nicotine concentration was significantly higher in those rooms where smoking was allowed [t(9, 11)=-2.39, P=0.04]. Conclusions The use of a telephone-assisted protocol for placement of air nicotine monitors was feasible. Despite the variability of air nicotine concentrations in rooms where smoking is allowed compared with rooms where smoking is not allowed, average concentrations were lower in smoke-free rooms. PMID:23480954

Effects of work-related factors on the breastfeeding behavior of working mothers in a Taiwanese semiconductor manufacturer: a cross-sectional survey.

PubMed

Chen, Yi Chun; Wu, Ya-Chi; Chie, Wei-Chu

2006-06-21

In recent years, the creation of supportive environments for encouraging mothers to breastfeed their children has emerged as a key health issue for women and children. The provision of lactation rooms and breast pumping breaks have helped mothers to continue breastfeeding after returning to work, but their effectiveness is uncertain. The aim of this study was to assess the effects of worksite breastfeeding-friendly policies and work-related factors on the behaviour of working mothers. This study was conducted at a large Taiwanese semiconductor manufacturer in August-September 2003. Questionnaires were used to collect data on female employees' breastfeeding behaviour, child rearing and work status when raising their most recently born child. A total of 998 valid questionnaires were collected, giving a response rate of 75.3%. The results showed that 66.9% of survey respondents breastfed initially during their maternity leave, which averaged 56 days. Despite the provision of lactation rooms and breast pumping breaks, only 10.6% mothers continued to breastfeed after returning to work, primarily office workers and those who were aware of their company's breastfeeding-friendly policies. In conclusion, breastfeeding-friendly policies can significantly affect breastfeeding behaviour. However, an unfavourable working environment, especially for fab workers, can make it difficult to implement breastfeeding measures. With health professionals emphasizing that the importance of breastfeeding for infant health, and as only females can perform lactation, it is vital that women's work "productive role" and family "reproductive role" be respected and accommodated by society.

Effects of work-related factors on the breastfeeding behavior of working mothers in a Taiwanese semiconductor manufacturer: a cross-sectional survey

PubMed Central

Chen, Yi Chun; Wu, Ya-Chi; Chie, Wei-Chu

2006-01-01

Background In recent years, the creation of supportive environments for encouraging mothers to breastfeed their children has emerged as a key health issue for women and children. The provision of lactation rooms and breast pumping breaks have helped mothers to continue breastfeeding after returning to work, but their effectiveness is uncertain. The aim of this study was to assess the effects of worksite breastfeeding-friendly policies and work-related factors on the behaviour of working mothers. Methods This study was conducted at a large Taiwanese semiconductor manufacturer in August-September 2003. Questionnaires were used to collect data on female employees' breastfeeding behaviour, child rearing and work status when raising their most recently born child. A total of 998 valid questionnaires were collected, giving a response rate of 75.3%. Results The results showed that 66.9% of survey respondents breastfed initially during their maternity leave, which averaged 56 days. Despite the provision of lactation rooms and breast pumping breaks, only 10.6% mothers continued to breastfeed after returning to work, primarily office workers and those who were aware of their company's breastfeeding-friendly policies. Conclusion In conclusion, breastfeeding-friendly policies can significantly affect breastfeeding behaviour. However, an unfavourable working environment, especially for fab workers, can make it difficult to implement breastfeeding measures. With health professionals emphasizing that the importance of breastfeeding for infant health, and as only females can perform lactation, it is vital that women's work "productive role" and family "reproductive role" be respected and accommodated by society. PMID:16787546

Improving stopping construction to minimize leakage

PubMed Central

Grau, Roy H.; Mazzella, Andrew L.; Martikainen, Anu L.

2015-01-01

The proper sealing of stoppings is an important step in reducing leakage from the intake to the return airways. Leakage and the subsequent loss of ventilation resulting from improperly sealed stoppings can lead to unhealthy and unsafe working conditions. The research presented in this paper investigates the total leakage of a stopping, including air leakage through the stopping, at the stopping perimeter, and through the coalbed. The study also examines sealing considerations for stoppings that are constructed under roof control screen, the effects that wooden wedges had on inhibiting efficient application of polyurethane foam sealant, and airflow leakage through the surrounding coal. The work involved building a stopping in a dead end room of the NIOSH Safety Research Coal Mine and then pressurising the room using compressed air. Stopping leakage was evaluated by measuring air pressure loss in the enclosed room due to the air leakage. Part of the research utilises a diluted soap solution that was applied to the stopping and the surrounding coal to detect air leakage signified by bubble formations. The results show that stopping leakage can be minimised with proper sealing PMID:26379366

Representing distributed cognition in complex systems: how a submarine returns to periscope depth.

PubMed

Stanton, Neville A

2014-01-01

This paper presents the Event Analysis of Systemic Teamwork (EAST) method as a means of modelling distributed cognition in systems. The method comprises three network models (i.e. task, social and information) and their combination. This method was applied to the interactions between the sound room and control room in a submarine, following the activities of returning the submarine to periscope depth. This paper demonstrates three main developments in EAST. First, building the network models directly, without reference to the intervening methods. Second, the application of analysis metrics to all three networks. Third, the combination of the aforementioned networks in different ways to gain a broader understanding of the distributed cognition. Analyses have shown that EAST can be used to gain both qualitative and quantitative insights into distributed cognition. Future research should focus on the analyses of network resilience and modelling alternative versions of a system.

National Space Council Meeting from the White House

NASA Image and Video Library

2018-06-18

NASA Administrator Jim Bridenstine attends the third meeting of the National Space Council in the East Room of the White House, Monday, June 18, 2018, in Washington. President Trump kicked off the meeting by signing Space Policy Directive-3, which directs the U.S. to lead space traffic management and mitigate the effects of space debris. Vice President Mike Pence led the meeting, joined by other government officials. Administrator Bridenstine reported on NASA's progress in implementing Space Policy Directive-1, which directs NASA to return astronauts to the Moon and eventually send humans to Mars.

KSC-2010-4453

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This orbiter tribute of space shuttle Discovery, or OV-103, hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. Discovery’s accomplishments include the first female shuttle pilot, Eileen Collins, on STS-63, John Glenn’s legendary return to space on STS-95, and the celebration of the 100th shuttle mission with STS-92. In addition, Discovery supported a number of Department of Defense programs, satellite deploy and repair missions and 13 International Space Station construction and operation flights. The tribute features Discovery demonstrating the rendezvous pitch maneuver on approach to the International Space Station during STS-114. Having accumulated the most space shuttle flights, Discovery’s 39 mission patches are shown circling the spacecraft. The background image was taken from the Hubble Space Telescope, which launched aboard Discovery on STS-31 and serviced by Discovery on STS-82 and STS-103. The American Flag and Bald Eagle represent Discovery’s two Return-to-Flight missions -- STS-26 and STS-114 -- and symbolize Discovery’s role in returning American astronauts to space. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo

Biological Sciences and Bioelectromagnetics in Europe: Summary Report.

DTIC Science & Technology

1985-08-26

shielded room in which the Madrid study. This project, dubbed "Pro- Earth’s magnetic field has been removed , Ject Henhouse," involves the original they...investi- the patients are removed from the room gator), a laboratory in Sweden (Dr. and returned to their normal environ- KJell Mild), and two...a little far removed of the samples were sent to them by mail and is certainly an area that needs more and had a reduced proliferation rate. It work

Advanced Technologies in Safe and Efficient Operating Rooms

DTIC Science & Technology

2006-02-01

in this report are those of the author( s ) and should not be construed as an official Department of the Army position, policy or decision unless so...information if it does not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE 01-02...and Efficient Operating Rooms 5b. GRANT NUMBER DAMD17-03-2-0001 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR( S ) 5d. PROJECT NUMBER Adrian E. Park

Practices and impacts post-exposure to blood and body fluid in operating room nurses: A cross-sectional study.

PubMed

Kasatpibal, Nongyao; Whitney, JoAnne D; Katechanok, Sadubporn; Ngamsakulrat, Sukanya; Malairungsakul, Benjawan; Sirikulsathean, Pinyo; Nuntawinit, Chutatip; Muangnart, Thanisara

2016-05-01

Improper or inadequate actions taken after blood and body fluid exposures place individuals at risk for infection with bloodborne pathogens. This has potential, significant impact for health and well-being. To evaluate the practices and the personal impact experienced following blood and body fluid exposures among operating room nurses. A cross-sectional, multi-center study. Government and private hospitals from all parts of Thailand. Operating room nurses from 247 hospitals. A questionnaire eliciting responses on characteristics, post-exposure practices, and impacts was sent to 2500 operating room nurses. Usable questionnaires were returned by 2031 operating room nurses (81.2%). Of these 1270 had experience with blood and body fluid exposures (62.5%). Most operating room nurses did not report blood and body fluid exposures (60.9%). The major reasons of underreporting were low risk source (40.2%) and belief that they were not important to report (16.3%). Improper post-exposure practices were identified, 9.8% did not clean exposure area immediately, 18.0% squeezed out the wound, and 71.1% used antiseptic solution for cleansing a puncture wound. Post-exposure, 58.5% of them sought counseling, 16.3% took antiretroviral prophylaxis, 23.8% had serologic testing for hepatitis B and 43.1% for hepatitis C. The main personal impacts were anxiety (57.7%), stress (24.2%), and insomnia (10.2%). High underreporting, inappropriate post-exposure practices and impacts of exposure were identified from this study. Comprehensive education and effective training of post-exposure management may be keys to resolving these important problems. Copyright © 2016 Elsevier Ltd. All rights reserved.

Acoustical Engineering Controls and Estimated Return on Investment for DoD Selected High Noise Sources: A Roadmap for Future Noise Control in Acquisition

DTIC Science & Technology

2013-04-25

Room 2A534, 1155 Defense Pentagon, Washington, DC 20301-1155 1. DOCUMENTDESCruPTION a . TYPE b. TITLE Acoustical Engineering Controls and Estimated...Return on Investment for DoD Selected Report Hil!h Noise Sources: A Roadmap for Future Noise Control in Acquisition c. PAGE COUNT d. SUBJECT AREA...175 Acoustical Engineering - Noise Control - Acquisition 2. AUTHOR/SPEAKER a . NAME (Last, First, Middlo Initial) b. RANK c. TITLE Erdman, Joy GS-15

No-reheat air-conditioning

NASA Technical Reports Server (NTRS)

Obler, H. D.

1980-01-01

Air conditioning system, for environmentally controlled areas containing sensitive equipment, regulates temperature and humidity without wasteful and costly reheating. System blends outside air with return air as dictated by various sensors to ensure required humidity in cooled spaces (such as computer room).

A new place for death with dignity: the golden room.

PubMed

Keegan, Lynn; Drick, Carole Ann

2011-12-01

In this article, the authors consider how professional nurses can strive to advance death and dying to the next level in our evolution of compassionate end-of-life practices. The authors focus on describing the development of a place for dying that allows for a peaceful, profound experience that honors and respects human dignity and elevates the human family. Actual places called the Golden Room or Golden Room Centers are proposed to accommodate dying persons and their loved ones at end of life as they make the transition from physical life. The authors detail and propose a return to the sacredness of death and dying through access to a place for the physical transition.

Significant clinical practice cost savings through downsizing office supply inventory and just in time ordering.

PubMed

Gonzalez, Chris M; Jang, Tom; Raines, Melanie; Lys, Thomas Z; Schaeffer, Anthony J

2006-07-01

Cost containment in the office is becoming more important secondary to increasing overhead costs and lower reimbursement. In an attempt to limit these particular expenditures we analyzed and restructured our methods of ordering, storing and distributing office supply inventory. In a large academic practice with 11 urologists and approximately 20,000 annual patient visits an attempt was made to decrease overhead costs using the principle of just in time inventory popularized by large manufacturing companies. We initially issued a return of excess and/or unused supplies from our office inventory stock room. Our main supply room was then centralized to contain office supplies for up to 4 weeks. The 12 individual clinic rooms were stocked with appropriate supplies to last 1 week. Limited access to the main supply room was established and a supply manager was established to log all input and output. The initial credit for the return of unused/overstocked supplies was $10,107 in January 2004. Annual office supply charges in calendar year 2004 were $87,444 compared to charges in calendar year 2003 of $175,340. No stock outs occurred during year 2004 and all standing delivery orders were terminated. The total number of patient visits in calendar year 2004 was 20,170 compared to 19,455 in calendar year 2003. Decreasing overall inventory through accurate demand forecasting, judicious accounting, office supply centralization and just in time ordering is a potential area for significant overhead cost savings in a clinical practice.

Models for nearly every occasion: Part I - One box models.

PubMed

Hewett, Paul; Ganser, Gary H

2017-01-01

The standard "well mixed room," "one box" model cannot be used to predict occupational exposures whenever the scenario involves the use of local controls. New "constant emission" one box models are proposed that permit either local exhaust or local exhaust with filtered return, coupled with general room ventilation or the recirculation of a portion of the general room exhaust. New "two box" models are presented in Part II of this series. Both steady state and transient models were developed. The steady state equation for each model, including the standard one box steady state model, is augmented with an additional factor reflecting the fraction of time the substance was generated during each task. This addition allows the easy calculation of the average exposure for cyclic and irregular emission patterns, provided the starting and ending concentrations are zero or near zero, or the cumulative time across all tasks is long (e.g., several tasks to a full shift). The new models introduce additional variables, such as the efficiency of the local exhaust to immediately capture freshly generated contaminant and the filtration efficiency whenever filtered exhaust is returned to the workspace. Many of the model variables are knowable (e.g., room volume and ventilation rate). A structured procedure for calibrating a model to a work scenario is introduced that can be applied to both continuous and cyclic processes. The "calibration" procedure generates estimates of the generation rate and all of remaining unknown model variables.

Around Marshall

NASA Image and Video Library

1988-09-19

Marshall's fifth Center Director, James R. Thompson (1986-1989), in the control room of the Solid Rocket Booster (SRB)automated thermal protection system (TPS) removal facility. Under Dr. Thompson's leadership, the shuttle program was rekindled after the Challenger explosion. Return to Flight kept NASA 's future programs alive.

Space Policy Directive - 1 Signing

NASA Image and Video Library

2017-12-11

President Donald Trump signs Space Policy Directive - 1, directing NASA to return to the moon, alongside members of the Senate, Congress, NASA, and commercial space companies in the Roosevelt room of the White House in Washington, Monday, Dec. 11, 2017. Photo Credit: (NASA/Aubrey Gemignani)

The Impact of Different Postgraduate Year Training in Neurosurgery Residency on 30-Day Return to Operating Room: A National Surgical Quality Improvement Program Study.

PubMed

Macki, Mohamed; Fakih, Mohamed; Kandagatla, Pridvi; Rubinfeld, Ilan; Chang, Victor

2018-06-01

Because of the health care initiative on quality improvement projects in academic medicine, this study explores the impact of different postgraduate years (PGYs) on unexpected re-operation rates. Using the National Surgical Quality Improvement Program 2005-2014, adult neurosurgical cases were divided into subspecialties: spine, open vascular, cranial, and functional. Comparison groups were cases involving junior residents (PGY 1-PGY 3), mid-level residents (PGY 4 + PGY 5), and senior residents (PGY 6 + PGY 7). Comorbidity disease burden was measured by frailty index. The primary outcome measure was 30-day unintended return to the operating room. Of the 9782 cases, re-operations were higher for those cases featuring a senior resident (5.6%) compared with mid-level resident (4.1%) and junior resident (3.8%) (P = 0.001). Although senior residents operated on patients with a statistically significantly higher neurologic disease burden, greater relative value units, longer operative times, and more 30-day postoperative adverse events, the level of resident training did not have an impact on revision surgery after multivariable logistical regression. The strongest predictors of return to the operating room included the frailty index (adjusted odds ratio [OR adj ] = 5.18, P < 0.001), functional subspecialty (OR adj  = 2.65, P < 0.001), and Wound Class 4 - dirty/infected wound (OR adj  = 2.33, P = 0.016). Resident participation in neurosurgical cases does not affect 30-day unplanned re-operation rates, which were affected by frailty index, functional subspecialty, and wound class. Copyright © 2018 Elsevier Inc. All rights reserved.

Comparison of submuscular and open plating of pediatric femur fractures: a retrospective review.

PubMed

Abbott, Matthew D; Loder, Randall T; Anglen, Jeffrey O

2013-01-01

Plate osteosynthesis is an accepted method of treatment of pediatric femur fractures. Historically, open plating has been used. Submuscular bridge plating has gained recent popularity due to the theoretical advantages of decreased operative time, decreased blood loss, and decreased risk for infection. The purpose of this study was to compare submuscular bridge plating to open plating of pediatric femur fractures. We retrospectively reviewed 79 patients (80 treated femur fractures) between 1999 and 2011 that underwent either open plating (58 femur fractures) or submuscular bridge plating (22 femur fractures). The outcome measures evaluated were operative time, estimated blood loss, malunion, leg length discrepancy, time to union, infection, unplanned return to the operating room, and length of hospital stay after surgery. Among our outcome measures, there was no difference between the 2 groups in terms of operative time, leg length discrepancy, time to union, infection, or length of hospital stay after surgery. There was greater estimated blood loss in the open plating group (P≤0.0001) and greater rotational asymmetry in the submuscular bridge plating group (P=0.005). There was a trend of increased unplanned return to the operating room in the open plating group (5/58 vs. 0/22) although not statistically significant (P=0.32). Submuscular bridge plating and open plating seem to be equally viable options for the management of pediatric diaphyseal femur fractures. In this study, open plating had an increase in estimated blood loss and a trend of more unplanned returns to the operating room, whereas submuscular bridge plating had an increase in asymptomatic rotational asymmetry. Further larger, prospective, randomized studies are necessary to further evaluate these operative techniques. Therapeutic Level III.

Guardians' Perceptions of Cats' Welfare and Behavior Regarding Visiting Veterinary Clinics.

PubMed

Mariti, Chiara; Bowen, Jonathan E; Campa, Sonia; Grebe, Gabriele; Sighieri, Claudio; Gazzano, Angelo

2016-01-01

To assess the welfare of cats at the veterinary clinic and how caregivers and veterinarians affect it, a survey of Italian cat guardians (n = 1,111) was conducted using a 28-item multichoice questionnaire. Most cats showed impaired welfare during all stages of a clinic visit: before entering, in the waiting room, moving to the examination room, on the examination table, and after returning home. A relationship was found between welfare states in each stage. Stress worsened with further experience and had negative effects on traveling and handling in other situations. Restraint, pain, and anxiety led to aggression toward vets and guardians. Guardians showed a positive attitude toward their cats' health and welfare, and the veterinarians' behavior toward the cats was a reason for changing the veterinarian. One in 10 veterinarians examined the cat immediately, without stroking, talking, or offering food. However, the use of food was effective only if cats were not already stressed. Educating guardians and veterinarians to minimize stress during every stage of a clinic visit is the best approach to improving welfare for cats visiting the clinic.

KSC-2010-4453B

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This is a printable version of space shuttle Discovery's orbiter tribute, or OV-103, which hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. Discovery’s accomplishments include the first female shuttle pilot, Eileen Collins, on STS-63, John Glenn’s legendary return to space on STS-95, and the celebration of the 100th shuttle mission with STS-92. In addition, Discovery supported a number of Department of Defense programs, satellite deploy and repair missions and 13 International Space Station construction and operation flights. The tribute features Discovery demonstrating the rendezvous pitch maneuver on approach to the International Space Station during STS-114. Having accumulated the most space shuttle flights, Discovery’s 39 mission patches are shown circling the spacecraft. The background image was taken from the Hubble Space Telescope, which launched aboard Discovery on STS-31 and serviced by Discovery on STS-82 and STS-103. The American Flag and Bald Eagle represent Discovery’s two Return-to-Flight missions -- STS-26 and STS-114 -- and symbolize Discovery’s role in returning American astronauts to space. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo. NASA publication number: SP-2010-08-164-KSC

KSC-2010-4453A

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This is a version of space shuttle Discovery's orbiter tribute, or OV-103, which hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. Discovery’s accomplishments include the first female shuttle pilot, Eileen Collins, on STS-63, John Glenn’s legendary return to space on STS-95, and the celebration of the 100th shuttle mission with STS-92. In addition, Discovery supported a number of Department of Defense programs, satellite deploy and repair missions and 13 International Space Station construction and operation flights. The tribute features Discovery demonstrating the rendezvous pitch maneuver on approach to the International Space Station during STS-114. Having accumulated the most space shuttle flights, Discovery’s 39 mission patches are shown circling the spacecraft. The background image was taken from the Hubble Space Telescope, which launched aboard Discovery on STS-31 and serviced by Discovery on STS-82 and STS-103. The American Flag and Bald Eagle represent Discovery’s two Return-to-Flight missions -- STS-26 and STS-114 -- and symbolize Discovery’s role in returning American astronauts to space. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo. NASA publication number: SP-2010-08-164-KSC

Use of a Hybrid Operating Room to Improve Reduction of Syndesmotic Injuries in Ankle Fractures: A Case Report.

PubMed

Cancienne, Jourdan M; Crosen, Matelin P; Yarboro, Seth R

2016-01-01

Ankle fractures are one of the most common orthopedic injuries requiring operative treatment, and approximately 1 in 4 ankle fractures will have an associated distal tibiofibular syndesmosis disruption. Syndesmotic reduction is crucial to restoring ankle function and preventing the development of arthritis. The hybrid operating room provides 3-dimensional intraoperative imaging capabilities that can enable the surgeon to ensure the syndesmosis is appropriately reduced, particularly by comparing it with the contralateral ankle. By confirming the syndesmosis reduction intraoperatively, the risk of a return to the operating room for revision surgery is decreased. Copyright © 2015 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Self-locking threaded fasteners

DOEpatents

Glovan, Ronald J.; Tierney, John C.; McLean, Leroy L.; Johnson, Lawrence L.

1996-01-01

A threaded fastener with a shape memory alloy (SMA) coatings on its threads is disclosed. The fastener has special usefulness in high temperature applications where high reliability is important. The SMA coated fastener is threaded into or onto a mating threaded part at room temperature to produce a fastened object. The SMA coating is distorted during the assembly. At elevated temperatures the coating tries to recover its original shape and thereby exerts locking forces on the threads. When the fastened object is returned to room temperature the locking forces dissipate. Consequently the threaded fasteners can be readily disassembled at room temperature but remains securely fastened at high temperatures. A spray technique is disclosed as a particularly useful method of coating of threads of a fastener with a shape memory alloy.

Electric field modulated ferromagnetism in ZnO films deposited at room temperature

NASA Astrophysics Data System (ADS)

Bu, Jianpei; Liu, Xinran; Hao, Yanming; Zhou, Guangjun; Cheng, Bin; Huang, Wei; Xie, Jihao; Zhang, Heng; Qin, Hongwei; Hu, Jifan

2018-04-01

The ZnO film deposited at room temperature, which is composed of the amorphous-phase background plus a few nanograins or nanoclusters (about 1-2 nm), exhibits room temperature ferromagnetism (FM). Such FM is found to be connected with oxygen vacancies. For the Ta/ZnO/Pt device based on the medium layer ZnO deposited at room temperature, the saturation magnetization not only is modulated between high and low resistive states by electric voltage with DC loop electric current but also increases/decreases through adjusting the magnitudes of positive/negative DC sweeping voltage. Meanwhile, the voltage-controlled conductance quantization is observed in Ta/ZnO/Pt, accompanying the voltage-controlled magnetization. However, the saturation magnetization of the Ta/ZnO/Pt device becomes smaller under positive electric voltage and returns in some extent under negative electric voltage, when the DC loop electric current is not applied.

The role of tragus on echolocating bat, Eptesicus fuscus

NASA Astrophysics Data System (ADS)

Chiu, Chen; Moss, Cynthia

2005-04-01

Echolocating bats produce ultrasonic vocal signals and utilize the returning echoes to detect, localize and track prey, and also to avoid obstacles. The pinna and tragus, two major components of the bats external ears, play important roles in filtering returning echoes. The tragus is generally believed to play a role in vertical sound localization. The purpose of this study is to further examine how manipulation of the tragus affects a free-flying bat's prey capture and obstacle avoidance behavior. The first part of this study involved a prey capture experiment, and the bat was trained to catch the tethered mealworms in a large room. The second experiment involved obstacle avoidance, and the bat's task was to fly through the largest opening from a horizontal wire array without touching the wires. In both experiments, the bat performed the tasks under three different conditions: with intact tragus, tragus-deflection and recovery from tragus-deflection. Significantly lower performance was observed in both experiments when tragi were glued down. However, the bat adjusted quickly and returned to baseline performance a few days after the manipulation. The results suggest that tragus-deflection does have effects on both the prey capture and obstacle avoidance behavior. [Work supported by NSF.

Space Policy Directive - 1 Signing

NASA Image and Video Library

2017-12-11

President Donald Trump prepares to sign Space Policy Directive - 1, directing NASA to return to the moon, alongside members of the Senate, Congress, NASA, and commercial space companies in the Roosevelt room of the White House in Washington, Monday, Dec. 11, 2017. Photo Credit: (NASA/Aubrey Gemignani)

Medical Surveillance Monthly Report (MSMR). Volume 1, Number 8, November 1995

DTIC Science & Technology

1995-11-01

hemorrhagic fever, and dengue-like arboviral syndromes. In Current Therapy of Infectious Diseases, D. Schlossberg (ed.), in press. 6. Technical Advisory...cath- eterization. The following day she was returned to the operating room for a myofascial biopsy and fasciotomy of the right posterior thigh

Group Interaction as a Vehicle to Facilitate Faculty-Student Advisement.

ERIC Educational Resources Information Center

Hutchins, David E.; Miller, William B.

1979-01-01

Faculty and upperclass students were trained in group techniques for freshman advising. The 144 advisees had fewer course and room changes, disciplinary referrals and suspensions, and less residence hall damage. They also returned as sophomores in greater numbers than students who experienced traditional advising. (Author)

Space Policy Directive - 1 Signing

NASA Image and Video Library

2017-12-11

President Donald Trump holds up Space Policy Directive - 1 after signing it, directing NASA to return to the moon, alongside members of the Senate, Congress, NASA, and commercial space companies in the Roosevelt room of the White House in Washington, Monday, Dec. 11, 2017. Photo Credit: (NASA/Aubrey Gemignani)

Excessive quantities of red blood cells are issued to the operating room.

PubMed

Collins, R A; Wisniewski, M K; Waters, J H; Triulzi, D J; Alarcon, L H; Yazer, M H

2015-12-01

To determine what percentage of red blood cell (RBC) units that were issued to the operating room (OR) were returned unused, and to determine how often all of the RBCs that were issued for a patient were returned unused using the institution's maximum surgical blood ordering schedule (MSBOS) as a guide. The MSBOS provides guidelines for blood ordering, but is merely a suggestion for the ordering clinicians. This study examined how closely ordering practices followed the MSBOS, and how often ordered RBCs were actually transfused. For a 4-week period, RBC issue and utilization data were collected on elective surgery patients who were eligible for electronic cross-match at a tertiary care hospital. These data were compared to the MSBOS. There were 1350 surgical procedures performed. Of these cases, 439 patients had a type and screen (T&S) performed, and 215/439 (49%) patients had at least 1 RBC issued during their case. To these 215 patients, 742 RBC units were issued and 537/742 (72%) of these units were returned to the blood bank unused. In 152/215 (71%) cases with issued RBCs, all of the RBCs were returned to the blood bank unused. Amongst the surgical categories in this study, the percentage of cases where none of the issued RBCs were transfused ranged from 38 to 93%. Significant numbers of RBC units are issued but not transfused during surgery. Involving the surgical team in the blood issuing process and using a data-driven MSBOS may reduce the number of unused units. © 2015 British Blood Transfusion Society.

Long-term effect on mother-infant behaviour of extra contact during the first hour post partum. III. Follow-up at one year.

PubMed

de Château, P; Wiberg, B

1984-01-01

The present prospective study examined, one year after delivery, the possible effects of early extra contact during the first hour following delivery. An extra skin-to-skin contact and suckling contact was allowed 22 primiparous mothers and their infants (P + group). One control group of 20 primiparous mothers and their infants were given routine care immediately after birth (P group). During observation of a physical examination of the infant, 'extra contact mothers' held and touched their infants more frequently and more often talked positively to their infants than did mothers given routine care. 'Extra contact mothers' had returned to their professional employment outside the home to a lesser extent than had routine care mothers. A greater proportion of 'extra contact' infants slept in a room of their own. In the P+ group, mothers who had returned to gainful employment were also able to have their babies sleep in a room of their own--no such correspondence was found in the P group. The Gesell Developmental Schedules revealed that, in four parts out of five, infants with extra contact immediately after birth, were ahead of those in the control group. On the other hand, the Vineland Social Maturity Scale and the Cesarec Marke Personality Scheme did not reveal any major differences between the two groups. Mothers with early extra skin-to-skin contact and suckling contact breast-fed their infants on an average for 2 1/2 months longer than did routine care mothers. No other differences in feeding habits were found. The influence of extra contact was more pronounced in boy-mother than in girl-mother pairs.

Effectiveness of the surgical safety checklist in a high standard care environment.

PubMed

Lübbeke, Anne; Hovaguimian, Frederique; Wickboldt, Nadine; Barea, Christophe; Clergue, François; Hoffmeyer, Pierre; Walder, Bernhard

2013-05-01

Use of surgical safety checklists has been associated with significant reduction in postoperative surgical site infection (SSI), morbidity, and mortality. To evaluate the effectiveness of an intraoperative checklist in high-risk surgical patients in a high standard care environment with long-standing regular perioperative safety control programs. Quasi-experiment pre-post checklist implementation. Surgical patients above 16 years with an American Society of Anesthesiologists (ASA) score 3-5 operated upon at a large tertiary hospital. Unplanned return to operating room for any reason, reoperation for SSI, unplanned admission to intensive care unit, and in-hospital death within 30 days. A total of 609 patients (53% elective, 85% ASA 3, mean age 70 y) were included before and 1818 after implementation (52% elective, 87% ASA 3, mean age 69 y), the latter with 552, 558, and 708 in period I, II, and III, respectively. Comparing preimplementation to postimplementation periods: unplanned return to operating room occurred in 45/609 (7.4%) versus 109/1818 (6.0%) interventions [adjusted risk ratios (RR) 0.82; 95% confidence interval (CI), 0.59-1.14]; reoperation for SSI in 18/609 (3.0%) versus 109/1818 (1.7%) interventions (adjusted RR 0.56; 95% CI, 0.32-1.00); unplanned admission to intensive care unit in 17 (2.8%) versus 48 (2.6%) interventions (adjusted RR 0.90; 95% CI, 0.52-1.55); and in-hospital death occurred in 26 (4.3%) versus 108 (5.9%) patients (adjusted RR 1.44; 95% CI, 0.97-2.14). Checklist use during 77 interventions prevented 1 reoperation for SSI. A trend toward reduced reoperation rates for SSI was observed after checklist implementation in this high standard care environment; no influence on other outcome measures was observed.

KSC-90PC-0626

NASA Image and Video Library

1990-04-24

Through the large window panes of Firing Room 1, KSC launch team members reap the rewards of their work with a glimpse of the space shuttle Discovery soaring into the sky. Discovery was launched for the tenth time at 8:34 a.m. EDT on April 24 beginning the five-day STS-31 mission to deploy the Hubble Space Telescope. A ray of morning sunlight highlights the red and white stripes of Old Glory hanging high in the Firing Room. Launch team members overcame a last minute challenge in the STS-31 countdown when software detected a main propulsion system valve was out of position. The situation was quickly corrected and verified by the team from consoles in the Firing Room and the countdown was returned in a matter of minutes. Photo credit: NASA

KSC-90PC-0627

NASA Image and Video Library

1990-04-24

Through the large window panes of Firing Room 1, KSC launch team members reap the rewards of their work with a glimpse of the space shuttle Discovery soaring into the sky. Discovery was launched for the tenth time at 8:34 a.m. EDT on April 24 beginning the five-day STS-31 mission to deploy the Hubble Space Telescope. A ray of morning sunlight highlights the red and white stripes of Old Glory hanging high in the Firing Room. Launch team members overcame a last minute challenge in the STS-31 countdown when software detected a main propulsion system valve was out of position. The situation was quickly corrected and verified by the team from consoles in the Firing Room and the countdown was returned in a matter of minutes. Photo credit: NASA

Self-locking threaded fasteners

DOEpatents

Glovan, R.J.; Tierney, J.C.; McLean, L.L.; Johnson, L.L.

1996-01-16

A threaded fastener with a shape memory alloy (SMA) coatings on its threads is disclosed. The fastener has special usefulness in high temperature applications where high reliability is important. The SMA coated fastener is threaded into or onto a mating threaded part at room temperature to produce a fastened object. The SMA coating is distorted during the assembly. At elevated temperatures the coating tries to recover its original shape and thereby exerts locking forces on the threads. When the fastened object is returned to room temperature the locking forces dissipate. Consequently the threaded fasteners can be readily disassembled at room temperature but remains securely fastened at high temperatures. A spray technique is disclosed as a particularly useful method of coating of threads of a fastener with a shape memory alloy. 13 figs.

Using Web-based Information To Facilitate Inclusion Practices in Rural Communities.

ERIC Educational Resources Information Center

Lock, Robin H.

2001-01-01

Texas Tech University offers online courses in special education for graduate credit or inservice education. This approach addresses the problems of time, distance, resources, and expertise experienced by rural educators. Unenrolled practitioners not interested in returning to school can access chat rooms and threaded discussions to get support…

Space Policy Directive - 1 Signing

NASA Image and Video Library

2017-12-11

President Donald Trump, speaks before signing Space Policy Directive - 1, directing NASA to return to the moon, alongside Vice President Mike Pence, members of the Senate, Congress, NASA, and commercial space companies in the Roosevelt room of the White House in Washington, Monday, Dec. 11, 2017. Photo Credit: (NASA/Aubrey Gemignani)

Space Policy Directive - 1 Signing

NASA Image and Video Library

2017-12-11

Vice President Mike Pence speaks before President Donald Trump signs Space Policy Directive - 1, directing NASA to return to the moon, alongside members of the Senate, Congress, NASA, and commercial space companies in the Roosevelt room of the White House in Washington, Monday, Dec. 11, 2017. Photo Credit: (NASA/Aubrey Gemignani)

STS-89 Mission Specialist Andrew Thomas in White Room

NASA Technical Reports Server (NTRS)

1998-01-01

STS-89 Mission Specialist Andrew Thomas, Ph.D., is assisted with his ascent and re-entry flight suit in the white room at Launch Pad 39A before entering Space Shuttle Endeavour for launch. The STS-89 mission will be the eighth docking of the Space Shuttle with the Russian Space Station Mir. After docking, Thomas will transfer to the space station, succeeding David Wolf, M.D., who will return to Earth aboard Endeavour. Dr. Thomas will live and work on Mir until June. STS-89 is scheduled for a Jan. 22 liftoff at 9:48 p.m.

Nurses' attitudes toward substance misusers. III. Emergency room nurses' attitudes, nurses' attitudes toward impaired nurses, and studies of attitudinal change.

PubMed

Howard, M O; Chung, S S

2000-08-01

Emergency room nurses generally regard alcohol and drug misusers as troublesome patients and dislike caring for them. Surveys of nurses' and nurse managers' attitudes toward impaired nurses, all published in recent years, suggest that they are generally supportive of impaired nurses and sanguine about their prospects for recovery; nonetheless, a substantial minority oppose the return to work of a formerly substance-misusing nurse colleague. Programs designed to change nurses' attitudes toward substance misusers are generally ineffective, although significant gains in substance-related knowledge are commonly reported.

Cross correlation calculations and neutron scattering analysis for a portable solid state neutron detection system

NASA Astrophysics Data System (ADS)

Saltos, Andrea

In efforts to perform accurate dosimetry, Oakes et al. [Nucl. Intrum. Mehods. (2013)] introduced a new portable solid state neutron rem meter based on an adaptation of the Bonner sphere and the position sensitive long counter. The system utilizes high thermal efficiency neutron detectors to generate a linear combination of measurement signals that are used to estimate the incident neutron spectra. The inversion problem associated to deduce dose from the counts in individual detector elements is addressed by applying a cross-correlation method which allows estimation of dose with average errors less than 15%. In this work, an evaluation of the performance of this system was extended to take into account new correlation techniques and neutron scattering contribution. To test the effectiveness of correlations, the Distance correlation, Pearson Product-Moment correlation, and their weighted versions were performed between measured spatial detector responses obtained from nine different test spectra, and the spatial response of Library functions generated by MCNPX. Results indicate that there is no advantage of using the Distance Correlation over the Pearson Correlation, and that weighted versions of these correlations do not increase their performance in evaluating dose. Both correlations were proven to work well even at low integrated doses measured for short periods of time. To evaluate the contribution produced by room-return neutrons on the dosimeter response, MCNPX was used to simulate dosimeter responses for five isotropic neutron sources placed inside different sizes of rectangular concrete rooms. Results show that the contribution of scattered neutrons to the response of the dosimeter can be significant, so that for most cases the dose is over predicted with errors as large as 500%. A possible method to correct for the contribution of room-return neutrons is also assessed and can be used as a good initial estimate on how to approach the problem.

Study of the fission spectrum of less than 1 MeV neutrons using a Lithium-glass detector

NASA Astrophysics Data System (ADS)

Bastola, Suraj; Rees, Lawrence; Bart, Czirr

2011-10-01

The fission spectrum of neutrons with kinetic energies less than 1 MeV is of considerable practical importance for the design of nuclear reactors. However, it is not as precisely known as that for higher energy neutrons. One of the major problems scientists have previously encountered is room return neutrons. These are neutrons that reflect from the walls, ceiling or floor of the lab. Another problem is finding a way to measure accurately the neutron time of flight. This is the time neutrons take to travel from a fission event to the detector. Time of flight is used to measure the neutron energy. To avoid the room return, I am going to perform an experiment about 45 feet above the ground in the BYU Indoor Practice Facility, so that neutrons from the source will not scatter from nearby surfaces and return to the detector. To find the time of flight to a greater accuracy, I have been using a Time to Amplitude Converter (TAC). A TAC has a capacitor that charges linearly as the voltage builds up. With a 12-bit digitizer system, we can measure the time to 0.1 nanoseconds, whereas the same digitizer can only measure time in steps of 4 nanoseconds. So, we will get a more accurate measurement of time of flight with the TAC.

Female employees' perceptions of organisational support for breastfeeding at work: findings from an Australian health service workplace.

PubMed

Weber, Danielle; Janson, Anneka; Nolan, Michelle; Wen, Li Ming; Rissel, Chris

2011-11-30

Women's return to work can be a significant barrier to continued breastfeeding. Workplace policies and practices to promote and support continued, and longer duration of, breastfeeding are important. In the context of the introduction of a new breastfeeding policy for Area Health Services in New South Wales, Australia, a baseline survey was conducted to describe current practices and examine women's reports of perceived organisational support on breastfeeding intention and practice. A cross sectional survey of female employees of the Sydney South West Area Health Service was conducted in late 2009. A mailed questionnaire was sent to 998 eligible participants who had taken maternity leave over the 20-month period from January 2008 to August 2009. The questionnaire collected items assessing breastfeeding intentions, awareness of workplace policies, and the level of organisational and social support available. For those women who had returned to work, further questions were asked to assess the perceptions and practices of breastfeeding in the work environment, as well as barriers and enabling factors to combining breastfeeding and work. Returning to work was one of the main reasons women ceased breastfeeding, with 60 percent of women intending to breastfeed when they returned to work, but only 40 percent doing so. Support to combine breastfeeding and work came mainly from family and partners (74% and 83% respectively), with little perceived support from the organisation (13%) and human resources (6%). Most women (92%) had received no information from their managers about their breastfeeding options upon their return to work, and few had access to a room specially designated for breastfeeding (19%). Flexible work options and lactation breaks, as well as access to a private room, were identified as the main factors that facilitate breastfeeding at work. Enabling women to continue breastfeeding at work has benefits for the infant, employee and organisation. However, this baseline study of health employees revealed that women felt largely unsupported by managers and their organisation to continue breastfeeding at work.

Test results from a comparative evaluation of a condensation nuclei fire detector

NASA Technical Reports Server (NTRS)

Bricker, R. W.

1985-01-01

The fire/smoke alarm response of a condensation nuclei fire detector (CNFD) was compared with photoelectric and ionization detectors. Tests were conducted in a former control room 8.5 m by 8.9 with a 2.7 m ceiling. The room had air supplied from above the ceiling and under the floor with return air exiting from ceiling grills. The environment was varied from 278 to 305 K and relative humidities from 8 to 65%. Four detection zones were located in the room. Each zone contained a sampling head for the CNDF, a photodetector, and an ionization detector so that each detector system had four opportunities to alarm during tests. The particle level in the test room was also monitored during tests with a condensation nuclei particle counter. The CNFD responded to 90% of exposures to smoldering plastic and 84% of exposures to visible fire. The photoelectric response was 43 and 12.5% respectively for the same conditions. The ionization response was 9 and 48 respectively.

What factors are associated with unplanned return following transurethral resection of bladder tumor? An analysis of a large single institution's experience.

PubMed

Ghali, Fady; Moses, Rachel A; Raffin, Eric; Hyams, Elias S

2016-10-01

This study sought to evaluate factors associated with unplanned hospital return (UR) following transurethral resection of bladder tumor (TURBT), the largest source of readmission among ambulatory urological procedures. A retrospective review of TURBTs at a single academic institution between April 2011 and August 2014 was performed. Demographics, comorbidities, length of stay, tumor size and multiple other factors were recorded. UR was recorded within 30 days of surgery. Bivariate and multivariable analyses were performed to determine factors associated with UR. Among 708 patients undergoing TURBT, 23.9% were female with a mean age of 70 years. The rate of UR was 10.9%. The most common cause of UR was gross hematuria, accounting for 70%. On bivariate analysis, Foley catheter placement in the operating room, non-aspirin anticoagulation and index length of stay longer than 24 h were associated with hematuria-related UR (p < 0.05). Preoperative antibiotics, female gender and aspirin therapy were associated with lower rates of hematuria-related UR (p < 0.05), while tumor size, distance of residence to the hospital, and Foley on hospital discharge (rather than from the operating room) had no association (p > 0.05). On multivariable analysis, only Foley placement in the operating room remained associated with higher rates of hematuria-related UR, while preoperative antibiotics, female gender and aspirin therapy remained associated with a lower likelihood of this event. UR following TURBT is common and typically results from gross hematuria. Patients with postoperative Foley catheterization in the operating room may require additional counseling or supervision before discharge, and should be considered for discharge with a Foley rather than having a prompt voiding trial.

A Return to the "Mexican Room": The Segregation of Arizona's English Learners

ERIC Educational Resources Information Center

Gandara, Patricia; Orfield, Gary

2010-01-01

This paper reviews the research on the impact of segregation on Latino and English Language Learner (ELL) students, including new empirical research conducted in Arizona. It also reviews court decisions regarding students' rights to be integrated with their mainstream peers, and provides data on the increasing segregation of Arizona's Latino and…

Guiding Curriculum Development: The Need to Return to Local Control

ERIC Educational Resources Information Center

Norton, M. Scott

2016-01-01

Top-down mandates concerning the curriculum of the school leave no room for program creativity and program commitment. Yet principals and teachers are held accountable for student achievement results. Constitutionally, powers not granted to the United States are reserved to the States or to the people. This book's primary purposes center on the…

77 FR 12757 - Airworthiness Directives; Hawker Beechcraft Corporation Airplanes

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-02

... rulemaking (NPRM). SUMMARY: We propose to adopt a new airworthiness directive (AD) for certain Hawker... oversized clamps on fuel vapor return and/or fuel vent lines in the outboard sections of the left and right... Floor, Room W12-140, 1200 New Jersey Avenue SE., Washington, DC 20590. Hand Delivery: Deliver to Mail...

Nasally-Administered Oxytocin Has Limited Effects on Owner-Directed Attachment Behavior in Pet Dogs (Canis lupus familiaris)

PubMed Central

Thielke, Lauren E.; Rosenlicht, Giovanna; Saturn, Sarina R.; Udell, Monique A. R.

2017-01-01

The present study explored the effects of intranasal oxytocin, a naturally occurring hormone, on the behavior of pet dogs during an attachment test. Each dog participated in two testing sessions. On one visit saline was administered nasally, and on another, oxytocin was administered nasally. For half of the dogs (n = 20), solutions were administered with a Mucosal Atomization Device (MAD) and for half of the dogs (n = 20), solutions were administered using a nasal spray bottle. Condition order was counterbalanced and a double-blind methodology was employed. Following a 30-min wait period after administration of solutions, dog-owner pairs participated in the Secure Base Test, a short attachment test consisting of three 2-min phases: (1) Baseline- the owner was present, dogs were able to freely explore the testing room (2) Alone- dogs were left alone in the testing room (3) Return- owners re-entered the room and were reunited with their dog. In each phase the dog was evaluated for contact seeking, exploration, and avoidance behaviors. Although, oxytocin administration was expected to increase owner-directed proximity and contact seeking behavior, this effect was not observed. In fact, in the baseline phase, dogs spent significantly more time seeking the proximity of their owners when they received saline than when they received OT (p < 0.05). Sex differences were also assessed for the behavioral variables of interest in the Secure Base Test, and results indicated that OT did not affect dogs' behavior in the alone phase, but when saline was administered, females spent significantly more time in contact with the door than males in the alone phase (p < 0.05). Overall, the effects of nasally administered oxytocin on attachment related behavior appeared to be limited or inconsistent for this pet dog population. PMID:29033879

Physician Engagement in Improving Operative Supply Chain Efficiency Through Review of Surgeon Preference Cards.

PubMed

Harvey, Lara F B; Smith, Katherine A; Curlin, Howard

To reduce operative costs involved in the purchase, packing, and transport of unnecessary supplies by improving the accuracy of surgeon preference cards. Quality improvement study (Canadian Task Force classification II-3). Gynecologic surgery suite of an academic medical center. Twenty-one specialized and generalist gynecologic surgeons. The preference cards of up to the 5 most frequently performed procedures per surgeon were selected. A total of 81 cards were distributed to 21 surgeons for review. Changes to the cards were communicated to the operating room charge nurse and finalized. Fourteen surgeons returned a total of 48 reviewed cards, 39 of which had changes. A total of 109 disposable supplies were removed from these cards, at a total cost savings of $767.67. The cost per card was reduced by $16 on average for disposables alone. Three reusable instrument trays were also eliminated from the cards, resulting in savings of approximately $925 in processing costs over a 3-month period. Twenty-two items were requested by surgeons to be available on request but were not routinely placed in the room at the start of each case, at a total cost of $6,293.54. The rate of return of unused instruments to storage decreased after our intervention, from 10.1 to 9.6 instruments per case. Surgeon preference cards serve as the basis for economic decision making regarding the purchase, storing, packing, and transport of operative instruments and supplies. A one-time surgeon review of cards resulted in a decrease in the number of disposable and reusable instruments that must be stocked, transported, counted in the operating room, or returned, potentially translating into cost savings. Surgeon involvement in preference card management may reduce waste and provide ongoing cost savings. Copyright © 2017 American Association of Gynecologic Laparoscopists. Published by Elsevier Inc. All rights reserved.

Epidural Abscess: A Propensity Analysis of Surgical Treatment Strategies.

PubMed

Chaker, Anisse N; Bhimani, Abhiraj D; Esfahani, Darian R; Rosinski, Clayton L; Geever, Brett W; Patel, Akash S; Hobbs, Jonathan G; Burch, Taylor G; Patel, Saavan; Mehta, Ankit I

2018-06-18

Observational analysis of retrospectively collected data. A retrospective study was performed in order to compare the surgical profile of risk factors and perioperative complications for laminectomy and laminectomy with fusion procedures in the treatment of SEA. Spinal epidural abscess (SEA) is a highly morbid condition typically presenting with back pain, fever, and neurologic deficits. Posterior fusion has been used to supplement traditional laminectomy of SEA to improve spinal stability. At present, the ideal surgical strategy - laminectomy with or without fusion - remains elusive. 30-day outcomes such as reoperation and readmission following laminectomy and laminectomy with fusion in patients with SEA were investigated utilizing the American College of Surgeons National Quality Improvement Program database. Demographics and clinical risk factors were collected, and propensity matching was performed to account for differences in risk profiles between the groups. 738 patients were studied (608 laminectomy alone, 130 fusion). The fusion population was in worse health. The fusion population experienced significantly greater rate of return to the operating room (odds ratio (OR) 1.892), with the difference primarily accounted for by cervical spine operations. Additionally, fusion patients had significantly greater rates of blood transfusion. Infection was the most common reason for reoperation in both populations. Both laminectomy and laminectomy with fusion effectively treat SEA, but addition of fusion is associated with significantly higher rates of transfusion and perioperative return to the operating room. In operative situations where either procedure is reasonable, surgeons should consider that fusion nearly doubles the odds of reoperation in the short-term, and weigh this risk against the benefit of added stability. 3.

Returning Mir 23 crewmember, U.S. astronaut Jerry Linenger, with family following landing of STS-84

NASA Technical Reports Server (NTRS)

1997-01-01

Astronaut and recent Mir 23 crew member Jerry M. Linenger, standing, reunites with his wife, Kathryn, and their 18-month-old son, John, in the astronaut suit-up room in the Operations and Checkout Building. Kathryn Linenger is expecting their second child next month. Linenger just returned to Earth after a four- month stay on the Russian Space Station Mir. He flew back on Atlantis with six other members of the STS-84 crew, who conducted the sixth Space Shuttle docking with the Mir. STS-84 Mission Specialist C. Michael Foale replaced Linenger on the Mir.

Thermally actuated wedge block

DOEpatents

Queen, Jr., Charles C.

1980-01-01

This invention relates to an automatically-operating wedge block for maintaining intimate structural contact over wide temperature ranges, including cryogenic use. The wedging action depends on the relative thermal expansion of two materials having very different coefficients of thermal expansion. The wedge block expands in thickness when cooled to cryogenic temperatures and contracts in thickness when returned to room temperature.

25 CFR 90.43 - Canvass of election returns.

Code of Federal Regulations, 2013 CFR

2013-04-01

... continuously in the room until the ballots are finally counted. One or more judges shall act as official... appearing at the poll; all tally sheets; and all other election materials shall be placed in the ballot box which shall be locked. The supervisor shall then deliver the locked ballot box and keys to same to the...

College? No Thanks, Mom and Dad

ERIC Educational Resources Information Center

Ruark, Jennifer

2009-01-01

Robin Wagner, director of the library at Gettysburg College, remembers a few years ago when her son, Ben, was a high-school senior. While all his friends were talking about their college plans, Ben, who had been accepted to the University of Pittsburgh's engineering program, refused to return the offer card. On the band-room whiteboard where kids…

Space Policy Directive - 1 Signing

NASA Image and Video Library

2017-12-11

Ivanka Trump, advisor to President Donald Trump, touches a sample from the moon that former astronaut Jack Schmitt, left, collected during the Apollo 17 mission, just after President Trump signed Space Policy Directive - 1, directing NASA to return to the moon, in the Roosevelt room of the White House in Washington, Monday, Dec. 11, 2017. Photo Credit: (NASA/Aubrey Gemignani)

Application of Cryocoolers to a Vintage Dilution Refrigerator

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

Schmitt, Richard; Smith, Gary; Ruschman, Mark

2011-06-06

A dilution refrigerator is required for 50mK detector operation of CDMS (Cryogenic Dark Matter Search). Besides shielding the dilution refrigerator itself, the liquid nitrogen shield and liquid helium bath in the refrigerator cool the detector cryostat heat shields and cool electronics, resulting in significant external heat loads at 80K and at 4K. An Oxford Instruments Kelvinox 400 has served this role for ten years but required daily transfers of liquid nitrogen and liquid helium. Complicating the cryogen supply is the location 800 meters below ground in an RF shielded, class 10000 clean room at Soudan, MN. Nitrogen and helium re-liquefiersmore » using cryocoolers were installed outside the clean room and continuously condense room temperature gas and return the liquids to the dilution refrigerator through a transfer line. This paper will describe the design, installation, controls and performance of liquefaction systems.« less

Virtual environment display for a 3D audio room simulation

NASA Astrophysics Data System (ADS)

Chapin, William L.; Foster, Scott

1992-06-01

Recent developments in virtual 3D audio and synthetic aural environments have produced a complex acoustical room simulation. The acoustical simulation models a room with walls, ceiling, and floor of selected sound reflecting/absorbing characteristics and unlimited independent localizable sound sources. This non-visual acoustic simulation, implemented with 4 audio ConvolvotronsTM by Crystal River Engineering and coupled to the listener with a Poihemus IsotrakTM, tracking the listener's head position and orientation, and stereo headphones returning binaural sound, is quite compelling to most listeners with eyes closed. This immersive effect should be reinforced when properly integrated into a full, multi-sensory virtual environment presentation. This paper discusses the design of an interactive, visual virtual environment, complementing the acoustic model and specified to: 1) allow the listener to freely move about the space, a room of manipulable size, shape, and audio character, while interactively relocating the sound sources; 2) reinforce the listener's feeling of telepresence into the acoustical environment with visual and proprioceptive sensations; 3) enhance the audio with the graphic and interactive components, rather than overwhelm or reduce it; and 4) serve as a research testbed and technology transfer demonstration. The hardware/software design of two demonstration systems, one installed and one portable, are discussed through the development of four iterative configurations. The installed system implements a head-coupled, wide-angle, stereo-optic tracker/viewer and multi-computer simulation control. The portable demonstration system implements a head-mounted wide-angle, stereo-optic display, separate head and pointer electro-magnetic position trackers, a heterogeneous parallel graphics processing system, and object oriented C++ program code.

Quenchable compressed graphite synthesized from neutron-irradiated highly oriented pyrolytic graphite in high pressure treatment at 1500 °C

NASA Astrophysics Data System (ADS)

Niwase, Keisuke; Terasawa, Mititaka; Honda, Shin-ichi; Niibe, Masahito; Hisakuni, Tomohiko; Iwata, Tadao; Higo, Yuji; Hirai, Takeshi; Shinmei, Toru; Ohfuji, Hiroaki; Irifune, Tetsuo

2018-04-01

The super hard material of "compressed graphite" (CG) has been reported to be formed under compression of graphite at room temperature. However, it returns to graphite under decompression. Neutron-irradiated graphite, on the other hand, is a unique material for the synthesis of a new carbon phase, as reported by the formation of an amorphous diamond by shock compression. Here, we investigate the change of structure of highly oriented pyrolytic graphite (HOPG) irradiated with neutrons to a fluence of 1.4 × 1024 n/m2 under static pressure. The neutron-irradiated HOPG sample was compressed to 15 GPa at room temperature and then the temperature was increased up to 1500 °C. X-ray diffraction, high-resolution transmission electron microscopy on the recovered sample clearly showed the formation of a significant amount of quenchable-CG with ordinary graphite. Formation of hexagonal and cubic diamonds was also confirmed. The effect of irradiation-induced defects on the synthesis of quenchable-CG under high pressure and high temperature treatment was discussed.

Processes to Open the Container and the Sample Catcher of the Hayabusa Returned Capsule in the Planetary Material Sample Curation Facility of JAXA

NASA Technical Reports Server (NTRS)

Fujimura, A.; Abe, M.; Yada, T.; Nakamura, T.; Noguchi, T.; Okazaki, R.; Ishibashi, Y.; Shirai, K.; Okada, T.; Yano, H.;

Expedition Three Commander Culbertson and STS-105 Commander Horowitz in the White Room

NASA Technical Reports Server (NTRS)

2001-01-01

KENNEDY SPACE CENTER, Fla. -- Expedition Three Commander Frank Culbertson (left) and STS-105 Commander Scott Horowitz (right), in the White Room at Launch Pad 39A, have placed the mission sign at the entrance into Space Shuttle Discovery. Both crews are at KSC to take part in Terminal Countdown Demonstration Test activities, which include emergency egress training, a simulated launch countdown and familiarization with the payload. Mission STS-105 will be transporting the Expedition Three crew, several payloads and scientific experiments to the International Space Station aboard Discovery. The current Expedition Two crew members on the Station will return to Earth on Discovery. Launch of Discovery is scheduled no earlier than Aug. 9, 2001.

Expedition Three Commander Culbertson and STS-105 Commander Horowitz in the White Room

NASA Technical Reports Server (NTRS)

2001-01-01

KENNEDY SPACE CENTER, Fla. -- Expedition Three Commander Frank Culbertson (left) and STS-105 Commander Scott Horowitz (right), in the White Room at Launch Pad 39A, hold the sign for their mission. Both crews are at KSC to take part in Terminal Countdown Demonstration Test activities, which include emergency egress training, a simulated launch countdown and familiarization with the payload. Mission STS-105 will be transporting the Expedition Three crew, several payloads and scientific experiments to the International Space Station aboard Discovery. The current Expedition Two crew members on the Station will return to Earth on Discovery. Launch of Discovery is scheduled no earlier than Aug. 9, 2001.

The State of Computers in the State of Arkansas.

ERIC Educational Resources Information Center

Schoppmeyer, Martin W.; And Others

To explore and document the status of computer use in Arkansas, a survey was sent to each of the 310 school superintendents in the state, and 221 surveys were returned. Results indicated that only a minority of the schools had a computer in every room; these tended to be placed in lower grade classrooms. Excepting kindergarten, the majority of…

The Design of a Real Time Operating System for a Fault Tolerant Microcomputer

DTIC Science & Technology

1986-12-01

Scheduler then enqueues all the new jobs for the new frame. Upon completion of the Purge and Task Scheduler routines the Cycle Interrupt Handler returns...the scheduling of new tasks in a new minor cycle to make room for the new jobs . The purge operation will usually not remove the same number of jobs each

Segregating Arizona's English Learners: A Return to the "Mexican Room"?

ERIC Educational Resources Information Center

Gandara, Patricia; Orfield, Gary

2012-01-01

Background:This study grew out of a recent Supreme Court case known as "Horne v Flores." The case began in 1992 in Nogales, Arizona when a 4th grade English learner (EL), Miriam Flores, sued the district and the state for failing to provide her (and other EL students) with an appropriate education as guaranteed by the Equal Educational…

Dual-fission chamber and neutron beam characterization for fission product yield measurements using monoenergetic neutrons

NASA Astrophysics Data System (ADS)

Bhatia, C.; Fallin, B.; Gooden, M. E.; Howell, C. R.; Kelley, J. H.; Tornow, W.; Arnold, C. W.; Bond, E. M.; Bredeweg, T. A.; Fowler, M. M.; Moody, W. A.; Rundberg, R. S.; Rusev, G.; Vieira, D. J.; Wilhelmy, J. B.; Becker, J. A.; Macri, R.; Ryan, C.; Sheets, S. A.; Stoyer, M. A.; Tonchev, A. P.

2014-09-01

A program has been initiated to measure the energy dependence of selected high-yield fission products used in the analysis of nuclear test data. We present out initial work of neutron activation using a dual-fission chamber with quasi-monoenergetic neutrons and gamma-counting method. Quasi-monoenergetic neutrons of energies from 0.5 to 15 MeV using the TUNL 10 MV FM tandem to provide high-precision and self-consistent measurements of fission product yields (FPY). The final FPY results will be coupled with theoretical analysis to provide a more fundamental understanding of the fission process. To accomplish this goal, we have developed and tested a set of dual-fission ionization chambers to provide an accurate determination of the number of fissions occurring in a thick target located in the middle plane of the chamber assembly. Details of the fission chamber and its performance are presented along with neutron beam production and characterization. Also presented are studies on the background issues associated with room-return and off-energy neutron production. We show that the off-energy neutron contribution can be significant, but correctable, while room-return neutron background levels contribute less than <1% to the fission signal.

Analysis on the impact of FBG reflectance spectrum with different optical fiber connection in vacuum thermal environment

NASA Astrophysics Data System (ADS)

Zhang, Jingchuan; Zhang, Wen; Lv, Jianfeng; Liang, Shuo; Wang, Lei; Li, Xiyuan

2018-01-01

To satisfy the application of fiber grating sensor technology in high vacuum thermal environment, FBG on sleeve compactly single model fiber with two typical different kind of connection such as fiber splicing and optical fiber connector are researched. Influence of the different connection to the characteristic of FBG reflectance spectrum in high vacuum thermal environment is analyzed and verified. First, experimental program of influence on FBG reflection spectrum characteristics is designed. Then, a hardware-in-the-loop detection platform is set up. Finally, the influence of temperature and vacuum on the reflection peak power of FBG with two typical different connections under high vacuum thermal environment is studied and verified. Experimental results indicate that: when vacuum varied from normal pressure to 10-4Pa level and then return to normal pressure, temperature of two different single-mode optical fiber connection dropped to -196 °C from room temperature and then returned to room temperature, after 224 hours, the peak power of the FBG reflectance spectrum did not change. It provided the experimental basis for the application of optical fiber sensing technology in high vacuum (pressure about 10-4Pa level) and thermal environment (-196 °C temperature cycle).

KSC-05pd2600

NASA Image and Video Library

2005-12-14

KENNEDY SPACE CENTER, FLA. -- United Space Alliance technician Dell Chapman applies the glue (red) known as RTV, or room temperature vulcanization, to a strip of gap filler before installation on the orbiter Discovery, which is being processed in Orbiter Processing Facility Bay 3 at NASA’s Kennedy Space Center. This work is being performed due to two gap fillers that were protruding from the underside of Discovery on the first Return to Flight mission, STS-114. New installation procedures have been developed to ensure the gap fillers stay in place and do not pose any hazard during the shuttle's re-entry to the atmosphere. Discovery is the scheduled orbiter for the second space shuttle mission in the return-to-flight sequence.

SpaceX Dragon Cargo Transfer

NASA Image and Video Library

2012-06-13

NASA Administrator Charles Bolden, left, and SpaceX CEO and Chief Designer Elon Musk, view the historic Dragon capsule, right, that returned to Earth on May 31 following the first successful mission by a private company to carry supplies to the International Space Station on Wednesday, June 13, 2012 at the SpaceX facility in McGregor, Texas. Bolden and Musk also thanked the more than 150 SpaceX employees working at the McGregor facility for their role in the historic mission. Some of the 1,367 pounds of cargo the SpaceX Dragon spacecraft returned to Earth from the space station are seen in a clean room to the left. Photo Credit: (NASA/Bill Ingalls)

Female employees' perceptions of organisational support for breastfeeding at work: findings from an Australian health service workplace

PubMed Central

2011-01-01

Background Women's return to work can be a significant barrier to continued breastfeeding. Workplace policies and practices to promote and support continued, and longer duration of, breastfeeding are important. In the context of the introduction of a new breastfeeding policy for Area Health Services in New South Wales, Australia, a baseline survey was conducted to describe current practices and examine women's reports of perceived organisational support on breastfeeding intention and practice. Methods A cross sectional survey of female employees of the Sydney South West Area Health Service was conducted in late 2009. A mailed questionnaire was sent to 998 eligible participants who had taken maternity leave over the 20-month period from January 2008 to August 2009. The questionnaire collected items assessing breastfeeding intentions, awareness of workplace policies, and the level of organisational and social support available. For those women who had returned to work, further questions were asked to assess the perceptions and practices of breastfeeding in the work environment, as well as barriers and enabling factors to combining breastfeeding and work. Results Returning to work was one of the main reasons women ceased breastfeeding, with 60 percent of women intending to breastfeed when they returned to work, but only 40 percent doing so. Support to combine breastfeeding and work came mainly from family and partners (74% and 83% respectively), with little perceived support from the organisation (13%) and human resources (6%). Most women (92%) had received no information from their managers about their breastfeeding options upon their return to work, and few had access to a room specially designated for breastfeeding (19%). Flexible work options and lactation breaks, as well as access to a private room, were identified as the main factors that facilitate breastfeeding at work. Conclusions Enabling women to continue breastfeeding at work has benefits for the infant, employee and organisation. However, this baseline study of health employees revealed that women felt largely unsupported by managers and their organisation to continue breastfeeding at work. PMID:22129232

LLNL's Diagram of Chronological Events and B695 Weekly Inspection Reports

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

Salvo, V

Activities leading to the incident were: (1) RCRA Class 2 Permit Modification granted on July 25, 2007 to install a walk-in fume hood in room 1025; (2) USQ-695-07-148 to do the work approved on 9/17; (3) ducting removed early October done by Facility Personnel under IWS 10331.09; (4) ducting swiped for 'free release' radioactivity only by team 1 personnel on 10/16; (5) all ducting and valves remained in building 695 room 1025 except for one piece delivered to building 391 (MMED shop); (6) material delivered by facility personnel to MMED shope B391 on about 10/19; (7) MMED personnel took amore » duct piece to B511 shop and removed the flange which went to salvage; (8) MMED personnel took the duct piece back to B391 shop and welded on a cap; (9) RHWM personnel picked up the welded duct from B391 around 10/26 and returned ti to B695 room 1025; and (10) the analysis report receive don 12/3 indicated that beryllium swipes take on 11/16, in B695 room 1025, and on ducting that did not leave the room where personnel worked, were above the release level for beryllium.« less

Decomposition of potential efficiency gains from hospital mergers in Greece.

PubMed

Flokou, Angeliki; Aletras, Vassilis; Niakas, Dimitris

2017-12-01

This paper evaluates the technical efficiency of 71 Greek public hospitals and examines potential efficiency gains from 13 candidate mergers among them. Efficiency assessments are performed using bootstrapped Data Envelopment Analysis (DEA) whilst merger analysis is conducted by applying the Bogetoft and Wang methodology which allows the overall potential merger gains to be decomposed into three main components of inefficiency, namely technical (or learning), scope (or harmony) and scale (or size) effects. Thus, the analysis provides important insights not only on the magnitude of the potential total efficiency gains but also on their sources. The overall analysis is conducted in the context of a complete methodological framework where methods for outlier detection, returns to scale identification, and bias corrections for DEA estimations are also applied. Mergers are analyzed under the assumptions of constant, variable and non-decreasing returns to scale in an input oriented DEA model with three inputs and three outputs. The main finding of the study indicates that almost all mergers show substantial potential room for efficiency improvement, which is mainly attributed to the pre-merger technical inefficiencies of the individual hospitals and therefore it might be possible to be achieved without the need of implementing full-scale mergers. The same -though, at a lower extent- applies to the harmony effect whilst the size effect shows marginal or even negative gains.

KSC-2010-4453C

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This orbiter tribute of space shuttle Discovery, or OV-103, hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. In 2011, the tribute was updated to reflect the crew member change on Discovery's final mission -- STS-133. Steve Bowen replaced Tim Kopra as a mission specialist on STS-133, after Kopra was injured in a bicycle accident that prevented him from flying into space. Discovery’s accomplishments include the first female shuttle pilot, Eileen Collins, on STS-63, John Glenn’s legendary return to space on STS-95, and the celebration of the 100th shuttle mission with STS-92. In addition, Discovery supported a number of Department of Defense programs, satellite deploy and repair missions and 13 International Space Station construction and operation flights. The tribute features Discovery demonstrating the rendezvous pitch maneuver on approach to the International Space Station during STS-114. Having accumulated the most space shuttle flights, Discovery’s 39 mission patches are shown circling the spacecraft. The background image was taken from the Hubble Space Telescope, which launched aboard Discovery on STS-31 and serviced by Discovery on STS-82 and STS-103. The American Flag and Bald Eagle represent Discovery’s two Return-to-Flight missions -- STS-26 and STS-114 -- and symbolize Discovery’s role in returning American astronauts to space. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo. NASA publication number: SP-2010-08-164-KSC

KSC-2010-4453D

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This is a version of space shuttle Discovery's orbiter tribute, or OV-103, which hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. In 2011, the tribute was updated to reflect the crew member change on Discovery's final mission -- STS-133. Steve Bowen replaced Tim Kopra as a mission specialist on STS-133, after Kopra was injured in a bicycle accident that prevented him from flying into space. Discovery’s accomplishments include the first female shuttle pilot, Eileen Collins, on STS-63, John Glenn’s legendary return to space on STS-95, and the celebration of the 100th shuttle mission with STS-92. In addition, Discovery supported a number of Department of Defense programs, satellite deploy and repair missions and 13 International Space Station construction and operation flights. The tribute features Discovery demonstrating the rendezvous pitch maneuver on approach to the International Space Station during STS-114. Having accumulated the most space shuttle flights, Discovery’s 39 mission patches are shown circling the spacecraft. The background image was taken from the Hubble Space Telescope, which launched aboard Discovery on STS-31 and serviced by Discovery on STS-82 and STS-103. The American Flag and Bald Eagle represent Discovery’s two Return-to-Flight missions -- STS-26 and STS-114 -- and symbolize Discovery’s role in returning American astronauts to space. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo. NASA publication number: SP-2010-08-164-KSC

KSC-2010-4453E

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This is a printable version of space shuttle Discovery's orbiter tribute, or OV-103, which hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. In 2011, the tribute was updated to reflect the crew member change on Discovery's final mission -- STS-133. Steve Bowen replaced Tim Kopra as a mission specialist on STS-133, after Kopra was injured in a bicycle accident that prevented him from flying into space. Discovery’s accomplishments include the first female shuttle pilot, Eileen Collins, on STS-63, John Glenn’s legendary return to space on STS-95, and the celebration of the 100th shuttle mission with STS-92. In addition, Discovery supported a number of Department of Defense programs, satellite deploy and repair missions and 13 International Space Station construction and operation flights. The tribute features Discovery demonstrating the rendezvous pitch maneuver on approach to the International Space Station during STS-114. Having accumulated the most space shuttle flights, Discovery’s 39 mission patches are shown circling the spacecraft. The background image was taken from the Hubble Space Telescope, which launched aboard Discovery on STS-31 and serviced by Discovery on STS-82 and STS-103. The American Flag and Bald Eagle represent Discovery’s two Return-to-Flight missions -- STS-26 and STS-114 -- and symbolize Discovery’s role in returning American astronauts to space. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo. NASA publication number: SP-2010-08-164-KSC

[Fostering a breastfeeding-friendly workplace].

PubMed

Chen, Yi-Chun; Kuo, Shu-Chen

2013-02-01

Creating supportive environments that encourage mothers to breastfeed their children has emerged in recent years as a key health issue for women and children. Taiwan has a large and still growing number of new mothers in the workplace. Early postpartum return to work and inconvenient workplace conditions often discourage women from breastfeeding or cause early discontinuation. This study describes the current status of worksite breastfeeding-friendly policies in Taiwan and selected other countries and assesses the effects of work-related factors on working mother breastfeeding behavior. Although maternity leave has been positively correlated with breastfeeding duration, maternity leave in Taiwan remains significantly shorter than in other countries. Flexible working conditions, the provision of lactation rooms, and support from colleagues are critical components of promoting breastfeeding in the workplace.

Employer Partnership Program Analysis of Alternatives

DTIC Science & Technology

2012-01-01

downloaded many more job listings. These results suggest that there is room for improvement in outreach to RC service members and attracting return visits to...Area of Concentration ARNG Army National Guard ATA American Trucking Association CBRN Chemical, Biological, Radiological, and Nuclear CMF Career...Association ( ATA ) and Inova Health Systems, a nonprofit health care provider in Northern Virginia. In July 2008, the program signed its first agreement

NASA Vision. Volume 1, No. 5

NASA Technical Reports Server (NTRS)

Fenton, Mary (Editor); Wood, Jennifer (Editor)

2003-01-01

Contents include the following: Administrator O'Keefe addresses NASA's return to flight. New independent engineering and safety center. Around the centers. NASA and your library: local libraries making room for space. Robonaut: the next generation. Inspiring the next generation ... of Hispanics. NASA and teachers focus on parks. GSFC director gives keynote address. Agency honor awards. Summer interns join the NASA team. Catching a comet's tail in Earth's atmosphere.

Alumni of High School Internship Program Return for 25th Anniversary to Inspire Current Students | Poster

Cancer.gov

The Building 549 auditorium is often packed with high school interns eager to hear a scientific lecture. On April 22, however, the room swelled with interns spanning a wider age range. At the 25th Werner H. Kirsten Student Intern Program (WHK SIP) Anniversary Symposium, incoming, current, and former interns gathered to celebrate the program, which has provided biomedical

Space X1 First Entry Sample

NASA Technical Reports Server (NTRS)

James, John T.

2012-01-01

One mini-grab sample container (m-GSC) was returned aboard Space X1 because of the importance of quickly knowing first-entry conditions in this new commercial module. This sample was analyzed alongside samples of the portable clean room (PCR) used in the Space X complex at KSC. The recoveries of C-13-acetone, fluorobenzene, and chlorobenzene from the GSCs averaged 130, 129, and 132 %, respectively.

Concordia U. Saint Paul Will Slash Tuition by One-Third

ERIC Educational Resources Information Center

Supiano, Beckie

2012-01-01

Concordia University Saint Paul will reduce the sticker price of its tuition and fees by $10,000, or about 33 percent, for the 2013-2014 academic year. Tuition and fees for all new and returning students in the traditional undergraduate program will drop to $19,700 next year from $29,700 this year, while the price of room and board will not…

Administrator Bridenstine - returning Astronauts to the Moon

NASA Image and Video Library

2018-06-18

NASA Administrator Jim Bridenstine delivers remarks during a meeting of the National Space Council in the East Room of the White House, Monday, June 18, 2018, in Washington. News release: https://www.nasa.gov/press-release/na... Chaired by the Vice President, the council's role is to advise President Donald J. Trump regarding national space policy and strategy, and review the nation's long-range goals for space activities.

The dynamics of methicillin-resistant Staphylococcus aureus exposure in a hospital model and the potential for environmental intervention.

PubMed

Plipat, Nottasorn; Spicknall, Ian H; Koopman, James S; Eisenberg, Joseph Ns

2013-12-17

Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of healthcare-associated infections. An important control strategy is hand hygiene; however, non-compliance has been a major problem in healthcare settings. Furthermore, modeling studies have suggested that the law of diminishing return applies to hand hygiene. Other additional control strategies such as environmental cleaning may be warranted, given that MRSA-positive individuals constantly shed contaminated desquamated skin particles to the environment. We constructed and analyzed a deterministic environmental compartmental model of MRSA fate, transport, and exposure between two hypothetical hospital rooms: one with a colonized patient, shedding MRSA; another with an uncolonized patient, susceptible to exposure. Healthcare workers (HCWs), acting solely as vectors, spread MRSA from one patient room to the other. Although porous surfaces became highly contaminated, their low transfer efficiency limited the exposure dose to HCWs and the uncolonized patient. Conversely, the high transfer efficiency of nonporous surfaces allows greater MRSA transfer when touched. In the colonized patient's room, HCW exposure occurred more predominantly through the indirect (patient to surfaces to HCW) mode compared to the direct (patient to HCW) mode. In contrast, in the uncolonized patient's room, patient exposure was more predominant in the direct (HCW to patient) mode compared to the indirect (HCW to surfaces to patient) mode. Surface wiping decreased MRSA exposure to the uncolonized patient more than daily surface decontamination. This was because wiping allowed higher cleaning frequency and cleaned more total surface area per day. Environmental cleaning should be considered as an integral component of MRSA infection control in hospitals. Given the previously under-appreciated role of surface contamination in MRSA transmission, this intervention mode can contribute to an effective multiple barrier approach in concert with hand hygiene.

Hip Arthroscopy Surgical Volume Trends and 30-Day Postoperative Complications.

PubMed

Cvetanovich, Gregory L; Chalmers, Peter N; Levy, David M; Mather, Richard C; Harris, Joshua D; Bush-Joseph, Charles A; Nho, Shane J

2016-07-01

To determine hip arthroscopy surgical volume trends from 2006 to 2013 using the National Surgical Quality Improvement Program (NSQIP) database, the incidence of 30-day complications of hip arthroscopy, and patient and surgical risk factors for complications. Patients who underwent hip arthroscopy from 2006 to 2013 were identified in the NSQIP database for the over 400 NSQIP participating hospitals from the United States using Current Procedural Terminology and International Classification of Diseases, Ninth Revision codes. Trends in number of hip arthroscopy procedures per year were analyzed. Complications in the 30-day period after hip arthroscopy were identified. Univariate and multivariate regression analyses were performed to identify risk factors for complications. We identified 1,338 patients who underwent hip arthroscopy, with a mean age of 39.5 ± 13.0 years. Female patients comprised 59.6%. Hip arthroscopy procedures became 25 times more common in 2013 than 2006 (P < .001). Major complications occurred in 8 patients (0.6%), and minor complications occurred in 11 patients (0.8%); overall complications occurred in 18 patients (1.3%) (1 patient had 2 complications). The most common complications were bleeding requiring a transfusion (5, 0.4%), return to the operating room (4, 0.3%), superficial infection not requiring return to the operating room (3, 0.2%), deep venous thrombosis (2, 0.1%), and death (2, 0.1%). Multivariate analysis showed that regional/monitored anesthesia care as opposed to general anesthesia (P = .005; odds ratio, 0.102) and a history of patient steroid use (P = .05; odds ratio, 8.346) were independent predictors of minor complications in the 30 days after hip arthroscopy. Hip arthroscopy is an increasingly common procedure, with a 25-fold increase from 2006 to 2013. There is a low incidence of 30-day postoperative complications (1.3%), most commonly bleeding requiring a transfusion, return to the operating room, and superficial infection. Regional/monitored anesthesia care and steroid use were independent risk factors for minor complications. Level III, retrospective comparative study. Copyright © 2016 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

STS-113 Mission Specialist John Herrington in White Room before launch

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- In the White Room on Launch Pad 39A, STS-113 Mission Specialist John Herrington is helped with his launch and entry suit by Rick Welty, United Space Alliance Vehicle Closeout chief. The launch will carry the Expedition 6 crew to the Station and return the Expedition 5 crew to Earth. The major objective of the mission is delivery of the Port 1 (P1) Integrated Truss Assembly, which will be attached to the port side of the S0 truss. Three spacewalks are planned to install and activate the truss and its associated equipment. Launch of Space Shuttle Endeavour on mission STS-113 is scheduled for Nov. 23 at 7:50 p.m. EST.

Evaluation of operating room suite efficiency in the Veterans Health Administration system by using data-envelopment analysis.

PubMed

Basson, Marc D; Butler, Timothy

2006-11-01

Operating room (OR) activity transcends single ratios such as cases/room, but weighting multiple inputs and outputs may be arbitrary. Data-envelopment analysis (DEA) is a novel technique by which each facility is analyzed by the weightings that optimize its score. We performed DEA analysis of 23 Veterans Health Administration annual OR activity; 87,180 cases were performed, 24 publications generated, and 560 trainee-years of education delivered, in 168 ORs over 166,377 hours by 1,384 full-time equivalents of surgical and anesthesia providers and 523 nonproviders. Varying analyzed parameters produced similar efficiency rankings, with individual differences suggesting possible inefficiencies. We characterized returns to scale for efficient sites, suggesting whether patient flow might be efficiently further increased through these sites. We matched inefficient sites to similar efficient sites for comparison and suggested resource alterations to increase efficiency. Broader DEA application might characterize OR efficiency more informatively than conventional single-ratio rank ordering.

An assessment of formaldehyde emissions from laminate flooring manufactured in China.

PubMed

Pierce, Jennifer S; Abelmann, Anders; Lotter, Jason T; Ruestow, Peter S; Unice, Kenneth M; Beckett, Evan M; Fritz, Heidi A; Bare, Jennifer L; Finley, Brent L

2016-11-01

Formaldehyde emissions from two laminate flooring products, labeled as California Air Resources Board (CARB) compliant, were evaluated. Passive 24-hr samples (n = 79) and real-time measurements were collected following installation and removal of the products in two rooms of similar size. Mean formaldehyde concentrations following installation were 0.038 and 0.022 ppm for Products 1 and 2 respectively, and 7 days after flooring removal the concentrations returned to background pre-installation levels. Both products were also evaluated in a small chamber (ASTM D6007) using Deconstructive (de-laminated product) and Non-Deconstructive (intact product) methods. Deconstructive testing showed that Product 1 exceeded the applicable CARB emission standard by 4-fold, while Product 2 was equivalent to the standard. Non-Deconstructive measurements were far below the Deconstructive results and were used to predict 24-hr steady-state room air concentrations. Based on the products that we tested (one of which was found to not be compliant with the CARB standard), the airborne formaldehyde concentrations measured following installation in a real-world setting would not be expected to elicit adverse acute health effects. Copyright © 2016 Elsevier Inc. All rights reserved.

Solid-state-laser-rod holder

DOEpatents

Gettemy, D.J.; Barnes, N.P.; Griggs, J.E.

1981-08-11

The disclosure relates to a solid state laser rod holder comprising Invar, copper tubing, and epoxy joints. Materials and coefficients of expansion of the components of the holder combine with the rod to produce a joint which will give before the rod itself will. The rod may be lased at about 70 to 80/sup 0/K and returned from such a temperature to room temperature repeatedly without its or the holder's destruction.

Space Policy Directive - 1 Signing

NASA Image and Video Library

2017-12-11

Vice President Mike Pence speaks before President Donald Trump signs Space Policy Directive - 1, directing NASA to return to the moon, alongside President Donald Trump. left, Acting NASA Administrator Robert Lightfoot, second left, NASA astronaut Peggy Whitson, third from left, NASA astronaut Christina Koch, right, and members of the Senate, Congress, and commercial space companies in the Roosevelt room of the White House in Washington, Monday, Dec. 11, 2017. Photo Credit: (NASA/Aubrey Gemignani)

Research on influence of different cover to the characteristic of FBG reflectance spectrum in vacuum thermal environment

NASA Astrophysics Data System (ADS)

Pei, Yifei; Zhang, Jingchuan; Zhang, Luosha; Liu, Yang; Zhang, Lina; Chen, Shiyu

2018-01-01

To satisfy the application of fiber grating sensor technology in high vacuum thermal environment, two different kinds of sleeve compactly single model fiber covered by acrylate and polyimide are researched. Influence of the cover to the characteristic of FBG reflectance spectrum in high vacuum thermal environment is analyzed and verified. First, transmission characteristic of single model fiber in high vacuum thermal environment is analyzed by solve the equation of heat conduction. Then, experimental program of influence on FBG reflection spectrum characteristics is designed and a hardware-in-the-loop detection platform is set up. Finally, the influence of temperature and vacuum on the reflection peak power of FBG in different coating single-mode transmission fiber under high vacuum thermal environment is studied and verified. Experimental results indicate that: when vacuum varied from normal pressure to 10-4Pa level and then return to normal pressure, temperature of two different coating single-mode transmission fiber dropped to -196 ° from room temperature and then returned to room temperature, after 224 hours, the peak power of the FBG reflectance spectrum did not change. It provided the theoretical and experimental basis for the application of optical fiber sensing technology in high vacuum (pressure about 10-4Pa level) and thermal environment (-196 ° 25 ° temperature cycle) .

"Deflategate": Time, Temperature, and Moisture Effects on Football Pressure

NASA Astrophysics Data System (ADS)

Blumenthal, Jack; Beljak, Lauren; Macatangay, Dahlia-Marie; Helmuth-Malone, Lilly; McWilliams, Catharina; Raptis, Sofia

2016-09-01

In a recent paper in TPT, DiLisi and Rarick used the National Football League "Deflategate" controversy to introduce to physics students the physics of a bouncing ball. In this paper, we measure and analyze the environmental effects of time, ambient temperature, and moisture on the internal pressure of an NFL football. We focus on the rate of pressure recovery that occurs when a cold football (either wet or dry) is returned to the warm locker room environment where the pressure was initially measured. Both studies stem from the so-called NFL "Deflategate" controversy in which footballs that initially met a minimum internal pressure requirement were rechecked at halftime of the AFC Championship game, and in some cases were reported to have fallen below the minimum pressure requirement. The question is whether the pressure changes were due to environmental exposure or rather to some air being released from the balls, or both.

Different activation of ACTH and corticosterone release in response to various stressors in rats.

PubMed

Djordjević, J; Cvijić, G; Davidović, V

2003-01-01

The aim of this study was to investigate the reaction of the hypothalamo-pituitary-adrenocortical (HPA) system to various stressors (fasting, crowding, cold and heat) by measuring blood ACTH and corticosterone (CORT) concentration as well as the cholesterol (CHOL) content in the adrenals. To examine the effects of stress termination, the rats were returned and kept under control conditions for the same period as that of stress duration (supposed recovery period). According to our results HPA system was activated by all the stressors applied. Heat seems to be the strongest stressor since the exposure of animals to a high ambient temperature resulted in the greatest rise of plasma ACTH concentration as well as CORT synthesis and secretion. These values remained elevated after the stress termination i.e. after the rats had been returned to room temperature. Fasting seems to be the weakest stressor given because it causes the smallest increase in blood ACTH and CORT concentrations. Moreover, in refed rats the HPA function was fully recovered. In conclusion, the various stressors applied seem to induce a different response of the HPA system as judged by quantitative changes in ACTH and CORT release.

Acquisition of a High-resolution Inductively Coupled Plasma Mass Spectrometer for Cosmochemical and Geochemical Research

NASA Technical Reports Server (NTRS)

Lauretta, D. S.

2004-01-01

The primary goal of our research in this program is to develop new techniques for the analysis of volatile trace elements in very small samples using inductively coupled plasma mass spectrometry (ICP-MS) in preparation for samples returned by the Stardust mission. The instrument that will serve as the basis of our experiments is the ELEMENT2 high-resolution ICP-MS. We have spent the past year designing the laboratory to house this instrument as well as space to store and prepare samples returned by the Stardust mission. Unfortunately, the location that we had initially selected for the instrument turned out to be insufficient for our needs. This was determined almost eight months into the first year of our funding cycle, after extensive work including the production of engineering drawings. However, during this time the Lunar and Planetary Laboratory was selected to lead Phoenix, the first Mars Scout mission. As a result of this award LPL purchased a new, 50,000 square foot building. We have acquired 1400 square feet of laboratory space in this new facility. Four-hundred square feet will be used for a class-100 clean room. This area is designated for storage and preparation of extraterrestrial materials. The additional 1000 square feet will house the ELEMENT2 ICP-MS and peripheral devices. This is an enormous amount of space for this instrument, but it provides plenty of room for expansion in the future. The ICP-MS and the clean room facilities have been purchased. The instrument has been delivered. The startup time for this instrument is relatively short and we expect to be collecting our first data by mid-summer.

Effect of sample storage temperature and buffer formulation on faecal immunochemical test haemoglobin measurements.

PubMed

Symonds, Erin L; Cole, Stephen R; Bastin, Dawn; Fraser, Robert Jl; Young, Graeme P

2017-12-01

Objectives Faecal immunochemical test accuracy may be adversely affected when samples are exposed to high temperatures. This study evaluated the effect of two sample collection buffer formulations (OC-Sensor, Eiken) and storage temperatures on faecal haemoglobin readings. Methods Faecal immunochemical test samples returned in a screening programme and with ≥10 µg Hb/g faeces in either the original or new formulation haemoglobin stabilizing buffer were stored in the freezer, refrigerator, or at room temperature (22℃-24℃), and reanalysed after 1-14 days. Samples in the new buffer were also reanalysed after storage at 35℃ and 50℃. Results were expressed as percentage of the initial concentration, and the number of days that levels were maintained to at least 80% was calculated. Results Haemoglobin concentrations were maintained above 80% of their initial concentration with both freezer and refrigerator storage, regardless of buffer formulation or storage duration. Stability at room temperature was significantly better in the new buffer, with haemoglobin remaining above 80% for 20 days compared with six days in the original buffer. Storage at 35℃ or 50℃ in the new buffer maintained haemoglobin above 80% for eight and two days, respectively. Conclusion The new formulation buffer has enhanced haemoglobin stabilizing properties when samples are exposed to temperatures greater than 22℃.

Medicines in Pharmacy Students’ Residence and Self-medication Practices

PubMed Central

Auta, A; Banwat, SB; Sariem, CN; Shalkur, D; Nasara, B; Atuluku, MO

2012-01-01

This study was aimed at identifying the types of medicines in pharmacy students’ residence and to determine if a relationship exists between keeping medicines in students’ accommodation and self-medication practices. A cross-sectional survey of a random sample of 240 undergraduate pharmacy students of the University of Jos, Jos, Nigeria, was carried out. Participating students were given a self-administered questionnaire, and only 188 students returned their filled questionnaire. The data collected were entered and analyzed using SPSS 16, and the χ2-test was used to determine associations between the variables. The results revealed that 66.0% of respondents had medicines in their room. A total of 318 medicines items (2.56 items per student's room) of which 37.1% were leftover medicines were present in respondents’ rooms. Analgesics (34.3%) and antibiotics (25.2%) were the common classes of medicines present in respondents’ rooms. Respondents reported getting these medicines on prescription (25.8%) and self-medication (56.5%) or both (17.7%). Self-medication practice was common among respondents (53.2%); however, no significant relationship (P>0.05) existed between having medicine in students’ room and self-medication practices. Common reasons given by respondents for having medicines in their rooms were that they were leftover medicines and that they were keeping them for emergency use or for use in an event of a similar illness. Most respondents (72.2%) reported disposing of their unused medicines in a trash can/dust bin. This study demonstrated that the prevalence of medicine storage in students’ room and self-medication practice is high. Analgesics and antibiotics were the most common types of medicines present in students’ residence. PMID:22754265

Postural lung recruitment assessed by lung ultrasound in mechanically ventilated children.

PubMed

Tusman, Gerardo; Acosta, Cecilia M; Böhm, Stephan H; Waldmann, Andreas D; Ferrando, Carlos; Marquez, Manuel Perez; Sipmann, Fernando Suarez

2017-10-13

Atelectasis is a common finding in mechanically ventilated children with healthy lungs. This lung collapse cannot be overcome using standard levels of positive end-expiratory pressure (PEEP) and thus for only individualized lung recruitment maneuvers lead to satisfactory therapeutic results. In this short communication, we demonstrate by lung ultrasound images (LUS) the effect of a postural recruitment maneuver (P-RM, i.e., a ventilatory strategy aimed at reaerating atelectasis by changing body position under constant ventilation). Data was collected in the operating room of the Hospital Privado de Comunidad, Mar del Plata, Argentina. Three anesthetized children undergoing mechanical ventilation at constant settings were sequentially subjected to the following two maneuvers: (1) PEEP trial in the supine position PEEP was increased to 10 cmH 2 O for 3 min and then decreased to back to baseline. (2) P-RM patient position was changed from supine to the left and then to the right lateral position for 90 s each before returning to supine. The total P-RM procedure took approximately 3 min. LUS in the supine position showed similar atelectasis before and after the PEEP trial. Contrarily, atelectasis disappeared in the non-dependent lung when patients were placed in the lateral positions. Both lungs remained atelectasis free even after returning to the supine position. We provide LUS images that illustrate the concept and effects of postural recruitment in children. This maneuver has the advantage of achieving recruitment effects without the need to elevate airways pressures.

Room for improvement: tackling high-cost patients for high potential return.

PubMed

2004-06-01

Assuming that most DM programs do a decent job of managing the typical chronically ill patient, a California company decided to take on the atypical patient with a program that seeks out highly complex, at high-cost patients, and uses some non-traditional interventions to get these patients stabilized. In fact, pilot study results suggest developers may be on the right track with their "SWAT team" approach to care.

Alumni of High School Internship Program Return for 25th Anniversary to Inspire Current Students | Poster

Cancer.gov

The Building 549 auditorium is often packed with high school interns eager to hear a scientific lecture. On April 22, however, the room swelled with interns spanning a wider age range. At the 25th Werner H. Kirsten Student Intern Program (WHK SIP) Anniversary Symposium, incoming, current, and former interns gathered to celebrate the program, which has provided biomedical research experience for local high school seniors.

Rhesus Monkeys (Macaca Mulatta) Demonstrate Robust Memory for What and Where, but Not When, in an Open-Field Test of Memory

ERIC Educational Resources Information Center

Hampton, R.R.; Hampstead, B.M.; Murray, E.A.

2005-01-01

We adapted a paradigm developed by Clayton and Dickinson (1998), who demonstrated memory for what, where, and when in scrub jays, for use with rhesus monkeys. In the study phase of each trial, monkeys found a preferred and a less-preferred food reward in a trial-unique array of three locations in a large room. After 1h, monkeys returned to the…

Redundant Sensors for Mobile Robot Navigation

DTIC Science & Technology

1985-09-01

represent a probability that the area is empty, while positive numbers mcan it’s probably occupied. Zero reprtsents the unknown. The basic idea is that...room to give it absolute positioning information. This works by using two infrared emitters and detectors on the robot. Measurements of anglcs are made...meters (T in Kelvin) 273 sec Distances returned when assuming 80 degrees Farenheit , but where. actual temperature is 60 degrees, will be seven inches

Correlation of Electric Field and Critical Design Parameters for Ferroelectric Tunable Microwave Filters

NASA Technical Reports Server (NTRS)

Subramanyam, Guru; VanKeuls, Fred W.; Miranda, Felix A.; Canedy, Chadwick L.; Aggarwal, Sanjeev; Venkatesan, Thirumalai; Ramesh, Ramamoorthy

2000-01-01

The correlation of electric field and critical design parameters such as the insertion loss, frequency ability return loss, and bandwidth of conductor/ferroelectric/dielectric microstrip tunable K-band microwave filters is discussed in this work. This work is based primarily on barium strontium titanate (BSTO) ferroelectric thin film based tunable microstrip filters for room temperature applications. Two new parameters which we believe will simplify the evaluation of ferroelectric thin films for tunable microwave filters, are defined. The first of these, called the sensitivity parameter, is defined as the incremental change in center frequency with incremental change in maximum applied electric field (EPEAK) in the filter. The other, the loss parameter, is defined as the incremental or decremental change in insertion loss of the filter with incremental change in maximum applied electric field. At room temperature, the Au/BSTO/LAO microstrip filters exhibited a sensitivity parameter value between 15 and 5 MHz/cm/kV. The loss parameter varied for different bias configurations used for electrically tuning the filter. The loss parameter varied from 0.05 to 0.01 dB/cm/kV at room temperature.

Visual communication and the content and style of conversation.

PubMed

Rutter, D R; Stephenson, G M; Dewey, M E

1981-02-01

Previous research suggests that visual communication plays a number of important roles in social interaction. In particular, it appears to influence the content of what people say in discussions, the style of their speech, and the outcomes they reach. However, the findings are based exclusively on comparisons between face-to-face conversations and audio conversations, in which subjects sit in separate rooms and speak over a microphone-headphone intercom which precludes visual communication. Interpretation is difficult, because visual communication is confounded with physical presence, which itself makes available certain cues denied to audio subjects. The purpose of this paper is to report two experiments in which the variables were separated and content and style were re-examined. The first made use of blind subjects, and again compared the face-to-face and audio conditions. The second returned to sighted subjects, and examined four experimental conditions: face-to-face; audio; a curtain condition in which subjects sat in the same room but without visual communication; and a video condition in which they sat in separate rooms and communicated over a television link. Neither visual communication nor physical presence proved to be critical variable. Instead, the two sources of cues combined, such that content and style were influenced by the aggregate of available cues. The more cueless the settings, the more task-oriented, depersonalized and unspontaneous the conversation. The findings also suggested that the primary effect of cuelessness is to influence verbal content, and that its influence on both style and outcome occurs indirectly, through the mediation of content.

Staphylococcus xylosus PCR-validated Decontamination of Murine Individually Ventilated Cage Racks and Air Handling Units by Using 'Active-Closed' Exposure to Vaporized Hydrogen Peroxide.

PubMed

Ragland, Natalie H; Miedel, Emily L; Gomez, Jose M; Engelman, Robert W

2017-11-01

Vaporized hydrogen peroxide (VHP) is used to decontaminate clinical, biocontainment, and research animal rooms and equipment. To assist with its implementation in a murine facility, we developed a safe and effective method of VHP sterilization of IVC racks and air handling units (AHU). Safety of VHP decontamination was assessed by ensuring VHP levels dissipated to less than 1 ppm in the room prior to personnel reentry and inside the primary enclosure prior to the return of mice; this condition occurred at least 18 h after the VHP cycle. Efficacy of VHP sterilization was assessed by using chemical indicators, biologic indicators, and PCR testing for Staphylococcus xylosus, a commensal organism of murine skin and an opportunistic pathogen, which was present in 160 of 172 (93%) of specimens from occupied IVC racks and the interior surfaces of in-use AHU. Neither mechanized washing nor hand-sanitizing eradicated S. xylosus from equipment airway interiors, with 17% to 24% of specimens remaining PCR-positive for S. xylosus. 'Static-open' VHP exposure of sanitized equipment did not ensure its sterilization. In contrast, 'active-closed' VHP exposure, in which IVC racks were assembled, sealed, and connected to AHU set to the VHP cycle, increased the proportion of chemical indicators that detected sterilizing levels of VHP inside the assembled equipment, and significantly decreased PCR-detectable S. xylosus inside the equipment. Supplementing bulk steam sterilization of the primary enclosure with VHP sterilization of the secondary housing equipment during room change-outs may help to mitigate opportunistic agents that jeopardize studies involving immunodeficient strains.

National Football League athletes' return to play after surgical reattachment of complete proximal hamstring ruptures.

PubMed

Mansour, Alfred A; Genuario, James W; Young, Jason P; Murphy, Todd P; Boublik, Martin; Schlegel, Theodore F

2013-06-01

Although hamstring strains are common among professional football players, proximal tendon avulsions are relatively rare. Surgical repair is recommended, but there is no evidence on professional football players return to play (RTP). We hypothesized that surgical reattachment of complete proximal hamstring ruptures in these athletes would enable successful RTP. Ten proximal hamstring avulsions were identified in 10 National Football League (NFL) players between 1990 and 2008. Participating team physicians retrospectively reviewed each player's training room and clinical records, operative notes, and imaging studies. The ruptures were identified and confirmed with magnetic resonance imaging. Of the 10 injuries, 9 had palpable defects. Each of the ruptures was managed with surgical fixation within 10 days of injury. All of the players reported full return of strength and attempted to resume play at the beginning of the following season, with 9 of the 10 actually returning to play. However, despite having no limitations related to the surgical repair, only 5 of the 10 athletes played in more than 1 game. Most NFL players who undergo acute surgical repair of complete proximal hamstring ruptures are able to RTP, but results are mixed regarding long-term participation. This finding may indicate that this injury is a marker for elite-level physical deterioration.

Mobile Information Collection Application: Water Equipment Tracker (MICA:WET) Tool

DTIC Science & Technology

2013-10-01

position unless so designated by other authorized documents. DESTROY THIS REPORT WHEN NO LONGER NEEDED. DO NOT RETURN IT TO THE ORIGINATOR. ERDC TR...for the report. Despite this utility, an ongoing programming “ bug ” causes photos to be- come associated with the wrong building, floor, and room after...other sleeping quarters, number of beds , demographic percentages. Some fields require the user to enter the data manually or to select from a menu

Liquid-Oxygen-Compatible Cement for Gaskets

NASA Technical Reports Server (NTRS)

Elmore, N. L.; Neale, B. C.

1984-01-01

Fluorelastomer and metal bonded reliably by new procedure. To cure fluoroelastomer cement, metal plate/gasket assembly placed in vacuum bag evacuated to minimum vacuum of 27 inches (69 cm) of mercury. Vacuum maintained throughout heating process and until assembly returns to ambient room temperature. Used to seal gaskets and O-rings or used to splice layers of elastomer to form non-standard sized O-rings. Another possible use is to apply protective, liquid-oxygen-compatible coating to metal parts.

View of Mission Control Center during the Apollo 13 emergency return

NASA Image and Video Library

1970-04-16

S70-35369 (16 April 1970) --- Discussion in the Mission Operations Control Room (MOCR) dealing with the Apollo 13 crewmen during their final day in space. From left to right are Glynn S. Lunney, Shift 4 flight director; Gerald D. Griffin, Shift 2 flight director; astronaut James A. McDivitt, manager, Apollo Spacecraft Program, MSC; Dr. Donald K. Slayton, director of Flight Crew Operations, MSC; and Dr. Willard R. Hawkins, M.D., Shift 1 flight surgeon.

Meet the Editors: JGR-Atmospheres

NASA Astrophysics Data System (ADS)

Kumar, Mohi

2006-04-01

Three scientists were newly appointed and one scientist was reappointed last year as editors of JGR-Atmospheres. The three new editors, John Austin, Jose D. Fuentes, and Ruth Lieberman, along with returning editor Colin O'Dowd, would like to see several changes made to the journal. ``JGR-Atmospheres is still regarded as the highest-quality atmospheric science journal, having perhaps one of the most stringent and rigorous review processes,'' said O'Dowd. ``However, there is still room for improvement.''

Returning to work while breastfeeding.

PubMed

Biagioli, Frances

2003-12-01

Mothers who work outside the home initiate breastfeeding at the same rate as mothers who stay at home. However, the breastfeeding continuance rate declines sharply in mothers who return to work. While the work environment may be less than ideal for the breastfeeding mother, obstacles can be overcome. Available breast pump types include manual pumps, battery-powered pumps, electric diaphragm pumps, electric piston pumps, and hospital-grade electric piston pumps. Electric piston pumps may be the most suitable type for mothers who work outside the home for more than 20 hours per week; however, when a mother is highly motivated, any pump type can be successful in any situation. Conservative estimates suggest that breast milk can be stored at room temperature for eight hours, refrigerated for up to eight days, and frozen for many months. A breastfeeding plan can help the working mother anticipate logistic problems and devise a practical pumping schedule. A mother's milk production usually is well established by the time her infant is four weeks old; it is best to delay a return to work until at least that time, and longer if possible.

The Work Softening Behavior of Pure Mg Wire during Cold Drawing.

PubMed

Sun, Liuxia; Bai, Jing; Xue, Feng; Chu, Chenglin; Meng, Jiao

2018-04-13

We performed multiple-pass cold drawing for pure Mg wire which showed excellent formability (~138% accumulative true strain) at room temperature. Different from the continuous work hardening occurring during cold drawing of Mg alloy wires, for pure Mg, an initially rapid increase in hardness and strength was followed by significant work softening and finally reached a steady-state level, approximately 40~45 HV. The work softening can be attributed to the dynamic recovery and recrystallization of pure Mg at room temperature. Meanwhile, an abrupt change in texture component also was detected with the transition from work hardening to softening in the strain range of 28~34%. During the whole drawing, the strongest texture component gradually transformed from as-extruded basal to <10 1 ¯ 0> fiber (~28% accumulative true strain), and then rapidly returned to the weak basal texture.

KSC-2012-6229

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked out at the Launch Equipment Test Facility at NASA's Kennedy Space Center in Florida. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to test the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

KSC-2012-6225

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked out at the Launch Equipment Test Facility at NASA's Kennedy Space Center in Florida. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to test the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

KSC-2012-6231

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked out at the Launch Equipment Test Facility at NASA's Kennedy Space Center in Florida. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to test the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

KSC-2012-6226

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked out at the Launch Equipment Test Facility at NASA's Kennedy Space Center in Florida. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to test the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

KSC-2012-6230

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked by technicians and engineers at the Launch Equipment Test Facility at NASAs Kennedy Space Center in Florida. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to assess the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

KSC-2012-6228

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked by technicians and engineers at the Launch Equipment Test Facility at NASAs Kennedy Space Center in Florida. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to assess the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

Ergonomic problems encountered by the surgical team during video endoscopic surgery.

PubMed

Kaya, Oskay I; Moran, Munevver; Ozkardes, Alper B; Taskin, Emre Y; Seker, Gaye E; Ozmen, Mahir M

2008-02-01

The aim of this study is to analyze the problems related to the ergonomic conditions faced by video endoscopic surgical teams during video endoscopic surgery by means of a questionnaire. A questionnaire was distributed to 100 medical personnel, from 8 different disciplines, who performed video endoscopic surgeries. Participants were asked to answer 13 questions related to physical, perceptive, and cognitive problems. Eighty-two questionnaires were returned. Although there were differences among the disciplines, participants assessment of various problems ranged from 32% to 72% owing to poor ergonomic conditions. As the problems encountered by the staff during video endoscopic surgery and the poor ergonomic conditions of the operating room affect the productivity of the surgical team and the safety and efficiency of the surgery, redesigning of the instruments and the operating room is required.

Vacuum-assisted closure device as a split-thickness skin graft bolster in the burn population.

PubMed

Waltzman, Joshua T; Bell, Derek E

2014-01-01

The vacuum-assisted closure device (VAC) is associated with improved wound healing outcomes. Its use as a bolster device to secure a split-thickness skin graft has been previously demonstrated; however, there is little published evidence demonstrating its benefits specifically in the burn population. With use of the VAC becoming more commonplace, its effect on skin graft take and overall time to healing in burn patients deserves further investigation. Retrospective review of burn registry database at a high-volume level I trauma center and regional burn center during a 16-month period was performed. Patients who had a third-degree burn injury requiring a split-thickness skin graft and who received a VAC bolster were included. Data points included age, sex, burn mechanism, burn location, grafted area in square centimeters, need for repeat grafting, percent graft take, and time to complete reepithelialization. Sixty-seven patients were included in the study with a total of 88 skin graft sites secured with a VAC. Age ranged from <1 year to 84 years (average 41 years). The average grafted area was 367 ± 545 cm. The three most common were the leg, thigh, and arm (28, 15, and 12%, respectively). Average percent graft take was 99.5 ± 1.5%. Notably, no patients returned to the operating room for repeat grafting. The average time to complete reepithelialization was 16 ± 7 days. The VAC is a highly reliable and reproducible method to bolster a split-thickness skin graft in the burn population. The observed rate of zero returns to the operating room for repeat grafting was especially encouraging. Its ability to conform to contours of the body and cover large surface areas makes it especially useful in securing a graft. This method of bolstering results in decreased repeat grafting and minimal graft loss, thus decreasing morbidity compared with conventional bolster dressings.

Distraction systems for ankle arthroscopy.

PubMed

Palladino, S J

1994-07-01

It is clear that for most of the routine pathology addressed with ankle arthroscopy, including most talar dome transchondral fractures, manual distraction (or none at all) is all that is necessary to successfully complete the procedure. There is little need to add the expense and potential complications associated with some distraction systems. However, some cases involve pathology or surgical techniques that either would be better addressed with distraction or absolutely demand distraction. It is recommended that invasive ankle distraction be reserved for (1) cases in which noninvasive distraction has not yielded adequate field visualization or instrument maneuvering room, (2) cases of preoperatively documented pathology involving the posterior talar dome (including some medial talar dome fractures) or inferior tibial surface, or (3) arthroscopic ankle fusion. Consideration should be given to providing 6 to 12 weeks of protected function of the extremity to avoid delayed fracture presentation. In general, the invasive distraction system should be reserved for those cases that would not ordinarily be managed with aggressive rehabilitation and early return to activities. For those cases where the benefits of distraction are desired (some dome fractures, meniscoid lesions, gutter pathology, and adhesive capsulitis) and aggressive rehabilitation with early return to activities may be planned, noninvasive distraction systems are now available that offer a sustainable joint separation of good magnitude. With the growing availability and effectiveness of the commercial noninvasive ankle distractors, I do not disagree with Stone and Guhl98 when they advocate the use of noninvasive distraction for routine arthroscopic procedures, with conversion to invasive distraction should there be insufficient joint separation. In summary, providing optimal field visualization and maneuvering room for instrumentation is essential for the successful performance of arthroscopic ankle surgery. This article has discussed options available to the arthroscopist that can assist in achieving these objectives. The exact method of distraction selected for a given case may be determined by the arthroscopist by weighing the issues discussed in this article.

Curating NASA's Astromaterials Collections: Past, Present, and Future

NASA Technical Reports Server (NTRS)

Zeigler, Ryan

2015-01-01

Planning for the curation of samples from future sample return missions must begin during the initial planning stages of a mission. Waiting until the samples have been returned to Earth, or even when you begin to physically build the spacecraft is too late. A lack of proper planning could lead to irreversible contamination of the samples, which in turn would compromise the scientific integrity of the mission. For example, even though the Apollo missions first returned samples in 1969, planning for the curation facility began in the early 1960s, and construction of the Lunar Receiving Laboratory was completed in 1967. In addition to designing the receiving facility and laboratory that the samples will be characterized and stored in, there are many aspects of contamination that must be addressed during the planning and building of the spacecraft: planetary protection (both outbound and inbound); cataloging, documenting, and preserving the materials used to build spacecraft (also known as coupons); near real-time monitoring of the environment in which the spacecraft is being built using witness plates for critical aspects of contamination (known as contamination control); and long term monitoring and preservation of the environment in which the spacecraft is being built for most aspects of potential contamination through the use of witness plates (known as contamination knowledge). The OSIRIS REx asteroid sample return mission, currently being built, is dealing with all of these aspects of contamination in order to ensure they return the best preserved sample possible. Coupons and witness plates from OSIRIS REx are currently being studied and stored (for future studies) at the Johnson Space Center. Similarly, planning for the clean room facility at Johnson Space Center to house the OSIRIS-REx samples is well advanced, and construction of the facility should begin in early 2017 (despite a nominal 2023 return date for OSIRIS-REx samples). Similar development is being done, in concert with JAXA, for the return of Hayabusa 2 samples (nominally in 2020). We are also actively developing advanced techniques like cold curation and organically clean curation in anticipation of future sample return missions such as comet nucleus sample return and Mars sample return.

Quadriceps tendon injuries in national football league players.

PubMed

Boublik, Martin; Schlegel, Theodore F; Koonce, Ryan C; Genuario, James W; Kinkartz, Jason D

2013-08-01

Distal quadriceps tendon tears are uncommon injuries that typically occur in patients older than 40 years of age, and they have a guarded prognosis. Predisposing factors, prodromal findings, mechanisms of injury, treatment guidelines, and recovery expectations are not well described in high-level athletes. Professional American football players with an isolated tear of the quadriceps tendon treated with timely surgical repair will return to their sport. Case series; Level of evidence, 4. Fourteen unilateral distal quadriceps tendon tears were identified in National Football League (NFL) players from 1994 to 2004. Team physicians retrospectively reviewed training room and clinic records, operative notes, and imaging studies for each of these players. Data on each player were analyzed to identify variables predicting return to play. A successful outcome was defined as returning to play in regular-season NFL games. Eccentric contraction of the quadriceps was the most common mechanism of injury, occurring in 10 players. Only 1 player had antecedent ipsilateral extensor mechanism symptoms. Eleven players had a complete rupture of the quadriceps tendon, and 3 had partial tears. There were no associated knee injuries. All ruptures were treated with surgical repair, 1 of which was delayed after failure of nonoperative treatment. Fifty percent of players returned to play in regular-season NFL games. There was a trend toward earlier draft status for those who returned to play compared with those who did not (draft round, 3.1 ± 2.5 vs. 6.0 ± 2.9, respectively; P = .073). For those who returned to play, the average number of games after injury was 40.9 (range, 12-92). Quadriceps tendon tears are rare in professional American football players, and they usually occur from eccentric load on the extensor mechanism. Prodromal symptoms and predisposing factors are usually absent. Even with timely surgical repair, there is a low rate of return to play in regular-season games. There is a trend toward early draft rounds for those who successfully return to play.

Safety assessment of the use of Bacillus-based cleaning products.

PubMed

Berg, Ninna W; Evans, Matthew R; Sedivy, John; Testman, Robert; Acedo, Kimon; Paone, Domenic; Long, David; Osimitz, Thomas G

2018-06-01

Non-pathogenic Bacillus species used in cleaning products produce the appropriate enzymes to degrade stains and soils. However, there is little scientific data regarding the human exposure by inhalation of Bacillus spores during or after use of microbial-based cleaning products. Herein, air samples were collected at various locations in a ventilated, carpeted, residential room to determine the air concentration of viable bacteria and spores during and after the application of microbial-based carpet cleaning products containing Bacillus spores. The influence of human activities and vacuuming was investigated. Bioaerosol levels associated with use and post-application activities of whole room carpet treatments were elevated during post-application activity, but quickly returned to the indoor background range. Use of trigger spray spot applications generated aerosolized spores in the immediate vicinity, however, their use pattern and the generation of mostly non-respirable particles suggest minimal risks for pulmonary exposure from their use. The aerosol counts associated with use of these microbial-based cleaners were below the recommendation for safe exposure levels to non-pathogenic and non-toxigenic microorganisms except during application of the spot cleaner. The data presented suggest that carpet cleaning products, containing non-pathogenic Bacillus spores present a low potential for inhalation exposure and consequently minimal risk of adverse effects. Copyright © 2017 Elsevier Ltd. All rights reserved.

[A role for hypnosis in cataract surgery: Report of 171 procedures].

PubMed

Agard, E; Pernod, C; El Chehab, H; Russo, A; Haxaire, M; Dot, C

2016-03-01

To study the effectiveness of relaxation hypnosis in outpatient cataract surgery. Prospective study of 171 patients undergoing cataract surgery under hypnosis, performed by the same nurse anesthetist. The procedures were performed by 2 senior surgeons, A and B (A=78 surgeries, and B=93 surgeries) under topical anesthesia and with a 2.2-mm mini-incision. The hypnosis group (n=102) was compared to a control group (n=69) according to quantitative, objective criteria: hemodynamic changes and the need for intravenous medication in operating room, as well as subjective, qualitative criteria: surgical comfort, effectiveness of hypnosis, and patient satisfaction. Subgroup analyses by surgeon, 1st and 2nd eye surgery, were performed. Hemodynamic parameters were not significantly different between the 2 groups: systolic blood pressure (P=0.06) and maximum heart rate (P=0.25). However, the use of intraoperative intravenous medication was significantly higher in the control group (49.3% versus 21.6%, P<0.001). The effectiveness of relaxation was scored at a mean of 5.25/6 by the nurse anesthetist. The patients in the hypnosis group reported a mean comfort rating of 8.4/10, and 100% were satisfied with this hypnosis experience. Preliminary results of this study are very positive for all three parties: patient/anesthetist/surgeon. They are leading to an expanded university training program for operating room personnel in order to improve quality of care and reduce premedication in elderly patients so as to facilitate their return to home. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Effectiveness of Workplace Lactation Interventions on Breastfeeding Outcomes in the United States: An Updated Systematic Review.

PubMed

Kim, Julia H; Shin, Jong C; Donovan, Sharon M

2018-06-01

Background Returning to work is one of the main barriers to breastfeeding duration among working mothers in the United States. However, the impact of workplace lactation programs is unclear. Research Aim The aim of this study was to evaluate the effectiveness of workplace lactation programs in the United States on breastfeeding practices. Methods A systematic search was conducted of seven databases through September 2017. Articles ( N = 10) meeting the inclusion criteria of describing a workplace lactation intervention and evaluation in the United States and measuring initiation, exclusivity, or duration using an experimental or observational study design were critically evaluated. Two reviewers conducted quality assessments and reviewed the full-text articles during the analysis. Results Common services provided were breast pumps, social support, lactation rooms, and breastfeeding classes. Breastfeeding initiation was very high, ranging from 87% to 98%. Several factors were significantly associated with duration of exclusive breastfeeding: (a) receiving a breast pump for one year (8.3 versus 4.7 months), (b) return-to-work consultations (40% versus 17% at 6 months), and (c) telephone support (42% versus 15% at 6 months). Each additional service (except prenatal education) dose-dependently increased exclusively breastfeeding at 6 months. Sociodemographic information including older maternal age, working part-time, longer maternity leave, and white ethnicity were associated with longer breastfeeding duration. Conclusion Workplace lactation interventions increased breastfeeding initiation, duration, and exclusive breastfeeding, with greater changes observed with more available services. More evidence is needed on the impact of workplace support in low-income populations, and the cost-effectiveness of these programs in reducing health care costs.

KSC-04PD-0076

NASA Technical Reports Server (NTRS)

2004-01-01

KENNEDY SPACE CENTER, FLA. This closeup shows the words of the plaque unveiled Jan. 29, 2004, that was dedicated in memory of the orbiter Columbia and her seven-member crew who were lost in the tragic accident Feb. 1, 2003, as they returned to Earth from mission STS-107. The dedication of the plaque was made in front of the 40-member preservation team in the Columbia room, a permanent repository in the Vehicle Assembly Building of the debris collected in the aftermath of the accident.

Nickel porphyrins for memory optical applications

DOEpatents

Shelnutt, John A.; Jia, Songling; Medforth, Craig; Holten, Dewey; Nelson, Nora Y.; Smith, Kevin M.

2000-01-01

The present invention relates to a nickel-porphyrin derivative in a matrix, the nickel-porphyrin derivative comprising at least two conformational isomers, a lower-energy-state conformer and a higher-energy-state conformer, such that when the higher-energy-state conformer is generated from the lower-energy-state conformer following absorption of a photon of suitable energy, the time to return to the lower-energy-state conformer is greater than 40 nanoseconds at approximately room temperature. The nickel-porphyrin derivative is useful in optical memory applications.

STS-105 MPLM is moved into the PCR

NASA Technical Reports Server (NTRS)

2001-01-01

KENNEDY SPACE CENTER, Fla. -- Workers on Launch Pad 39A move the Multi-Purpose Logistics Module Leonardo out of the payload canister into the payload changeout room. The MPLM is the primary payload on mission STS-105 to the International Space Station. The mission includes a crew changeover on the Space Station. Expedition Three will be traveling on Discovery to replace Expedition Two, who will return to Earth on board Discovery. Launch of STS-105 is scheduled for Aug. 9.

STS-105 MPLM is moved into the PCR

NASA Technical Reports Server (NTRS)

2001-01-01

KENNEDY SPACE CENTER, Fla. -- Workers in the payload changeout room on Launch Pad 39A keep watch as they move the Multi-Purpose Logistics Module Leonardo out of the payload canister. The MPLM is the primary payload on mission STS-105 to the International Space Station. The mission includes a crew changeover on the Space Station. Expedition Three will be traveling on Discovery to replace Expedition Two, who will return to Earth on board Discovery. Launch of STS-105 is scheduled for Aug. 9.

Failure to feed patients with anorexia nervosa and other perils and perplexities in the medical care of eating disorder patients.

PubMed

Powers, Pauline S; Cloak, Nancy L

2013-01-01

A 28 year old woman with anorexia nervosa was sent to an emergency room by her gastroenterologist for weakness and nausea following placement of a percutaneous endoscopic gastrostomy (PEG) tube, with a plan for admission to the hospital. She spent 2 days in the emergency room without receiving any nutrition, and was discharged home after being told that her laboratory tests and x-rays were normal. The following day, her gastroenterologist reviewed the x-rays and determined that she had a bowel obstruction, at which point she was admitted to the hospital, weighing 2 kg less than on her initial visit. A 26 year old woman with anorexia nervosa was prematurely discharged from a residential facility with a Dobhoff feeding tube in her small intestine. She developed dizziness and weakness and was admitted to the hospital, but did not receive any feeding during the 6 days she was there, despite documented blood sugars in the 30s. Apparently an early order for tube feeding was cancelled, for unclear reasons. Two days after discharge, she again developed weakness and returned to the emergency room with a letter from her physician stating that she required medical supervision for the initiation of feeding. However, she was discharged from the emergency room within hours, only to be re-admitted to the hospital the next day.

Microbiological contamination of compressed air used in dentistry: an investigation.

PubMed

Conte, M; Lynch, R M; Robson, M G

2001-11-01

The purpose of this preliminary investigation was twofold: 1) to examine the possibility of cross-contamination between a dental-evacuation system and the compressed air used in dental operatories and 2) to capture and identify the most common microflora in the compressed-air supply. The investigation used swab, water, and air sampling that was designed to track microorganisms from the evacuation system, through the air of the mechanical room, into the compressed-air system, and back to the patient. Samples taken in the vacuum system, the air space in the mechanical room, and the compressed-air storage tank had significantly higher total concentrations of bacteria than the outside air sampled. Samples of the compressed air returning to the operatory were found to match the outside air sample in total bacteria. It was concluded that the air dryer may have played a significant role in the elimination of microorganisms from the dental compressed-air supply.

Expedition 6 flight engineer Nikolai Budarin in White Room before launch

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- In the White Room on Launch Pad 39A, Expedition 6 flight engineer Nikolai Budarin is helped with his launch and entry suit before entering Space Shuttle Endeavour. Closeout Crew members helping are (left) Rene Arriens, United Space Alliance mechanical technician, (right) Danny Wyatt, NASA Quality Assurance specialist, and (background) Rick Welty, United Space Alliance Vehicle Closeout chief. The launch will carry the Expedition 6 crew to the Station and return the Expedition 5 crew to Earth. The major objective of the mission is delivery of the Port 1 (P1) Integrated Truss Assembly, which will be attached to the port side of the S0 truss. Three spacewalks are planned to install and activate the truss and its associated equipment. Launch of Space Shuttle Endeavour on mission STS-113 is scheduled for Nov. 23 at 7:50 p.m. EST.

STS-105 and Expedition Three crews in White Room at Launch Pad 39A

NASA Technical Reports Server (NTRS)

2001-01-01

KENNEDY SPACE CENTER, Fla. -- The STS-105 and Expedition Three crews pose in the White Room on Launch Pad 39A. Standing are (left to right) Pilot Rick Sturckow, Mission Specialist Patrick Forrester, Commander Scott Horowitz and Mission Specialist Daniel Barry. Kneeling are cosmonaut Mikhail Tyurin, Commander Frank Culbertson and cosmonaut Vladimir Nikolaevich Dezhurov. Tyurin and Dezhurov are with the Russian Aviation and Space Agency. Both crews are at KSC to take part in Terminal Countdown Demonstration Test activities, which include emergency egress, a simulated launch countdown and familiarization with the payload. Mission STS-105 will be transporting the Expedition Three crew, several payloads and scientific experiments to the International Space Station aboard Discovery. The current Expedition Two crew members on the Station will return to Earth on Discovery. Launch of Discovery is scheduled no earlier than Aug. 9, 2001.

KSC-01pp0835

NASA Image and Video Library

2001-04-19

In the White Room, STS-100 Mission Specialist Yuri V. Lonchakov (center) is checked by closeout crew members (from left) Greg Johnson, Danny Wyatt and Rene Arriens before entering Space Shuttle Endeavour.  The White Room is an environmental chamber at the end of the Orbiter Access Arm that provides entry into the orbiter on the launch pad.   The  mission will deliver and integrate the Spacelab Logistics Pallet/Launch Deployment Assembly, which includes the Canadian-built Space Station Remote Manipulator System and the UHF Antenna.  Two spacewalks are planned for installation of the SSRMS, which will be performed by Mission Specialists Scott E. Parazynski and Chris A. Hadfield, who is with the Canadian Space Agency. The mission is also the inaugural flight of Multi-Purpose Logistics Module Raffaello, carrying resupply stowage racks and resupply/return stowage platforms.  Liftoff of Space Shuttle Endeavour on mission STS-100 is scheduled at 2:41 p.m. EDT April 19

An emergency room decision-support program that increased physician office visits, decreased emergency room visits, and saved money.

PubMed

Navratil-Strawn, Jessica L; Hawkins, Kevin; Wells, Timothy S; Ozminkowski, Ronald J; Hartley, Stephen K; Migliori, Richard J; Yeh, Charlotte S

2014-10-01

The objective of this study was to evaluate an Emergency Room having a Decision-Support (ERDS) program designed to appropriately reduce ER use among frequent users, defined as 3 or more visits within a 12-month period. To achieve this, adults with an AARP Medicare Supplement Insurance plan insured by UnitedHealthcare Insurance Company (for New York residents, UnitedHealthcare Insurance Company of New York) were eligible to participate in the program. These included 7070 individuals who elected to enroll in the ERDS program and an equal number of matched nonparticipants who were eligible but either declined or were unreachable. Program-related benefits were estimated by comparing the difference in downstream health care utilization and expenditures between engaged and not engaged individuals after using propensity score matching to adjust for case mix differences between these groups. As a result, compared with the not engaged, engaged individuals experienced better care coordination, evidenced by a greater reduction in ER visits (P=0.033) and hospital admissions (P=0.002) and an increase in office visits (P<0.001). The program was cost-effective, with a return on investment (ROI) of 1.24, which was calculated by dividing the total program savings ($3.41 million) by the total program costs ($2.75 million). The ROI implies that for every dollar invested in this program, $1.24 was saved, most of which was for the federal Medicare program. In conclusion, the decrease in ER visits and hospital admissions and the increase in office visits may indicate the program helped individuals to seek the appropriate levels of care.

Staphylococcus xylosus PCR-validated Decontamination of Murine Individually Ventilated Cage Racks and Air Handling Units by Using ‘Active–Closed’ Exposure to Vaporized Hydrogen Peroxide

PubMed Central

Ragland, Natalie H; Miedel, Emily L; Gomez, Jose M; Engelman, Robert W

2017-01-01

Vaporized hydrogen peroxide (VHP) is used to decontaminate clinical, biocontainment, and research animal rooms and equipment. To assist with its implementation in a murine facility, we developed a safe and effective method of VHP sterilization of IVC racks and air handling units (AHU). Safety of VHP decontamination was assessed by ensuring VHP levels dissipated to less than 1 ppm in the room prior to personnel reentry and inside the primary enclosure prior to the return of mice; this condition occurred at least 18 h after the VHP cycle. Efficacy of VHP sterilization was assessed by using chemical indicators, biologic indicators, and PCR testing for Staphylococcus xylosus, a commensal organism of murine skin and an opportunistic pathogen, which was present in 160 of 172 (93%) of specimens from occupied IVC racks and the interior surfaces of in-use AHU. Neither mechanized washing nor hand-sanitizing eradicated S. xylosus from equipment airway interiors, with 17% to 24% of specimens remaining PCR-positive for S. xylosus. ‘Static–open’ VHP exposure of sanitized equipment did not ensure its sterilization. In contrast, ‘active–closed’ VHP exposure, in which IVC racks were assembled, sealed, and connected to AHU set to the VHP cycle, increased the proportion of chemical indicators that detected sterilizing levels of VHP inside the assembled equipment, and significantly decreased PCR-detectable S. xylosus inside the equipment. Supplementing bulk steam sterilization of the primary enclosure with VHP sterilization of the secondary housing equipment during room change-outs may help to mitigate opportunistic agents that jeopardize studies involving immunodeficient strains. PMID:29256369

The Preliminary Examination of Organics in the Returned Stardust Samples from Comet Wild 2

NASA Technical Reports Server (NTRS)

Sandford, S. A.; Aleon, J.; Alexander, C.; Butterworth, A.; Clemett, S. J.; Cody, G.; Cooper, G.; Dworkin, J. P.; Flynn, G. J.; Gilles, M. K.

2006-01-01

The primary objective of STARDUST is to collect coma samples from comet 8lP/Wild 2. These samples were collected by impact onto aerogel tiles on Jan 2, 2004 when the spacecraft flew through the comet's coma at a relative velocity of about 6.1 km/sec. Measurements of dust impacts on the front of the spacecraft suggest that the aerogel particle collector was impacted by 2800 +/- 500 particles larger than 15 micron in diameter. Following recovery of the Sample Return Capsule (SRC) on Jan 15, 2006, the aerogel collector trays will be removed in a clean room at JSC. After documentation of the collection, selected aerogel tiles will be removed and aerogel and cometary samples will be extracted for study. A number of different extraction techniques will be used, each optimized for the analytical technique that is to be used. The STARDUST Mission will carry out a 6 month preliminary examination (PE) of a small portion of the returned samples. The examination of the samples will be made by a number of subteams that will concentrate on specific aspects of the samples. One of these is the Organics PE Team (see the author list above for team members). These team members will use a number of analytical techniques to produce a preliminary characterization of the abundance and nature of the organics (if any) in the returned samples.

In Situ Operating Room-Based Simulation: A Review.

PubMed

Owei, Lily; Neylan, Christopher J; Rao, Raghavendra; Caskey, Robert C; Morris, Jon B; Sensenig, Richard; Brooks, Ari D; Dempsey, Daniel T; Williams, Noel N; Atkins, Joshua H; Baranov, Dimitry Y; Dumon, Kristoffel R

To systematically review the literature surrounding operating room-based in situ training in surgery. A systematic review was conducted of MEDLINE. The review was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, and employed the Population, Intervention, Comparator, Outcome (PICO) structure to define inclusion/exclusion criteria. The Kirkpatrick model was used to further classify the outcome of in situ training when possible. The search returned 308 database hits, and ultimately 19 articles were identified that met the stated PICO inclusion criteria. Operating room-based in situ simulation is used for a variety of purposes and in a variety of settings, and it has the potential to offer unique advantages over other types of simulation. Only one randomized controlled trial was conducted comparing in situ simulation to off-site simulation, which found few significant differences. One large-scale outcome study showed improved perinatal outcomes in obstetrics. Although in situ simulation theoretically offers certain advantages over other types of simulation, especially in addressing system-wide or environmental threats, its efficacy has yet to be clearly demonstrated. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

A simple microstructure return model explaining microstructure noise and Epps effects

NASA Astrophysics Data System (ADS)

Saichev, A.; Sornette, D.

2014-01-01

We present a novel simple microstructure model of financial returns that combines (i) the well-known ARFIMA process applied to tick-by-tick returns, (ii) the bid-ask bounce effect, (iii) the fat tail structure of the distribution of returns and (iv) the non-Poissonian statistics of inter-trade intervals. This model allows us to explain both qualitatively and quantitatively important stylized facts observed in the statistics of both microstructure and macrostructure returns, including the short-ranged correlation of returns, the long-ranged correlations of absolute returns, the microstructure noise and Epps effects. According to the microstructure noise effect, volatility is a decreasing function of the time-scale used to estimate it. The Epps effect states that cross correlations between asset returns are increasing functions of the time-scale at which the returns are estimated. The microstructure noise is explained as the result of the negative return correlations inherent in the definition of the bid-ask bounce component (ii). In the presence of a genuine correlation between the returns of two assets, the Epps effect is due to an average statistical overlap of the momentum of the returns of the two assets defined over a finite time-scale in the presence of the long memory process (i).

Walking through doorways causes forgetting: Further explorations.

PubMed

Radvansky, Gabriel A; Krawietz, Sabine A; Tamplin, Andrea K

2011-08-01

Previous research using virtual environments has revealed a location-updating effect in which there is a decline in memory when people move from one location to another. Here we assess whether this effect reflects the influence of the experienced context, in terms of the degree of immersion of a person in an environment, as suggested by some work in spatial cognition, or by a shift in context. In Experiment 1, the degree of immersion was reduced by using smaller displays. In comparison, in Experiment 2 an actual, rather than a virtual, environment was used, to maximize immersion. Location-updating effects were observed under both of these conditions. In Experiment 3, the original encoding context was reinstated by having a person return to the original room in which objects were first encoded. However, inconsistent with an encoding specificity account, memory did not improve by reinstating this context. Finally, we did a further analysis of the results of this and previous experiments to assess the differential influence of foregrounding and retrieval interference. Overall, these data are interpreted in terms of the event horizon model of event cognition and memory.

Hospital Discharge Within 1 Day After Total Joint Arthroplasty From a Veterans Affairs Hospital Does Not Increase Complication and Readmission Rates.

PubMed

Kiskaddon, Eric M; Lee, Jessica H; Meeks, Brett D; Barnhill, Spencer W; Froehle, Andrew W; Krishnamurthy, Anil

2018-05-01

Attempts to control costs associated with total joint arthroplasty have included efforts to shorten hospital length of stay (LOS). Concerns related to patient outcomes and safety with decreased LOS persist. The purpose of this study was to investigate whether discharge on postoperative day (POD) 1 after joint replacement is associated with increased rates of 90-day return to the operating room, and 30-day readmissions and emergency department (ED) visits. After chart review, 447 patients admitted between January 2, 2013 and September 16, 2016 met inclusion criteria. All patients underwent one total joint arthroplasty. Patients were either discharged on POD 1 (subgroup 1) or POD 2 or 3 (subgroup 2). Statistical evaluation was performed using Wilcoxon-Mann-Whitney tests for continuous variables, and Fisher exact tests for categorical and frequency data. Statistical significance was established at P ≤ .05. Subgroup 1 had significantly fewer return trips to the operating room (P = .043) and significantly fewer 30-day readmissions (P = .033). ED visits were not significantly different between groups (P = .901). Early discharge after joint arthroplasty appears to be a viable practice and did not result in increased rates of reoperation within the 90-day global period, or rates of 30-day readmission and ED visits. Our results support the utilization of an early discharge protocol on POD 1, with no evidence that shorter LOS results in higher rates of short-term complications. Copyright © 2017 Elsevier Inc. All rights reserved.

Mutations in the gravity persistence signal loci in Arabidopsis disrupt the perception and/or signal transduction of gravitropic stimuli

NASA Technical Reports Server (NTRS)

Wyatt, Sarah E.; Rashotte, Aaron M.; Shipp, Matthew J.; Robertson, Dominique; Muday, Gloria K.; Brown, C. S. (Principal Investigator)

2002-01-01

Gravity plays a fundamental role in plant growth and development, yet little is understood about the early events of gravitropism. To identify genes affected in the signal perception and/or transduction phase of the gravity response, a mutant screen was devised using cold treatment to delay the gravity response of inflorescence stems of Arabidopsis. Inflorescence stems of Arabidopsis show no response to gravistimulation at 4 degrees C for up to 3 h. However, when gravistimulated at 4 degrees C and then returned to vertical at room temperature (RT), stems bend in response to the previous, horizontal gravistimulation (H. Fukaki, H. Fujisawa, M. Tasaka [1996] Plant Physiology 110: 933-943). This indicates that gravity perception, but not the gravitropic response, occurs at 4 degrees C. Recessive mutations were identified at three loci using this cold effect on gravitropism to screen for gravity persistence signal (gps) mutants. All three mutants had an altered response after gravistimulation at 4 degrees C, yet had phenotypically normal responses to stimulations at RT. gps1-1 did not bend in response to the 4 degrees C gravity stimulus upon return to RT. gps2-1 responded to the 4 degrees C stimulus but bent in the opposite direction. gps3-1 over-responded after return to RT, continuing to bend to an angle greater than wild-type plants. At 4 degrees C, starch-containing statoliths sedimented normally in both wild-type and the gps mutants, but auxin transport was abolished at 4 degrees C. These results are consistent with GPS loci affecting an aspect of the gravity signal perception/transduction pathway that occurs after statolith sedimentation, but before auxin transport.

Neutron spectra due (13)N production in a PET cyclotron.

PubMed

Benavente, J A; Vega-Carrillo, H R; Lacerda, M A S; Fonseca, T C F; Faria, F P; da Silva, T A

2015-05-01

Monte Carlo and experimental methods have been used to characterize the neutron radiation field around PET (Positron Emission Tomography) cyclotrons. In this work, the Monte Carlo code MCNPX was used to estimate the neutron spectra, the neutron fluence rates and the ambient dose equivalent (H*(10)) in seven locations around a PET cyclotron during (13)N production. In order to validate these calculations, H*(10) was measured in three sites and were compared with the calculated doses. All the spectra have two peaks, one above 0.1MeV due to the evaporation neutrons and another in the thermal region due to the room-return effects. Despite the relatively large difference between the measured and calculated H*(10) for one point, the agreement was considered good, compared with that obtained for (18)F production in a previous work. Copyright © 2015 Elsevier Ltd. All rights reserved.

A cognitive movement scientist's view on the link between thought and action: insights from the "Badische Zimmer" metaphor.

PubMed

Hossner, Ernst-Joachim

2009-01-01

The problem of a bidirectional link between thought and action is approached from the perspective of cognitive movement science. The metaphor of the "Badische Zimmer" - an adaptation of Searle's Chinese room metaphor - is used to illustrate shortcomings in the classical conception of linear information processing and to introduce some features which current theories of movement control and learning should embrace. On this basis, the case is made for a return to an ideomotor view of motor control and learning based on effect prediction (E') as a function of the situational context (S') and one's own motor responses (R'). The relevance of the derived concept of sensorimotor chains linking elementary S'R'E' units in the course of motor learning is finally discussed with respect to potential implications for an integrative theory of perception, action, and decision making.

Tension pneumomediastnum: A rare cause of acute intraoperative circulatory collapse in the setting of unremarkable TEE findings.

PubMed

Weaver, Jonathan B; Kumar, Avinash B

2017-02-01

Case report. Operating room. 25YF, ASA IV E who underwent an emergent decompressive craniectomy for refractory intracranial hypertension secondary to acute intracranial hemorhage. A 25Y caucasian female presented with acute intracranial hemorrhage with intraventricular extension secondary to Moya Moya disease. Post admisison, she underwent an emergent decompressive craniectomy for medically refractory intracranial hypertension. Introperatively (post dural closure and bone flap removal) the patient developed acutely worsening peak and plateau pressures followed by pulseless electrical activity necessitating CPR with epinephrine and Vasopressin before return of circulation before return of circulation. Intraoperative TEE done during return of circulation, was essentially non diagnostic, the patient had normal breath sounds throughout, and non-contributory bronchoscopy findings. EKG, arterial blood pressure, heart rate, resp. rate, introperative tranesophageal echocardiogram (TEE), Pulse oximetry, serial arterial blood gases, introperative bronchoscopy, ventilatory peak pressures. A post operative chest CT revealed extensive pneumomediastinum with subcutaneous emphysema. The focussed introperative echocardiogram showed preserved left ventricular function and no evidence of tamponade physiology. Tension pneumomediastinum was the likely etiologic factor for the acute hemodynamic collapse and should be considered in the differential diagnosis of intraoperative circulatory arrest. Copyright © 2016 Elsevier Inc. All rights reserved.

Protective Effect of Intravitreal Administration of Exosomes Derived from Mesenchymal Stem Cells on Retinal Ischemia.

PubMed

Moisseiev, Elad; Anderson, Johnathon D; Oltjen, Sharon; Goswami, Mayank; Zawadzki, Robert J; Nolta, Jan A; Park, Susanna S

2017-10-01

Exosomes derived from human mesenchymal stem cells (hMSCs) cultured under hypoxic conditions contain proteins and growth factors that promote angiogenesis. This study investigated the effect of intravitreal administration of these exosomes on retinal ischemia using a murine model. Oxygen-induced retinopathy (OIR) was induced by exposing one-week-old male C57BL/6J mice to 5 days of 75% hyperoxic conditioning, and returning to room air. After hyperoxic conditioning, the right eye of each mouse was injected intravitreally with 1 µl saline or exosomes derived from hMSCs and compared to control mice of the same age raised in room air without OIR injected intravitreally with saline. Two weeks post-injection, fluorescein angiography (FA) and phase-variance optical coherence tomography angiography (pvOCTA) were used to assess retinal perfusion. Retinal thickness was determined by OCT. The extent of retinal neovascularization was quantitated histologically by counting vascular nuclei on the retinal surface. Among eyes with OIR, intravitreal exosome treatment partially preserved retinal vascular flow in vivo and reduced associated retinal thinning; retinal thickness on OCT was 111.1 ± 7.4µm with saline versus 132.1 ± 11.6µm with exosome, p < 0.001. Retinal neovascularization among OIR eyes was reduced with exosome treatment when compared to saline-treated eyes (7.75 ± 3.68 versus 2.68 ± 1.35 neovascular nuclei per section, p < 0.0001). No immunogenicity or ocular/systemic adverse effect was associated with intravitreal exosome treatment. Intravitreal administration of exosomes derived from hMSCs was well tolerated without immunosuppression and decreased the severity of retinal ischemia in this murine model. This appealing novel non-cellular therapeutic approach warrants further exploration.

The relationship between office type and job satisfaction: Testing a multiple mediation model through ease of interaction and well-being.

PubMed

Otterbring, Tobias; Pareigis, Jörg; Wästlund, Erik; Makrygiannis, Alexander; Lindström, Anton

2018-05-01

Objectives This cross-sectional study investigated the associations between office type (cellular, shared-room, small open-plan, and medium-sized open-plan) and employees' ease of interaction with coworkers, subjective well-being, and job satisfaction. Methods A brief survey including measures of office type, ease of interaction with coworkers, subjective well-being, and job satisfaction was sent electronically to 1500 Swedish real-estate agents, 271 of whom returned usable surveys. The data were analyzed using a regression-based serial multiple mediation model (PROCESS Model 6), which tested whether the relationship between office type and job satisfaction would be mediated by ease of interaction and, in turn, subjective well-being. Results A negative relationship was found between the number of coworkers sharing an office and employees' job satisfaction. This association was serially mediated by ease of interaction with coworkers and subjective well-being, with employees working in small and medium-sized open-plan offices reporting lower levels of both these aspects than employees who work in either cellular or shared-room offices. Conclusions Open-plan offices may have short-term financial benefits, but these benefits may be lower than the costs associated with decreased job satisfaction and well-being. Therefore, decision-makers should consider the impact of office type on employees rather than focusing solely on cost-effective office layout, flexibility, and productivity.

View of Mission Control Center during the Apollo 13 emergency return

NASA Image and Video Library

1970-04-16

S70-35368 (16 April 1970) --- Overall view showing some of the feverish activity in the Mission Operations Control Room (MOCR) of the Mission Control Center (MCC) during the final 24 hours of the problem-plagued Apollo 13 mission. Here, flight controllers and several NASA/MSC officials confer at the flight director's console. When this picture was made, the Apollo 13 lunar landing had already been canceled, and the Apollo 13 crewmembers were in trans-Earth trajectory attempting to bring their crippled spacecraft back home.

S-Layer Based Bio-Imprinting - Synthetic S-Layer Polymers

DTIC Science & Technology

2015-07-09

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION . 1.  REPORT DATE (DD-MM-YYYY)      14-07-2015 2.  REPORT TYPE      Final Performance 3.  DATES...NUMBER 7.  PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) ZENTRUM FUER NANOBIOTECHNOLOGIE GREGOR-MENDEL-STRASSE 33 WIEN, 1180 AT 8.  PERFORMING... ORGANIZATION      REPORT NUMBER 9.  SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) AF Office of Scientific Research 875 N. Randolph St. Room 3112

First Integrated Flight Simulation For STS 114

NASA Image and Video Library

2004-10-13

JSC2004-E-45138 (13 October 2004) --- Astronaut Stephen N. Frick monitors communications at the spacecraft communicator (CAPCOM) console in the Shuttle Flight Control Room (WFCR) in Johnson Space Center’s (JSC) Mission Control Center (MCC) with the STS-114 crewmembers during a fully-integrated simulation on October 13. The seven member crew was in a JSC-based simulator during the sims. The dress rehearsal of Discovery's rendezvous and docking with the International Space Station (ISS) was the first flight-specific training for the Space Shuttle's return to flight.

Minimally invasive surgical technique for tethered surgical drains

PubMed Central

Hess, Shane R; Satpathy, Jibanananda; Waligora, Andrew C; Ugwu-Oju, Obinna

2017-01-01

A feared complication of temporary surgical drain placement is from the technical error of accidentally suturing the surgical drain into the wound. Postoperative discovery of a tethered drain can frequently necessitate return to the operating room if it cannot be successfully removed with nonoperative techniques. Formal wound exploration increases anesthesia and infection risk as well as cost and is best avoided if possible. We present a minimally invasive surgical technique that can avoid the morbidity associated with a full surgical wound exploration to remove a tethered drain when other nonoperative techniques fail. PMID:28400669

KSC-97PC856

NASA Image and Video Library

1997-05-24

Astronaut and recent Mir 23 crew member Jerry M. Linenger, standing, reunites with his wife, Kathryn, and their 18-month-old son, John, in the astronaut suit-up room in the Operations and Checkout Building. Kathryn Linenger is expecting their second child next month. Linenger just returned to Earth after a four-month stay on the Russian Space Station Mir. He flew back on Atlantis with six other members of the STS-84 crew, who conducted the sixth Space Shuttle docking with the Mir. STS-84 Mission Specialist C. Michael Foale replaced Linenger on the Mir

SpaceX Dragon Cargo Transfer

NASA Image and Video Library

2012-06-13

Some of the 1,367 pounds of cargo the SpaceX Dragon spacecraft returned to Earth from the space station are seen in a clean room at the SpaceX rocket development facility, Wednesday, June 13, 2012 in McGregor, Texas. NASA Administrator Charles Bolden and SpaceX CEO and Chief Designer Elon Musk were at the facility to view the historic Dragon capsule and to thank the more than 150 SpaceX employees working at the McGregor facility for their role in the historic mission. Photo Credit: (NASA/Bill Ingalls)

Clotting and fibrinolytic changes after firefighting activities.

PubMed

Smith, Denise L; Horn, Gavin P; Petruzzello, Steven J; Fahey, George; Woods, Jeffrey; Fernhall, Bo

2014-03-01

Approximately 45%-50% of all duty-related deaths among firefighters are due to sudden cardiovascular events, and a disproportionate number of these fatalities occur after strenuous fire suppression activities. The objective of this study is to evaluate the effect of strenuous firefighting activities on platelets, coagulation, and fibrinolytic activity and to document the extent to which these variables recovered 2 h after completion of the firefighting activity. Firefighters performed 18 min of simulated firefighting activities in a training structure that contained live fires. After firefighting activities, firefighters were provided with fluid and allowed to cool down and then recovered for 2 h in an adjacent room. Blood samples were obtained prefirefighting, postfirefighting, and 2 h postfirefighting. Platelet number, platelet activity, and coagulatory potential increased immediately postfirefighting and many variables (platelet function, partial thromboplastin time, and factor VIII) reflected a procoagulatory state even after 2 h of recovery. Fibrinolysis, as reflected by tissue plasminogen activator, also was enhanced immediately postfirefighting but returned to baseline values by 2 h postfirefighting. In contrast, inhibition of fibrinolysis, as evidenced by a reduction in plasminogen activator inhibitor-1, was depressed at 2 h postfirefighting. Firefighting resulted in elevated coagulatory and fibrinolytic activity. However, 2 h postfirefighting, tissue plasminogen activator returned to baseline and coagulatory potential remained elevated. The procoagulatory state that exists after firefighting may provide a mechanistic link to the reports of sudden cardiac events after strenuous fire suppression activities.

Workplace lactation support by New Jersey employers following US Reasonable Break Time for Nursing Mothers law.

PubMed

Bai, Yeon K; Gaits, Susan I; Wunderlich, Shahla M

2015-02-01

Returning to an unsupportive work environment has been identified as a major reason for avoidance or early abandonment of breastfeeding among working mothers. This study aimed to examine the nature and extent of accommodations offered to breastfeeding employees among New Jersey employers since the US federal Reasonable Break Time for Nursing Mothers law enactment. A cross-sectional survey was conducted to measure current lactation support in the workplace in New Jersey. Using convenience sampling, the survey was sent to managerial personnel in hospitals and nonhospitals. The level of support was assessed on company policy, lactation room, and room amenity. A composite lactation amenity score was calculated based on responses about lactation room amenities. Respondents (N = 51) completed a 22-item online questionnaire during fall 2011. The support level was compared by type of organization: hospital (n = 37) versus nonhospital (n = 14). The amenity score of hospitals was significantly higher than nonhospitals (1.44 vs 0.45, P = .002). The mean amenity score (score = 0.95) for all employers was far below comprehensive (score = 3.0). Compared to nonhospitals, hospitals were more likely to offer lactation rooms (81% vs 36%, P = .003), have their own breastfeeding policy (35.1% vs 7.1%, P = .01), and provide additional breastfeeding support (eg, education classes, resources; P < .05). Employers, regardless of the type of organization, need to improve their current practices and create equity of lactation support in the workplace. © The Author(s) 2014.

[Effects of covering the windowpane with plastic film on microclimate and sunshine of the living room in a cold region].

PubMed

Peng, G H

1990-05-01

Experiments were made to ascertain the effects of covering windowpane with plastic film in Hulunbeir region on microclimate and sunshine intensity in the living room. It was found that a good regulative effect on the room microclimate resulted by covering the windowpane with plastic film in the cold region. The room temperature rose distinctly. No evident effects were found on ultra-violet radiation and illumination. But the concentration of carbon dioxide increased to some extent. Attention should be paid to ventilation of the room.

High Satisfaction and Return to Sports After Total Shoulder Arthroplasty in Patients Aged 55 Years and Younger.

PubMed

Garcia, Grant H; Liu, Joseph N; Sinatro, Alec; Wu, Hao-Hua; Dines, Joshua S; Warren, Russell F; Dines, David M; Gulotta, Lawrence V

2017-06-01

Young, active candidates for total shoulder arthroplasty (TSA) are a unique group of patients. Not only do they demand longevity and improved function, but they also desire a return to physical activities. To determine the rate of return to sports in patients aged ≤55 years undergoing TSA. Case series; Level of evidence, 4. This was a retrospective review of consecutive patients who underwent anatomic TSA at a single institution. Exclusion criteria included age at the time of surgery >55 years and <2 years of follow-up. All patients had end-stage osteoarthritis with significant glenohumeral joint space narrowing. The final follow-up consisted of a patient-reported sports questionnaire, American Shoulder and Elbow Surgeons (ASES) score, and visual analog scale (VAS) score. From 70 eligible patients, 59 patients (61 shoulders) were included with an average follow-up of 61.0 months (range, 25-103 months) and average age at the time of surgery of 48.9 years (range, 25-55 years). The average VAS score improved from 5.6 to 0.9 ( P < .001), and the average ASES score improved from 39.3 to 88.4 ( P < .001). Forty-nine procedures (80.3%) were performed for a primary diagnosis of osteoarthritis. Four shoulders returned to the operating room; none were for glenoid loosening. There was a 93.2% satisfaction rate, and 67.7% of patients (n = 40) stated that they underwent their surgery to return to sports. Moreover, patients in 96.4% of shoulders (55/57) restarted at least 1 sport at an average of 6.7 months. Direct rates of return were as follows: fitness sports (97.2%), golf (93.3%), singles tennis (87.5%), swimming (77.7%), basketball (75.0%), and flag football (66.7%). Patients in 47 shoulders (82.4%) returned to a similar or higher level of sports; 90.3% returned to high-demand sports, and 83.8% returned to high upper extremity sports. There was no significant difference in rates of return to sports by body mass index, sex, age, preoperative diagnosis, revision status, and dominant extremity. In patients aged ≤55 years undergoing TSA, there was a 96.4% rate of return to ≥1 previous sports at an average of 6.7 months. Furthermore, at an average follow-up of 61.0 months, no patients needed revision of their glenoid component, despite an 83.8% rate of return to high upper extremity sports. While caution should still be advised in young, active patients undergoing TSA, these results demonstrate a high satisfaction rate and improved ability to return to most sports after surgery.

Sports chiropractic management of concussions using the Sport Concussion Assessment Tool 2 symptom scoring, serial examinations, and graded return to play protocol: a retrospective case series

PubMed Central

Shane, Eric R.; Pierce, Kevin M.; Gonzalez, Jannet K.; Campbell, Nathan J.

2013-01-01

Objective The purpose of this case series is to report how the symptom section of the Sport Concussion Assessment Tool 2 (SCAT2) was used to manage athletes with concussions in a high school training room setting and to address the need for SCAT2 baseline measurements. Clinical features During a 4-month period, 3 doctors of chiropractic with certification from the American Chiropractic Board of Sports Physicians managed 15 high school athletes with concussions in a multidisciplinary setting. Fourteen athletes were male American football players, and one was a female volleyball player. Intervention and outcome Of the 15 athletes, 3 athletes had baseline SCAT2 documentation. Athletes were evaluated and returned to play with a graded return to play protocol using the SCAT2 symptoms and serial physical examinations. Once participants were asymptomatic, they began a graded return to play process. A total of 47 SCAT2 tests were performed on the 15 athletes, averaging 3.13 SCAT2 evaluations per patient. Of the 15 athletes evaluated, 6 were managed and cleared for return to play; 2 of the athletes sustained concussions in the last week of the season, thus ending their season; and 3 athletes were cleared by medical doctors. None of the athletes under care reported an adverse event. Conclusion The utilization of the SCAT2 with serial physical examinations provided objective measures for athlete’s injuries, allowing the practitioners to evaluate concussions. More efforts are needed to collect baseline SCAT2 to compare these scores with subsequent SCAT2 scores following athletic injuries. PMID:24396327

Can maternal DHA supplementation offer long-term protection against neonatal hyperoxic lung injury?

PubMed

Lingappan, Krithika; Moorthy, Bhagavatula

2015-12-15

The effect of adverse perinatal environment (like maternal infection) has long-standing effects on many organ systems, including the respiratory system. Use of maternal nutritional supplements is an exciting therapeutic option that could be used to protect the developing fetus. In a recent issue of the journal, Ali and associates (Ali M, Heyob KM, Velten M, Tipple TE, Rogers LK. Am J Physiol Lung Cell Mol Physiol 309: L441-L448, 2015) specifically look at maternal docosahexaenoic acid (DHA) supplementation and its effect on chronic apoptosis in the lung in a mouse model of perinatal inflammation and postnatal hyperoxia. Strikingly, the authors show that pulmonary apoptosis was augmented even 8 wk after the hyperoxia-exposed mice had been returned to room air. This effect was significantly attenuated in mice that were subjected to maternal dietary DHA supplementation. These findings are novel, significantly advance our understanding of chronic effects of adverse perinatal and neonatal events on the developing lung, and thereby offer novel therapeutic options in the form of maternal dietary supplementation with DHA. This editorial reviews the long-term effects of adverse perinatal environment on postnatal lung development and the protective effects of dietary supplements such as DHA. Copyright © 2015 the American Physiological Society.

The effect of surgeon specialization on outcomes after ruptured abdominal aortic aneurysm repair.

PubMed

Hawkins, Alexander T; Smith, Ann D; Schaumeier, Maria J; de Vos, Marit S; Hevelone, Nathanael D; Nguyen, Louis L

2014-09-01

Although mortality after elective abdominal aortic aneurysm (AAA) repair has steadily declined, operative mortality for a ruptured AAA (rAAA) remains high. Repair of rAAA at hospitals with a higher elective aneurysm workload has been associated with lower mortality rates irrespective of the mode of treatment. This study sought to determine the association between surgeon specialization and outcomes after rAAA repair. The American College of Surgeons National Surgical Quality Improvement Project database from 2005 to 2010 was used to examine the 30-day mortality and morbidity outcomes of patients undergoing rAAA repair by vascular and general surgeons. Multivariable logistic regression analysis was performed for each death and morbidity, adjusting for all independently predictive preoperative risk factors. Survival curves were compared using the log-rank test. We identified 1893 repairs of rAAAs, of which 1767 (96.1%) were performed by vascular surgeons and 72 (3.9%) were performed by general surgeons. There were no significant differences between patients operated on by general vs vascular surgeons in preoperative risk factors or method of repair. Overall 30-day mortality was 34.3% (649 of 1893). After risk adjustment, mortality was significantly lower in the vascular surgery group compared with the general surgery group (odds ratio [OR], 0.51; 95% confidence interval [CI], 0.30-0.86; P = .011). The risk of returning to the operating room (OR, 0.58; 95% CI, 0.35-0.97; P = .038), renal failure (OR, 0.54; 95% CI, 0.31-0.95; P = .034), and a cardiac complication (OR, 0.53; 95% CI, 0.28-0.99; P = .047) were all significantly less in the vascular surgery group. Despite similar preoperative risk factors profiles, patients who were operated on by vascular surgeons had lower mortality, less frequent returns to the operating room, and decreased incidences of postoperative renal failure and cardiac events. These data add weight to the case for further centralization of vascular services. Copyright © 2014 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

Which stocks are profitable? A network method to investigate the effects of network structure on stock returns

NASA Astrophysics Data System (ADS)

Chen, Kun; Luo, Peng; Sun, Bianxia; Wang, Huaiqing

2015-10-01

According to asset pricing theory, a stock's expected returns are determined by its exposure to systematic risk. In this paper, we propose a new method for analyzing the interaction effects among industries and stocks on stock returns. We construct a complex network based on correlations of abnormal stock returns and use centrality and modularity, two popular measures in social science, to determine the effect of interconnections on industry and stock returns. Supported by previous studies, our findings indicate that a relationship exists between inter-industry closeness and industry returns and between stock centrality and stock returns. The theoretical and practical contributions of these findings are discussed.

Assessment of the efficacy of a hearing screening program for college students.

PubMed

Taylor, Emily J; Emanuel, Diana C

2013-01-01

The Towson University (TU) Speech-Language-Hearing Center (SLHC) conducts annual hearing screenings for college students entering education or health-care professions. Hearing is screened in therapy rooms, and students who fail the screening are rescreened in a sound-treated booth. Students who fail the rescreening are referred for a comprehensive audiological assessment, which is offered at no cost to students at the SLHC. The purpose of this study was to examine the efficacy of the hearing screening program, to report trends in hearing screening statistics for the college student population, and to make recommendations regarding ways universities can optimize hearing screening programs. The study included retrospective and prospective portions. Hearing screening records were reviewed from 1999 to 2011. The prospective study involved recruiting students to participate in diagnostic testing following the hearing screening and measuring background noise levels in the therapy rooms. Hearing screening records from 1999 to 2011 were reviewed. In addition, during the three-day fall 2011 hearing screenings, 80 students were selected to participate in diagnostic testing. Data from the retrospective review were used to determine positive predictive value (PPV) between screening and rescreening. Return rates were also examined. For the prospective study, pure tone threshold results were compared to screening results to determine sensitivity, specificity, and PPV. The retrospective file review indicated that the hearing screening in the therapy room had poor PPV compared with the rescreening in the sound booth. Specifically, if a student failed the screening, they had only a 49% chance of failing the rescreening. This may have been due to background noise, as the prospective study found noise levels were higher than allowed by American National Standards Institute (ANSI) standard. Only a third of students referred for diagnostic testing from 1999 to 2010 returned for recommended diagnostic testing. For the prospective study, specificity and sensitivity were good when considering hearing loss present at the same frequencies as those screened (1000, 2000, 4000 Hz) but poor in comparison to hearing loss overall. The screening missed many students with a high frequency notch, which was most prevalent at 6000 Hz. The prevalence of a high frequency notch was 21 and 51%, using two different criteria for establishing the presence of a notch. If college hearing screenings are conducted in rooms that are not sound treated, poor PPV should be expected; thus, an immediate second stage rescreening for failures should be conducted in a sound booth. Hearing screenings limited to 1000, 2000, and 4000 Hz will miss many cases of hearing loss in the college-age population. College hearing screening program directors should carefully consider the purpose of the screening and adjust screening protocol, such as adding 6000 Hz and a question about noise exposure, in order to identify early signs of noise-induced hearing loss in college students. Programs should focus on ways to promote high return for follow-up rates. Estimates of prevalence of a high-frequency audiometric notch are highly dependent on the criteria used to define a notch. American Academy of Audiology.

Evaluating the Use of Tissue Oximetry to Decrease Intensive Unit Monitoring for Free Flap Breast Reconstruction.

PubMed

Ricci, Joseph A; Vargas, Christina R; Ho, Olivia A; Lin, Samuel J; Tobias, Adam M; Lee, Bernard T

2017-07-01

Postoperative free flap care has historically required intensive monitoring for 24 hours in an intensive care unit. Continuous monitoring with tissue oximetry has allowed earlier detection of vascular compromise, decreasing flap loss and improving salvage. This study aims to identify whether a fast-track postoperative paradigm can be safely used with tissue oximetry to decrease intensive monitoring and costs. All consecutive microsurgical breast reconstructions performed at a single institution were reviewed (2008-2014) and cases requiring return to the operating room were identified. Data evaluated included patient demographics, the take back time course, and complications of flap loss and salvage. A cost-benefit analysis was performed to analyse the utility of a postoperative intensive monitoring setting. There were 900 flaps performed and 32 required an unplanned return to the operating room. There were 16 flaps that required a reexploration within the first 24 hours; the standard length of intensive unit monitoring. After 4 hours, there were 7 flaps (44%) detected by tissue oximetry for reexploration. After 15 hours of intensive monitoring postoperatively, cost analysis revealed that the majority (15/16; 94%) of failing flaps had been identified and the cost of identifying each subsequent failing flap exceeded the cost of another hour of intensive monitoring. The postoperative paradigm for microsurgical flaps has historically required intensive unit monitoring. Using tissue oximetry, a fast-track pathway can reduce time spent in an intensive monitoring setting from 24 to 15 hours with significant cost savings and minimal risk of missing a failing free flap.

Experimental characterization of the AFIT neutron facility. Master's thesis

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

Lessard, O.J.

1993-09-01

AFIT's Neutron Facility was characterized for room-return neutrons using a (252)Cf source and a Bonner sphere spectrometer with three experimental models, the shadow shield, the Eisenhauer, Schwartz, and Johnson (ESJ), and the polynomial models. The free-field fluences at one meter from the ESJ and polynomial models were compared to the equivalent value from the accepted experimental shadow shield model to determine the suitability of the models in the AFIT facility. The polynomial model behaved erratically, as expected, while the ESJ model compared to within 4.8% of the shadow shield model results for the four Bonner sphere calibration. The ratio ofmore » total fluence to free-field fluence at one meter for the ESJ model was then compared to the equivalent ratio obtained by a Monte Cario Neutron-Photon transport code (MCNP), an accepted computational model. The ESJ model compared to within 6.2% of the MCNP results. AFIT's fluence ratios were compared to equivalent ratios reported by three other neutron facilities which verified that AFIT's results fit previously published trends based on room volumes. The ESJ model appeared adequate for health physics applications and was chosen was chosen for calibration of the AFIT facility. Neutron Detector, Bonner Sphere, Neutron Dosimetry, Room Characterization.« less

Effectiveness of in-room air filtration and dilution ventilation for tuberculosis infection control.

PubMed

Miller-Leiden, S; Lobascio, C; Nazaroff, W W; Macher, J M

1996-09-01

Tuberculosis (TB) is a public health problem that may pose substantial risks to health care workers and others. TB infection occurs by inhalation of airborne bacteria emitted by persons with active disease. We experimentally evaluated the effectiveness of in-room air filtration systems, specifically portable air filters (PAFs) and ceiling-mounted air filters (CMAFs), in conjunction with dilution ventilation, for controlling TB exposure in high-risk settings. For each experiment, a test aerosol was continuously generated and released into a full-sized room. With the in-room air filter and room ventilation system operating, time-averaged airborne particle concentrations were measured at several points. The effectiveness of in-room air filtration plus ventilation was determined by comparing particle concentrations with and without device operation. The four PAFs and three CMAFs we evaluated reduced room-average particle concentrations, typically by 30% to 90%, relative to a baseline scenario with two air-changes per hour of ventilation (outside air) only. Increasing the rate of air flow recirculating through the filter and/or air flow from the ventilation did not always increase effectiveness. Concentrations were generally higher near the emission source than elsewhere in the room. Both the air flow configuration of the filter and its placement within the room were important, influencing room air flow patterns and the spatial distribution of concentrations. Air filters containing efficient, but non-high efficiency particulate air (HEPA) filter media were as effective as air filters containing HEPA filter media.

Effectiveness of In-Room Air Filtration and Dilution Ventilation for Tuberculosis Infection Control.

PubMed

Miller-Leiden, S; Lohascio, C; Nazaroff, W W; Macher, J M

1996-09-01

Tuberculosis (TB) is a public health problem that may pose substantial risks to health care workers and others. TB infection occurs by inhalation of airborne bacteria emitted by persons with active disease. We experimentally evaluated the effectiveness of in-room air filtration systems, specifically portable air filters (PAFs) and ceiling-mounted air filters (CMAFs), in conjunction with dilution ventilation, for controlling TB exposure in high-risk settings. For each experiment, a test aerosol was continuously generated and released into a full-sized room. With the in-room air filter and room ventilation system operating, time-averaged airborne particle concentrations were measured at several points. The effectiveness of in-room air filtration plus ventilation was determined by comparing particle concentrations with and without device operation. The four PAFs and three CMAFs we evaluated reduced room-average particle concentrations, typically by 30% to 90%, relative to a baseline scenario with two air-changes per hour of ventilation (outside air) only. Increasing the rate of air flow recirculating through the filter and/or air flow from the ventilation did not always increase effectiveness. Concentrations were generally higher near the emission source than elsewhere in the room. Both the air flow configuration of the filter and its placement within the room were important, influencing room air flow patterns and the spatial distribution of concentrations. Air filters containing efficient, but non-high efficiency particulate air (HEPA) filter media were as effective as air filters containing HEPA filter media.

Dielectric characterization of CuxS-NiySz/FNBR and CuS-NiySz/FNBR nanocomposites

NASA Astrophysics Data System (ADS)

Balayeva, Ofeliya O.; Azizov, Abdulsaid A.; Muradov, Mustafa B.; Eyvazova, Goncha M.

2017-06-01

CuxS-NiySz/FNBR and CuS-NiySz/FNBR nanocomposites (NCs) were prepared from β-NiS/FNBR by ion exchange method and dielectric characterized. Dielectric properties of NCs were investigated at the temperature of 26 °C-120 °C in 120-106 Hz frequency range. With measuring electric capacity and resistance of the samples at different frequency we have studied the dielectric permittivity, dielectric loss tangent, dielectric modulus, conductivity, relaxation times and Cole-Cole plots were obtained. At 120 °C measurement temperature, some of the destruction processes in polymers affect to interfacial interaction between the polymer and particles surface. After high temperature measurement all three samples were cooled to room temperature and their dielectric measurements were carried out at room temperature. It is observed that at high measurement temperature some of carriers transfer from one energy level to another and the dipole orientation did not return completely to the previous situation.

KSC-2012-6227

NASA Image and Video Library

2012-11-14

CAPE CANAVERAL, Fla. – The Orion spacecraft crew access arm, or CAA, seal prototype is being checked out at the Launch Equipment Test Facility at NASA's Kennedy Space Center in Florida. Monitoring the activity, from the left are Kent Bachelor, Stinger Ghaffarian Technologies lead, Kelli Maloney, NASA lead and Clayton Gvasse, Nelson Engineering lead. The tests will use a mockup of the vehicle Outer Mold Line and CAA white room to test the performance of the seal while simulating vehicle to CAA white room excursions. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion Photo credit: NASA/Jim Grossmann

KSC-01pp0836

NASA Image and Video Library

2001-04-19

In the White Room, STS-100 Pilot Jeffrey S. Ashby chats with closeout crew members before he enters Space Shuttle Endeavour.   With his back to the camera is Rick Welty; second from left is Rene Arriens.  The White Room is an environmental chamber at the end of the Orbiter Access Arm that provides entry into the orbiter on the launch pad.  The  mission will deliver and integrate the Spacelab Logistics Pallet/Launch Deployment Assembly, which includes the Canadian-built Space Station Remote Manipulator System and the UHF Antenna.  Two spacewalks are planned for installation of the SSRMS, which will be performed by Mission Specialists Scott E. Parazynski and Chris A. Hadfield, who is with the Canadian Space Agency. The mission is also the inaugural flight of Multi-Purpose Logistics Module Raffaello, carrying resupply stowage racks and resupply/return stowage platforms.  Liftoff of Space Shuttle Endeavour on mission STS-100 is scheduled at 2:41 p.m. EDT April 19

KSC-2011-5061

NASA Image and Video Library

2011-07-06

CAPE CANAVERAL, Fla. -- In the Launch Control Center at NASA's Kennedy Space Center in Florida, Firing Room 3 is serene as launch team members gather at their consoles in Firing Room 4 preparing for space shuttle Atlantis' STS-135 mission to the International Space Station. Atlantis and its crew of four are scheduled to lift off at 11:26 a.m. EDT on July 8 to deliver the Raffaello multi-purpose logistics module packed with supplies and spare parts to the station. The STS-135 mission also will fly a system to investigate the potential for robotically refueling existing satellites and return a failed ammonia pump module to help NASA better understand the failure mechanism and improve pump designs for future systems. STS-135 will be the 33rd flight of Atlantis, the 37th shuttle mission to the space station, and the 135th and final mission of NASA's Space Shuttle Program. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts135/index.html. Photo credit: NASA/Frankie Martin

Effect of neutron irradiation on the thermoelectric properties of SiGe alloys

NASA Technical Reports Server (NTRS)

Vandersande, Jan W.; Mccormack, Joe; Zoltan, Andy; Farmer, John

1990-01-01

Zone-leveled and hot-pressed n- and p-type Si80Ge20 alloys were irradiated with neutrons to a fluence of 4 x 1018 n/sq cm and to a fluence of 5.4 x 1019 n/sq cm at a temperature of approximately 200-300 C. The effect of neutron irradiation on the thermoelectric properties of these alloys was evaluated. The carrier concentration and mobility (and hence the resistivity) were measured at room temperature while the thermal diffusivity was measured at 177-192 C both before and after the irradiation and after each subsequent 2-h heat treatment at 350 C, 600, and 1000 C. The irradiation increased the resistivity significantly, but the thermal conductivity decreased only by about 10-15 percent. This tends to indicate that the radiation produced only small defects (single pairs and small vacancy chains). The samples all returned to almost exactly their preirradiation state after the 1000 C anneal. This indicates that SiGe alloys can be operated in this neutron fluence at high temperatures without a degradation of thermoelectric properties.

Using the ferroelectric/ferroelastic effect at cryogenic temperatures for set-and-hold actuation

NASA Astrophysics Data System (ADS)

Steeves, J. B.; Golinveaux, F. S.; Lynch, C. S.

2018-06-01

The ferroelectric and ferroelastic properties of lead-zirconate-titanate (PZT) based stack actuators have been characterized at temperatures down to 25 K and under various levels of constant compressive stress. Experiments indicate that the coercive field and magnitude of strain at the coercive field display an inverse relationship with temperature. A factor of 5.5 increase in coercive field, and a factor of 4.3 increase in strain is observed at 25 K in comparison to the room-temperature conditions. This information was used to induce non-180° domain wall motion in the material through the application of electric fields at or near the coercive field. The change in remanent strain accompanying these effects was shown to increase in magnitude as temperature decreased, reaching values of 2000 ppm at 25 K. This behavior was also shown to be temporally stable even under compressive loads. Additionally, it was demonstrated that the material can be returned to its original strain state through a repolarizing electric field. This switchable behavior could be exploited for future set-and-hold type actuators operating at cryogenic temperatures.

A meta-analysis of laparoscopic versus open appendectomy in patients suspected of having acute appendicitis

PubMed Central

Temple, Larissa K.F.; Litwin, Demetrius E.; McLeod, Robin S.

Objective To determine if any significant differences exist between laparoscopic appendectomy (LA) and open appendectomy (OA). Design A meta-analysis of randomized controlled trials (RCTs) comparing LA to OA. Data sources An extensive literature search was conducted for appropriate articles published between January 1990 and March 1997. Articles were initially retrieved through MEDLINE with MeSH terms “appendicitis” or “appendectomy” and “laparoscopy.” Additional methods included cross-referencing bibliographies of retrieved articles, hand searching abstracts from relevant meetings and consultation with a content expert. Study selection Only RCTs published in English in which patients had a preoperative diagnosis of acute appendicitis were included. Data extraction The outcomes of interest included operating time, hospital stay, readmission rates, return to normal activity and complications. The Cochrane Collaboration Review Manager 3.0 was used to calculate odds ratios (OR), weighted mean differences (WMD) and 95% confidence intervals (CI). The random-effects model was used for statistical analysis. Data synthesis Twelve trials met the inclusion criteria. Because there were insufficient data in some trials, operating time, hospitalization and return to work were assessed in only 8 trials. Mean operating time was significantly longer with LA (WMD 18.10 minutes, 95% CI 12.87 to 23.15 minutes). There were fewer wound infections in LA (OR 0.40, 95% CI 0.24 to 0.69), but no significant differences in intra-abdominal abscess rates (OR 1.94, 95% CI 0.68 to 5.58). There was no significant difference in the mean length of hospital stay (WMD −0.16 days, 95% CI −0.44 to 0.15 days) or readmission rates (OR 1.16, 95% CI 0.54 to 2.48). However, the return to normal activity was significantly earlier with LA (WMD −5.79 days, 95% CI −7.38 to −4.21 days). Sensitivity analyses did not affect the results. Conclusion This meta-analysis suggests that operating room time is significantly longer, hospital stay is unchanged but return to normal activities is significantly earlier with LA. PMID:10526524

Intrawound Vancomycin Decreases the Risk of Surgical Site Infection After Posterior Spine Surgery: A Multicenter Analysis.

PubMed

Devin, Clinton J; Chotai, Silky; McGirt, Matthew J; Vaccaro, Alexander R; Youssef, Jim A; Orndorff, Douglas G; Arnold, Paul M; Frempong-Boadu, Anthony K; Lieberman, Isador H; Branch, Charles; Hedayat, Hirad S; Liu, Ann; Wang, Jeffrey C; Isaacs, Robert E; Radcliff, Kris E; Patt, Joshua C; Archer, Kristin R

2018-01-01

Secondary analysis of data from a prospective multicenter observational study. The aim of this study was to evaluate the occurrence of surgical site infection (SSI) in patients with and without intrawound vancomycin application controlling for confounding factors associated with higher SSI after elective spine surgery. SSI is a morbid and expensive complication associated with spine surgery. The application of intrawound vancomycin is rapidly emerging as a solution to reduce SSI following spine surgery. The impact of intrawound vancomycin has not been systematically studied in a well-designed multicenter study. Patients undergoing elective spine surgery over a period of 4 years at seven spine surgery centers across the United States were included in the study. Patients were dichotomized on the basis of whether intrawound vancomycin was applied. Outcomes were occurrence of SSI within postoperative 30 days and SSI that required return to the operating room (OR). Multivariable random-effect log-binomial regression analyses were conducted to determine the relative risk of having an SSI and an SSI with return to OR. .: A total of 2056 patients were included in the analysis. Intrawound vancomycin was utilized in 47% (n = 966) of patients. The prevalence of SSI was higher in patients with no vancomycin use (5.1%) than those with use of intrawound vancomycin (2.2%). The risk of SSI was higher in patients in whom intrawound vancomycin was not used (relative risk (RR) -2.5, P < 0.001), increased number of levels exposed (RR -1.1, P = 0.01), and those admitted postoperatively to intensive care unit (ICU) (RR -2.1, P = 0.005). Patients in whom intrawound vancomycin was not used (RR -5.9, P < 0.001), increased number of levels were exposed (RR-1.1, P = 0.001), and postoperative ICU admission (RR -3.3, P < 0.001) were significant risk factors for SSI requiring a return to the OR. The intrawound application of vancomycin after posterior approach spine surgery was associated with a reduced risk of SSI and return to OR associated with SSI. 2.

Effect of diffusive and nondiffusive surfaces combinations on sound diffusion

NASA Astrophysics Data System (ADS)

Shafieian, Masoume; Kashani, Farokh Hodjat

2010-05-01

One of room acoustic goals, especially in small to medium rooms, is sound diffusion in low frequencies, which have been the subject of lots of researches. Sound diffusion is a very important consideration in acoustics because it minimizes the coherent reflections that cause problems. It also tends to make an enclosed space sound larger than it is. Diffusion is an excellent alternative or complement to sound absorption in acoustic treatment because it doesn’t really remove much energy, which means it can be used to effectively reduce reflections while still leaving an ambient or live sounding space. Distribution of diffusive and nondiffusive surfaces on room walls affect sound diffusion in room, but the amount, combination, and location of these surfaces are still the matter of question. This paper investigates effects of these issues on room acoustic frequency response in different parts of the room with different source-receiver locations. Room acoustic model based on wave method is used (implemented) which is very accurate and convenient for low frequencies in such rooms. Different distributions of acoustic surfaces on room walls have been introduced to the model and room frequency response results are calculated. For the purpose of comparison, some measurements results are presented. Finally for more smooth frequency response in small and medium rooms, some suggestions are made.

Genesis Spacecraft Science Canister Preliminary Inspection and Cleaning

NASA Technical Reports Server (NTRS)

Hittle, J. D.; Calaway, M. J.; Allton, J. H.; Warren, J. L.; Schwartz, C. M.; Stansbery, E. K.

2006-01-01

The Genesis science canister is an aluminum cylinder (75 cm diameter and 35 cm tall) hinged at the mid-line for opening. This canister was cleaned and assembled in an ISO level 4 (Class 10) clean room at Johnson Space Center (JSC) prior to launch. The clean solar collectors were installed and the canister closed in the cleanroom to preserve collector cleanliness. The canister remained closed until opened on station at Earth-Sun L1 for solar wind collection. At the conclusion of collection, the canister was again closed to preserve collector cleanliness during Earth return and re-entry. Upon impacting the dry Utah lakebed at 300 kph the science canister integrity was breached. The canister was returned to JSC. The canister shell was briefly examined, imaged, gently cleaned of dust and packaged for storage in anticipation of future detailed examination. The condition of the science canister shell noted during this brief examination is presented here. The canister interior components were packaged and stored without imaging due to time constraints.

Volatility return intervals analysis of the Japanese market

NASA Astrophysics Data System (ADS)

Jung, W.-S.; Wang, F. Z.; Havlin, S.; Kaizoji, T.; Moon, H.-T.; Stanley, H. E.

2008-03-01

We investigate scaling and memory effects in return intervals between price volatilities above a certain threshold q for the Japanese stock market using daily and intraday data sets. We find that the distribution of return intervals can be approximated by a scaling function that depends only on the ratio between the return interval τ and its mean <τ>. We also find memory effects such that a large (or small) return interval follows a large (or small) interval by investigating the conditional distribution and mean return interval. The results are similar to previous studies of other markets and indicate that similar statistical features appear in different financial markets. We also compare our results between the period before and after the big crash at the end of 1989. We find that scaling and memory effects of the return intervals show similar features although the statistical properties of the returns are different.

Random and independent sampling of endogenous tryptic peptides from normal human EDTA plasma by liquid chromatography micro electrospray ionization and tandem mass spectrometry.

PubMed

Dufresne, Jaimie; Florentinus-Mefailoski, Angelique; Ajambo, Juliet; Ferwa, Ammara; Bowden, Peter; Marshall, John

2017-01-01

Normal human EDTA plasma samples were collected on ice, processed ice cold, and stored in a freezer at - 80 °C prior to experiments. Plasma test samples from the - 80 °C freezer were thawed on ice or intentionally warmed to room temperature. Protein content was measured by CBBR binding and the release of alcohol soluble amines by the Cd ninhydrin assay. Plasma peptides released over time were collected over C18 for random and independent sampling by liquid chromatography micro electrospray ionization and tandem mass spectrometry (LC-ESI-MS/MS) and correlated with X!TANDEM. Fully tryptic peptides by X!TANDEM returned a similar set of proteins, but was more computationally efficient, than "no enzyme" correlations. Plasma samples maintained on ice, or ice with a cocktail of protease inhibitors, showed lower background amounts of plasma peptides compared to samples incubated at room temperature. Regression analysis indicated that warming plasma to room temperature, versus ice cold, resulted in a ~ twofold increase in the frequency of peptide identification over hours-days of incubation at room temperature. The type I error rate of the protein identification from the X!TANDEM algorithm combined was estimated to be low compared to a null model of computer generated random MS/MS spectra. The peptides of human plasma were identified and quantified with low error rates by random and independent sampling that revealed 1000s of peptides from hundreds of human plasma proteins from endogenous tryptic peptides.

Postoperative Complications of Dermis-Fat Autografts in the Anophthalmic Socket.

PubMed

Starks, Victoria; Freitag, Suzanne K

2018-01-01

Reconstruction of the anophthalmic socket allows the use of an ocular prosthesis and rehabilitation of facial appearance. Dermis-fat grafting is one option in volume augmentation of the anophthalmic socket and presents unique benefits, including increased surface area within the socket and the ability to grow with pediatric patients. Postoperative complications of this procedure are relatively common. Minor complications, such as graft hirsutism, keratinization, and conjunctival cysts or granulomas, are managed easily by observation or simple intervention. Major complications, such as graft atrophy, infection, or ulceration, may prevent good prosthesis fit and may require return to the operating room.

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

Benites, J.; Alumno del Posgrado en CBAP, Universidad Autonoma de Nayarit, Carretera Tepic-Compostela km9. C.P. 63780. Xalisco-Nayarit-Mexico; Vega-Carrillo, H. R.

Neutron spectra and the ambient dose equivalent were calculated inside the bunker of a 15 MV Varian linac model CLINAC iX. Calculations were carried out using Monte Carlo methods. Neutron spectra in the vicinity of isocentre show the presence of evaporation and knock-on neutrons produced by the source term, while epithermal and thermal neutron remain constant regardless the distance respect to isocentre, due to room return. Along the maze neutron spectra becomes softer as the detector moves along the maze. The ambient dose equivalent is decreased but do not follow the 1/r{sup 2} rule due to changes in the neutronmore » spectra.« less

Fabrication and RF characterization of zinc oxide based Film Bulk Acoustic Resonator

NASA Astrophysics Data System (ADS)

Patel, Raju; Bansal, Deepak; Agrawal, Vimal Kumar; Rangra, Kamaljit; Boolchandani, Dharmendar

2018-06-01

This work reports fabrication and characterization of Film Bulk Acoustic Resonator (FBAR) to improve the performance characteristics for RF filter and sensing application. Zinc oxide as a piezoelectric (PZE) material was deposited on an aluminum bottom electrode using an RF magnetron sputtering, at room temperature, and gold as top electrode for the resonator. Tetramethyl ammonium hydroxide (TMAH) setup was used for bulk silicon etching to make back side cavity to confine the acoustic signals. The transmission characteristics show that the FBARs have a central frequency at 1.77 GHz with a return loss of -10.7 dB.

Proceedings of the Annual Military Librarians’ Workshop (31st): Information Management and Intelligence Held in Washington, D.C. on 20-23 October 1987

DTIC Science & Technology

1987-10-23

Engineering Laboratory Naval Postgraduate School Library, Code LO8A Dudley Knox Library Port Hueneme, CA 93043-5003 Monterey, CA 93943-5000 Cecilia J . Thorn...Pforzhetmer 23 "A Brief History of Military Deane J , Allen 38 Intelligence" "Popular Culture and the Cultural Dr. Hugo A. Keesing 73 Literacy Controversy...2200 Banjo Dancing * Arena Stage Old Vat Room ( J Buses will be provided at 1730 and 1930 from the hotel to Arena Stage and return to the hotel after the

STS-102 MPLM Leonardo is transferred from the PCR into Discovery's payload bay

NASA Technical Reports Server (NTRS)

2001-01-01

KENNEDY SPACE CENTER, Fla. - In the Payload Changeout Room, Launch Pad 39B, the Multi-Purpose Logistics Module Leonardo is ready to be transferred into Space Shuttle Discovery'''s payload bay. Discovery is scheduled to launch March 8 at 6:42 a.m. EST on mission STS-102, the eighth construction flight to the International Space Station. The primary delivery system used to resupply and return Station cargo requiring a pressurized environment, Leonardo will deliver up to 10 tons of laboratory racks filled with equipment, experiments and supplies for outfitting the newly installed U.S. Laboratory Destiny.

Perceptual effects in auralization of virtual rooms

NASA Astrophysics Data System (ADS)

Kleiner, Mendel; Larsson, Pontus; Vastfjall, Daniel; Torres, Rendell R.

2002-05-01

By using various types of binaural simulation (or ``auralization'') of physical environments, it is now possible to study basic perceptual issues relevant to room acoustics, as well to simulate the acoustic conditions found in concert halls and other auditoria. Binaural simulation of physical spaces in general is also important to virtual reality systems. This presentation will begin with an overview of the issues encountered in the auralization of room and other environments. We will then discuss the influence of various approximations in room modeling, in particular, edge- and surface scattering, on the perceived room response. Finally, we will discuss cross-modal effects, such as the influence of visual cues on the perception of auditory cues, and the influence of cross-modal effects on the judgement of ``perceived presence'' and the rating of room acoustic quality.

Serial office-based steroid injections for treatment of idiopathic subglottic stenosis.

PubMed

Hoffman, Matthew R; Coughlin, Adam R; Dailey, Seth H

2017-11-01

Current treatment options for idiopathic subglottic stenosis include endoscopic interventions, resection, and tracheotomy. Recently, serial office-based steroid injections were proposed as an alternative that may stabilize or induce regression of airway stenosis without the need for repeated operations. Procedure completion rate, pain, complications, effect on stenosis, time since the last operation, and limitations have not been described. Retrospective case series. Retrospective series of 19 patients undergoing serial office-based steroid injection for idiopathic subglottic stenosis. Outcome measures included completion rate, procedure-related pain scores, complications, percentage of airway stenosis, and time since the last operative intervention. Procedure completion rate was 98.8%. Average pain score during the procedure was 2.3 ± 1.7 on a 10-point scale. There were no immediate complications. One patient underwent awake tracheotomy 8 days after her second injection and was later decannulated. Average stenosis decreased from 35% ± 15% to 25% ± 15% (n = 16; P = .086) over the first of three injections and 40% ± 15% to 25% ± 10% to 20% ± 10% (n = 8; P = .002) for those patients completing two sets of three injections. Fourteen of 17 patients undergoing at least three injections have not returned to the operating room since the first injection. Office-based steroid injection represents a promising new treatment pathway for a disease that requires long-term management, offering a purely pharmacologic approach to a disorder that has traditionally been approached from a mechanical perspective. It is safe, well tolerated, and effective. Furthermore, it may help patients and physicians avoid repeated trips to the operating room and the associated risks. 4. Laryngoscope, 127:2475-2481, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

Impact of smartphone digital photography, email, and media communication on emergency room visits post-hypospadias repair.

PubMed

Chua, Michael E; Saunders, Megan A; Bowlin, Paul R; Ming, Jessica M; Lopes, Roberto Iglesias; Farhat, Walid A; Dos Santos, Joana

2017-01-01

Advances in communication technology are shaping our medical practice. To date, there is no clear evidence that this mode of communication will have any effect on unnecessary postoperative emergency room (ER) visits. We aim to evaluate the effect of email and media communication with application of smartphone digital photography on post-hypospadias repair ER visit rates. This prospective cohort study included all patients who underwent hypospadias repair performed by a single surgeon from October 2014 to November 2015. Patients were categorized into two groups: Group A consented for smartphone photography and email communication and Group B declined. Reason for ER visits within 30 days postoperatively was assessed by another physician, who was blinded of patient group assignment. The reasons were categorized as: unnecessary ER visit, indicated ER visit, or visit unrelated to hypospadias surgery. Chi-square test and T-test were used for statistical analysis. Relative risk (RR) and corresponding 95% confidence interval (CI) were also calculated. Statistical significance was set at p<0.05. Over a 14-month period, 96 patients underwent hypospadias repair (81 in Group A, 15 in Group B 5). No significant difference was noted between groups for overall ER return rate (RR 0.46, 95% CI 0.21, 1.0). However, the number of ER visits for wound check not requiring intervention was significantly lower in Group A than in Group B (RR 0.14, 95% CI 0.035, 0.56); likewise, a higher number of ER visits requiring intervention was noted in Group A compared with Group B, although statistically this was not significant (RR 1.67, 95% CI 0.23, 12.21). Email communication with the use of smartphone digital photography significantly reduced the number of unnecessary ER visits for post-hypospadias wound checks.

Do adjunctive flap-monitoring technologies impact clinical decision making? An analysis of microsurgeon preferences and behavior by body region.

PubMed

Bellamy, Justin L; Mundinger, Gerhard S; Flores, José M; Wimmers, Eric G; Yalanis, Georgia C; Rodriguez, Eduardo D; Sacks, Justin M

2015-03-01

Multiple perfusion assessment technologies exist to identify compromised microvascular free flaps. The effectiveness, operability, and cost of each technology vary. The authors investigated surgeon preference and clinical behavior with several perfusion assessment technologies. A questionnaire was sent to members of the American Society for Reconstructive Microsurgery concerning perceptions and frequency of use of several technologies in varied clinical situations. Demographic information was also collected. Adjusted odds ratios were calculated using multinomial logistic regression accounting for clustering of similar practices within institutions/regions. The questionnaire was completed by 157 of 389 participants (40.4 percent response rate). Handheld Doppler was the most commonly preferred free flap-monitoring technology (56.1 percent), followed by implantable Doppler (22.9 percent) and cutaneous tissue oximetry (16.6 percent). Surgeons were significantly more likely to opt for immediate take-back to the operating room when presented with a concerning tissue oximetry readout compared with a concerning handheld Doppler signal (OR, 2.82; p < 0.01), whereas other technologies did not significantly alter postoperative management more than simple handheld Doppler. Clinical decision making did not significantly differ by demographics, training, or practice setup. Although most surgeons still prefer to use standard handheld Doppler for free flap assessment, respondents were significantly more likely to opt for immediate return to the operating room for a concerning tissue oximetry reading than an abnormal Doppler signal. This suggests that tissue oximetry may have the greatest impact on clinical decision making in the postoperative period.

Impact of euthanasia rates, euthanasia practices, and human resource practices on employee turnover in animal shelters.

PubMed

Rogelberg, Steven G; Reeve, Charlie L; Spitzmüller, Christiane; DiGiacomo, Natalie; Clark, Olga L; Teeter, Lisa; Walker, Alan G; Starling, Paula G; Carter, Nathan T

2007-03-01

To examine the effects of euthanasia rates, euthanasia practices, and human resource practices on the turnover rate among employees with euthanasia responsibilities at animal shelters. Cross-sectional original study. 36 shelters across the United States that employed at least 5 full-time employees and performed euthanasia on site. By mail, 1 survey was sent to each shelter. Surveys were completed by a senior member of management and were returned by mail. Questions assessed characteristics (eg, euthanasia rates) and practices of the animal shelter, along with employee turnover rates. By use of correlation coefficients and stepwise regression analyses, key predictors of turnover rates among employees with euthanasia responsibilities were investigated. Employee turnover rates were positively related to euthanasia rate. Practices that were associated with decreased turnover rates included provision of a designated euthanasia room, exclusion of other live animals from vicinity during euthanasia, and removal of euthanized animals from a room prior to entry of another animal to be euthanized. Making decisions regarding euthanasia of animals on the basis of factors other than behavior and health reasons was related to increased personnel turnover. With regard to human resources practices, shelters that used a systematic personnel selection procedure (eg, standardized testing) had comparatively lower employee turnover. Data obtained may suggest several specific avenues that can be pursued to mitigate turnover among employees with euthanasia responsibilities at animal shelters and animal control or veterinary medical organizations.

Team communications in the operating room: talk patterns, sites of tension, and implications for novices.

PubMed

Lingard, Lorelei; Reznick, Richard; Espin, Sherry; Regehr, Glenn; DeVito, Isabella

2002-03-01

Although the communication that occurs within health care teams is important to both team function and the socialization of novices, the nature of team communication and its educational influence are not well documented. This study explored the nature of communications among operating room (OR) team members from surgery, nursing, and anesthesia to identify common communicative patterns, sites of tension, and their impact on novices. Paired researchers observed 128 hours of OR interactions during 35 procedures from four surgical divisions at one teaching hospital. Brief, unstructured interviews were conducted following each observation. Field notes were independently read by each researcher and coded for emergent themes in the grounded theory tradition. Coding consensus was achieved via regular discussion. Findings were returned to insider "experts" for their assessment of authenticity and adequacy. Patterns of communication were complex and socially motivated. Dominant themes were time, safety and sterility, resources, roles, and situation. Communicative tension arose regularly in relation to these themes. Each procedure had one to four "higher-tension" events, which often had a ripple effect, spreading tension to other participants and contexts. Surgical trainees responded to tension by withdrawing from the communication or mimicking the senior staff surgeon. Both responses had negative implications for their own team relations. Team communications in the OR follow observable patterns and are influenced by recurrent themes that suggest sites of team tension. Tension in team communication affects novices, who respond with behaviors that may intensify rather than resolve interprofessional conflict.

Room-temperature multiferroic and magnetocapacitance effects in M-type hexaferrite BaFe10.2Sc1.8O19

NASA Astrophysics Data System (ADS)

Tang, Rujun; Zhou, Hao; You, Wenlong; Yang, Hao

2016-08-01

The room-temperature multiferroic and magnetocapacitance (MC) effects of polycrystalline M-type hexaferrite BaFe10.2Sc1.8O19 have been investigated. The results show that the magnetic moments of insulating BaFe10.2Sc1.8O19 can be manipulated by the electric field at room temperature, indicating the existence of magnetoelectric coupling. Moreover, large MC effects are also observed around the room temperature. A frequency dependence analysis shows that the Maxwell-Wagner type magnetoresistance effect is the dominant mechanism for MC effects at low frequencies. Both the magnetoelectric-type and non-magnetoelectric-type spin-phonon couplings contribute to the MC effects at high frequencies with the former being the dominant mechanism. The above results show that the hexaferrite BaFe10.2Sc1.8O19 is a room-temperature multiferroic material that can be potentially used in magnetoelectric devices.

Searching for a business case for quality in Medicaid managed care.

PubMed

Greene, Sandra B; Reiter, Kristin L; Kilpatrick, Kerry E; Leatherman, Sheila; Somers, Stephen A; Hamblin, Allison

2008-01-01

Despite the prevalence of evidence-based interventions to improve quality in health care systems, there is a paucity of documented evidence of a financial return on investment (ROI) for these interventions from the perspective of the investing entity. To report on a demonstration project designed to measure the business case for selected quality interventions in high-risk high-cost patient populations in 10 Medicaid managed care organizations across the United States. Using claims and enrollment data gathered over a 3-year period and data on the costs of designing, implementing, and operating the interventions, ROIs were computed for 11 discrete evidence-based quality-enhancing interventions. A complex case management program to treat adults with multiple comorbidities achieved the largest ROI of 12.21:1. This was followed by an ROI of 6.35:1 for a program which treated children with asthma with a history of high emergency room (ER) use and/or inpatient admissions for their disease. An intervention for high-risk pregnant mothers produced a 1.26:1 ROI, and a program for adult patients with diabetes resulted in a 1.16:1 return. The remaining seven interventions failed to show positive returns, although four sites came close to realizing sufficient savings to offset investment costs. Evidence-based interventions designed to improve the quality of patient care may have the best opportunity to yield a positive financial return if it is focused on high-risk high-cost populations and conditions associated with avoidable emergency and inpatient utilization. Developing the necessary tracking systems for the claims and financial investments is critical to perform accurate financial ROI analyses.

Essays on the effects of oil price shocks on the U.S. stock returns

NASA Astrophysics Data System (ADS)

Alsalman, Zeina N.

This research investigates the effect of changes in oil prices and oil price volatility on the U.S. stock returns. The first essay tests whether the sign and the size of oil price shocks matter for the U.S. stock returns. The results suggest a linear model provides a good approximation to the response of real stock returns to real oil price innovations. However, this is not the case when the model is specified in terms of the nominal price of crude oil. Using a modified structural VAR to accommodate GARCH-in-Mean errors, the second essay studies the direct effects of oil price uncertainty on the U.S. stock returns at the aggregate and sectoral levels. We also simulate the response of U.S. stock returns to positive and negative oil price shocks, to examine whether the responses to positive and negative shocks are symmetric. Estimation results suggest that there is no statistically significant effect of oil price volatility on the U.S. stock returns. Moreover, the impulse responses indicate that oil price increases and decreases have symmetric effects on the U.S. stock returns. Using high frequency data, the third essay addresses the issue of uncertainty in oil prices and its effect on U.S. stock returns, taking into account the day of the week effect. The results suggest that the-day-of-the-week effect is present in both the mean and volatility equations. The results also show that the U.S. stock market is sensitive to oil price variations not only at the aggregate level but also across some industries, such as chemicals, entertainment, and retail, where uncertainty in oil prices proves to have positive and statistically significant effect.

Comparison of Patient Outcomes and Cost of Overlapping Versus Nonoverlapping Spine Surgery.

PubMed

Zygourakis, Corinna C; Sizdahkhani, Saman; Keefe, Malla; Lee, Janelle; Chou, Dean; Mummaneni, Praveen V; Ames, Christopher P

2017-04-01

Overlapping surgery recently has gained significant media attention, but there are limited data on its safety and efficacy. To date, there has been no analysis of overlapping surgery in the field of spine. Our goal was to compare overlapping versus nonoverlapping spine surgery patient outcomes and cost. A retrospective review was undertaken of 2319 spine surgeries (n = 848 overlapping; 1471 nonoverlapping) performed by 3 neurosurgery attendings from 2012 to 2015 at the University of California San Francisco. Collected variables included patient age, sex, insurance, American Society of Anesthesiology score, severity of illness, risk of mortality, procedure type, surgeon, day of surgery, source of transfer, admission type, overlapping versus nonoverlapping surgery (≥1 minute of overlapping procedure time), Medicare-Severity Diagnosis-Related Group, osteotomy, and presence of another attending/fellow/resident. Univariate, then multivariate mixed-effect models were used to evaluate the effect of the collected variables on the following outcomes: procedure time, estimated blood loss, length of stay, discharge status, 30-day mortality, 30-day unplanned readmission, unplanned return to OR, and total hospital cost. Urgent spine cases were more likely to be done in an overlapping fashion (all P < 0.01). After we adjusted for patient demographics, clinical indicators, and procedure characteristics, overlapping surgeries had longer procedure times (estimate = 26.17; P < 0.001) and lower rates of discharge to home (odds ratio 0.65; P < 0.001), but equivalent rates of 30-day mortality, readmission, return to the operating room, estimated blood loss, length of stay, and total hospital cost (all P = ns). Overlapping spine surgery may be performed safely at our institution, although continued monitoring of patient outcomes is necessary. Overlapping surgery does not lead to greater hospital costs. Copyright © 2017 Elsevier Inc. All rights reserved.

Alveolar nerve repositioning with rescue implants for management of previous treatment. A clinical report.

PubMed

Amet, Edward M; Uehlein, Chris

2013-12-01

The goal of modern implant dentistry is to return patients to oral health in a rapid and predictable fashion, following a diagnostically driven treatment plan. If only a limited number of implants can be placed, or some fail and the prosthetic phase of implant dentistry is chosen to complete the patient's treatment, the final outcome may result in partial patient satisfaction and is commonly referred to as a "compromise." Previous All-on-4 implant treatment for the patient presented here resulted in a compromise, with an inadequate support system for the mandibular prosthesis and a maxillary complete denture with poor esthetics. The patient was unable to function adequately and also was disappointed with the resulting appearance. Correction of the compromised treatment consisted of bilateral inferior alveolar nerve elevation and repositioning without bone removal for lateral transposition, to gain room for rescue implants for a totally implant-supported and stabilized prosthesis. Treatment time to return the patient to satisfactory comfort, function, facial esthetics, and speech was approximately 2 weeks. The definitive mandibular prosthesis was designed for total implant support and stability with patient retrievability. Adequate space between the mandibular bar system and the soft tissue created a high water bridge effect for self-cleansing. Following a short interim mandibular healing period, the maxillary sinuses were bilaterally grafted to compensate for bone inadequacies and deficiencies for future maxillary implant reconstruction. © 2013 by the American College of Prosthodontists.

ANESTHETIC INDUCTION AND RECOVERY PARAMETERS IN BEARDED DRAGONS (POGONA VITTICEPS): COMPARISON OF ISOFLURANE DELIVERED IN 100% OXYGEN VERSUS 21% OXYGEN.

PubMed

O, Odette; Churgin, Sarah M; Sladky, Kurt K; Smith, Lesley J

2015-09-01

Inland bearded dragons (Pogona vitticeps, n=6) were anesthetized for 1 hr using isoflurane in either 100% oxygen or 21% oxygen (FI 21; medical-grade room air). Parameters of anesthetic depth were recorded throughout both induction and recovery by an observer blinded to the fraction of inspired oxygen (FiO2), including the loss and return of withdrawal and righting reflexes, muscle tone, ability to intubate or extubate, and return to spontaneous respiration. Physiologic data were recorded every 5 min throughout the anesthetic procedures, including heart rate, body temperature, end-tidal CO2, hemoglobin oxygen saturation (SpO2), and percent expired isoflurane. Lizards were subjected to application of a noxious stimulus (needle stick) at 0, 30, and 60 min, and responses recorded. Following a minimum 7-day washout period, the experiment was repeated with each lizard subjected to the other protocol in a randomized, complete crossover design. The only statistically significant difference was a lower mean SpO2 in the group inspiring 21% oxygen (P<0.0020). No statistically significant differences were detected in any parameters during induction or recovery; however, all values were uniformly shorter for the FI 21 group, indicating a possible clinically significant difference. A larger sample size may have detected statistically significant differences. Further studies are needed to evaluate these effects in other reptile species and with the concurrent use of injectable anesthetic and analgesic drugs.

Baseline Study Methodology for Future Phases of Research on Nuclear Power Plant Control Room Technologies

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

Le Blanc, Katya Lee; Bower, Gordon Ross; Hill, Rachael Ann

In order to provide a basis for industry adoption of advanced technologies, the Control Room Upgrades Benefits Research Project will investigate the benefits of including advanced technologies as part of control room modernization This report describes the background, methodology, and research plan for the first in a series of full-scale studies to test the effects of advanced technology in NPP control rooms. This study will test the effect of Advanced Overview Displays in the partner Utility’s control room simulator

Low-Temperature Reactivity of C2n+1N(-) Anions with Polar Molecules.

PubMed

Joalland, Baptiste; Jamal-Eddine, Nour; Kłos, Jacek; Lique, François; Trolez, Yann; Guillemin, Jean-Claude; Carles, Sophie; Biennier, Ludovic

2016-08-04

Following the recent discovery of molecular anions in the interstellar medium, we report on the kinetics of proton transfer reactions between cyanopolyynide anions C2n+1N(-) (n = 0, 1, 2) and formic acid HCOOH. The results, obtained from room temperature down to 36 K by means of uniform supersonic flows, show a surprisingly weak temperature dependence of the CN(-) reaction rate, in contrast with longer chain anions. The CN(-) + HCOOH reaction is further studied theoretically via a reduced dimensional quantum model that highlights a tendency of the reaction probability to decrease with temperature, in agreement with experimental data but at the opposite of conventional long-range capture theories. In return, comparing HCOOH to HC3N as target molecules suggests that dipole-dipole interactions must play an active role in overcoming this limiting effect at low temperatures. This work provides new fundamental insights on prototypical reactions between polar anions and polar molecules along with critical data for astrochemical modeling.

Will Commodity Properties Affect Seller's Creditworthy: Evidence in C2C E-commerce Market in China

NASA Astrophysics Data System (ADS)

Peng, Hui; Ling, Min

This paper finds out that the credit rating level shows significant difference among different sub-commodity markets in E-commerce, which provides room for sellers to get higher credit rating by entering businesses with higher average credit level before fraud. In order to study the influence of commodity properties on credit rating, this paper analyzes how commodity properties affect average crediting rating through the degree of information asymmetry, returns and costs of fraud, credibility perception and fraud tolerance. Empirical study shows that Delivery, average trading volume, average price and complaint possibility have decisive impacts on credit performance; brand market share, the degree of standardization and the degree of imitation also have a relatively less significant effect on credit rating. Finally, this paper suggests that important commodity properties should be introduced to modify reputation system, for preventing credit rating arbitrage behavior where sellers move into low-rating commodity after being assigned high credit rating.

Effects of Different Viewing Conditions on Radiographic Interpretation

PubMed Central

Moshfeghi, Mahkameh; Shahbazian, Majid; Sajadi, Soodabeh Sadat; Sajadi, Sepideh; Ansari, Hossein

2015-01-01

Objectives: Optimum viewing conditions facilitate identification of radiographic details and decrease the need for retakes, patients’ costs and radiation dose. This study sought to evaluate the effects of different viewing conditions on radiographic interpretation. Materials and Methods: This diagnostic study was performed by evaluating radiograph of a 7mm-thick aluminum block, in which 10 holes with 2mm diameters were randomly drilled with depths ranging from 0.05 mm to 0.50mm. The radiograph was viewed by four oral radiologists independently under four viewing conditions, including a white light viewing light box in a lit room, yellow light viewing light box in a lit room, white light viewing light box in a dark room and yellow light viewing light box in a dark room. Number of circular shadows observed on the film was recorded. The data were analyzed by two-way ANOVA. Results: The mean number of detected circular shadows was 6.75, 7.5, 7.25 and 7.75 in white light viewing light box in a lit room, white light viewing light box in a dark room, yellow light viewing light box in a lit room and yellow light viewing light box in a dark room, respectively. Although the surrounding illumination had statistically significant effect on the radiographic details (P≤0.03), the light color of the viewing light box had no significant effect on visibility of the radiographic details. Conclusion: White and yellow light of the viewing light box had no significant effect on visibility of the radiographic details but more information was obtained in a dark room. PMID:27507997

Effects of Different Viewing Conditions on Radiographic Interpretation.

PubMed

Moshfeghi, Mahkameh; Shahbazian, Majid; Sajadi, Soodabeh Sadat; Sajadi, Sepideh; Ansari, Hossein

2015-11-01

Optimum viewing conditions facilitate identification of radiographic details and decrease the need for retakes, patients' costs and radiation dose. This study sought to evaluate the effects of different viewing conditions on radiographic interpretation. This diagnostic study was performed by evaluating radiograph of a 7mm-thick aluminum block, in which 10 holes with 2mm diameters were randomly drilled with depths ranging from 0.05 mm to 0.50mm. The radiograph was viewed by four oral radiologists independently under four viewing conditions, including a white light viewing light box in a lit room, yellow light viewing light box in a lit room, white light viewing light box in a dark room and yellow light viewing light box in a dark room. Number of circular shadows observed on the film was recorded. The data were analyzed by two-way ANOVA. The mean number of detected circular shadows was 6.75, 7.5, 7.25 and 7.75 in white light viewing light box in a lit room, white light viewing light box in a dark room, yellow light viewing light box in a lit room and yellow light viewing light box in a dark room, respectively. Although the surrounding illumination had statistically significant effect on the radiographic details (P≤0.03), the light color of the viewing light box had no significant effect on visibility of the radiographic details. White and yellow light of the viewing light box had no significant effect on visibility of the radiographic details but more information was obtained in a dark room.

Morbid obesity increases risk of morbidity and reoperation in resection of benign cranial nerve neoplasms.

PubMed

Murphy, Meghan E; McCutcheon, Brandon A; Kerezoudis, Panagiotis; Porter, Amanda; Rinaldo, Lorenzo; Shepherd, Daniel; Rayan, Tarek; Maloney, Patrick R; Carter, Bob S; Bydon, Mohamad; Gompel, Jamie J Van; Link, Michael J

2016-09-01

Obesity has been associated with increased risk for postoperative CSF leak in patients with benign cranial nerve tumors. Other measures of postoperative morbidity associated with obesity have not been well characterized. Patients enrolled in the American College of Surgeons' National Surgical Quality Improvement Program (ACS-NSQIP) from 2007 to 2013 with a diagnosis code of a benign neoplasm of a cranial nerve were included. The primary outcome of postoperative morbidity was analyzed as well as secondary outcomes of readmission and reoperation. The main covariate of interest was body mass index (BMI). A total of 561 patients underwent surgery for a benign cranial nerve neoplasm between 2007 and 2013. Readmission data, available for 2012-2013(n=353), revealed hydrocephalus, facial nerve injury, or CSF leak requiring readmission or reoperation occurred in 0.85%, 1.42%, and 3.12%, respectively. Composite morbidity included wound complications, infection, respiratory insufficiency, transfusion requirement, stroke, venous thromboembolism, coma and cardiac arrest. On multivariable analysis patients with class I (BMI 30-34.9) and II (BMI 35-39.9) obesity showed trends towards increasing return to operating room, though not significant, but there was no trend for composite complications in class I and II obesity patients. However, class III obesity, BMI≥40, was associated with increased odds of composite morbidity (OR 4.40, 95% CI 1.24-15.88) and return to the operating room (OR 5.97, 95% CI 1.20-29.6) relative to patients with a normal BMI, 18.5-25. Obesity is an independent and important risk factor for composite morbidity in resection of benign cranial nerve neoplasms, and as such, merits discussion during preoperative counseling. Copyright © 2016 Elsevier B.V. All rights reserved.

A technician leaves the 'white room,' the access point for entering the Space Shuttle Discovery during post-flight processing at NASA DFRC in California

NASA Image and Video Library

2005-08-14

A technician leaves the 'white room', the access point for entering the Space Shuttle Discovery during post-flight processing in the Mate-Demate Device (MDD) at NASA's Dryden Flight Research Center in California. The gantry-like MDD structure is used for servicing the shuttle orbiters in preparation for their ferry flight back to the Kennedy Space Center in Florida, including mounting the shuttle atop NASA's modified Boeing 747 Shuttle Carrier Aircraft. Space Shuttle Discovery landed safely at NASA's Dryden Flight Research Center at Edwards Air Force Base in California at 5:11:22 a.m. PDT, August 9, 2005, following the very successful 14-day STS-114 return to flight mission. During their two weeks in space, Commander Eileen Collins and her six crewmates tested out new safety procedures and delivered supplies and equipment the International Space Station. Discovery spent two weeks in space, where the crew demonstrated new methods to inspect and repair the Shuttle in orbit. The crew also delivered supplies, outfitted and performed maintenance on the International Space Station. A number of these tasks were conducted during three spacewalks. In an unprecedented event, spacewalkers were called upon to remove protruding gap fillers from the heat shield on Discovery's underbelly. In other spacewalk activities, astronauts installed an external platform onto the Station's Quest Airlock and replaced one of the orbital outpost's Control Moment Gyroscopes. Inside the Station, the STS-114 crew conducted joint operations with the Expedition 11 crew. They unloaded fresh supplies from the Shuttle and the Raffaello Multi-Purpose Logistics Module. Before Discovery undocked, the crews filled Raffeallo with unneeded items and returned to Shuttle payload bay. Discovery launched on July 26 and spent almost 14 days on orbit.

Laparoscopic versus robotic-assisted Roux-en-Y gastric bypass: a retrospective, single-center study of early perioperative outcomes at a community hospital.

PubMed

Ahmad, Arif; Carleton, Jared D; Ahmad, Zoha F; Agarwala, Ashish

2016-09-01

The purpose of this study was to compare the operative and early perioperative outcomes of laparoscopic versus robotic-assisted Roux-en-Y gastric bypass procedures performed in a community hospital setting. The study was a chart review and analysis of the early perioperative outcomes of a total of 345 Roux-en-Y gastric bypass procedures performed by a single surgeon in a community hospital setting from January 2011 to October 2014. Of these, 173 procedures were performed laparoscopically and 172 were performed with robotic assistance utilizing the daVinci(®) surgical platform. Factors such as baseline patient characteristics, operative time, estimated blood loss (EBL), conversions to open procedure, complication rates, adverse events, length of stay (LOS), and return to the operating room for the two groups were retrospectively analyzed from a prospectively maintained database. Student's t test with unequal variances was used for statistical analysis, and a p value <0.05 was used for significance. There were no statistically significant differences in complication rates, EBL, or LOS between the two groups. There was a significant difference between the total operative times (135.30 ± 37.60 min for the laparoscopic procedure versus 154.84 ± 38.44 min for the robotic procedure, p < 0.05). There were no adverse intraoperative events, conversions to open procedures, leaks, strictures, returns to the operating room within 30 days, or mortalities in either group. Our study, which is the first of its kind to analyze the operative and early perioperative outcomes between laparoscopic and robotic-assisted Roux-en-Y gastric bypass procedures in the US community hospital setting, indicates that both are comparable in terms of safety, efficacy, and operative and early perioperative outcomes.

The importance of housing characteristics in determining Der p 1 levels in carpets in New Zealand homes.

PubMed

Wickens, K; Mason, K; Fitzharris, P; Siebers, R; Hearfield, M; Cunningham, M; Crane, J

2001-06-01

A previous study of homes in Wellington, New Zealand showed that having carpets on floors was the most important determinant of floor Der p 1 levels, but there was much unexplained variability between houses in carpet levels. To determine to what extent housing characteristics might explain this variability in Der p 1 levels between houses. We returned to a selection of houses with carpets and sampled living room dust from 1 square metre for 1 min and from the whole floor at 5 m(2) per min. Der p 1 levels were estimated by double monoclonal antibody ELISA and are expressed as geometric mean microg/g and microg/m(2) (95% confidence intervals). Questionnaires were used to collect information on housing characteristics. Der p 1 levels were significantly higher in the 1 square metre sample (40.0, 31.9-50.2 microg/g; 53.4, 41.4-68.9 microg/m(2)) than in the whole room (25.8, 21.3-31.1 microg/g; 5.3, 3.8-7.4 microg/m(2)). However, results from the different sampling methods were correlated (r = 0.51, P = 0.001 for microg/g and r = 0.58, P = 0.001 for microg/m(2)). After controlling for possible confounders, houses with insulation or a room or garage below the living room had approximately half the Der p 1 concentration (P = 0.05 for both samples) and the amount of Der p 1 per m(2) (P = 0.004 for the 1 square meter sample, P = 0.06 for the whole room sample) than houses without these features. Having more than two children was associated with higher levels of Der p 1 in 1 square meter, significant (P = 0.05) for microg/m(2). Carpet underlay less than 8 mm thick was associated with an almost 3-fold increase in microg/m(2) Der p 1 (P = 0.03) and a 1.6-fold increase in microg/g Der p 1 (P = 0.08) in the whole room sample, when compared with thicker carpet underlays. The presence of insulation is the single most important housing characteristic explaining the between-house variability in Der p 1 levels on carpeted living room floors.

Methodology for analyzing environmental quality indicators in a dynamic operating room environment.

PubMed

Gormley, Thomas; Markel, Troy A; Jones, Howard W; Wagner, Jennifer; Greeley, Damon; Clarke, James H; Abkowitz, Mark; Ostojic, John

2017-04-01

Sufficient quantities of quality air and controlled, unidirectional flow are important elements in providing a safe building environment for operating rooms. To make dynamic assessments of an operating room environment, a validated method of testing the multiple factors influencing the air quality in health care settings needed to be constructed. These include the following: temperature, humidity, particle load, number of microbial contaminants, pressurization, air velocity, and air distribution. The team developed the name environmental quality indicators (EQIs) to describe the overall air quality based on the actual measurements of these properties taken during the mock surgical procedures. These indicators were measured at 3 different hospitals during mock surgical procedures to simulate actual operating room conditions. EQIs included microbial assessments at the operating table and the back instrument table and real-time analysis of particle counts at 9 different defined locations in the operating suites. Air velocities were measured at the face of the supply diffusers, at the sterile field, at the back table, and at a return grille. The testing protocol provided consistent and comparable measurements of air quality indicators between institutions. At 20 air changes per hour (ACH), and an average temperature of 66.3°F, the median of the microbial contaminants for the 3 operating room sites ranged from 3-22 colony forming units (CFU)/m 3 at the sterile field and 5-27 CFU/m 3 at the back table. At 20 ACH, the median levels of the 0.5-µm particles at the 3 sites were 85,079, 85,325, and 912,232 in particles per cubic meter, with a predictable increase in particle load in the non-high-efficiency particulate air-filtered operating room site. Using a comparison with cleanroom standards, the microbial and particle counts in all 3 operating rooms were equivalent to International Organization for Standardization classifications 7 and 8 during the mock surgical procedures. The EQI protocol was measurable and repeatable and therefore can be safely used to evaluate air quality within the health care environment to provide guidance for operational practices and regulatory requirements. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Adequacy of solar energy to keep babies warm.

PubMed

Daga, S R; Sequera, D; Goel, S; Desai, B; Gajendragadkar, A

1996-02-01

Solar energy could be used as an alternate energy source for keeping neonates warm especially in tropical countries. The present study investigated the efficacy of solar powered room heating system. Referral center for neonatal care. A fluid system heated by solar panels and circulated into a room was used to maintain room temperature. A servocontrolled heating device was used to regulate and maintain desired room temperature. Neonatal rectal temperature and room temperature. Infants between 1750-2250 g were observed to require a mean room temperature of 32.5 degrees C to maintain normothermia. In 85 infants less than 1500 g, of the 5050 infant temperature records, only 3% showed a record less than 36 degrees C. Solar powered room heating is effective in maintaining infant temperature and is cost-effective as compared to the existing warming devices.

Complications after pinning of supracondylar distal humerus fractures.

PubMed

Bashyal, Ravi K; Chu, Jennifer Y; Schoenecker, Perry L; Dobbs, Matthew B; Luhmann, Scott J; Gordon, J Eric

2009-01-01

Supracondylar distal humerus fractures are one of the most common skeletal injuries in children. The current treatment of choice in North America is closed reduction and percutaneous pin fixation. Often surgeons leave the pins exposed beneath a cast but outside the skin. Great variation exists with respect to preoperative skin preparation, and perioperative antibiotic administration. Few data exist regarding the rate of infection and other complications. The purpose of this study is to review a large series of children to evaluate the rate of infection and other complications. A retrospective review was carried out of all patients treated at our institution over an 11-year period. A total of 622 patients were identified that were followed for a minimum of 2 weeks after pin removal. Seventeen patients had flexion-type fractures, 294 had type II fractures, and 311 had type III fractures. Seventy-four fractures (11.9%) had preoperative nerve deficits with anterior interosseous palsies being the most common (33 fractures, 5.3%). Preoperative antibiotics were given to 163 patients (26.2%). Spray and towel draping were used in 362 patients, paint and towel draping were used in 65 patients, alcohol paint and towel draping were used in 146 patients, and a full preparation and draping were used in 13 patients. The pins were left exposed under the cast in 591 fractures (95%), and buried beneath the skin in 31 fractures (5.0%). A medial pin was placed in 311 fractures with a small incision made to aid placement in 18 of these cases. The most common complication was pin migration necessitating unexpected return to the operating room for pin removal in 11 patients (1.8%). One patient developed a deep infection with septic arthritis and osteomyelitis (0.2%). Five additional patients had superficial skin infections and were treated with oral antibiotics for a total infection rate of 6 of 622 patients (1.0%). One patient ultimately had a malunion and 4 others returned to the operating room for repeat reduction and pinning. Three patients developed compartment syndromes. Ulnar nerve injury was rare with only 1 postoperative ulnar nerve injury occurring in 311 patients treated with a medial pin (0.3%). Closed reduction with percutaneous pinning is effective and has a low complication rate with a very low rate of infection even when simple betadine preparation and towel draping are used. Preoperative antibiotics seem to have little effect on infection rate. Level III retrospective comparative study.

Return currents in solar flares - Collisionless effects

NASA Technical Reports Server (NTRS)

Rowland, H. L.; Vlahos, L.

1985-01-01

If the primary, precipitating electrons in a solar flare are unstable to beam plasma interactions, it is shown that strong Langmuir turbulence can seriously modify the way in which a return current is carried by the background plasma. In particular, the return (or reverse) current will not be carried by the bulk of the electrons, but by a small number of high velocity electrons. For beam/plasma densities greater than 0.01, this can reduce the effects of collisions on the return current. For higher density beams where the return current could be unstable to current driven instabilities, the effects of strong turbulence anomalous resistivity is shown to prevent the appearance of such instabilities. Again in this regime, how the return current is carried is determined by the beam generated strong turbulence.

Evaluating the Recovery Curve for Clinically Assessed Reaction Time After Concussion.

PubMed

Del Rossi, Gianluca

2017-08-01

  A change in reaction time is one of various clinical measures of neurocognitive function that can be monitored after concussion and has been reported to be among the most sensitive indicators of cognitive impairment.   To determine the timeline for clinically assessed simple reaction time to return to baseline after a concussion in high school athletes.   Observational study.   Athletic training room.   Twenty-one high school-aged volunteers.   Participants completed 8 trials of the ruler-drop test during each session. Along with baseline measures, a total of 6 additional test sessions were completed over the course of 4 weeks after a concussion (days 3, 7, 10, 14, 21, and 28).   The mean reaction times calculated for all participants from each of the 7 test sessions were analyzed to assess the change in reaction time over the 7 time intervals.   After a concussion and compared with baseline, simple reaction time was, on average, 26 milliseconds slower at 48 to 72 hours postinjury (P < .001), almost 18 milliseconds slower on day 7 (P < .001), and about 9 milliseconds slower on day 10 (P < .001). Simple reaction time did not return to baseline levels until day 14 postinjury.   Clinically assessed simple reaction time appeared to return to baseline levels within a timeframe that mirrors other measures of cognitive performance (approximately 14 days).

Higher Status Honesty Is Worth More: The Effect of Social Status on Honesty Evaluation

PubMed Central

Blue, Philip R.; Hu, Jie; Zhou, Xiaolin

2018-01-01

Promises are crucial for maintaining trust in social hierarchies. It is well known that not all promises are kept; yet the effect of social status on responses to promises being kept or broken is far from understood, as are the neural processes underlying this effect. Here we manipulated participants’ social status before measuring their investment behavior as Investor in iterated Trust Game (TG). Participants decided how much to invest in their partners, who acted as Trustees in TG, after being informed that their partners of higher or lower social status either promised to return half of the multiplied sum (4 × invested amount), did not promise, or had no opportunity to promise. Event-related potentials (ERPs) were recorded when the participants saw the Trustees’ decisions in which the partners always returned half of the time, regardless of the experimental conditions. Trustee decisions to return or not after promising to do so were defined as honesty and dishonesty, respectively. Behaviorally, participants invested more when Trustees promised than when Trustees had no opportunity to promise, and this effect was greater for higher status than lower status Trustees. Neurally, when viewing Trustees’ return decisions, participants’ medial frontal negativity (MFN) responses (250–310 ms post onset) were more negative when Trustees did not return than when they did return, suggesting that not returning was an expectancy violation. P300 responses were only sensitive to higher status return feedback, and were more positive-going for higher status partner returns than for lower status partner returns, suggesting that higher status returns may have been more rewarding/motivationally significant. Importantly, only participants in low subjective socioeconomic status (SES) evidenced an increased P300 effect for higher status than lower status honesty (honesty – dishonesty), suggesting that higher status honesty was especially rewarding/motivationally significant for participants with low SES. Taken together, our results suggest that in an earlier time window, MFN encodes return valence, regardless of honesty or social status, which are addressed in a later cognitive appraisal process (P300). Our findings suggest that social status influences honesty perception at both a behavioral and neural level, and that subjective SES may modulate this effect. PMID:29615948

Calculating the return on investment of mobile healthcare.

PubMed

Oriol, Nancy E; Cote, Paul J; Vavasis, Anthony P; Bennet, Jennifer; Delorenzo, Darien; Blanc, Philip; Kohane, Isaac

2009-06-02

Mobile health clinics provide an alternative portal into the healthcare system for the medically disenfranchised, that is, people who are underinsured, uninsured or who are otherwise outside of mainstream healthcare due to issues of trust, language, immigration status or simply location. Mobile health clinics as providers of last resort are an essential component of the healthcare safety net providing prevention, screening, and appropriate triage into mainstream services. Despite the face value of providing services to underserved populations, a focused analysis of the relative value of the mobile health clinic model has not been elucidated. The question that the return on investment algorithm has been designed to answer is: can the value of the services provided by mobile health programs be quantified in terms of quality adjusted life years saved and estimated emergency department expenditures avoided? Using a sample mobile health clinic and published research that quantifies health outcomes, we developed and tested an algorithm to calculate the return on investment of a typical broad-service mobile health clinic: the relative value of mobile health clinic services = annual projected emergency department costs avoided + value of potential life years saved from the services provided. Return on investment ratio = the relative value of the mobile health clinic services/annual cost to run the mobile health clinic. Based on service data provided by The Family Van for 2008 we calculated the annual cost savings from preventing emergency room visits, $3,125,668 plus the relative value of providing 7 of the top 25 priority prevention services during the same period, US$17,780,000 for a total annual value of $20,339,968. Given that the annual cost to run the program was $567,700, the calculated return on investment of The Family Van was 36:1. By using published data that quantify the value of prevention practices and the value of preventing unnecessary use of emergency departments, an empirical method was developed to determine the value of a typical mobile health clinic. The Family Van, a mobile health clinic that has been serving the medically disenfranchised of Boston for 16 years, was evaluated accordingly and found to have return on investment of $36 for every $1 invested in the program.

Perceptions of Recent Graduates of the Adequacy of Anesthesia Training Programs.

ERIC Educational Resources Information Center

Spielman, Fred J.; Bowe, Edwin A.

1983-01-01

A survey examined physician attitudes toward operating room, nonoperating room, and nonpatient care responsibilities in their residencies. Training for operating room responsibilities was deemed adequate by most, and nonoperating room training inadequate. Recommendations include: hospital cooperation, more effective sessions, and supplementary…

Animal-assisted activities in pediatric oncology: results from a survey of top-ranked pediatric oncology hospitals

PubMed Central

Chubak, Jessica; Hawkes, Rene

2015-01-01

Animal-assisted activities (AAA) are increasingly common, yet little is known about practices in pediatric oncology. To address this gap, we surveyed the top twenty pediatric oncology hospitals in the United States in May and June of 2014. Questionnaires were sent via email and generally returned by email or postal mail. Among the nineteen responding hospitals, the 18 that offered AAA to pediatric patients formed the basis of our analysis. All sites had written AAA policies. Most programs were restricted to dogs. At 11 hospitals, children with cancer could participate in AAA activities. Outpatient waiting rooms and individual inpatient rooms were the most common locations for AAA with pediatric oncology patients. Safety precautions varied by hospital, but all required hand sanitation after visits and that animals receive an annual health examination, be on a leash or in a carrier, be ≥1 year old, and not be directly from a shelter. Our findings reveal consistencies and variations in practice that may help other hospitals develop their own programs and researchers identify areas of future study. PMID:26589356

Astronaut John Young Remembrance, Wreath Laying Ceremony

NASA Image and Video Library

2018-01-11

NASA is remembering the accomplishments and legacy of astronaut John Young, who died Jan. 5 at the age of 87. The U.S. Navy fighter pilot joined the space program in 1962 and went on to fly six missions spanning three generations of NASA spacecraft. NASA, the Astronaut Memorial Foundation and the Kennedy Space Center Visitor Complex hosted a wreath laying ceremony at the Heroes and Legends exhibit at Kennedy’s Visitor Complex Jan. 11 in honor of Young. Young flew aboard Gemini 3 in 1965 and commanded Gemini 10 the following year. In May 1969, he served as command module pilot on Apollo 10 and returned to the Moon as commander of Apollo 16. In April 1981, he commanded the ultimate test flight: STS-1, the first flight of the space shuttle. He was joined aboard shuttle Columbia by pilot Bob Crippen. Young flew his final mission, STS-9, in 1983, but he continued to work in NASA’s astronaut office until his retirement in 2004. Kennedy’s Firing Room 1 was named the Young-Crippen Firing Room in April 2006, the 25th anniversary of Columbia’s maiden voyage.

KSC01pp0443

NASA Image and Video Library

2001-03-08

KENNEDY SPACE CENTER, Fla. -- Space Shuttle Discovery shines on Launch Pad 39B after rollback of the Rotating Service Structure. Situated above the external tank is the Gaseous Oxygen Vent Arm with the “beanie cap,” a vent hood. Extended out from the Fixed Service Structure (left) to the orbiter is the orbiter access arm with an environmentally controlled chamber, known as the White Room, at the end of the arm. The White Room provides entrance for the astronaut crew into the orbiter. On either side of the tail and main engines are the tail service masts. Rising 31 feet above the Mobile Launcher Platform, the tail masts provide umbilical connections for liquid oxygen and liquid hydrogen lines to fuel the external tank from storage tanks adjacent to the launch pad. Discovery carries the Multi-Purpose Logistics Module Leonardo, the primary delivery system used to resupply and return Station cargo requiring a pressurized environment. Leonardo will deliver up to 10 tons of laboratory racks filled with equipment, experiments and supplies for outfitting the newly installed U.S. Laboratory Destiny. Launch on mission STS-102 is scheduled March 8 at 6:42 a.m. EST

Influence of demagnetization coil configuration on residual field in an extremely magnetically shielded room: Model and measurements

NASA Astrophysics Data System (ADS)

Knappe-Grueneberg, Silvia; Schnabel, Allard; Wuebbeler, Gerd; Burghoff, Martin

2008-04-01

The Berlin magnetically shielded room 2 (BMSR-2) features a magnetic residual field below 500pT and a field gradient level less than 0.5pT/mm, which are needed for very sensitive human biomagnetic recordings or low field NMR. Nevertheless, below 15Hz, signals are compromised by an additional noise contribution due to vibration forced sensor movements in the field gradient. Due to extreme shielding, the residual field and its homogeneity are determined mainly by the demagnetization results of the mumetal shells. Eight different demagnetization coil configurations can be realized, each results in a characteristic field pattern. The spatial dc flux density inside BMSR-2 is measured with a movable superconducting quantum interference device system with an accuracy better than 50pT. Residual field and field distribution of the current-driven coils fit well to an air-core coil model, if the high permeable core and the return lines outside of the shells are neglected. Finally, we homogenize the residual field by selecting a proper coil configuration.

Animal-Assisted Activities: Results From a Survey of Top-Ranked Pediatric Oncology Hospitals.

PubMed

Chubak, Jessica; Hawkes, Rene

2016-07-01

Animal-assisted activities (AAA) are increasingly common, yet little is known about practices in pediatric oncology. To address this gap, we surveyed the top 20 pediatric oncology hospitals in the United States in May and June of 2014. Questionnaires were sent via e-mail and generally returned by e-mail or postal mail. Among the 19 responding hospitals, the 18 that offered AAA to pediatric patients formed the basis of our analysis. All sites had written AAA policies. Most programs were restricted to dogs. At 11 hospitals, children with cancer could participate in AAA activities. Outpatient waiting rooms and individual inpatient rooms were the most common locations for AAA with pediatric oncology patients. Safety precautions varied by hospital, but all required hand sanitation after visits and that animals receive an annual health examination, be on a leash or in a carrier, be ≥1 year old, and not be directly from a shelter. Our findings reveal consistencies and variations in practice that may help other hospitals develop their own programs and researchers identify areas of future study. © 2015 by Association of Pediatric Hematology/Oncology Nurses.

Ethylene Glycol Quenching of Nitrogenase Catalysis: An Electron Paramagnetic Resonance Spectroscopic Study of Nitrogenase Turnover States and CO Bonding.

PubMed

Hales, Brian J

2015-07-14

Most hydrophilic organic solvents inhibit enzymatic activity. Nitrogenase is shown to be approximately 3 times more sensitive to organic inhibition than most other soluble enzymes. Ethylene glycol (EG) is demonstrated to rapidly inhibit nitrogenase activity without uncoupling ATP hydrolysis. Our data suggest the mechanism of inhibition is EG's blocking of binding of MgATP to the nitrogenase Fe protein. EG quenching allows, for the first time, the observation of the relaxation of the intermediate reaction states at room temperature. Electron paramagnetic resonance (EPR) spectroscopy is used to monitor the room-temperature decay of the nitrogenase turnover states following EG quenching of catalytic activity. The return of the intermediate states to the resting state occurs in multiple phases over 2 h. During the initial stage, nitrogenase still possesses the ability to generate CO-induced EPR signals even though catalytic activity has ceased. During the last phase of relaxation, the one-electron reduced state of the MoFe protein (E1) relaxes to the resting state (E0) in a slow first-order reaction.

Orion EFT-1 Wet Dress Rehearsal

NASA Image and Video Library

2014-11-05

In the Hangar A&E control room, displays are seen during a dress rehearsal for the launch of the United Launch Alliance Delta IV Heavy rocket for the upcoming Orion Flight Test. Orion is the exploration spacecraft designed to carry astronauts to destinations not yet explored by humans, including an asteroid and Mars. It will have emergency abort capability, sustain the crew during space travel and provide safe re-entry from deep space return velocities. The first unpiloted flight test of Orion is scheduled to launch Dec. 4, 2014 atop a United Launch Alliance Delta IV Heavy rocket, and in 2018 on NASA’s Space Launch System rocket.

KSC-2013-3143

NASA Image and Video Library

2013-07-26

CAPE CANAVERAL, Fla. – The Orion crew module for Exploration Flight Test 1 sits inside a clean room processing cell in the Operations and Checkout Building high bay at NASA’s Kennedy Space Center in Florida. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion. Photo credit: NASA/Jim Grossmann

KSC-2013-3142

NASA Image and Video Library

2013-07-26

CAPE CANAVERAL, Fla. – The Orion crew module for Exploration Flight Test 1 sits inside a clean room processing cell in the Operations and Checkout Building high bay at NASA’s Kennedy Space Center in Florida. Orion is the exploration spacecraft designed to carry crews to space beyond low Earth orbit. It will provide emergency abort capability, sustain the crew during the space travel and provide safe re-entry from deep space return velocities. The first unpiloted test flight of the Orion is scheduled to launch in 2014 atop a Delta IV rocket and in 2017 on a Space Launch System rocket. For more information, visit http://www.nasa.gov/orion. Photo credit: NASA/Jim Grossmann

KSC-01pp1336

NASA Image and Video Library

2001-07-19

KENNEDY SPACE CENTER, Fla. -- Expedition Three Commander Frank Culbertson (left) and STS-105 Commander Scott Horowitz (right), in the White Room at Launch Pad 39A, hold the sign for their mission. Both crews are at KSC to take part in Terminal Countdown Demonstration Test activities, which include emergency egress training, a simulated launch countdown and familiarization with the payload. Mission STS-105 will be transporting the Expedition Three crew, several payloads and scientific experiments to the International Space Station aboard Discovery. The current Expedition Two crew members on the Station will return to Earth on Discovery. Launch of Discovery is scheduled no earlier than Aug. 9, 2001

KSC-01pp1337

NASA Image and Video Library

2001-07-19

KENNEDY SPACE CENTER, Fla. -- Expedition Three Commander Frank Culbertson (left) and STS-105 Commander Scott Horowitz (right), in the White Room at Launch Pad 39A, have placed the mission sign at the entrance into Space Shuttle Discovery. Both crews are at KSC to take part in Terminal Countdown Demonstration Test activities, which include emergency egress training, a simulated launch countdown and familiarization with the payload. Mission STS-105 will be transporting the Expedition Three crew, several payloads and scientific experiments to the International Space Station aboard Discovery. The current Expedition Two crew members on the Station will return to Earth on Discovery. Launch of Discovery is scheduled no earlier than Aug. 9, 2001

Performing concurrent operations in academic vascular neurosurgery does not affect patient outcomes.

PubMed

Zygourakis, Corinna C; Lee, Janelle; Barba, Julio; Lobo, Errol; Lawton, Michael T

2017-11-01

OBJECTIVE Concurrent surgeries, also known as "running two rooms" or simultaneous/overlapping operations, have recently come under intense scrutiny. The goal of this study was to evaluate the operative time and outcomes of concurrent versus nonconcurrent vascular neurosurgical procedures. METHODS The authors retrospectively reviewed 1219 procedures performed by 1 vascular neurosurgeon from 2012 to 2015 at the University of California, San Francisco. Data were collected on patient age, sex, severity of illness, risk of mortality, American Society of Anesthesiologists (ASA) status, procedure type, admission type, insurance, transfer source, procedure time, presence of resident or fellow in operating room (OR), number of co-surgeons, estimated blood loss (EBL), concurrent vs nonconcurrent case, severe sepsis, acute respiratory failure, postoperative stroke causing neurological deficit, unplanned return to OR, 30-day mortality, and 30-day unplanned readmission. For aneurysm clipping cases, data were also obtained on intraoperative aneurysm rupture and postoperative residual aneurysm. Chi-square and t-tests were performed to compare concurrent versus nonconcurrent cases, and then mixed-effects models were created to adjust for different procedure types, patient demographics, and clinical indicators between the 2 groups. RESULTS There was a significant difference in procedure type for concurrent (n = 828) versus nonconcurrent (n = 391) cases. Concurrent cases were more likely to be routine/elective admissions (53% vs 35%, p < 0.001) and physician referrals (59% vs 38%, p < 0.001). This difference in patient/case type was also reflected in the lower severity of illness, risk of death, and ASA class in the concurrent versus nonconcurrent cases (p < 0.01). Concurrent cases had significantly longer procedural times (243 vs 213 minutes) and more unplanned 30-day readmissions (5.7% vs 3.1%), but shorter mean length of hospital stay (11.2 vs 13.7 days), higher rates of discharge to home (66% vs 51%), lower 30-day mortality rates (3.1% vs 6.1%), lower rates of acute respiratory failure (4.3% vs 8.2%), and decreased 30-day unplanned returns to the OR (3.3% vs 6.9%; all p < 0.05). Rates of severe sepsis, postoperative stroke, intraoperative aneurysm rupture, and postoperative aneurysm residual were equivalent between the concurrent and nonconcurrent groups (all p values nonsignificant). Mixed-effects models showed that after controlling for procedure type, patient demographics, and clinical indicators, there was no significant difference in acute respiratory failure, severe sepsis, 30-day readmission, postoperative stroke, EBL, length of stay, discharge status, or intraoperative aneurysm rupture between concurrent and nonconcurrent cases. Unplanned return to the OR and 30-day mortality were significantly lower in concurrent cases (odds ratio 0.55, 95% confidence interval 0.31-0.98, p = 0.0431, and odds ratio 0.81, p < 0.001, respectively), but concurrent cases had significantly longer procedure durations (odds ratio 21.73; p < 0.001). CONCLUSIONS Overall, there was a significant difference in the types of concurrent versus nonconcurrent cases, with more routine/elective cases for less sick patients scheduled in an overlapping fashion. After adjusting for patient demographics, procedure type, and clinical indicators, concurrent cases had longer procedure times, but equivalent patient outcomes, as compared with nonconcurrent vascular neurosurgical procedures.

Microbiological aspects of clean room technology as applied to surgery, with special reference to unidirectional airflow systems

NASA Technical Reports Server (NTRS)

Wardle, M. D.

1974-01-01

The microbiological aspects of clean room technology as applied to surgery were reviewed. The following pertinent subject areas were examined: (1) clean room technology per se and its utilization for surgery, (2) microbiological monitoring of the clean room surgical environment, (3) clean rooms and their impact on operating room environmental microbiology, and (4) the effect of the technology on surgical wound infection rates. Conclusions were drawn for each topic investigated.

A Cryogen Recycler with Pulse Tube Cryocooler for Recondensing Helium and Nitrogen

NASA Astrophysics Data System (ADS)

Wang, C.; Lichtenwalter, B.

2015-12-01

We have developed a cryogen recycler using a 4 K pulse tube cryocooler for recondensing helium and nitrogen in a NMR magnet. The liquid helium cooled NMR magnet has a liquid nitrogen cooled radiation shield. The magnet boils off 0.84 L/day of liquid helium and 6 L/day of liquid nitrogen. The recycler is designed with both a liquid helium return tube and a liquid nitrogen return tube, which are inserted into the fill ports of liquid helium and nitrogen. Therefore the recycler forms closed loops for helium and nitrogen. A two-stage 4 K pulse tube cryocooler, Cryomech model PT407 (0.7W at 4.2 K), is selected for the recycler. The recycler was first tested with a Cryomech's test cryostat and resulted in the capacities of recondensing 8.2 L/day of nitrogen and liquefying 4 L/day of helium from room temperature gas. The recycler has been installed in the NMR magnet at University of Sydney since August, 2014 and continuously maintains a zero boil off for helium and nitrogen.

Saturn Apollo Program

NASA Image and Video Library

1969-07-16

Every console was manned in firing room 1 of the Kennedy Space Flight Center (KSC) control center during the launch countdown for Apollo 11. Apollo 11, the first lunar landing mission, launched from KSC in Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, “Columbia”, piloted by Collins, remained in a parking orbit around the Moon while the LM, “Eagle’’, carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

Saturn Apollo Program

NASA Image and Video Library

1969-07-15

Dr. Kurt Debus, director of the Kennedy Space Flight Center (KSC), participated in the countdown demonstration test for the Apollo 11 mission in firing room 1 of the KSC control center. The Apollo 11 mission, the first lunar landing mission, launched from KSC in Florida via the Marshall Space Flight Center (MSFC) developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, “Columbia”, piloted by Collins, remained in a parking orbit around the Moon while the LM, “Eagle’’, carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

Impact of systemic risk in the real estate sector on banking return.

PubMed

Li, Shouwei; Pan, Qing; He, Jianmin

2016-01-01

In this paper, we measure systemic risk in the real estate sector based on contingent claims analysis, and then investigate its impact on banking return. Based on the data in China, we find that systemic risk in the real estate sector has a negative effect on banking return, but this effect is temporary; banking risk aversion and implicit interest expense have considerable impact on banking return.

Stress-reducing effects of real and artificial nature in a hospital waiting room.

PubMed

Beukeboom, Camiel J; Langeveld, Dion; Tanja-Dijkstra, Karin

2012-04-01

This field study investigated the potential stress-reducing effects of exposure to real or artificial nature on patients in a hospital waiting room. Additionally, it was investigated whether perceived attractiveness of the room could explain these effects. In this between-patients experimental design, patients were exposed to one of the following: real plants, posters of plants, or no nature (control). These conditions were alternately applied to two waiting rooms. The location of this study was two waiting rooms at the Radiology Department of a Dutch hospital. The subjects comprised 457 patients (60% female and 40% male) who were mostly scheduled for echocardiogram, dual-energy x-ray absorptiometry, magnetic resonance imaging, computed tomography scans, or nuclear research. Patients exposed to real plants, as well as patients exposed to posters of plants, report lower levels of experienced stress compared to the control condition. Further analyses show that these small but significant effects of exposure to nature are partially mediated by the perceived attractiveness of the waiting room. Natural elements in hospital environments have the potential to reduce patients' feelings of stress. By increasing the attractiveness of the waiting room by adding either real plants or posters of plants, hospitals can create a pleasant atmosphere that positively influences patients' well-being.

Retrograde suction decompression of a large internal carotid aneurysm using a balloon guide catheter combined with a blood-returning circuit and STA-MCA bypass: a technical note.

PubMed

Matano, Fumihiro; Mizunari, Takayuki; Kominami, Shushi; Suzuki, Masanori; Fujiki, Yu; Kubota, Asami; Kobayashi, Shiro; Murai, Yasuo; Morita, Akio

2017-04-01

It is difficult to treat large internal carotid aneurysms with simple surgical clipping. Here, we present a retrograde suction decompression (RSD) procedure for large internal carotid aneurysms using a balloon guide catheter combined with a blood-returning circuit and a superficial temporal artery to middle cerebral artery (STA-MCA) bypass.All patients underwent an STA-MCA bypass before the temporary occlusion of the internal carotid artery (ICA). A 6-French sheath was inserted into the common carotid artery (CCA), and a 6-French Patrive balloon catheter was placed into the ICA 5 cm past the bifurcation. Aneurysm exposure was obtained; temporary clips were placed on the proximal M1, A1, and posterior communicating (Pcom) segments; and an extension tube was then connected to the balloon catheter. A three-way stopcock was placed, and aspiration was performed through the device to collapse the aneurysm. The aspirated blood was returned to a venous line with an added heparin to prevent anemia after aspiration. During the decompression, the blood flow to the cortical area was supplied through the STA-MCA bypass. After the aneurysm collapse, the surgeon carefully dissected the perforating artery from the aneurysm dome or neck, and permanent clips were then placed on the aneurysm neck. Our procedure has several advantages, such as STA-MCA bypass without external carotid artery occlusion for preventing ischemic complications of the cortical area, anemia may be avoided because of the return of the aspirated blood, and a hybrid operation room is not required to perform this method.

Using task analysis in healthcare design to improve clinical efficiency.

PubMed

Lu, Jun; Hignett, Sue

2009-01-01

To review the functionality of the proposed soiled workroom design for efficient and safe clinical activities. As part of a hospital refurbishment program, the planning team of a United Kingdom National Health Service hospital requested a review of a proposed standardized room design. A 7-day observational study was conducted in five clinical departments at three hospitals. Link analysis was used to record and analyze the movements among components, i.e., nursing staff, equipment/devices, and furniture. Fifty-four observations were recorded for 18 clinical tasks. The most frequent tasks were the disposal of urine and used urine bottles, and returning used commode chairs. Minor recommendations were made to improve the proposed design, and major revisions were suggested to address functionality problems. It was found that the proposed design did not offer the optimal layout for efficient and safe clinical activities. Link analysis was found to be effective for plotting the movements of the staff and accounting for the complexity of tasks. This ergonomic method, in combination with observational field studies, provided a simple and effective way to determine functional space requirements for clinical activities and should be used in all healthcare building design projects.

Barriers to discharge from inpatient rehabilitation: a teamwork approach.

PubMed

Cruz, Lisanne Catherine; Fine, Jeffrey S; Nori, Subhadra

2017-03-13

Purpose In order to prevent adverse events during the discharge process, coordinating appropriate community resources, medication reconciliation, and patient education needs to be implemented before the patient leaves the hospital. This coordination requires communication and effective teamwork amongst staff members. In order to address these concerns, the purpose of this paper is to incorporate the TeamSTEPPS principles to develop a discharge plan that would best meet the needs of the patients as they return to the community. Design/methodology/approach Through a gap analysis, barriers to discharge were identified from the following disciplines: nursing, social work, physical and occupational therapy, psychology, and rehabilitation physician. To improve communication, weekly meetings and twice-weekly huddles were implemented so that concerns regarding discharge obstacles could be identified and resolved. Visibility of discharge dates were improved by use of graduation certificates in patient rooms and green ribbons on patient wheelchairs. Findings After implementation of this discharge intervention, length of stay was reduced providing cost savings to the hospital, patient satisfaction on HCAHP surveys improved and demonstrated patient satisfaction with the discharge process, and readmission rates improved. Originality/value This study demonstrated that effective teamwork and communication can improve patient safety and satisfaction during the discharge period.

Current status and environment impact of direct straw return in China's cropland - A review.

PubMed

Li, Hui; Dai, Mingwei; Dai, Shunli; Dong, Xinju

2018-09-15

With the development of grain production technologies and improvement of rural living standard, the production and utilization of straw have significantly been changed in China. More than 1 billion tones of straw are produced per year, and vast amount of them are discarded without effective utilization, leading various environmental and social impacts. Straw return is an effective approach of the straw utilization that has been greatly recommended by government and scientists in China. This paper discussed the current status of the straw return in China. Specifically, the production and models of straw return were explored and their environmental impacts were extensively evaluated. It was concluded that straw could be positively effective on the improvement of the soil quality and the grain production. However, it appeared that the straw return also had several neglect negative effects, implying that further research and assessment on the returned straw are required before its large-scale promotion in China. Copyright © 2018 Elsevier Inc. All rights reserved.

Room-temperature multiferroic and magnetocapacitance effects in M-type hexaferrite BaFe{sub 10.2}Sc{sub 1.8}O{sub 19}

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

Tang, Rujun, E-mail: tangrj@suda.edu.cn, E-mail: yanghao@nuaa.edu.cn; Zhou, Hao; You, Wenlong

2016-08-22

The room-temperature multiferroic and magnetocapacitance (MC) effects of polycrystalline M-type hexaferrite BaFe{sub 10.2}Sc{sub 1.8}O{sub 19} have been investigated. The results show that the magnetic moments of insulating BaFe{sub 10.2}Sc{sub 1.8}O{sub 19} can be manipulated by the electric field at room temperature, indicating the existence of magnetoelectric coupling. Moreover, large MC effects are also observed around the room temperature. A frequency dependence analysis shows that the Maxwell-Wagner type magnetoresistance effect is the dominant mechanism for MC effects at low frequencies. Both the magnetoelectric-type and non-magnetoelectric-type spin-phonon couplings contribute to the MC effects at high frequencies with the former being the dominantmore » mechanism. The above results show that the hexaferrite BaFe{sub 10.2}Sc{sub 1.8}O{sub 19} is a room-temperature multiferroic material that can be potentially used in magnetoelectric devices.« less

High temperature electrical resistivity and Seebeck coefficient of Ge2Sb2Te5 thin films

NASA Astrophysics Data System (ADS)

Adnane, L.; Dirisaglik, F.; Cywar, A.; Cil, K.; Zhu, Y.; Lam, C.; Anwar, A. F. M.; Gokirmak, A.; Silva, H.

2017-09-01

High-temperature characterization of the thermoelectric properties of chalcogenide Ge2Sb2Te5 (GST) is critical for phase change memory devices, which utilize self-heating to quickly switch between amorphous and crystalline states and experience significant thermoelectric effects. In this work, the electrical resistivity and Seebeck coefficient are measured simultaneously as a function of temperature, from room temperature to 600 °C, on 50 nm and 200 nm GST thin films deposited on silicon dioxide. Multiple heating and cooling cycles with increasingly maximum temperature allow temperature-dependent characterization of the material at each crystalline state; this is in contrast to continuous measurements which return the combined effects of the temperature dependence and changes in the material. The results show p-type conduction (S > 0), linear S(T), and a positive Thomson coefficient (dS/dT) up to melting temperature. The results also reveal an interesting linearity between dS/dT and the conduction activation energy for mixed amorphous-fcc GST, which can be used to estimate one parameter from the other. A percolation model, together with effective medium theory, is adopted to correlate the conductivity of the material with average grain sizes obtained from XRD measurements. XRD diffraction measurements show plane-dependent thermal expansion for the cubic and hexagonal phases.

Effects of redecoration of a hospital isolation room with natural materials on stress levels of denizens in cold season

NASA Astrophysics Data System (ADS)

Ohta, Hiromi; Maruyama, Megumi; Tanabe, Yoko; Hara, Toshiko; Nishino, Yoshihiko; Tsujino, Yoshio; Morita, Eishin; Kobayashi, Shotai; Shido, Osamu

2008-05-01

We investigated the effects of redecoration of a hospital isolation room with natural materials on thermoregulatory, cardiovascular and hormonal parameters of healthy subjects staying in the room. Two isolation rooms with almost bilaterally-symmetrical arrangements were used. One room (RD) was redecorated with wood paneling and Japanese paper, while the other (CN) was unchanged (with concrete walls). Seven healthy male subjects stayed in each room for over 24 h in the cold season. Their rectal temperature (Tre) and heart rate, and the room temperature (Ta) and relative humidity were continuously measured. Arterial blood pressures, arterial vascular compliance, thermal sensation and thermal comfort were measured every 4 h except during sleeping. Blood was sampled after the stay in the rooms. In RD, Ta was significantly higher by about 0.4°C and relative humidity was lower by about 5% than in CN. Diurnal Tre levels of subjects in RD significantly differed from those in CN, i.e., Tres were significantly higher in RD than in CN especially in the evening. In RD, the subjects felt more thermally-comfortable than in CN. Redecoration had minimal effects on cardiovascular parameters. Plasma levels of catecholamines and antidiuretic hormone did not differ, while plasma cortisol level was significantly lower after staying in RD than in CN by nearly 20%. The results indicate that, in the cold season, redecoration with natural materials improves the thermal environment of the room and contributes to maintaining core temperature of denizens at preferable levels. It also seems that redecoration of room could attenuate stress levels of isolated subjects.

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

Novel device and technique for minimally invasive intracerebral hematoma evacuation in the same setting of a ruptured intracranial aneurysm: combined treatment in the neurointerventional angiography suite.

PubMed

Turner, Raymond D; Vargas, Jan; Turk, Aquilla S; Chaudry, M Imran; Spiotta, Alejandro M

2015-03-01

The presence of intracerebral hematoma from aneurysm rupture is an indication for craniotomy for clot evacuation and aneurysm clipping. Some centers have begun securing aneurysms with coil embolization followed by clot evacuation in the operating room. This approach requires transporting a patient from the angiography suite to the operating room, which can take valuable time and resources. To report our experience with 3 cases in which a novel technique for minimally invasive evacuation of intracerebral hematomas after endovascular treatment of ruptured intracranial aneurysms was used. The Penumbra Apollo system can be used in the angiography suite in conjunction with neuroendovascular techniques to simultaneously address a symptomatic hematoma associated with a ruptured aneurysm. Standard preoperative computed tomography angiography was performed on arrival to the emergency department. The patients underwent diagnostic cerebral angiography followed by balloon-assisted coil embolization and then remained in the neurointerventional suite for intracerebral hematoma evacuation with the Apollo system. All patients tolerated coil embolization and hematoma evacuation well. The combined procedures lasted <3 hours in both cases. Two patients were eventually discharged to acute rehabilitation facilities less than a month after their initial insult, and 1 has been cleared to return to work. The other patient was transferred to hospice care. The Apollo aspiration system appears to be a safe and effective minimally invasive option for intracerebral hematoma evacuation, particularly when coupled with endovascular embolization of ruptured intracranial aneurysms. Future work will address which patient population is most likely to benefit from this promising technique.

Assured crew return vehicle

NASA Technical Reports Server (NTRS)

Cerimele, Christopher J. (Inventor); Ried, Robert C. (Inventor); Peterson, Wayne L. (Inventor); Zupp, George A., Jr. (Inventor); Stagnaro, Michael J. (Inventor); Ross, Brian P. (Inventor)

1991-01-01

A return vehicle is disclosed for use in returning a crew to Earth from low earth orbit in a safe and relatively cost effective manner. The return vehicle comprises a cylindrically-shaped crew compartment attached to the large diameter of a conical heat shield having a spherically rounded nose. On-board inertial navigation and cold gas control systems are used together with a de-orbit propulsion system to effect a landing near a preferred site on the surface of the Earth. State vectors and attitude data are loaded from the attached orbiting craft just prior to separation of the return vehicle.

[Crisis unit at the general hospital: Determinants of further hospitalization].

PubMed

Norotte, C; Omnès, C; Crozier, C; Verlyck, C; Romanos, M

2017-10-01

The availability of short-stay beds for brief admission (less than 72hours) of crisis patients presenting to the emergency room is a model that has gained a growing interest because it allows time for developing alternatives to psychiatric hospitalization and favors a maintained functioning in the community. Still, the determinants influencing the disposition decision at discharge after crisis intervention remain largely unexplored. The primary objective of this study was to determine the factors predicting aftercare dispositions at crisis unit discharge: transfer for further hospitalization or return to the community. Secondary objectives included the description of clinical and socio-demographic characteristics of patients admitted to the crisis unit upon presentation to the emergency room. All patients (n=255) admitted to the short-stay unit of the emergency department of Rambouillet General Hospital during a one-year period were included in the study. Patient characteristics were collected in a retrospective manner from medical records: patterns of referral, acute stressors, presenting symptoms, initial patient demand, Diagnostic and Statistical Manual, 5th edition (DSM-5) disorders, psychiatric history, and socio-demographic characteristics were inferred. Logistic regression analysis was used to determine the factors associated with hospitalization decision upon crisis intervention at discharge. Following crisis intervention at the short-stay unit, 100 patients (39.2%) required further hospitalization and were transferred. Statistically significant factors associated with a higher probability of hospitalization (P<0.05) included the patient's initial wish to be hospitalized (OR=4.28), the presence of a comorbid disorder (OR=3.43), a referral by family or friends (OR=2.89), a history of psychiatric hospitalization (OR=2.71) and suicidal ideation on arrival in the emergency room (OR=2.26). Conversely, significant factors associated with a lower probability of hospitalization were the presence of a personality disorder (OR=0.31), a precipitating conflict situation (OR=0.41), age between 20 and 39 years (OR=0.42), being employed (OR=0.49). Our study confirms that clinical factors such as the presence of a personality disorder or the context of a precipitating conflict situation are predictive of a community return. Interestingly, it points out the importance of the patient's initial wish in the hospitalization decision. Copyright © 2016 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

The contribution of forward masking to saccadic inhibition of return.

PubMed

Souto, David; Born, Sabine; Kerzel, Dirk

2018-03-08

Inhibition of return is the name typically given to the prolonged latency of motor responses directed to a previously cued target location. There is intense debate about the origins of this effect and its function, but most take for granted (despite lack of evidence) that it depends little on forward masking. Therefore, we re-examined the role of forward masking in inhibition of return. Forward masking was indexed by slower saccadic reaction times (SRTs) when the target orientation repeated the cue orientation at the same location. We confirmed effects of orientation repetition in the absence of an attentional bias when cues were presented on both sides of fixation (bilateral presentation). The effect of orientation repetition was reduced with high target contrast, consistent with a low-level origin such as contrast gain control in early visual areas. When presenting cues on only one side of fixation (unilateral presentation), we obtained inhibition of return with longer cue-target intervals and facilitation with targets presented shortly after the cue. The effect of orientation repetition was reduced when facilitation was observed, but was as strong as with bilateral cues when inhibition of return was observed. Therefore, forward masking may contribute to the inhibition of return effect by delaying reaction times to repeated features at the same location, but is not a principal cause of inhibition of return; in agreement with previous views. The saccadic inhibition of return effect is a reaction-time cost when responding to a pre-cued location. Additional object updating costs are typically invoked to explain reaction-time costs observed when cue and target have the same shape. Yet, lower-level, forward masking of the target by the cue can not be ruled out. Importantly, we show an effect of orientation repetition that is consistent with low-level forward masking rather than object updating costs and that does not interact with inhibition of return.

78 FR 21567 - Installation of Radiation Alarms for Rooms Housing Neutron Sources

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-11

... [Docket No. PRM-73-15; NRC-2011-0251] Installation of Radiation Alarms for Rooms Housing Neutron Sources... amend its regulations to require the installation of radiation alarms for rooms housing neutron sources... alarms for rooms housing neutron sources. The petitioner stated that the use of alarms can be effective...

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.

Photographic art in exam rooms may reduce white coat hypertension.

PubMed

Harper, Michael B; Kanayama-Trivedi, Stacy; Caldito, Gloria; Montgomery, David; Mayeaux, E J; DelRosso, Lourdes M

2015-12-01

Blood pressure (BP) elevation in medical office settings in patients who are normotensive in nonmedical settings is an effect known as 'white coat hypertension'. This phenomenon is thought to be due to situational anxiety caused by the experience of visiting a doctor and the anxiety-inducing nature of the medical office. Our study was designed to determine if carefully selected photographic art could counter the anxiety that causes white coat hypertension and lead to lower BP recordings in some patients. 117 adults, non-pregnant patients from the Louisiana State University Health Sciences Center Family Medicine Resident Clinic participated in this study. After the triage nurse measured the BP, the patients were randomly placed in either an exam room with standard medical posters (control room) or in an exam room with photographic art (photo room). The BP was measured in the exam room. After the medical visit, the patients switched rooms and the BP was measured a third time. The patients were asked to fill out a questionnaire to identify room preference. On average, the BP obtained in the control rooms was higher than that obtained in the photo rooms. There was a statistically significant difference between the mean arterial pressure, systolic BP and diastolic BP between the control room and the photo room. Landscape photographic art may have the beneficial effect of reducing BP in medical office examination rooms. 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/

Environmental Cues in Double-Occupancy Rooms to Support Patients With Dementia.

PubMed

Motzek, Tom; Bueter, Kathrin; Marquardt, Gesine

2016-04-01

The purpose of this study was to evaluate the effectiveness of different environmental cues in double-occupancy rooms of an acute care hospital to support patients' abilities to identify their bed and wardrobe. The quasi-experiment was conducted on a geriatric ward of an acute care hospital. Patients with dementia were included (n = 42). To test the effectiveness of environmental cues, two rooms were enhanced with the environmental cue "color," two rooms with the cue "number," and two rooms with the cue "patient's name". Four rooms were not redesigned and were used as control rooms. For analysis, we pooled the intervention groups color and number (n = 14) and compared it with the control group (n = 22). The environmental cues color and number were significantly effective to improve the identification of the wardrobe from the third to the fifth day after admission. However, for the 10th-12th day after admission, we found no difference in results. Furthermore, results indicate improvements in the ability to identify the bed by using the environmental cues color and number. As this study indicated, the environmental cues color and number are helpful for these patients to identify their bed and wardrobe. However, these cues were most effective from the third to the fifth day after admission. To sustain their effectiveness on patients' identification abilities during their hospital stay, we discuss, whether verbal prompting and an ongoing mentioning of such cues, embedded in the daily work of nurses, could be beneficial. © The Author(s) 2015.

The Astromaterials X-Ray Computed Tomography Laboratory at Johnson Space Center

NASA Technical Reports Server (NTRS)

Zeigler, R. A.; Coleff, D. M.; McCubbin, F. M.

2017-01-01

The Astromaterials Acquisition and Curation Office at NASA's Johnson Space Center (hereafter JSC curation) is the past, present, and future home of all of NASA's astromaterials sample collections. JSC curation currently houses all or part of nine different sample collections: (1) Apollo samples (1969), (2) Lunar samples (1972), (3) Antarctic meteorites (1976), (4) Cosmic Dust particles (1981), (5) Microparticle Impact Collection (1985), (6) Genesis solar wind atoms (2004); (7) Stardust comet Wild-2 particles (2006), (8) Stardust interstellar particles (2006), and (9) Hayabusa asteroid Itokawa particles (2010). Each sample collection is housed in a dedicated clean room, or suite of clean rooms, that is tailored to the requirements of that sample collection. Our primary goals are to maintain the long-term integrity of the samples and ensure that the samples are distributed for scientific study in a fair, timely, and responsible manner, thus maximizing the return on each sample. Part of the curation process is planning for the future, and we also perform fundamental research in advanced curation initiatives. Advanced Curation is tasked with developing procedures, technology, and data sets necessary for curating new types of sample collections, or getting new results from existing sample collections [2]. We are (and have been) planning for future curation, including cold curation, extended curation of ices and volatiles, curation of samples with special chemical considerations such as perchlorate-rich samples, and curation of organically- and biologically-sensitive samples. As part of these advanced curation efforts we are augmenting our analytical facilities as well. A micro X-Ray computed tomography (micro-XCT) laboratory dedicated to the study of astromaterials will be coming online this spring within the JSC Curation office, and we plan to add additional facilities that will enable nondestructive (or minimally-destructive) analyses of astromaterials in the near future (micro-XRF, confocal imaging Raman Spectroscopy). These facilities will be available to: (1) develop sample handling and storage techniques for future sample return missions; (2) be utilized by PET for future sample return missions; (3) be used for retroactive PET (Positron Emission Tomography)-style analyses of our existing collections; and (4) for periodic assessments of the existing sample collections. Here we describe the new micro-XCT system, as well as some of the ongoing or anticipated applications of the instrument.

Modelling of capital asset pricing by considering the lagged effects

NASA Astrophysics Data System (ADS)

Sukono; Hidayat, Y.; Bon, A. Talib bin; Supian, S.

2017-01-01

In this paper the problem of modelling the Capital Asset Pricing Model (CAPM) with the effect of the lagged is discussed. It is assumed that asset returns are analysed influenced by the market return and the return of risk-free assets. To analyse the relationship between asset returns, the market return, and the return of risk-free assets, it is conducted by using a regression equation of CAPM, and regression equation of lagged distributed CAPM. Associated with the regression equation lagged CAPM distributed, this paper also developed a regression equation of Koyck transformation CAPM. Results of development show that the regression equation of Koyck transformation CAPM has advantages, namely simple as it only requires three parameters, compared with regression equation of lagged distributed CAPM.

Effects of a Snoezelen Room on the Behavior of Three Autistic Clients

ERIC Educational Resources Information Center

McKee, Shari A.; Harris, Grant T.; Rice, Marnie E.; Silk, Larry

2007-01-01

The effect of a Snoezelen room on the disruptive and prosocial behavior of three male, autistic inpatients was examined. In an ABAB reversal design, specific disruptive and prosocial behaviors were recorded for each client throughout the four 28-day periods of the study. Results indicated that the three clients had different responses to the room,…

The effect that energy storage and return feet have on the propulsion of the body: a pilot study.

PubMed

Crimin, Anthony; McGarry, Anthony; Harris, Elena Jane; Solomonidis, Stephan Emanuel

2014-09-01

A variety of energy storage and return prosthetic feet are currently available for use within lower limb prostheses. Designs claim to provide a beneficial energy return during push-off, but the extent to which this occurs remains disputed. Techniques currently used to measure energy storage, dissipation and return within the structure of the prosthetic foot are debatable, with limited evidence to support substantial elastic energy storage and return from existing designs. The aim of this study was to evaluate the performance of energy storage and return foot designs through considering the ankle power during push-off and the effect on body centre of mass propulsion. To achieve this aim, the gait patterns of six trans-tibial prosthetic users wearing different designs of energy storage and return feet were analysed while ascending a ramp. Three examples of energy storage and return feet (suitable for moderate activity) were selected and randomly evaluated: the Blatchford's Epirus, Össur Assure and College Park Tribute feet. The power at the anatomical and mechanical ankle joints was integrated to evaluate the work done over the gait cycle. The direction of the inertial force, and therefore propulsion of the body centre of mass, was used to indicate the effect of the energy return by the energy storage and return feet. Results indicate that although energy storage and return feet may provide energy return, the work done around the prosthetic ankle indicates net power absorption. Therefore, the prosthetic limb is unable to contribute to the body centre of mass propulsion to the same extent as the biological limb. © IMechE 2014.

The effect of a periodic absorptive strip arrangement on an interior sound field in a room.

PubMed

Park, Joo-Bae; Grosh, Karl; Kim, Yang-Hann

2005-02-01

In this paper we study the effect of periodically arranged sound absorptive strips on the mean acoustic potential energy density distribution of a room. The strips are assumed to be attached on the room's surface of interest. In order to determine their effect, the mean acoustic potential energy density variation is evaluated as the function of a ratio of the strip's arrangement period to wavelength. The evaluation demonstrates that the mean acoustic potential energy density tends to converge. In addition, a comparison with a case in which absorptive materials completely cover the selected absorptive plane shows that a periodic arrangement that uses only half of the absorptive material can be more efficient than a total covering, unless the frequency of interest does not coincide with the room's resonant frequencies. Consequently, the results prove that the ratio of the arrangement period to the wavelength plays an important role in the effectiveness of a periodic absorptive strip arrangement to minimize a room's mean acoustic potential energy density.

The Effects of Scavenging on Waste Methoxyflurane Concentrations in Veterinary Operating Room Air

DTIC Science & Technology

1981-01-01

Afl-AO5 572 AIR FORCE OCCUPATIONAL AND ENVIRONMENTAL H4EALTH LAS -ETC F/S 6120 TIE EFFECTS OF SCAVENGING ON WASTE METHOXYFLURANE CONCENTRATIOH-ETC...REPRINT The Effects of Scavenging on Waste Methoxyflurane Concentrations in Veterinary Operating Room Air Approved for public release; distribution...Waste Methoxyflurane Fnal y t Concentrations ir Veterinary Operating Room Air, 6.PROMN _6._PERFORMIN oIG. REPORT NUMBER 7. AUTOR~s)B. CONTRACT OR GRANT

Systematic review of the relationship between quick returns in rotating shift work and health-related outcomes.

PubMed

Vedaa, Øystein; Harris, Anette; Bjorvatn, Bjørn; Waage, Siri; Sivertsen, Børge; Tucker, Philip; Pallesen, Ståle

2016-01-01

A systematic literature search was carried out to investigate the relationship between quick returns (i.e., 11.0 hours or less between two consecutive shifts) and outcome measures of health, sleep, functional ability and work-life balance. A total of 22 studies published in 21 articles were included. Three types of quick returns were differentiated (from evening to morning/day, night to evening, morning/day to night shifts) where sleep duration and sleepiness appeared to be differently affected depending on which shifts the quick returns occurred between. There were some indications of detrimental effects of quick returns on proximate problems (e.g., sleep, sleepiness and fatigue), although the evidence of associations with more chronic outcome measures (physical and mental health and work-life balance) was inconclusive. Modern societies are dependent on people working shifts. This study systematically reviews literature on the consequences of quick returns (11.0 hours or less between two shifts). Quick returns have detrimental effects on acute health problems. However, the evidence regarding effects on chronic health is inconclusive.

The "body packer syndrome"-toxicity following ingestion of illicit drugs packaged for transportation.

PubMed

Wetli, C V; Mittlemann, R E

1981-07-01

Ten fatalities and one survivor of attempts to smuggle cocaine within the body were investigated. Most cases have occurred since 1979. All but one of the victims were male. Victims found dead at home or in hotel rooms had little or no drug paraphernalia at the scene, although abundant laxatives and enema apparatus were often evident. Some died aboard aircraft, and witnesses described agitated behavior followed by grand-mal type seizures, respiratory collapse, and death. Seven victims presented to hospital emergency rooms. The symptoms include mydriasis, seizures, acute toxic psychosis, and coma in various combinations. One individual, realizing his plight, sought emergency room help by claiming he attempted suicide by using cocaine. All victims had recently returned to the United States on flights from South America. Balloons, condoms, or plastic bags filled with 3 to 6 g of cocaine each were swallowed and found in the gastrointestinal tract of eight victims. One of these had ingested more than 147 packets totaling 460 g. Two victims inserted packets of cocaine into their rectums, and one woman was found with nearly 170 g of cocaine in her vagina. The packets, being semipermeable membranes, do not have to break open to cause death from acute cocaine toxicity. Characteristic autopsy and radiologic findings, circumstances of death, and toxicologic data are presented. The "body packer syndrome" should be considered in any international traveler who dies suddenly, has seizures, or presents with any signs consistent with cocaine toxicity.

My46: a web-based tool for self-guided management of genomic test results in research and clinical settings

PubMed Central

Tabor, Holly K.; Jamal, Seema M.; Yu, Joon-Ho; Crouch, Julia M.; Shankar, Aditi G.; Dent, Karin M.; Anderson, Nick; Miller, Damon A.; Futral, Brett T.; Bamshad, Michael J.

2016-01-01

A major challenge to implementing precision medicine is the need for an efficient and cost-effective strategy for returning individual genomic test results that is easily scalable and can be incorporated into multiple models of clinical practice. My46 is a web-based tool for managing the return of genetic results that was designed and developed to support a wide range of approaches to results disclosure, ranging from traditional face-to-face disclosure to self-guided models. My46 has five key functions: set and modify results return preferences, return results, educate, manage return of results, and assess return of results. These key functions are supported by six distinct modules and a suite of features that enhance the user experience, ease site navigation, facilitate knowledge sharing, and enable results return tracking. My46 is a potentially effective solution for returning results and supports current trends toward shared decision-making between patient and provider and patient-driven health management. PMID:27632689

Prepare to protect: Operating and maintaining a tornado safe room.

PubMed

Herseth, Andrew; Goldsmith-Grinspoon, Jennifer; Scott, Pataya

2017-06-01

Operating and maintaining a tornado safe room can be critical to the effective continuity of business operations because a firm's most valuable asset is its people. This paper describes aspects of operations and maintenance (O&M) for existing tornado safe rooms as well as a few planning and design aspects that affect the ultimate operation of a safe room for situations where a safe room is planned, but not yet constructed. The information is based on several Federal Emergency Management Agency safe room publications that provide guidance on emergency management and operations, as well as the design and construction of tornado safe rooms.

The statistics of laser returns from cube-corner arrays on satellite

NASA Technical Reports Server (NTRS)

Lehr, C. G.

1973-01-01

A method first presented by Goodman is used to derive an equation for the statistical effects associated with laser returns from satellites having retroreflecting arrays of cube corners. The effect of the distribution on the returns of a satellite-tracking system is illustrated by a computation based on randomly generated numbers.

Leverage effect and its causality in the Korea composite stock price index

NASA Astrophysics Data System (ADS)

Lee, Chang-Yong

2012-02-01

In this paper, we investigate the leverage effect and its causality in the time series of the Korea Composite Stock Price Index from November of 1997 to September of 2010. The leverage effect, which can be quantitatively expressed as a negative correlation between past return and future volatility, is measured by using the cross-correlation coefficient of different time lags between the two time series of the return and the volatility. We find that past return and future volatility are negatively correlated and that the cross correlation is moderate and decays over 60 trading days. We also carry out a partial correlation analysis in order to confirm that the negative correlation between past return and future volatility is neither an artifact nor influenced by the traded volume. To determine the causality of the leverage effect within the decay time, we additionally estimate the cross correlation between past volatility and future return. With the estimate, we perform a statistical hypothesis test to demonstrate that the causal relation is in favor of the return influencing the volatility rather than the other way around.

Impact of atmospheric uncertainties and viscous interaction effects on the performance of aeroassisted orbital transfer vehicles

NASA Technical Reports Server (NTRS)

Talay, T. A.; White, N. H.; Naftel, J. C.

1984-01-01

Simulations of aerobraking trajectories of aeroassisted orbital transfer vehicles (AOTV's) returning from geosynchronous orbit were analyzed to examine the effects of high-altitude viscous interactions and off-nominal atmospheres on AOTV return weight, heating, and loads performance. Viscous interaction effects encountered at high altitudes had little detrimental effect on the return weight capabilities for AOTV's representing a range of lift/drag ratios. Most of the AOTV return weight increase over an all-propulsive OTV occurred for a low lift/drag ratio. Smaller increases in return weight were observed for higher lift/drag ratios, at the expense of significantly higher heating and aerodynamic loads. Off-nominal atmospheres based on Shuttle-derived data and multipliers on a U.S. Standard Atmosphere were considered. AOTV's intended for entry under standard atmospheric conditions either deorbited during the pass through the off-nominal atmospheres or missed the target phasing orbit by wide margins. The AOTV's could successfully negotiate these atmospheres when new bank-angle histories were implemented with little loss and sometimes with a gain in return weight.

Coordination of a supply chain with consumer return under vendor-managed consignment inventory and stochastic demand

NASA Astrophysics Data System (ADS)

Wu, Zhihui; Chen, Dongyan; Yu, Hui

2016-07-01

In this paper, the problem of the coordination policy is investigated for vendor-managed consignment inventory supply chain subject to consumer return. Here, the market demand is assumed to be affected by promotional effort and consumer return policy. The optimal consignment inventory and the optimal promotional effort level are proposed under the decentralized and centralized decisions. Based on the optimal decision conditions, the markdown allowance-promotional cost-sharing contract is investigated to coordinate the supply chain. Subsequently, the comparison between the two extreme policies shows that full-refund policy dominates the no-return policy when the returning cost and the positive effect of return policy are satisfied certain conditions. Finally, a numerical example is provided to illustrate the impacts of consumer return policy on the coordination contract and optimal profit as well as the effectiveness of the proposed supply chain decision.

Does Aggregated Returns Disclosure Increase Portfolio Risk Taking?

PubMed

Beshears, John; Choi, James J; Laibson, David; Madrian, Brigitte C

2017-06-01

Many experiments have found that participants take more investment risk if they see returns less frequently, see portfolio-level returns (rather than each individual asset's returns), or see long-horizon (rather than one-year) historical return distributions. In contrast, we find that such information aggregation treatments do not affect total equity investment when we make the investment environment more realistic than in prior experiments. Previously documented aggregation effects are not robust to changes in the risky asset's return distribution or the introduction of a multi-day delay between portfolio choice and return realizations.

Inactivation of Poxviruses by Upper-Room UVC Light in a Simulated Hospital Room Environment

PubMed Central

McDevitt, James J.; Milton, Donald K.; Rudnick, Stephen N.; First, Melvin W.

2008-01-01

In the event of a smallpox outbreak due to bioterrorism, delays in vaccination programs may lead to significant secondary transmission. In the early phases of such an outbreak, transmission of smallpox will take place especially in locations where infected persons may congregate, such as hospital emergency rooms. Air disinfection using upper-room 254 nm (UVC) light can lower the airborne concentrations of infective viruses in the lower part of the room, and thereby control the spread of airborne infections among room occupants without exposing occupants to a significant amount of UVC. Using vaccinia virus aerosols as a surrogate for smallpox we report on the effectiveness of air disinfection, via upper-room UVC light, under simulated real world conditions including the effects of convection, mechanical mixing, temperature and relative humidity. In decay experiments, upper-room UVC fixtures used with mixing by a conventional ceiling fan produced decreases in airborne virus concentrations that would require additional ventilation of more than 87 air changes per hour. Under steady state conditions the effective air changes per hour associated with upper-room UVC ranged from 18 to 1000. The surprisingly high end of the observed range resulted from the extreme susceptibility of vaccinia virus to UVC at low relative humidity and use of 4 UVC fixtures in a small room with efficient air mixing. Increasing the number of UVC fixtures or mechanical ventilation rates resulted in greater fractional reduction in virus aerosol and UVC effectiveness was higher in winter compared to summer for each scenario tested. These data demonstrate that upper-room UVC has the potential to greatly reduce exposure to susceptible viral aerosols. The greater survival at baseline and greater UVC susceptibility of vaccinia under winter conditions suggest that while risk from an aerosol attack with smallpox would be greatest in winter, protective measures using UVC may also be most efficient at this time. These data may also be relevant to influenza, which also has improved aerosol survival at low RH and somewhat similar sensitivity to UVC. PMID:18781204

Foundations for teaching surgeons to address the contributions of systems to operating room team conflict.

PubMed

Rogers, David A; Lingard, Lorelei; Boehler, Margaret L; Espin, Sherry; Schindler, Nancy; Klingensmith, Mary; Mellinger, John D

2013-09-01

Prior research has shown that surgeons who effectively manage operating room conflict engage in a problem-solving stage devoted to modifying systems that contribute to team conflict. The purpose of this study was to clarify how systems contributed to operating room team conflict and clarify what surgeons do to modify them. Focus groups of circulating nurses and surgeons were conducted at 5 academic medical centers. Narratives describing the contributions of systems to operating room conflict and behaviors used by surgeons to address those systems were analyzed using the constant comparative approach associated with a constructivist grounded theory approach. Operating room team conflict was affected by 4 systems-related factors: team features, procedural-specific staff training, equipment management systems, and the administrative leadership itself. Effective systems problem solving included advocating for change based on patient safety concerns. The results of this study provide clarity about how systems contribute to operating room conflict and what surgeons can do to effectively modify these systems. This information is foundational material for a conflict management educational program for surgeons. Copyright © 2013 Elsevier Inc. All rights reserved.

Factors affecting the energy consumption of two refrigerator-freezers

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

Kao, J.Y.; Kelley, G.E.

Two refrigerator-freezers, one with a top-mounted freezer and one with side-by-side doors, were tested in the laboratory to determine the sensitivity of their energy consumption to various operational factors. Room temperature, room humidity, door openings, and the setting of the anti-sweat heater switch were the factors examined. The results indicated that the room temperature and door openings had a significantly greater effect on energy consumption than the other two factors. More detailed tests were then performed under different room temperature and door-opening combinations. The relationship of door openings and the equivalent test room temperature was established. Finally, the effect onmore » energy of different temperature settings was studied. Test results are presented and discussed.« less

On the importance of early reflections for speech in rooms.

PubMed

Bradley, J S; Sato, H; Picard, M

2003-06-01

This paper presents the results of new studies based on speech intelligibility tests in simulated sound fields and analyses of impulse response measurements in rooms used for speech communication. The speech intelligibility test results confirm the importance of early reflections for achieving good conditions for speech in rooms. The addition of early reflections increased the effective signal-to-noise ratio and related speech intelligibility scores for both impaired and nonimpaired listeners. The new results also show that for common conditions where the direct sound is reduced, it is only possible to understand speech because of the presence of early reflections. Analyses of measured impulse responses in rooms intended for speech show that early reflections can increase the effective signal-to-noise ratio by up to 9 dB. A room acoustics computer model is used to demonstrate that the relative importance of early reflections can be influenced by the room acoustics design.

Loss of 3-D shape constancy in interior spaces: the basis of the Ames-room illusion.

PubMed

Dorward, F M; Day, R H

1997-01-01

The apparently rectangular form of the irregularly shaped Ames room is explained in terms of a loss of interior 3-D shape constancy consequent on viewing the room with one eye through a small specifically positioned aperture. In the absence of retinal disparity and motion parallax the appearance of the room is held to shift markedly toward the rectangular dimensions of its retinal image. Three experiments designed to test this explanation with a miniature (one-tenth size) version of the Ames room No 1 with the matched 2-D shape of the back wall and as an index of interior 3-D shape are reported. The experiments showed that interior constancy was almost fully restored with binocular viewing of the room (experiment 1). The effect with a 'skeletal' version of the room was about the same as that with the conventional version and was clearly evident when the back wall or its frame version was presented alone (experiment 2), and it varied according to whether the interior perspective corresponded with that of the Ames or a rectangular room (experiment 3). Experiment 3 also showed that a rectangular room is significantly distorted when the interior perspective accords with that of the Ames room. These outcomes are construed as supporting the loss-of-constancy explanation and as showing that the Ames-room effect is one of a class of illusions attributable to the absence of stimulus correlates that normally sustain visual shape constancy.

20 CFR 10.207 - May an employee who returns to work, then stops work again due to the effects of the injury...

Code of Federal Regulations, 2012 CFR

2012-04-01

... stops work again due to the effects of the injury, receive COP? 10.207 Section 10.207 Employees... Eligibility for Cop § 10.207 May an employee who returns to work, then stops work again due to the effects of the injury, receive COP? If the employee recovers from disability and returns to work, then becomes...

20 CFR 10.207 - May an employee who returns to work, then stops work again due to the effects of the injury...

Code of Federal Regulations, 2011 CFR

2011-04-01

... stops work again due to the effects of the injury, receive COP? 10.207 Section 10.207 Employees... Eligibility for Cop § 10.207 May an employee who returns to work, then stops work again due to the effects of the injury, receive COP? If the employee recovers from disability and returns to work, then becomes...

20 CFR 10.207 - May an employee who returns to work, then stops work again due to the effects of the injury...

Code of Federal Regulations, 2013 CFR

2013-04-01

... stops work again due to the effects of the injury, receive COP? 10.207 Section 10.207 Employees... Eligibility for Cop § 10.207 May an employee who returns to work, then stops work again due to the effects of the injury, receive COP? If the employee recovers from disability and returns to work, then becomes...

20 CFR 10.207 - May an employee who returns to work, then stops work again due to the effects of the injury...

Code of Federal Regulations, 2014 CFR

2014-04-01

... stops work again due to the effects of the injury, receive COP? 10.207 Section 10.207 Employees... Eligibility for Cop § 10.207 May an employee who returns to work, then stops work again due to the effects of the injury, receive COP? If the employee recovers from disability and returns to work, then becomes...

20 CFR 10.207 - May an employee who returns to work, then stops work again due to the effects of the injury...

Code of Federal Regulations, 2010 CFR

2010-04-01

... stops work again due to the effects of the injury, receive COP? 10.207 Section 10.207 Employees... Eligibility for Cop § 10.207 May an employee who returns to work, then stops work again due to the effects of the injury, receive COP? If the employee recovers from disability and returns to work, then becomes...

Amphetamine-induced place preference in humans

PubMed Central

Childs, Emma L.; de Wit, Harriet

2009-01-01

Background The conditioned place preference procedure is a widely used animal model of rewarding drug effects that, to date, has not been tested in humans. In this study, we sought to demonstrate that humans, like non-humans, would exhibit a preference for a place previously associated with amphetamine. Further, we investigated the relationship between conditioned place preference and the mood-altering effects of the drug. Methods Thirty-one healthy individuals participated in a five-session procedure during which they experienced the effects of d-amphetamine (20mg) or placebo on two occasions in two distinctive environments (sessions 1 to 4). One group of subjects (paired group, N=19) received amphetamine consistently in one room and placebo in another room, while a second group (unpaired group, N=12) received amphetamine and placebo without regard to the rooms. During the sessions, participants completed questionnaires to rate their mood. On the fifth session, they rated their preference for the two rooms. Results Individuals in the paired group rated their liking of the amphetamine-paired room significantly higher than the placebo-associated room, while there was no difference between ratings of the two rooms for individuals in the unpaired group. In the paired group, drug liking ratings during the conditioning sessions positively predicted preference for the drug-associated room, whereas reports of amphetamine-induced anxiety and dysphoria negatively predicted room liking scores. Conclusions This study demonstrates that humans, like non-humans, prefer a place associated with amphetamine administration. These findings support the idea that subjective responses to a drug contribute to its ability to establish place conditioning. PMID:19111278

Effect of Academic Grade Level on Return to Athletic Competition After Anterior Cruciate Ligament Reconstruction.

PubMed

Bauer, Matthew; Feeley, Brian T; Gallo, Robert A

2016-11-07

After anterior cruciate ligament (ACL) reconstruction, 63% to 87% of high school athletes return to competition. Although physical and psychological factors are known contributors for failure to return to play, little attention has been paid to effect of academic grade level. Our purpose was to determine the influence of effect of academic grade level on return to competitive play. The primary hypothesis is that high school seniors who undergo ACL reconstruction or knee arthroscopy will be less likely to return to competitive play at 1 year than those in grades 9 to 11. We retrospectively reviewed high school athletes who injured their knee during competitive athletic activity and underwent arthroscopic knee surgery, including ACL reconstruction. We included those 14 to 18 years old at time of surgery and analyzed records for grade level, sporting activity, surgery details, and date of return to play. The definition of return to competitive play was return to same preinjury sport within 1 year of surgery and the sport had to be organized. Our study group included 225 patients that underwent an ACL reconstruction and 74 had knee arthroscopy. Athletes undergoing ACL reconstructions were less likely to return to preinjury sport within 1 year than those undergoing knee arthroscopy (P=0.0163). Seniors were significantly less likely to return to play at 1 year than athletes in grades 9 to 11 after both ACL reconstruction (P<0.0001) and knee arthroscopy (P=0.0335). Although return to competitive play rates remained fairly constant within grades 9 to 11, a precipitous decline by 28.9% and 29.4% in return to play rates occurred in the ACL reconstruction and knee arthroscopy groups, respectively, between the junior and senior years of high school. Although return to competition rates were lower for high school athletes undergoing ACL reconstruction than those undergoing knee arthroscopy, both had declines in return when the surgery occurs during their senior season. These data are useful when interpreting return to play rates. Future studies would benefit from further defining this relationship, or at least, noting the number of "senior" athletes studied. Therapeutic study-Level III.

13. INTERIOR VIEW TO THE WEST OF EQUIPMENT IN ROOM ...

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

13. INTERIOR VIEW TO THE WEST OF EQUIPMENT IN ROOM 2, RADIATION EFFECTS ROOM. - Nevada Test Site, Test Cell A Facility, Test Cell A Building & Addition, Area 25, Jackass Flats, Road F, Mercury, Nye County, NV

[Preliminary experience with laparoscopic repair of inguinal hernias].

PubMed

Freund, H R; Seror, D; Eimerl, D; Zamir, O

1997-12-01

During 1992-1996 we performed 163 laparoscopic hernia repairs in 100 men and 2 women. The mean age was 50.6; and in 61 the operation was bilateral, 66 were by transabdominal preperitoneal approach and 36 by total extra-peritoneal approach. There were only a few minor complications and total recurrence rate was only 4.3%, partly attributable to our learning curve. Laparoscopic inguinal herniorrhaphy reduces postoperative incisional and muscular pain and causes less disruption in the postoperative period than open repair. Return to normal activity and work is faster for laparoscopic than for open repair, but operating room costs are higher (time and equipment). However, economic advantages for the national economy should be considered.

KSC-2014-4117

NASA Image and Video Library

2014-09-25

CAPE CANAVERAL, Fla. – NASA astronaut Rick Mastracchio takes questions on the execution of the Slosh experiment from employees attending the Launch Services Program's All Hands meeting in the Neil Armstrong Operations and Checkout Building Mission Briefing Room at NASA's Kennedy Space Center in Florida. An Expedition 38/39 crew member, Mastracchio launched to the station from the Baikonur Cosmodrome in Kazakhstan on Nov. 6, 2013, and returned to Earth on May 13, 2014, after 188 days in space. To read Mastracchio's biography, visit http://www.jsc.nasa.gov/Bios/htmlbios/mastracc.html. For more information on the Slosh experiment, visit http://www.nasa.gov/content/slosh-experiment-designed-to-improve-rocket-safety-efficiency/. Photo credit: NASA/Daniel Casper

KSC-2014-4115

NASA Image and Video Library

2014-09-25

CAPE CANAVERAL, Fla. – NASA astronaut Rick Mastracchio recounts his experiences conducting the Slosh experiment on the International Space Station to employees attending the Launch Services Program's All Hands meeting in the Neil Armstrong Operations and Checkout Building Mission Briefing Room at NASA's Kennedy Space Center in Florida. An Expedition 38/39 crew member, Mastracchio launched to the station from the Baikonur Cosmodrome in Kazakhstan on Nov. 6, 2013, and returned to Earth on May 13, 2014, after 188 days in space. To read Mastracchio's biography, visit http://www.jsc.nasa.gov/Bios/htmlbios/mastracc.html. For more information on the Slosh experiment, visit http://www.nasa.gov/content/slosh-experiment-designed-to-improve-rocket-safety-efficiency/. Photo credit: NASA/Daniel Casper

Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis

PubMed Central

Googe, Benjamin; Nida, Andrew; Schweinfurth, John

2015-01-01

A 77-year-old female with bilateral vocal cord paralysis and dependent tracheostomy status after total thyroidectomy presented to clinic for evaluation of decannulation via arytenoidectomy. Preliminary data suggests coblation versus standard CO2 laser ablation in arytenoidectomy may provide benefits in terms of decreased tissue necrosis and patient outcome. The patient elected to proceed with arytenoidectomy by coblation. The initial procedure went well but postoperative bleeding required a return trip to the operating room for hemostasis. In the coming months the patient's tracheostomy tube was gradually downsized and eventually capped. She was decannulated eight months after surgery, speaking well and without complaints. Details of the surgical procedure and outcome will be discussed. PMID:26457217

Acoustically assisted spin-transfer-torque switching of nanomagnets: An energy-efficient hybrid writing scheme for non-volatile memory

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

Biswas, Ayan K.; Bandyopadhyay, Supriyo; Atulasimha, Jayasimha

We show that the energy dissipated to write bits in spin-transfer-torque random access memory can be reduced by an order of magnitude if a surface acoustic wave (SAW) is launched underneath the magneto-tunneling junctions (MTJs) storing the bits. The SAW-generated strain rotates the magnetization of every MTJs' soft magnet from the easy towards the hard axis, whereupon passage of a small spin-polarized current through a target MTJ selectively switches it to the desired state with > 99.99% probability at room temperature, thereby writing the bit. The other MTJs return to their original states at the completion of the SAW cycle.

KSC-02pd1507

NASA Image and Video Library

2002-10-10

KENNEDY SPACE CENTER, FLA. -- At Launch Complex 39A, technicians in the Payload Changout Room supervise the opening of the payload canister doors for transfer of the P1 truss. The P1 truss is the primary payload for Mission STS-113 to the International Space Station. It is the first port truss segment which will be attached to the Station’s central truss segment, S0. Once delivered, the P1 truss will remain stowed until flight 12A.1. The mission will also deliver the Expedition 6 crew to the Station and return Expedition 5 to Earth. Space Shuttle Endeavour is scheduled to launch no earlier than Nov. 10 on the 11-day mission.

Natural Air Purifier

NASA Technical Reports Server (NTRS)

1993-01-01

NASA environmental research has led to a plant-based air filtering system. Dr. B.C. Wolverton, a former NASA engineer who developed a biological filtering system for space life support, served as a consultant to Terra Firma Environmental. The company is marketing the BioFilter, a natural air purifier that combines activated carbon and other filter media with living plants and microorganisms. The filter material traps and holds indoor pollutants; plant roots and microorganisms then convert the pollutants into food for the plant. Most non-flowering house plants will work. After pollutants have been removed, the cleansed air is returned to the room through slits in the planter. Terra Firma is currently developing a filter that will also disinfect the air.

Harvey Cushing at Johns Hopkins.

PubMed

Long, D M

1999-11-01

Harvey Cushing began surgical training with William Halsted at Johns Hopkins in 1896. Cushing joined the Johns Hopkins faculty in 1900 and spent 1 year in Europe in the laboratory of Theodore Kocher. He returned to Johns Hopkins, where he founded neurosurgery as an independent specialty, established the concept of the clinician scientist, discovered the hormonal properties of the pituitary gland and founded endocrinology, introduced intraoperative x-rays into surgical practice, introduced blood pressure monitoring into the operating room, and wrote the first definitive text on neurosurgery. Although there have been many pioneers in our field, Cushing, more than anyone else, developed neurosurgery as a specialty and left a legacy of talented neurosurgeons to develop and expand the field.

Training dogs to detect Triacetone Triperoxide (TATP)

NASA Astrophysics Data System (ADS)

Oxley, Jimmie C.; Smith, James L.; Moran, Jesse; Nelson, Ken; Utley, William E.

2004-09-01

Dogs have been used successfully to detect drugs and conventional high explosives. The world-wide rise in terrorist activities has placed emphasis on the detection of non-conventional explosive materials such as the multi-functional peroxides, triacetone triperoxide (TATP) and hexamethylene triperoxide diamine (HMTD). This study demonstrates that dogs can detect both solid TATP and TATP adsorbed to cotton balls. An effective procedure to train dogs to detect TATP using cotton balls permeated with TATP vapor is provided. The various trials showed that dogs were capable of detecting as little as 200 μg of TATP adsorbed to a one gram cotton ball under a variety of circumstances. However, since TATP vaporizes rapidly at room temperature, significant depletion of TATP from cotton balls can occur in as little as 20 minutes, hampering the ability of the dogs to detect it. The TATP depleted cotton ball can be refreshed by returning it to a sealed container with TATP residue for about 20 minutes. A presumed decomposition product of TATP, acetone, cannot be used in place of TATP to train dogs.

Capabilities of the Materials Contamination Team at Marshall Space Flight Center

NASA Technical Reports Server (NTRS)

Burns, H. D.; Finckenor, M. M.; Boothe, R. E.; Albyn, K. C.; Finchum, C. A.

2003-01-01

The Materials Contamination Team of the Environmental Effects Group, Materials, Processes, and Manufacturing Department, has been recognized for its contribution to space flight, including space transportation, space science and flight projects, such as the reusable solid rocket motor, Chandra X-Ray Observatory, and the International Space Station. The Materials Contamination Team s realm of responsibility encompasses all phases of hardware development including design, manufacturing, assembly, test, transportation, launch-site processing, on-orbit exposure, return, and refurbishment if required. Contamination is a concern in the Space Shuttle with sensitivity bondlines and reactive fluid (liquid oxygen) compatibility as well as for sensitive optics, particularly spacecraft such as Hubble Space Telescope and Chandra X-Ray Observatory. The Materials Contamination Team has a variety of facilities and instrumentation capable of contaminant detection identification, and monitoring. The team addresses material applications dealing with environments, including production facilities, clean rooms, and on-orbit exposure. The team of engineers and technicians also develop and evaluates new surface cleanliness inspection technologies. Databases are maintained by the team for proces! materials as well as outgassing and optical compatibility test results for specific environments.

Magneto Tuning of a Ferrite Dielectric Resonator Antenna Based on LiFe5O8 Matrix

NASA Astrophysics Data System (ADS)

de Morais, J. E. V.; de Castro, A. J. N.; Oliveira, R. G. M.; do Carmo, F. F.; Sales, A. J. M.; Sales, J. C.; Silva, M. A. S.; Gouveia, D. X.; Costa, M. M.; Rodrigues, A. R.; Sombra, A. S. B.

2018-04-01

LiFe5O8 (LFO) spinel-like material has been studied for use in ferrite resonator antennas (FRAs). Antenna parameters such as gain and return loss were greatly affected when an external magnetic field was applied to the FRA. The temperature coefficient of the resonant frequency (τ f ) for the FRA presented a value of - 482.16 ppm/°C. The magnetic hysteresis results showed that the LFO was a soft ferrite, considering the values of the remanent magnetization (M r = 5.95 emu g-1), coercive field (0.76 mT), and saturation magnetization (32.15 emu g-1). The magnetodielectric resonator presented a tuning effect in the resonant frequency as a function of the external magnetic field. The antenna bandwidth was also affected by the presence of the magnetic field. LFO is a soft ferrite with applications in microwave circuits, antennas, and devices for operation at microwave frequencies due to its magnetization and demagnetization properties. Impedance study revealed increasing conductivity from room to higher temperature with low activation energy (0.36 eV).

Heat suppression of the fiber coating on a cladding light stripper in high-power fiber laser.

PubMed

Yan, Ming-Jian; Wang, Zheng; Meng, Ling-Qiang; Yin, Lu; Han, Zhi-Gang; Shen, Hua; Wang, Hai-Lin; Zhu, Ri-Hong

2018-01-20

We present a theoretical model for the thermal effect of the fiber coating on a high-power cladding light stripper, which is fabricated by chemical etching. For the input and output of the fiber coating, a novel segmented corrosion method and increasing attenuation method are proposed for heat suppression, respectively. The relationship between the attenuation and temperature rise of the fiber coating at the output is experimentally demonstrated. The temperature distribution of the fiber coating at the input as well as the return light power caused by scattering are measured for the etched fiber with different surface roughness values. The results suggest that the rise in temperature is primarily caused by the scattering light propagating into the coating. Finally, an attenuation of 27 dB is achieved. At a room temperature of 23°C and input pump power of 438 W, the highest temperature of the input fiber coating decreases from 39.5°C to 27.9°C by segmented corrosion, and the temperature rise of the output fiber coating is close to 0.

Microbial analyses of airborne dust collected from dormitory rooms predict the sex of occupants.

PubMed

Luongo, J C; Barberán, A; Hacker-Cary, R; Morgan, E E; Miller, S L; Fierer, N

2017-03-01

We have long known that human occupants are a major source of microbes in the built environment, thus raising the question: How much can we learn about the occupants of a building by analyzing the microbial communities found in indoor air? We investigated bacterial and fungal diversity found in airborne dust collected onto heating, ventilation, and air-conditioning (HVAC) air filters and settling plates from 91 rooms within a university dormitory. The sex of the room occupants had the most significant effect on the bacterial communities, while the room occupants had no significant effect on fungal communities. By examining the abundances of bacterial genera, we could predict the sex of room occupants with 79% accuracy, a finding that demonstrates the potential forensic applications of studying indoor air microbiology. We also identified which bacterial taxa were indicators of female and male rooms, and found that those taxa often identified as members of the vaginal microbiome were more common in female-occupied rooms while taxa associated with human skin or the male urogenital microbiota were more common in male-occupied rooms. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Effect of ventilation rate on air cleanliness and energy consumption in operation rooms at rest.

PubMed

Lee, Shih-Tseng; Liang, Ching-Chieh; Chien, Tsung-Yi; Wu, Feng-Jen; Fan, Kuang-Chung; Wan, Gwo-Hwa

2018-02-27

The interrelationships between ventilation rate, indoor air quality, and energy consumption in operation rooms at rest are yet to be understood. We investigate the effect of ventilation rate on indoor air quality indices and energy consumption in ORs at rest. The study investigates the air temperature, relative humidity, concentrations of carbon dioxide, particulate matter (PM), and airborne bacteria at different ventilation rates in operation rooms at rest of a medical center. The energy consumption and cost analysis of the heating, ventilating, and air conditioning (HVAC) system in the operation rooms at rest were also evaluated for all ventilation rates. No air-conditioned operation rooms had very highest PM and airborne bacterial concentrations in the operation areas. The bacterial concentration in the operation areas with 6-30 air changes per hour (ACH) was below the suggested level set by the United Kingdom (UK) for an empty operation room. A 70% of reduction in annual energy cost by reducing the ventilation rate from 30 to 6 ACH was found in the operation rooms at rest. Maintenance of operation rooms at ventilation rate of 6 ACH could save considerable amounts of energy and achieve the goal of air cleanliness.

An analysis of first-time blood donors return behaviour using regression models.

PubMed

Kheiri, S; Alibeigi, Z

2015-08-01

Blood products have a vital role in saving many patients' lives. The aim of this study was to analyse blood donor return behaviour. Using a cross-sectional follow-up design of 5-year duration, 864 first-time donors who had donated blood were selected using a systematic sampling. The behaviours of donors via three response variables, return to donation, frequency of return to donation and the time interval between donations, were analysed based on logistic regression, negative binomial regression and Cox's shared frailty model for recurrent events respectively. Successful return to donation rated at 49·1% and the deferral rate was 13·3%. There was a significant reverse relationship between the frequency of return to donation and the time interval between donations. Sex, body weight and job had an effect on return to donation; weight and frequency of donation during the first year had a direct effect on the total frequency of donations. Age, weight and job had a significant effect on the time intervals between donations. Aging decreases the chances of return to donation and increases the time interval between donations. Body weight affects the three response variables, i.e. the higher the weight, the more the chances of return to donation and the shorter the time interval between donations. There is a positive correlation between the frequency of donations in the first year and the total number of return to donations. Also, the shorter the time interval between donations is, the higher the frequency of donations. © 2015 British Blood Transfusion Society.

Civic Returns to Higher Education: A Note on Heterogeneous Effects

PubMed Central

Brand, Jennie E.

2011-01-01

American educational leaders and philosophers have long valued schooling for its role in preparing the nation’s youth to be civically engaged citizens. Numerous studies have found a positive relationship between education and subsequent civic participation. However, little is known about possible variation in effects by selection into higher education, a critical omission considering education’s expressed role as a key mechanism for integrating disadvantaged individuals into civic life. I disaggregate effects and examine whether civic returns to higher education are largest for disadvantaged low likelihood or advantaged high likelihood college goers. I find evidence for significant effect heterogeneity: civic returns to college are greatest among individuals who have a low likelihood for college completion. Returns decrease as the propensity for college increases. PMID:22223924

Negative differential resistance in GaN nanocrystals above room temperature.

PubMed

Chitara, Basant; Ivan Jebakumar, D S; Rao, C N R; Krupanidhi, S B

2009-10-07

Negative differential resistance (NDR) has been observed for the first time above room temperature in gallium nitride nanocrystals synthesized by a simple chemical route. Current-voltage characteristics have been used to investigate this effect through a metal-semiconductor-metal (M-S-M) configuration on SiO2. The NDR effect is reversible and reproducible through many cycles. The threshold voltage is approximately 7 V above room temperature.

Does Aggregated Returns Disclosure Increase Portfolio Risk Taking?

PubMed Central

Beshears, John; Choi, James J.; Laibson, David; Madrian, Brigitte C.

2016-01-01

Many experiments have found that participants take more investment risk if they see returns less frequently, see portfolio-level returns (rather than each individual asset’s returns), or see long-horizon (rather than one-year) historical return distributions. In contrast, we find that such information aggregation treatments do not affect total equity investment when we make the investment environment more realistic than in prior experiments. Previously documented aggregation effects are not robust to changes in the risky asset’s return distribution or the introduction of a multi-day delay between portfolio choice and return realizations. PMID:28553012

Prevalence and risk factors of needlestick injuries, sharps injuries, and blood and body fluid exposures among operating room nurses in Thailand.

PubMed

Kasatpibal, Nongyao; Whitney, JoAnne D; Katechanok, Sadubporn; Ngamsakulrat, Sukanya; Malairungsakul, Benjawan; Sirikulsathean, Pinyo; Nuntawinit, Chutatip; Muangnart, Thanisara

2016-01-01

Operating room nurses are at high risk for occupational exposure to bloodborne pathogens. This study examined the prevalence of and risk factors for needlestick injuries (NSIs), sharps injuries (SIs), and blood and body fluid exposures (BBFEs) among operating room nurses in Thai hospitals. A cross-sectional study was performed in 247 Thai hospitals. Questionnaires eliciting demographic data and information on injury occurrence and risk factors were distributed to 2500 operating room nurses, and 2031 usable questionnaires were returned, for a response rate of 81.2%. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using multiple logistic regression analysis. The prevalence of NSIs, SIs, and BBFEs was 23.7%, 9.8%, and 40.0%, respectively. Risk factors for NSIs were training without practice (OR, 1.67; 95% CI, 1.29-2.17), haste (OR, 4.81; 95% CI, 3.41-6.79), lack of awareness (OR, 1.36; 95% CI, 1.04-1.77), inadequate staffing (OR, 1.60; 95% CI, 1.21-2.11), and outdated guidelines (OR, 1.69; 95% CI, 1.04-2.74). One risk factor was identified for SIs: haste (OR, 2.43; 95% CI, 1.57-3.76). Risk factors for BBFEs were long working hours per week (OR, 2.07; 95% CI, 1.06-4.04), training without practice (OR, 1.55; 95% CI, 1.25-1.91), haste (OR, 1.66; 95% CI, 1.30-2.13), lack of awareness (OR, 1.54; 95% CI, 1.22-1.95), not wearing protective equipment (OR, 1.61; 95% CI, 1.26-2.06), and inadequate staffing (OR, 1.63; 95% CI, 1.26-2.11). This study highlights the high prevalence of NSIs, SIs, and BBFEs among Thai operating room nurses. Preventable risk factors were identified. Appropriate guidelines, adequate staffing, proper training, and self-awareness may reduce these occurrences. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, 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.

Dynamic Impact of Fluoride Dust on Industrial Workers in Thermal Power Plant and its Feasibility Study on Troposphere

NASA Astrophysics Data System (ADS)

Katiyar, Swati; Kumar, Pawan

2016-07-01

Fluorine is a common element that does not occur in the elemental state in nature because of its high reactivity. It accounts for about 0.3 g kg-1 of the Earth's crust and exists in the form of fluorides in a number of minerals, of which fluorspar, cryolite and fluorapatite are the most common. This paper focuses on the analysis of flouride on the industrial workers in various working conditions on troposphere. To check the impact of flouride on workers various samples were taken from different conditions of aluminum plant industries like pot room workers and non-pot room workers as fluoride has both beneficial and detrimental effects on human health. 50 workers in pot room and 10 workers in non pot room were chosen for taking urine and serum samples. 0.09 to 3.77 mg Kg -1 and 0.39 to 1.15 mg Kg-1 (of ash weight) was recorded in the nails of pot room and non pot room workers respectively. The average flouride content was recorded as 1.10 mg Kg -1 and 0.65 mg Kg -1 in pot room and non pot room workers respectively. The outcome results clearly indicated the ill effect and dangerous for the dental health as well as physical health of the workers. A preventive measure or precaution should be taken by the management or persons to avoid the impact of flouride on the body. The clinical significance lie in the maintaining hygienic condition while preventing the any possible effect of flouride on the workers of the industries, as this will affect the production as well as the human value in term of physical capabilities and social aspects in providing medical facilities. Keywords: Fluoride, Ecosystem, Dynamic impact, Air pollutant, detrimental effects.

26 CFR 56.7701-1 - Tax return preparer.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 17 2010-04-01 2010-04-01 false Tax return preparer. 56.7701-1 Section 56.7701... EXCISE TAXES (CONTINUED) PUBLIC CHARITY EXCISE TAXES § 56.7701-1 Tax return preparer. (a) In general. For the definition of a tax return preparer, see § 301.7701-15 of this chapter. (b) Effective...

Supporting Women Returning to Work: A European Perspective.

ERIC Educational Resources Information Center

Shepherd, Jan; Saxby-Smith, Sue

A 2-year project examined the effectiveness of courses for returning workers in enabling women to make a sustained return to paid employment in the following countries: France; Spain; Ireland; and the United Kingdom. In each country, a short foundation-level program and a longer accredited return-to-work program were selected for evaluation.…

Timing of Return to Work and Breastfeeding in Australia.

PubMed

Xiang, Ning; Zadoroznyj, Maria; Tomaszewski, Wojtek; Martin, Bill

2016-06-01

To examine the effects of timing of return to work, number of hours worked, and their interaction, on the likelihood of breastfeeding at 6 months and predominant breastfeeding at 16 weeks. A nationally representative sample of Australian mothers in paid employment in the 13 months before giving birth (n = 2300) were surveyed by telephone. Four multivariate logistic regression models were used to analyze the effects of timing of return to work and work hours, independently and in interaction, on any breastfeeding at 6 months and on predominant breastfeeding at 16 weeks, controlling for maternal sociodemographics, employment patterns, and health measures. Mothers who returned to work within 6 months and who worked for ≥20 hours per week were significantly less likely than mothers who had not returned to work to be breastfeeding at 6 months. However, returning to work for ≤19 hours per week had no significant impact on the likelihood of breastfeeding regardless of when mothers returned to work. Older maternal age, higher educational attainment, better physical or mental health, managerial or professional maternal occupation, and being self-employed all significantly contributed to the increased likelihood of any breastfeeding at 6 months. Similar patterns exist for predominant breastfeeding at 16 weeks. The effects of timing of return to work are secondary to the hours of employment. Working ≤19 hours per week is associated with higher likelihood of maintaining breastfeeding, regardless of timing of return to work. Copyright © 2016 by the American Academy of Pediatrics.

Effects of revised consultation room design on patient-physician communication.

PubMed

Ajiboye, Folaranmi; Dong, Fanglong; Moore, Justin; Kallail, K James; Baughman, Allison

2015-01-01

To evaluate the impact of a revised consultation room design on patient-physician interaction in an outpatient setting. The growth of ambulatory medical care makes outpatient facilities the primary point of health care contact for many Americans. However, the outpatient consultation room design remains largely unchanged, despite its increased use and the adoption of technology-mediated information sharing in clinical encounter. A randomized controlled trial used a postvisit questionnaire to assess six domains of interest (satisfaction with the visit and the consultation room, mutual respect, patient trust in the physician, communication quality, people-room interaction, and interpersonal-room interaction) in two different room designs (a traditional room and an experimental room in which a pedestal table had replaced the examination table). Interpersonal-room interaction was enhanced in the experimental consultation room when compared to the traditional consultation room (p = .0038). Participants in the experimental consultation room had better access to the computer screen, increased provider information sharing, and more time engaging providers in conversation about information on the monitor. Changing the layout of a consultation room has the potential to improve interpersonal communication through better information sharing. Clinicians who are interested in maximizing the benefits of their clinical encounter should consider changing the layout of their consultation room, especially the positioning of the computer screen. © The Author(s) 2014.

The Fixed-Effects Model in Returns to Schooling and Its Application to Community Colleges: A Methodological Note

ERIC Educational Resources Information Center

Dynarski, Susan; Jacob, Brian; Kreisman, Daniel

2016-01-01

The purpose of this note is to develop insight into the performance of the individual fixed-effects model when used to estimate wage returns to postsecondary schooling. We focus our attention on the returns to attending and completing community college. While other methods (instrumental variables, regression discontinuity) have been used to…

Model Specifications for Estimating Labor Market Returns to Associate Degrees: How Robust Are Fixed Effects Estimates? A CAPSEE Working Paper

ERIC Educational Resources Information Center

Belfield, Clive; Bailey, Thomas

2017-01-01

Recently, studies have adopted fixed effects modeling to identify the returns to college. This method has the advantage over ordinary least squares estimates in that unobservable, individual-level characteristics that may bias the estimated returns are differenced out. But the method requires extensive longitudinal data and involves complex…

Effects of disinfectant fogging procedure on dust, ammonia concentration, aerobic bacteria and fungal spores in a farrowing-weaning room.

PubMed

Costa, Annamaria; Colosio, Claudio; Gusmara, Claudia; Sala, Vittorio; Guarino, Marcella

2014-01-01

In the last decades, large-scale swine production has led to intensive rearing systems in which air quality can be easily degraded by aerial contaminants that can pose a health risk to the pigs and farm workers. This study evaluated the effects of fogging disinfectant procedure on productive performance, ammonia and dust concentration, aerobic bacteria and fungal spores spreading in the farrowing-weaning room. This trial was conducted in 2 identical farrowing-weaning rooms of a piggery. In both rooms, 30 pregnant sows were lodged in individual cages. At 75 days of age, the piglets were moved to the fattening room. In the treated room, with the birth of the first suckling-pig, the fogging disinfection with diluted Virkon S was applied once a day in the experimental room per 15 minutes at 11:00. The fogging disinfectant treatment was switched between rooms at the end of the first trial period. Temperature, relative humidity, dust (TSP-RF fractions and number of particles), ammonia concentration and aerial contaminants (enterococci, Micrococcaeae and fungal spores) were monitored in both rooms. Ammonia concentration reduction induced by fogging disinfection was estimated 18%, total suspended particles and the respirable fraction were significantly lower in the experimental room. Fungal spores resulted in a significant reduction by the fogging procedure, together with dust respirable fraction and fine particulate matter abatement. The fogging disinfection procedure improved air quality in the piggery, thereby enhancing workers and animals health.

KSC-2010-4454

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This orbiter tribute of space shuttle Endeavour, or OV-105, hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. It features Endeavour soaring into orbit above the sailing vessel HMS Endeavour for which it was named. The Cupola, delivered to the International Space Station by Endeavour on STS-130, frames various images that represent the processing and execution of the Space Shuttle Program. Clockwise from top, are the first-ever use of a drag chute during the STS-49 landing, rollout to a launch pad, a ferry flight return to Kennedy, rolling into an orbiter processing facility, docking to the International Space Station, and lifting operations before being mated to an external fuel tank and solid rocket boosters in the Vehicle Assembly Building. The background image was captured by the Hubble Space Telescope and signifies the first shuttle servicing mission, which was performed by Endeavour's STS-61 crew. Crew-designed patches from Endeavour’s maiden voyage through its final mission are shown ascending toward the stars. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo

STS-111 Crew in white room during TCDT

NASA Technical Reports Server (NTRS)

2002-01-01

KENNEDY SPACE CENTER, FLA. -- In the White Room, Launch Pad 39A, the STS-111 and Expedition 5 crews pose in front of the entry into Space Shuttle Endeavour. From left are Expedition 5 crew member Sergei Treschev and Commander Valeri Korzun, with the Russian Space Agency; STS-111 Mission Specialist Philippe Perrin, with the French Space Agency; Commander Kenneth Cockrell and Pilot Paul Lockhart; Expedition 5 crew member Peggy Whitson; and Mission Specialist Franklin Chang-Diaz. The crews are taking part in Terminal Countdown Demonstration Test activities at the pad, which include emergency egress training and a simulated launch countdown. The mission is Utilization Flight 2, carrying supplies and equipment to the International Space Station, the Mobile Base System, which will be installed on the Mobile Transporter to complete the Canadian Mobile Servicing System, or MSS, and a replacement wrist/roll joint for Canadarm 2. The mechanical arm will then have the capability to 'inchworm' from the U.S. Lab Destiny to the MSS and travel along the truss to work sites. Expedition 5 will travel to the Station on Endeavour as the replacement crew for Expedition 4, who will return to Earth aboard the orbiter. Launch is scheduled for May 30, 2002.

The effect of financial incentives on chlamydia testing rates: Evidence from a randomized experiment☆

PubMed Central

Dolan, Paul; Rudisill, Caroline

2014-01-01

Financial incentives have been used in a variety of settings to motivate behaviors that might not otherwise be undertaken. They have been highlighted as particularly useful in settings that require a single behavior, such as appointment attendance or vaccination. They also have differential effects based on socioeconomic status in some applications (e.g. smoking). To further investigate these claims, we tested the effect of providing different types of non-cash financial incentives on the return rates of chlamydia specimen samples amongst 16–24 year-olds in England. In 2011 and 2012, we ran a two-stage randomized experiment involving 2988 young people (1489 in Round 1 and 1499 in Round 2) who requested a chlamydia screening kit from Freetest.me, an online and text screening service run by Preventx Limited. Participants were randomized to control, or one of five types of financial incentives in Round 1 or one of four financial incentives in Round 2. We tested the effect of five types of incentives on specimen sample return; reward vouchers of differing values, charity donation, participation in a lottery, choices between a lottery and a voucher and including vouchers of differing values in the test kit prior to specimen return. Financial incentives of any type, did not make a significant difference in the likelihood of specimen return. The more deprived individuals were, as calculated using Index of Multiple Deprivation (IMD), the less likely they were to return a sample. The extent to which incentive structures influenced sample return was not moderated by IMD score. Non-cash financial incentives for chlamydia testing do not seem to affect the specimen return rate in a chlamydia screening program where test kits are requested online, mailed to requestors and returned by mail. They also do not appear more or less effective in influencing test return depending on deprivation level. PMID:24373390

The effect of financial incentives on chlamydia testing rates: evidence from a randomized experiment.

PubMed

Dolan, Paul; Rudisill, Caroline

2014-03-01

Financial incentives have been used in a variety of settings to motivate behaviors that might not otherwise be undertaken. They have been highlighted as particularly useful in settings that require a single behavior, such as appointment attendance or vaccination. They also have differential effects based on socioeconomic status in some applications (e.g. smoking). To further investigate these claims, we tested the effect of providing different types of non-cash financial incentives on the return rates of chlamydia specimen samples amongst 16-24 year-olds in England. In 2011 and 2012, we ran a two-stage randomized experiment involving 2988 young people (1489 in Round 1 and 1499 in Round 2) who requested a chlamydia screening kit from Freetest.me, an online and text screening service run by Preventx Limited. Participants were randomized to control, or one of five types of financial incentives in Round 1 or one of four financial incentives in Round 2. We tested the effect of five types of incentives on specimen sample return; reward vouchers of differing values, charity donation, participation in a lottery, choices between a lottery and a voucher and including vouchers of differing values in the test kit prior to specimen return. Financial incentives of any type, did not make a significant difference in the likelihood of specimen return. The more deprived individuals were, as calculated using Index of Multiple Deprivation (IMD), the less likely they were to return a sample. The extent to which incentive structures influenced sample return was not moderated by IMD score. Non-cash financial incentives for chlamydia testing do not seem to affect the specimen return rate in a chlamydia screening program where test kits are requested online, mailed to requestors and returned by mail. They also do not appear more or less effective in influencing test return depending on deprivation level. Copyright © 2014 The Authors. Published by Elsevier Ltd.. All rights reserved.

Carbon fiber behavior in an enclosed volume

NASA Technical Reports Server (NTRS)

Harvey, M. C.

1979-01-01

Tests were performed to evaluate the behavior of single carbon fibers existing in an enclosed space such as a room of a building. Three general phenomena were explored: the concentration decay rate of a fiber-charged room, the degree of uniform mixing of fibers within a room, and the effects of fibers being redisseminated off deposition surfaces within a room. The results were required in understanding the ratio of total indoor fiber exposure to total outdoor fiber exposure, a quantity essential to risk analysis. Results indicate that decay rate is predictable within acceptable limits and that homogeneous mixing can always be assumed. Some factors of redissemination are identified and effects discussed.

Infection prevention for patients with acute leukemia using laminar air flow rooms.

PubMed

Masaoka, T

1986-01-01

Infection prevention using laminar air flow (LAF) rooms was studied. For the effective and economical usage of LAF rooms, our trials with ozone decontamination were deemed very convenient and effective. In maintaining LAF clean, insects were found to be a critical factor regarding fungus contamination of LAF. As to its efficacy of infection prevention, LAF decreased infection during remission induction from 113/100 to 28/100. The infections reduced by LAF were pneumonia, upper respiratory infection and skin abscess, while sepsis and perianal infection were not affected. Treatment in LAF rooms also seemed to have comparable influence on interstitial pneumonitis after bone marrow transplantation.

FRAMEWORK AND APPLICATION FOR MODELING CONTROL ROOM CREW PERFORMANCE AT NUCLEAR POWER PLANTS

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

Ronald L Boring; David I Gertman; Tuan Q Tran

2008-09-01

This paper summarizes an emerging project regarding the utilization of high-fidelity MIDAS simulations for visualizing and modeling control room crew performance at nuclear power plants. The key envisioned uses for MIDAS-based control room simulations are: (i) the estimation of human error associated with advanced control room equipment and configurations, (ii) the investigative determination of contributory cognitive factors for risk significant scenarios involving control room operating crews, and (iii) the certification of reduced staffing levels in advanced control rooms. It is proposed that MIDAS serves as a key component for the effective modeling of cognition, elements of situation awareness, and riskmore » associated with human performance in next generation control rooms.« less

Philanthropy and hospital financing.

PubMed Central

Smith, D G; Clement, J P; Wheeler, J R

1995-01-01

OBJECTIVE. This study explores the relationships among donations to not-for-profit hospitals, the returns provided by these hospitals, and fund-raising efforts. It tests a model of hospital behavior and addresses an earlier debate regarding the supply price of donations. DATA SOURCES. The main data source is the California Office of Statewide Health Planning data tapes of hospital financial disclosure reports for fiscal years 1980/1981 through 1986/1987. Complete data were available for 160 hospitals. STUDY DESIGN. Three structural equations (donations, returns, and fund-raising) are estimated as a system using a fixed-effects, pooled cross-section, time-series least squares regression. PRINCIPAL FINDINGS. Estimation results reveal the expected positive relation between donations and returns. The reverse relation between returns and donations is insignificant. The estimated effect of fund-raising on donations is insignificantly different from zero, and the effect of donations on fund-raising is negative. Fund-raising and returns are negatively associated with one another. CONCLUSION. The empirical results presented here suggest a positive donations-returns relations and are consistent with a positive supply price for donations. Hospitals appear to view a trade-off between providing returns and soliciting donations, but donors do not respond equally to these two activities. Attempts to increase free cash flow through expansion of community returns or fund-raising activity, at least in the short run, are not likely to be highly successful financing strategies for many hospitals. PMID:8537223

Evaluation of Clove Oil, Icaridin, and Transfluthrin for Spatial Repellent Effects in Three Tests Systems Against the Aedes aegypti (Diptera: Culicidae).

PubMed

Nentwig, G; Frohberger, S; Sonneck, R

2017-01-01

One essential oil (clove oil), one skin repellent (icaridin), and one insecticide (transfluthrin) were tested for spatial repellent effects against non-blood-fed female Aedes aegypti (L.) mosquitoes. The compounds were tested in acetone dilution series using a Y-olfactometer, a double cage system, and a double room system. All compounds exhibited spatial repellent effects at certain concentrations. Clove oil required relative high dosages to cause high effects (Y-olfactometer 6 mg, double cage 60 mg, and double room 1,200 mg). The dosages to achieve comparable results with icaridin were lower (Y-olfactometer and double cage 1 mg, and double room 150 mg). For transfluthrin, the equivalent dosages were lower again (Y-olfactometer 0.003 mg, double cage 0.03 mg, and double room 0.1 mg). Furthermore, these results reveal a correlation between the size of the test system and the effective dosage. Averaged for the three compounds, the quantity for the double room was 21-fold higher than for the double cage, which required again a 9-fold higher dosage than the Y-olfactometer. An establishment of a screening cascade is discussed starting with the Y-olfactometer (high throughput rate), followed by the double cage system and ending with the double room system as the most nearest to practical conditions. Furthermore, the testing of existing repellent products to validate the double room test, the role of sublethal dosages concerning insecticides including possible upcoming of resistance after exposure, the delayed action and impact on blood feeding and oviposition are exemplified. © The Authors 2016. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Egalisation adaptative et non invasive de la reponse temps-frequence d'une petite salle

NASA Astrophysics Data System (ADS)

Martin, Tristan

In this research, we are interested in sound, environment wherein it propagates, the interaction between the sound wave and a transmission channel, and the changes induced by the components of an audio chain. The specific context studied is that of listening to music on loudspeakers. For the environment in which sound wave propagates, like for any transmission channel, there are mathematical functions used to characterize the changes induced by a channel on the signal therethrough. An electric signal serves as a input for a system, in this case consisting of an amplifier, a loudspeaker, and the room where the listening takes place, which according to its characteristics, returns as an output at the listening position, an altered sound wave. Frequency response, impulse response, transfer function, the mathematics used are no different from those used commonly for the characterization of a transmission channel or the expression of the outputs of a linear system to its inputs. Naturally, there is a purpose to this modeling exercise: getting the frequency response of the amplifier/loundspeaker/room chain makes possible its equalization. It is common in many contexts of listening to find a filter inserted into the audio chain between the source (Eg CD player) and the amplifier/loudspeaker that converts the electrical signal to an acoustic signal propagated in the room. This filter, called "equalizer" is intended to compensate the frequency effect of the components of the audio chain and the room on the sound signal that will be transmitted. Properties for designing this filter are derived from those of the audio chain. Although analytically rigorous, physical approach, focusing on physical modeling of the loudspeaker and the propagation equation of the acoustic wave is ill-suited to rooms with complex geometry and changing over time. The second approach, experimental modeling, and therefore that addressed in this work, ignores physical properties. The system audio chain is rather seen as a "black box" including inputs and outputs. The problem studied is the characterization of an electro-acoustic system as having a single input signal transmitted through a speaker in a room, and a single output signal picked up by a microphone at the listening position. The originality of this work lies not only in the technique developed to arrive at this characterization, but especially in the constraints imposed in order to get there. The majority of technics documented to this date involve using excitation signals dedicated the measure; signals with favorable characteristics to simplify the calculation of the impulse response of the audio chain. Known signals are played through a loudspeaker and the room's response to excitation is captured with a microphone at the listening position. The measurement exercise itself poses problem, especially when there is an audience in the room. Also, the response of the room may change between the time of the measurement and time of listening. If the room is reconfigured for example, a curtain is pulled or the stage moved. In the case of a theater, the speaker used may vary depending on the context. A survey of work in which solutions to this problem are suggested was made. The main objective is to develop an innovative method to capture the impulse response of an audio chain without the knowledge of the audience. To do this, no signal dedicated to the measurement should be used. The developed method allows the capture of the electro-acoustic impulse response exploiting only the music signals when it comes to a concert hall or using a movie sound track when a movie is a movie theater. As a result, an algorithm for modeling dynamicly and continuously the response of a room. A finite impulse response filter acting as a digital equalizer must be designed and also able to dynamically adapt the behavior of the room, even when it varies over time. A multi spectral resolution method is used to build, for diffrent frequency bands, the filter response arising from the inversion of the room/speaker frequency response. The resulting dynamically adapting filter has properties similar to those of the human ear, a significant spectral-resolution in lower frequencies, and high time-resolution at high frequencies. The response corrected by the filter system tends approaching to a pure pulse. Techniques explored in the context of this research led to the publication of a scientific article in a peer reviewed journal and one conference paper in which similar methods were used for mining engineering applications. (Abstract shortened by UMI.).

Effects of daylight savings time changes on stock market volatility.

PubMed

Berument, M Hakan; Dogan, Nukhet; Onar, Bahar

2010-04-01

The presence of daylight savings time effects on stock returns and on stock volatility was investigated using an EGARCH specification to model the conditional variance. The evidence gathered from the major United States stock markets for the period between 1967 and 2007 did not support the existence of the daylight savings time effect on stock returns or on volatility. Returns on the first business day following daylight savings time changes were not lower nor was the volatility higher, as would be expected if there were an effect.

Overview of the Results of the Organics PET Study of the Cometary Samples from Comet Wild 2 by the Stardust Mission

NASA Technical Reports Server (NTRS)

Sandford, S. A.; Aleon, J.; Alexander, C. M. O'D.; Araki, T.; Bajt, S.; Baratta, G. A.; Borg, J.; Bradley J. P.; Brownlee, D. E.; Brucato, J. R.;

Saturn Apollo Program

NASA Image and Video Library

1969-07-15

Lee B. James (left), manager of the Saturn Program at the Marshall Space flight Center (MSFC), talks with Isom Pigell in the firing room 1 of the Kennedy Space Center (KSC) control center during the countdown demonstration test for the Apollo 11 mission. The Apollo 11 mission, the first lunar landing mission, launched from the KSC in Florida via the MSFC developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, “Columbia”, piloted by Collins, remained in a parking orbit around the Moon while the LM, “Eagle’’, carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

Saturn Apollo Program

NASA Image and Video Library

1969-07-15

Lee B. James (left), manager of the Saturn Program at the Marshall Space flight Center (MSFC), talks with Isom Pigell in the firing room 1 of the Kennedy Space Center (KSC) control center during the countdown demonstration test for the Apollo 11 mission. At left is Dr. Hans C. Gruen of KSC. The Apollo 11 mission, the first lunar landing mission, launched from the KSC in Florida via the MSFC developed Saturn V launch vehicle on July 16, 1969 and safely returned to Earth on July 24, 1969. Aboard the space craft were astronauts Neil A. Armstrong, commander; Michael Collins, Command Module (CM) pilot; and Edwin E. (Buzz) Aldrin Jr., Lunar Module (LM) pilot. The CM, “Columbia”, piloted by Collins, remained in a parking orbit around the Moon while the LM, “Eagle’’, carrying astronauts Armstrong and Aldrin, landed on the Moon. On July 20, 1969, Armstrong was the first human to ever stand on the lunar surface, followed by Aldrin. During 2½ hours of surface exploration, the crew collected 47 pounds of lunar surface material for analysis back on Earth. With the success of Apollo 11, the national objective to land men on the Moon and return them safely to Earth had been accomplished.

Low back pain caused by a duodenal ulcer.

PubMed

Weiss, D J; Conliffe, T; Tata, N

1998-09-01

The common diagnoses in low back pain are lumbar strain, lumbosacral radiculopathy, osteoarthritis, degenerative disc disease, spinal stenosis, and sacroiliac joint dysfunction. Unusual causes of low back pain that have been previously identified include abdominal aortic aneurysms, pelvic neoplasms, and retroperitoneal hemorrhages. This report describes a case of back pain that was apparently caused by a duodenal ulcer. A 54-year-old man with no significant medical history presented with a complaint of mid to low back pain (T10-L2), which was diagnosed as joint dysfunction. A comprehensive treatment program was prescribed and the patient was instructed to return to clinic in 4 weeks. Three weeks later, he experienced a syncopal episode followed by coffee ground emesis. He immediately sought medical attention at an emergency room, where he was admitted to the hospital with a diagnosis of upper gastrointestinal bleed. Esophagogastroduodenoscopy showed a large duodenal ulcer, and the patient underwent vagotomy and pyloroplasty. He returned to his physiatrist's office 3 weeks after hospital discharge with minimal back pain. The cause of the back pain proved to be referred visceral pain from his duodenal ulcer. This case is presented to reemphasize the need to include the uncommon phenomena in the differential diagnosis of low back pain.

Anaphylaxis in Latin America: a report of the online Latin American survey on anaphylaxis (OLASA)

PubMed Central

Solé, Dirceu; Ivancevich, Juan Carlos; Borges, Mario Sánchez; Coelho, Magna Adaci; Rosário, Nelson A; Ardusso, Ledit Ramón Francisco; Bernd, Luis Antônio Guerra

2011-01-01

OBJECTIVES: The aims of the Online Latin American Survey of Anaphylaxis (OLASA) were to identify the main clinical manifestations, triggers, and treatments of severe allergic reactions in patients who were seen by allergists from July 2008 to June 2010 in 15 Latin American countries and Portugal (n = 634). RESULTS: Of all patients, 68.5% were older than 18 years, 41.6% were male, and 65.4% experienced the allergic reaction at home. The etiologic agent was identified in 87.4% of cases and predominantly consisted of drugs (31.2%), foods (23.3%), and insect stings (14.9%). The main symptom categories observed during the acute episodes were cutaneous (94.0%) and respiratory (79.0%). The majority of patients (71.6%) were treated initially by a physician (office/emergency room) within the first hour after the reaction occurred (60.2%), and 43.5% recovered in the first hour after treatment. Most patients were treated in an emergency setting, but only 37.3% received parenteral epinephrine alone or associated with other medication. However, 80.5% and 70.2% were treated with corticosteroids or antihistamines (alone or in association), respectively. A total of 12.9% of the patients underwent reanimation maneuvers, and 15.2% were hospitalized. Only 5.8% of the patients returned to the emergency room after discharge, with 21.7% returning in the first 6 hours after initial treatment. CONCLUSION: The main clinical manifestations of severe allergic reactions were cutaneous. The etiologic agents that were identified as causing these acute episodes differed according to age group. Following in order: drugs (31.2%), foods (23.3% and insect stings (14.9%) in adults with foods predominance in children. Treatment provided for acute anaphylactic reactions was not appropriate. It is necessary to improve educational programs in order to enhance the knowledge on this potentially fatal emergency. PMID:21808856

Anaphylaxis in Latin America: a report of the online Latin American survey on anaphylaxis (OLASA).

PubMed

Sole, Dirceu; Ivancevich, Juan Carlos; Borges, Mario Sanchez; Coelho, Magna Adaci; Rosario, Nelson A; Ardusso, Ledit Ramón Francisco; Bernd, Luis Antônio Guerra

2011-01-01

The aims of the Online Latin American Survey of Anaphylaxis (OLASA) were to identify the main clinical manifestations, triggers, and treatments of severe allergic reactions in patients who were seen by allergists from July 2008 to June 2010 in 15 Latin American countries and Portugal (n =634). Of all patients, 68.5% were older than 18 years, 41.6% were male, and 65.4% experienced the allergic reaction at home. The etiologic agent was identified in 87.4% of cases and predominantly consisted of drugs (31.2%), foods (23.3%), and insect stings (14.9%). The main symptom categories observed during the acute episodes were cutaneous (94.0%) and respiratory (79.0%). The majority of patients (71.6%) were treated initially by a physician (office/emergency room) within the first hour after the reaction occurred (60.2%), and 43.5% recovered in the first hour after treatment. Most patients were treated in an emergency setting, but only 37.3% received parenteral epinephrine alone or associated with other medication. However, 80.5% and 70.2% were treated with corticosteroids or antihistamines (alone or in association), respectively. A total of 12.9% of the patients underwent reanimation maneuvers, and 15.2% were hospitalized. Only 5.8% of the patients returned to the emergency room after discharge, with 21.7% returning in the first 6 hours after initial treatment. The main clinical manifestations of severe allergic reactions were cutaneous. The etiologic agents that were identified as causing these acute episodes differed according to age group. Following in order: drugs (31.2%), foods (23.3% and insect stings (14.9%) in adults with foods predominance in children. Treatment provided for acute anaphylactic reactions was not appropriate. It is necessary to improve educational programs in order to enhance the knowledge on this potentially fatal emergency.

Comparison of outcomes following laparoscopic and open treatment of emergent small bowel obstruction: an 11-year analysis of ACS NSQIP.

PubMed

Patel, Richa; Borad, Neil P; Merchant, Aziz M

2018-06-04

Small bowel obstruction (SBO) continues to be a common indication for acute care surgery. While open procedures are still widely used for treatment, laparoscopic procedures may have important advantages in certain patient populations. We aim to analyze differences in outcomes between the two for treatment of bowel obstruction. The American College of Surgeons National Surgical Quality Improvement Program was used to find patients that underwent emergent or non-elective surgery for SBO. Propensity matching was used to create comparable groups. Logistic regression was used to assess differences in the primary outcome of interest, return to operating room, and morbidity and mortality outcomes. Logistic regression was also used to assess the contribution of various preoperative demographic and comorbidity characteristics to 30-day mortality. A total of 24,028 patients underwent surgery for SBO from 2005 to 2011. Of those, 3391 were laparoscopic. Propensity matching resulted in 6782 matched patients. Laparoscopic cases had significantly decreased odds of experiencing any morbidity and wound complications compared to open cases in bowel-resection and adhesiolysis-only cases. There was no significant difference found for odds of returning to operating room. Laparoscopic cases resulted in significantly shorter hospital stays than open cases (7.18 vs.10.84 days, p < 0.0001). Increasing age, American Society of Anesthesiologists class greater than three, and the presence of respiratory comorbidities resulted in increased odds of mortality. Underweight body mass index (BMI) (< 18.5) increased odds of mortality while greater than normal BMI (> 25) decreased odds of mortality. Analysis of emergent SBO cases between 2005 and 2015 demonstrates that laparoscopy is not utilized as often as open approaches in surgical treatment. Laparoscopic surgery resulted in reduced postoperative morbidity and significantly shorter hospital stays compared to open intervention and was not associated with significant differences in odds of reoperation compared to open surgery.

26 CFR 54.7701-1 - Tax return preparer.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 17 2010-04-01 2010-04-01 false Tax return preparer. 54.7701-1 Section 54.7701... EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.7701-1 Tax return preparer. (a) In general. For the definition of a tax return preparer, see § 301.7701-15 of this chapter. (b) Effective/applicability date...

Laparoscopic versus open inguinal hernia repair in patients with obesity: an American College of Surgeons NSQIP clinical outcomes analysis.

PubMed

Froylich, Dvir; Haskins, Ivy N; Aminian, Ali; O'Rourke, Colin P; Khorgami, Zhamak; Boules, Mena; Sharma, Gautam; Brethauer, Stacy A; Schauer, Phillip R; Rosen, Michael J

2017-03-01

The laparoscopic approach to inguinal hernia repair (IHR) has proven beneficial in reducing postoperative pain and facilitating earlier return to normal activity. Except for indications such as recurrent or bilateral inguinal hernias, there remains a paucity of data that specifically identities patient populations that would benefit most from the laparoscopic approach to IHR. Nevertheless, previous experience has shown that obese patients have increased wound morbidity following open surgical procedures. The aim of this study was to investigate the effect of a laparoscopic versus open surgical approach to IHR on early postoperative morbidity and mortality in the obese population using the National Surgical Quality Improvement Program (NSQIP) database. All IHRs were identified within the NSQIP database from 2005 to 2013. Obesity was defined as a body mass index ≥30 kg/m 2 . A propensity score matching technique between the laparoscopic and open approaches was used. Association of obesity with postoperative outcomes was investigated using an adjusted and unadjusted model based on clinically important preoperative variables identified by the propensity scoring system. A total of 7346 patients met inclusion criteria; 5573 patients underwent laparoscopic IHR, while 1773 patients underwent open IHR. On univariate analysis, obese patients who underwent laparoscopic IHR were less likely to experience a deep surgical site infection, wound dehiscence, or return to the operating room compared with those who underwent an open IHR. In both the adjusted and unadjusted propensity score models, there was no difference in outcomes between those who underwent laparoscopic versus open IHR. The laparoscopic approach to IHR in obese patients has similar outcomes as an open approach with regard to 30-day wound events. Preoperative risk stratification of obese patients is important to determining the appropriate surgical approach to IHR. Further studies are needed to investigate the long-term effects of the open and laparoscopic approaches to IHR in the obese population.

Development of a Virtual Reality Coping Skills Game to Prevent Post-Hospitalization Smoking Relapse in Tobacco Dependent Cancer Patients.

PubMed

Krebs, Paul; Burkhalter, Jack; Lewis, Shireen; Hendrickson, Tinesha; Chiu, Ophelia; Fearn, Paul; Perchick, Wendy; Ostroff, Jamie

2009-08-01

Many hospitalized smokers return to smoking after hospital discharge even though continued smoking can compromise treatment effectiveness, reduce survival, increase risk of disease recurrence, and impair quality of life. After leaving a smoke-free hospital, patients encounter smoking cues at home, such as family members who smoke or emotional triggers such as stress, which can elicit powerful urges to smoke and lead to smoking relapse. Enabling smokers to experience such urges in a controlled setting while providing the ability to practice coping skills may be a useful strategy for building quitting self-efficacy. We are developing a virtual reality coping skills (VRCS) game to help hospitalized smokers practice coping strategies to manage these triggers in preparation for returning home after hospitalization. Our multidisciplinary team developed a prototype VRCS game using Second Life, a platform that allowed rapid construction of a virtual reality environment. The prototype contains virtual home spaces (e.g., living room, kitchen) populated with common triggers to smoke and a "toolkit" with scripted actions that enable the avatar to rehearse various coping strategies. Since eliciting and managing urges to smoke is essential to the game's utility as an intervention, we assessed the ability of the prototype virtual environment to engage former smokers in these scenarios. We recruited eight former smokers with a recent history of hospitalization and guided each through a VRCS scenario during which we asked the patient to evaluate the strength of smoking urges and usefulness of coping strategies. Initial data indicate that patients report high urges to smoke (mean = 8.8 on a 10 point scale) when their avatar confronted virtual triggers such as drinking coffee. Patients rated virtual practice of coping strategies, such as drinking water or watching TV, as very helpful (mean = 8.4 on a 10 point scale) in reducing these urges. With further development, this VRCS game may have potential to provide low-cost, effective behavioral rehearsal to prevent relapse to smoking in hospitalized patients.

Simulation of the Effects of Water Withdrawals, Wastewater Return Flows, and Land-Use Change on Streamflow in the Blackstone River Basin, Massachusetts and Rhode Island

USGS Publications Warehouse

Barbaro, Jeffrey R.

2007-01-01

Streamflow in many parts of the Blackstone River Basin in south-central Massachusetts and northern Rhode Island is altered by water-supply withdrawals, wastewater-return flows, and land-use change associated with a growing population. Simulations from a previously developed and calibrated Hydrological Simulation Program?FORTRAN (HSPF) precipitation-runoff model for the basin were used to evaluate the effects of water withdrawals, wastewater-return flows, and land-use change on streamflow. Most of the simulations were done for recent (1996?2001) conditions and potential buildout conditions in the future when all available land is developed to provide a long-range assessment of the effects of possible future human activities on water resources in the basin. The effects of land-use change were evaluated by comparing the results of long-term (1960?2004) simulations with (1) undeveloped land use, (2) 1995?1999 land use, and (3) potential buildout land use at selected sites across the basin. Flow-duration curves for these land-use scenarios were similar, indicating that land-use change, as represented in the HSPF model, had little effect on flow in the major tributary streams and rivers in the basin. However, land-use change?particularly increased effective impervious area?could potentially have greater effects on the hydrology, water quality, and aquatic habitat of the smaller streams in the basin. The effects of water withdrawals and wastewater-return flows were evaluated by comparing the results of long-term simulations with (1) no withdrawals and return flows, (2) actual (measured) 1996?2001 withdrawals and wastewater-return flows, and (3) potential withdrawals and wastewater-return flows at buildout. Overall, the results indicated that water use had a much larger effect on streamflow than did land use, and that the location and magnitude of wastewater-return flows were important for lessening the effects of withdrawals on streamflow in the Blackstone River Basin. Ratios of long-term (1960?2004) simulated flows with 1996?2001 water use (representing the net effect of withdrawals and wastewater-return flows) to long-term simulated flows with no water use indicated that, for many reaches, 1996?2001 water use did not deplete flows at the 90-percent flow duration substantially compared to flows unaffected by water use. Flows generally were more severely depleted in the reaches that include surface-water supplies for the larger cities in the basin (Kettle and Tatnuck Brooks, Worcester, Mass. water supply; Quinsigamond River, Shrewsbury, Mass. water supply; Crookfall Brook, Woonsocket, R.I. water supply; and Abbott Run, Pawtucket, R.I. water supply). These reaches did not have substantial wastewater-return flows that could offset the effects of the withdrawals. In contrast, wastewater-return flows from the Upper Blackstone Wastewater Treatment Facility in Millbury, Mass. increased flows at the 90-percent flow duration in the main stem of the Blackstone River compared to no-water-use conditions. Under the assumptions used to develop the buildout scenario, nearly all of the new water withdrawals were returned to the Blackstone River Basin at municipal wastewater-treatment plants or on-site septic systems. Consequently, buildout generally had small effects on simulated low flows in the Blackstone River and most of the major tributary streams compared to flows with 1996?2001 water use. To evaluate the effects of water use on flows in the rivers and major tributary streams in the Rhode Island part of the basin in greater detail, the magnitudes of water withdrawals and wastewater-return flows in relation to simulated streamflow were calculated as unique ratios for individual HSPF subbasins, total contributing areas to HSPF subbasins, and total contributing areas to the major tributary streams. For recent conditions (1996?2001 withdrawals and 1995?1999 land use), ratios of average summer (June through September) withdrawals to the l

Air cleaning technologies: an evidence-based analysis.

PubMed

2005-01-01

This health technology policy assessment will answer the following questions: When should in-room air cleaners be used?How effective are in-room air cleaners?Are in-room air cleaners that use combined HEPA and UVGI air cleaning technology more effective than those that use HEPA filtration alone?What is the Plasmacluster ion air purifier in the pandemic influenza preparation plan?The experience of severe acute respiratory syndrome (SARS) locally, nationally, and internationally underscored the importance of administrative, environmental, and personal protective infection control measures in health care facilities. In the aftermath of the SARS crisis, there was a need for a clearer understanding of Ontario's capacity to manage suspected or confirmed cases of airborne infectious diseases. In so doing, the Walker Commission thought that more attention should be paid to the potential use of new technologies such as in-room air cleaning units. It recommended that the Medical Advisory Secretariat of the Ontario Ministry of Health and Long-Term Care evaluate the appropriate use and effectiveness of such new technologies. Accordingly, the Ontario Health Technology Advisory Committee asked the Medical Advisory Secretariat to review the literature on the effectiveness and utility of in-room air cleaners that use high-efficiency particle air (HEPA) filters and ultraviolet germicidal irradiation (UVGI) air cleaning technology. Additionally, the Ontario Health Technology Advisory Committee prioritized a request from the ministry's Emergency Management Unit to investigate the possible role of the Plasmacluster ion air purifier manufactured by Sharp Electronics Corporation, in the pandemic influenza preparation plan. Airborne transmission of infectious diseases depends in part on the concentration of breathable infectious pathogens (germs) in room air. Infection control is achieved by a combination of administrative, engineering, and personal protection methods. Engineering methods that are usually carried out by the building's heating, ventilation, and air conditioning (HVAC) system function to prevent the spread of airborne infectious pathogens by diluting (dilution ventilation) and removing (exhaust ventilation) contaminated air from a room, controlling the direction of airflow and the air flow patterns in a building. However, general wear and tear over time may compromise the HVAC system's effectiveness to maintain adequate indoor air quality. Likewise, economic issues may curtail the completion of necessary renovations to increase its effectiveness. Therefore, when exposure to airborne infectious pathogens is a risk, the use of an in-room air cleaner to reduce the concentration of airborne pathogens and prevent the spread of airborne infectious diseases has been proposed as an alternative to renovating a HVAC system. Airborne transmission is the spread of infectious pathogens over large distances through the air. Infectious pathogens, which may include fungi, bacteria, and viruses, vary in size and can be dispersed into the air in drops of moisture after coughing or sneezing. Small drops of moisture carrying infectious pathogens are called droplet nuclei. Droplet nuclei are about 1 to 5μm in diameter. This small size in part allows them to remain suspended in the air for several hours and be carried by air currents over considerable distances. Large drops of moisture carrying infectious pathogens are called droplets. Droplets being larger than droplet nuclei, travel shorter distances (about 1 metre) before rapidly falling out of the air to the ground. Because droplet nuclei remain airborne for longer periods than do droplets, they are more amenable to engineering infection control methods than are droplets. Droplet nuclei are responsible for the airborne transmission of infectious diseases such as tuberculosis, chicken pox (varicella), measles (rubeola), and dessiminated herpes zoster, whereas close contact is required for the direct transmission of infectious diseases transmitted by droplets, such as influenza (the flu) and SARS. In-room air cleaners are supplied as portable or fixed devices. Fixed devices can be attached to either a wall or ceiling and are preferred over portable units because they have a greater degree of reliability (if installed properly) for achieving adequate room air mixing and airflow patterns, which are important for optimal effectiveness. Through a method of air recirculation, an in-room air cleaner can be used to increase room ventilation rates and if used to exhaust air out of the room it can create a negative-pressure room for airborne infection isolation (AII) when the building's HVAC system cannot do so. A negative-pressure room is one where clean air flows into the room but contaminated air does not flow out of it. Contaminated room air is pulled into the in-room air cleaner and cleaned by passing through a series of filters, which remove the airborne infectious pathogens. The cleaned air is either recirculated into the room or exhausted outside the building. By filtering contaminated room air and then recirculating the cleaned air into the room, an in-room air cleaner can improve the room's ventilation. By exhausting the filtered air to the outside the unit can create a negative-pressure room. There are many types of in-room air cleaners. They vary widely in the airflow rates through the unit, the type of air cleaning technology used, and the technical design. Crucial to maximizing the efficiency of any in-room air cleaner is its strategic placement and set-up within a room, which should be done in consultation with ventilation engineers, infection control experts, and/or industrial hygienists. A poorly positioned air cleaner may disrupt airflow patterns within the room and through the air cleaner, thereby compromising its air cleaning efficiency. The effectiveness of an in-room air cleaner to remove airborne pathogens from room air depends on several factors, including the airflow rate through the unit's filter and the airflow patterns in the room. Tested under a variety of conditions, in-room air cleaners, including portable or ceiling mounted units with either a HEPA or a non-HEPA filter, portable units with UVGI lights only, or ceiling mounted units with combined HEPA filtration and UVGI lights, have been estimated to be between 30% and 90%, 99% and 12% and 80% effective, respectively. However, and although their effectiveness is variable, the United States Centers for Disease Control and Prevention has acknowledged in-room air cleaners as alternative technology for increasing room ventilation when this cannot be achieved by the building's HVAC system with preference given to fixed recirculating systems over portable ones. Importantly, the use of an in-room air cleaner does not preclude either the need for health care workers and visitors to use personal protective equipment (N95 mask or equivalent) when entering AII rooms or health care facilities from meeting current regulatory requirements for airflow rates (ventilation rates) in buildings and airflow differentials for effective negative-pressure rooms. The Plasmacluster ion technology, developed in 2000, is an air purification technology. Its manufacturer, Sharp Electronics Corporation, says that it can disable airborne microorganisms through the generation of both positive and negative ions. (1) The functional unit is the hydroxyl, which is a molecule comprised of one oxygen molecule and one hydrogen atom. Plasmacluster ion air purifier uses a multilayer filter system composed of a prefilter, a carbon filter, an antibacterial filter, and a HEPA filter, combined with an ion generator to purify the air. The ion generator uses an alternating plasma discharge to split water molecules into positively and negatively charged ions. When these ions are emitted into the air, they are surrounded by water molecules and form cluster ions which are attracted to airborne particles. The cluster ion surrounds the airborne particle, and the positive and negative ions react to form hydroxyls. These hydroxyls steal the airborne particle's hydrogen atom, which creates a hole in the particle's outer protein membrane, thereby rendering it inactive. Because influenza is primarily acquired by large droplets and direct and indirect contact with an infectious person, any in-room air cleaner will have little benefit in controlling and preventing its spread. Therefore, there is no role for the Plasmacluster ion air purifier or any other in-room air cleaner in the control of the spread of influenza. Accordingly, for purposes of this review, the Medical Advisory Secretariat presents no further analysis of the Plasmacluster. The objective of the systematic review was to determine the effectiveness of in-room air cleaners with built in UVGI lights and HEPA filtration compared with those using HEPA filtration only. The Medical Advisory Secretariat searched the databases of MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, INAHATA (International Network of Agencies for Health Technology Assessment), Biosis Previews, Bacteriology Abstracts, Web of Science, Dissertation Abstracts, and NIOSHTIC 2. A meta-analysis was conducted if adequate data was available from 2 or more studies and where statistical and clinical heterogeneity among studies was not an issue. Otherwise, a qualitative review was completed. The GRADE system was used to summarize the quality of the body of evidence comprised of 1 or more studies. There were no existing health technology assessments on air cleaning technology located during the literature review. The literature search yielded 59 citations of which none were retained. (ABSTRACT TRUNCATED)

Rates and Determinants of Return to Play After Anterior Cruciate Ligament Reconstruction in National Collegiate Athletic Association Division I Soccer Athletes: A Study of the Southeastern Conference.

PubMed

Howard, Jennifer S; Lembach, Mark L; Metzler, Adam V; Johnson, Darren L

2016-02-01

Factors and details regarding return to play in elite, collegiate female soccer athletes after an anterior cruciate ligament (ACL) injury and reconstruction have not been well studied. To evaluate return to play among collegiate female soccer players, specifically examining the effect of surgical and individual athlete characteristics on the return-to-play rate. Descriptive epidemiology study. Sports medicine and athletic training staff at institutions from the National Collegiate Athletic Association Southeastern Conference (SEC) were contacted to request participation in the study. All institutions were sent a standardized spreadsheet with response choices and instructions regarding athlete inclusion criteria. Athlete, injury, surgical technique, and return-to-play data were requested for ACL reconstructions performed on female soccer athletes at the participating institutions over the previous 8 years. χ(2) analyses were used to compare the return-to-play rate by year in school, scholarship status, position, depth chart status, procedure, graft type, graft fixation, concomitant procedures, and previous ACL injuries. All 14 of the SEC institutions chose to participate and provided data. A total of 80 ACL injuries were reported, with 79 surgical reconstructions and return-to-play data for 78 collegiate soccer athletes. The overall return-to-play rate was 85%. There was a statistical significance in return-to-play rates favoring athletes in earlier years of eligibility versus later years (P < .001). Athletes in eligibility years 4 and 5 combined had a return-to-play rate of only 40%. Scholarship status likewise showed significance (P < .001), demonstrating a higher return-to-play rate for scholarship athletes (91%) versus nonscholarship athletes (46%). No significant differences in return-to-play rates were observed based on surgical factors, including concomitant knee procedures, graft type, and graft fixation method. Collegiate female soccer athletes have a high initial return-to-play rate. Undergoing ACL reconstruction earlier in the college career as well as the presence of a scholarship had a positive effect on return to play. Surgical factors including graft type, fixation method, tunnel placement technique, concomitant knee surgeries, and revision status demonstrated no significant effect on the return-to-play rate. © 2015 The Author(s).

Investigation of gaseous ozone for MRSA decontamination of hospital side-rooms.

PubMed

Berrington, A W; Pedler, S J

1998-09-01

A domestic, gaseous ozone generator was investigated for use in the decontamination of hospital side-rooms that have housed patients colonized with methicillin-resistant Staphylococcus aureus (MRSA). Three models of bacterial contamination were used. These were exposed to ozone generation in a standard hospital side-room for 4 and 7 h. A methicillin-sensitive and a methicillin-resistant strain of S. aureus were compared. Ozone concentrations of 0.14 ppm were reached, levels which are sufficient to cause mild pulmonary toxicity. Bacterial counts were reduced in the vicinity of the gas generator in most instances, but the effect elsewhere in the room was, at best, limited. MRSA appeared more resistant to the effects of ozone than methicillin-sensitive S. aureus. We conclude that the device tested would be inadequate for the decontamination of such hospital side-rooms.

Evaluation of sample stability for a quantitative faecal immunochemical test and comparison of two sample collection approaches.

PubMed

Mellen, Samantha; de Ferrars, Maria; Chapman, Claire; Bevan, Sarah; Turvill, James; Turnock, Daniel

2018-01-01

Background Faecal immunochemical testing is increasingly being used to triage symptomatic patients for suspected colorectal cancer. However, there are limited data on the effect of preanalytical factors on faecal haemoglobin when measured by faecal immunochemical testing. The aim of this work was to evaluate the stability of faecal haemoglobin in faeces and to compare two methods of faecal haemoglobin sampling for faecal immunochemical testing. Methods Six patients provided faeces for faecal haemoglobin measurement which were transferred into specialized collection devices at baseline and at 1, 2, 3 and 7 days after storage at either room temperature or 4°C. A total of 137 patients returned both faeces transferred into the specialized collection device and faeces in a standard collection pot. A quantitative immunoturbidometric method was used to measure faecal haemoglobin and results were compared categorically. Discrepant results were assessed against diagnosis. Results Faecal haemoglobin concentration declined rapidly within a day of storage at room temperature but results remained ≥10 μg Hb/g faeces in 5/6 patients after two days. A faecal haemoglobin result ≥10 μg Hb/g faeces was obtained in 4/6 patients after storage for seven days at 4°C. Results obtained when patients used specialized collection devices were significantly different from results obtained when faeces was transferred into the specialized collection device in the laboratory. Conclusion There is considerable heterogeneity in the sample stability of faecal haemoglobin; therefore, samples should be transferred rapidly into specialized collection devices to prevent false-negative results. Use of collection devices by patients can lead to false-positive results compared with their use in a laboratory.

Return to work of workers without a permanent employment contract, sick-listed due to a common mental disorder: design of a randomised controlled trial.

PubMed

Lammerts, Lieke; Vermeulen, Sylvia J; Schaafsma, Frederieke G; van Mechelen, Willem; Anema, Johannes R

2014-06-12

Workers without a permanent employment contract represent a vulnerable group within the working population. Mental disorders are a major cause of sickness absence within this group. Common mental disorders are stress-related, depressive and anxiety disorders. To date, little attention has been paid to effective return to work interventions for this type of sick-listed workers. Therefore, a participatory supportive return to work program has been developed. It combines elements of a participatory return to work program, integrated care and direct placement in a competitive job.The objective of this paper is to describe the design of a randomised controlled trial to evaluate the cost-effectiveness of this program compared to care as usual. The cost-effectiveness of the participatory supportive return to work program will be examined in a randomised controlled trial with a follow-up of twelve months.The program strongly involves the sick-listed worker in the identification of obstacles for return to work and possible solutions, resulting in a consensus based action plan. This plan will be used as a starting point for the search of suitable competitive employment with support of a rehabilitation agency. During this process the insurance physician of the sick-listed worker contacts other caregivers to promote integrated care.Workers eligible to participate in this study have no permanent employment contract, have applied for a sickness benefit at the Dutch Social Security Agency and are sick-listed between two and fourteen weeks due to mental health problems.The primary outcome measure is the duration until first sustainable return to work in a competitive job. Outcomes are measured at baseline and after three, six, nine and twelve months. If the participatory supportive return to work program proves to be cost-effective, the social security system, the sick-listed worker and society as a whole will benefit. A cost-effective return to work program will lead to a reduction of costs related to sickness absence. For the sick-listed worker a cost-effective program results in earlier sustainable return to work, which can be associated with both social and health benefits. The trial registration number and date is NTR3563, August 7, 2012.

Return to work of workers without a permanent employment contract, sick-listed due to a common mental disorder: design of a randomised controlled trial

PubMed Central

2014-01-01

Background Workers without a permanent employment contract represent a vulnerable group within the working population. Mental disorders are a major cause of sickness absence within this group. Common mental disorders are stress-related, depressive and anxiety disorders. To date, little attention has been paid to effective return to work interventions for this type of sick-listed workers. Therefore, a participatory supportive return to work program has been developed. It combines elements of a participatory return to work program, integrated care and direct placement in a competitive job. The objective of this paper is to describe the design of a randomised controlled trial to evaluate the cost-effectiveness of this program compared to care as usual. Methods/Design The cost-effectiveness of the participatory supportive return to work program will be examined in a randomised controlled trial with a follow-up of twelve months. The program strongly involves the sick-listed worker in the identification of obstacles for return to work and possible solutions, resulting in a consensus based action plan. This plan will be used as a starting point for the search of suitable competitive employment with support of a rehabilitation agency. During this process the insurance physician of the sick-listed worker contacts other caregivers to promote integrated care. Workers eligible to participate in this study have no permanent employment contract, have applied for a sickness benefit at the Dutch Social Security Agency and are sick-listed between two and fourteen weeks due to mental health problems. The primary outcome measure is the duration until first sustainable return to work in a competitive job. Outcomes are measured at baseline and after three, six, nine and twelve months. Discussion If the participatory supportive return to work program proves to be cost-effective, the social security system, the sick-listed worker and society as a whole will benefit. A cost-effective return to work program will lead to a reduction of costs related to sickness absence. For the sick-listed worker a cost-effective program results in earlier sustainable return to work, which can be associated with both social and health benefits. Trial registration The trial registration number and date is NTR3563, August 7, 2012. PMID:24919561

Return behavior of occasional and multigallon blood donors: the role of theory of planned behavior, self-identity, and organizational variables.

PubMed

Wevers, Anne; Wigboldus, Daniël H J; van Baaren, Rick; Veldhuizen, Ingrid J T

2014-03-01

For blood establishments it is important that blood donors return for a donation. Past research has stressed the importance of theory of planned behavior (TPB) on return behavior, but self-identity (SI) and organizational variables (OVs) might play a role as well. This study added SI and OVs to the TPB to identify the determinants for return behavior. Whole blood donors (n = 2005) completed a questionnaire assessing TPB, SI, and OVs. OVs contained "perceived satisfaction with the blood bank" and "feeling pressure from the blood bank to donate blood." Return behavior over the past 2 years was dichotomized as low return (0%-50%) versus high return (51%-100%). Logistic regression analyses assessed the effects of TPB, SI, and OVs on high return, separately for occasional donors (two to 10 lifetime donations) and multigallon donors (>10 lifetime donations). Results showed that, for all donors, affective attitude was positively associated with return behavior, whereas pressure to donate blood was negatively associated with return behavior. The point estimates of self-efficacy, SI, and perceived satisfaction are high for multigallon donors, but do not reach significance. For all donors, positive feelings about donating blood stimulate return behavior, while experiencing a pressure to donate blood emanating from the blood bank was not beneficial. Results suggest that multigallon donors are more stimulated to return when they score higher on self-efficacy, SI, and perceived satisfaction. Interventions aiming at donor retention need to be carefully formulated to avoid negative effects of feeling pressure to donate blood. © 2013 American Association of Blood Banks.

Energy Efficiency in Small Server Rooms: Field Surveys and Findings

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

Cheung, Iris; Greenberg, Steve; Mahdavi, Roozbeh

Fifty-seven percent of US servers are housed in server closets, server rooms, and localized data centers, in what are commonly referred to as small server rooms, which comprise 99percent of all server spaces in the US. While many mid-tier and enterprise-class data centers are owned by large corporations that consider energy efficiency a goal to minimize business operating costs, small server rooms typically are not similarly motivated. They are characterized by decentralized ownership and management and come in many configurations, which creates a unique set of efficiency challenges. To develop energy efficiency strategies for these spaces, we surveyed 30 smallmore » server rooms across eight institutions, and selected four of them for detailed assessments. The four rooms had Power Usage Effectiveness (PUE) values ranging from 1.5 to 2.1. Energy saving opportunities ranged from no- to low-cost measures such as raising cooling set points and better airflow management, to more involved but cost-effective measures including server consolidation and virtualization, and dedicated cooling with economizers. We found that inefficiencies mainly resulted from organizational rather than technical issues. Because of the inherent space and resource limitations, the most effective measure is to operate servers through energy-efficient cloud-based services or well-managed larger data centers, rather than server rooms. Backup power requirement, and IT and cooling efficiency should be evaluated to minimize energy waste in the server space. Utility programs are instrumental in raising awareness and spreading technical knowledge on server operation, and the implementation of energy efficiency measures in small server rooms.« less

Improving vocational rehabilitation services for injured workers in Washington State.

PubMed

Sears, Jeanne M; Wickizer, Thomas M; Schulman, Beryl A

2014-06-01

Workers who incur permanent impairments or have ongoing medical restrictions due to injuries or illnesses sustained at work may require support from vocational rehabilitation programs in order to return to work. Vocational rehabilitation programs implemented within workers' compensation settings are costly, and effective service delivery has proven challenging. The Vocational Improvement Project, a 5.5-year pilot program beginning in 2008, introduced major changes to the Washington State workers' compensation-based vocational rehabilitation program. In the evaluation of this pilot program, set within a large complex system characterized by competing stakeholder interests, we assessed effects on system efficiency and employment outcomes for injured workers. While descriptive in nature, this evaluation provided evidence that several of the intended outcomes were attained, including: (1) fewer repeat referrals, (2) fewer delays, (3) increased choice for workers, and (4) establishment of statewide partnerships to improve worker outcomes. There remains substantial room for further improvement. Retraining plan completion rates remain under 60% and only half of workers earned any wages within two years of completing their retraining plan. Ongoing communication with stakeholders was critical to the successful conduct and policy impact of this evaluation, which culminated in a 3-year extension of the pilot program through June 2016. Copyright © 2013 Elsevier Ltd. All rights reserved.

Temporal correlation measurements of pulsed dual CO2 lidar returns. [for atmospheric pollution detection

NASA Technical Reports Server (NTRS)

Menyuk, N.; Killinger, D. K.

1981-01-01

A pulsed dual-laser direct-detection differential-absorption lidar DIAL system, operating near 10.6 microns, is used to measure the temporal correlation and statistical properties of backscattered returns from specular and diffuse topographic targets. Results show that atmospheric-turbulence fluctuations can effectively be frozen for pulse separation times on the order of 1-3 msec or less. The diffuse target returns, however, yielded a much lower correlation than that obtained with the specular targets; this being due to uncorrelated system noise effects and different statistics for the two types of target returns.

The pricing effect of the common pattern in firm-level idiosyncratic volatility: Evidence from A-Share stocks of China

NASA Astrophysics Data System (ADS)

Su, Zhi; Shu, Tengjia; Yin, Libo

2018-05-01

Inspired by Herskovic et al. (2016), we investigate the pricing effect of the firm-level common idiosyncratic volatility (CIV) in China's A-Share market. Return tests indicate that lower CIV risk loadings bring higher returns significantly, while the pricing function of market volatility (MV) is inconsistent. Strategy that goes long the highest CIV-beta quintile and short the lowest CIV-beta quintile brings an annualized average return of 5%-7%. Our findings supplement Herskovic et al. (2016) by confirming a significantly negative relationship between CIV and stock returns in a developing market.

Assessing Idaho Rural Family Physician Scope of Practice Over Time.

PubMed

Schmitz, David; Baker, Ed; MacKenzie, Lisa; Kinney, Logan; Epperly, Ted

2015-01-01

An important consideration determining health outcomes is to have an adequate supply of physicians to address the health needs of the community. The purpose of this investigation was to assess scope of practice factors for Idaho rural family physicians in 2012 and to compare these results to findings from a 2007 study. The target population in this study was rural family physicians in Idaho counties with populations of fewer than 50,000. Identical surveys and methods were utilized in both 2007 and 2012. The physician survey was mailed to 252 rural physicians and was returned by 89 for a response rate of 35.3%. Parametric and nonparametric statistical analyses were conducted to analyze the 2012 results and to assess changes in scope of practice across the time periods. The percentage of rural family physicians in Idaho in 2012 who provided prenatal care, vaginal deliveries, and nursing home care was significantly lower than the results from the 2007 survey. Female physicians were more likely to provide prenatal care and vaginal deliveries than males in 2012. Male physicians were more likely to provide emergency room coverage and esophagogastroduodenoscopy or colonoscopy services than females in 2012. Younger physicians were found to be more likely to provide inpatient admissions and mental health services in 2012 than older physicians. Employed physicians were more likely to provide cesarean delivery, other operating room services and emergency room coverage in 2012 than nonemployed physicians. Further research is needed to assess the root causes of these changes. © 2015 National Rural Health Association.

In view of standardization: comparison and analysis of initial management of severely burned patients in Germany, Austria and Switzerland.

PubMed

Münzberg, Matthias; Ziegler, Benjamin; Fischer, Sebastian; Wölfl, Christoph Georg; Grützner, Paul Alfred; Kremer, Thomas; Kneser, Ulrich; Hirche, Christoph

2015-02-01

Initial treatment of severely injured patients in German speaking trauma centers follows precise sequences. Several guidelines and training courses ensure a constant quality in providing evidence-based treatment for these patients. Similar standards, algorithms and guidelines for the treatment of severely burned patients are lacking. This raises the question about the current standard of care for burn victims in German speaking burn centers. In order to achieve standardization, as a first step this study surveys principles of burn room organization and management in these burn centers. A questionnaire including 40 questions regarding burn room organization, personnel structure and qualification, infrastructural conditions and quality management was developed and sent to 21 level one burn centers in Germany, Austria and Switzerland. The rate of returned questionnaires was 81%. The analysis revealed varying personnel and infrastructural conditions in participating burn centers. Indications for admission to the burn room and admission procedures itself are different throughout surveyed hospitals. Individual standard operating procedure (SOP) for burn trauma admissions was available in most burn centers and nearly all participants register their burn trauma cases using an in-house burn register. The survey suggests a lack of standardization in personnel structure, infrastructure and treatment approach for the initial clinical care of severely burned patients in burn centers across the German speaking countries. Further evaluation of existing protocols and international standards in burn care is inevitable to develop standardized guidelines for burn care and to improve quality of care. Copyright © 2014 Elsevier Ltd and ISBI. All rights reserved.

The influence of personal characteristics on the resilience of operating room nurses: a predictor study.

PubMed

Gillespie, Brigid M; Chaboyer, Wendy; Wallis, Marianne

2009-07-01

Resilience in the workplace has been described as a means of facilitating adaptation in stressful environments, and therefore has application in nursing contexts. However, little research has examined how personal characteristics such as age, nursing experience and education contribute to resilience in clinical environments such as the operating room (OR). First to identify the level of resilience, and second, investigate whether age, experience and education contribute to resilience in an Australian sample of OR nurses. A predictive survey design was used. A random sample of 1430 nurses who were members of the Australian College of Operating Room Nurses association were surveyed. The survey included the 25-item Connor-Davidson Resilience Scale, and demographic questions. A standard regression model tested the hypothesis that age, years of OR experience and education contributed to resilience in OR nurses. A total of 735 (51.4%) completed, usable surveys were returned. Pearson's correlations demonstrated modest but statistically significant associations between age (p<0.001), and years of OR experience (p<0.0001), and resilience. In the multiple regression model, only years of OR experience predicted resilience (p<0.0001) and explained a small 3.1% of the variance in resilience. In OR nurses, resilience appears to be predicted by other attributes and is not necessarily dependent on an individual's personal characteristics. Thus, recruitment to the OR should not be based on the conventional notion that an older nursing workforce will have greater longevity and hence be more stable. If younger, less experienced nurses are adequately supported, they may thrive in the OR environment.

Implementation of an intraoperative blood transport and storage initiative and its effect on reducing red blood cell and plasma waste.

PubMed

Brown, Michael J; Button, Lisa M; Badjie, Karafa S; Guyer, Jean M; Dhanorker, Sarah R; Brach, Erin J; Johnson, Pamela M; Stubbs, James R

2014-03-01

The national waste rate for hospital-issued blood products ranges from 0% to 6%, with operating room-responsible waste representing up to 70% of total hospital waste. A common reason for blood product waste is inadequate intraoperative storage. Our transfusion service database was used to quantify and categorize red blood cell (RBC) and fresh-frozen plasma (FFP) units issued for intraoperative transfusion that were wasted over a 27-month period. Two cohorts were created: 1) before implementation of a blood transport and storage initiative (BTSI)-RBC and plasma waste January 1, 2011-May 31, 2012; 2) after implementation of BTSI-RBC and plasma waste June 1, 2012, to March 31, 2013. The BTSI replaced existing storage coolers (8-hr coolant life span with temperature range of 1-10°C) with a cooler that had a coolant life span of 18 hours and a temperature range of 1 to 6°C and included an improved educational cooler placard and an alert mechanism in the electronic health record. Monthly median RBC and plasma waste and its associated cost were the primary outcomes. An intraoperative BTSI significantly reduced median monthly RBC (1.3% vs. 0.07%) and FFP (0.4% vs. 0%) waste and its associated institutional cost. The majority of blood product waste was due to an unacceptable temperature of unused returned blood products. An intraoperative BTSI significantly reduced median monthly RBC and FFP waste. The cost to implement this initiative was small, resulting in a significant estimated return on investment that may be reproducible in institutions other than ours. © 2013 American Association of Blood Banks.

The effect of application of cold natural smoke on the ripening of Cheddar cheese.

PubMed

Shakeel-Ur-Rehman; Farkye, N Y; Drake, M A

2003-06-01

The present study was undertaken to study the effects of application of natural wood smoke on ripening of Cheddar cheese, and to determine the effects of smoking before or after ripening on cheese quality. A 20-kg block of Cheddar cheese obtained immediately after pressing was divided into six approximately 3-kg blocks and ripened at 8 degrees C for up to 270 d. One 3-kg block was taken after 1 d, 1, 3, 6, or 9 mo and smoked for 20 min, then returned to the ripening room for further ripening. Cheeses were sampled at intervals for lactobacilli counts, moisture, pH, and proteolysis. Sensory analysis was conducted on 6 and 9-mo-old cheeses by a trained sensory panel (n = 7). Results show that application of natural wood smoke did not significantly affect cheese pH or primary proteolysis during ripening. However, secondary proteolysis as assessed by the concentrations of free amino acids was generally higher in smoked cheeses than in control cheeses after 6 mo of ripening. Cheese smoked after 6 mo of ripening had better smoked flavor than that smoked after 9 mo of ripening. Cheese smoked after 3 mo of age and further ripened for 6 mo had the highest smoked flavor intensity. It is concluded that it is best to smoke cheese after ripening for at least 3 mo.

Radiation from lightning return strokes over a finitely conducting earth

NASA Technical Reports Server (NTRS)

Le Vine, D. M.; Gesell, L.; Kao, Michael

1986-01-01

The effects of the conductivity of the earth on radiation from lightning return strokes are examined theoretically using a piecewise linear transmission line model for the return stroke. First, calculations are made of the electric field radiated during the return stroke, and then this electric field is used to compute the response of conventional AM radio receivers and electric field change systems during the return stroke. The calculations apply to the entire transient waveform (they are not restricted to the initial portions of the return stroke) and yield fast field changes and RF radiation in agreement with measurements made during real lightning. This research was motivated by measurements indicating that a time delay exists between the time of arrival of the fast electric field change and the RF radiation from first return strokes. The time delay is on the order of 20 microsec for frequencies in the HF-UHF range for lightning in Florida. The time delay is obtained theoretically in this paper. It occurs when both the effects of attenuation due to conductivity of the earth, and the finite velocity of propagation of the current pulse up the return stroke channel, are taken into account in the model.

The effects of behavioral and structural assumptions in artificial stock market

NASA Astrophysics Data System (ADS)

Liu, Xinghua; Gregor, Shirley; Yang, Jianmei

2008-04-01

Recent literature has developed the conjecture that important statistical features of stock price series, such as the fat tails phenomenon, may depend mainly on the market microstructure. This conjecture motivated us to investigate the roles of both the market microstructure and agent behavior with respect to high-frequency returns and daily returns. We developed two simple models to investigate this issue. The first one is a stochastic model with a clearing house microstructure and a population of zero-intelligence agents. The second one has more behavioral assumptions based on Minority Game and also has a clearing house microstructure. With the first model we found that a characteristic of the clearing house microstructure, namely the clearing frequency, can explain fat tail, excess volatility and autocorrelation phenomena of high-frequency returns. However, this feature does not cause the same phenomena in daily returns. So the Stylized Facts of daily returns depend mainly on the agents’ behavior. With the second model we investigated the effects of behavioral assumptions on daily returns. Our study implicates that the aspects which are responsible for generating the stylized facts of high-frequency returns and daily returns are different.

Effect of temperature shock and inventory surprises on natural gas and heating oil futures returns.

PubMed

Hu, John Wei-Shan; Hu, Yi-Chung; Lin, Chien-Yu

2014-01-01

The aim of this paper is to examine the impact of temperature shock on both near-month and far-month natural gas and heating oil futures returns by extending the weather and storage models of the previous study. Several notable findings from the empirical studies are presented. First, the expected temperature shock significantly and positively affects both the near-month and far-month natural gas and heating oil futures returns. Next, significant temperature shock has effect on both the conditional mean and volatility of natural gas and heating oil prices. The results indicate that expected inventory surprises significantly and negatively affects the far-month natural gas futures returns. Moreover, volatility of natural gas futures returns is higher on Thursdays and that of near-month heating oil futures returns is higher on Wednesdays than other days. Finally, it is found that storage announcement for natural gas significantly affects near-month and far-month natural gas futures returns. Furthermore, both natural gas and heating oil futures returns are affected more by the weighted average temperature reported by multiple weather reporting stations than that reported by a single weather reporting station.

Effect of Temperature Shock and Inventory Surprises on Natural Gas and Heating Oil Futures Returns

PubMed Central

Hu, John Wei-Shan; Lin, Chien-Yu

2014-01-01

The aim of this paper is to examine the impact of temperature shock on both near-month and far-month natural gas and heating oil futures returns by extending the weather and storage models of the previous study. Several notable findings from the empirical studies are presented. First, the expected temperature shock significantly and positively affects both the near-month and far-month natural gas and heating oil futures returns. Next, significant temperature shock has effect on both the conditional mean and volatility of natural gas and heating oil prices. The results indicate that expected inventory surprises significantly and negatively affects the far-month natural gas futures returns. Moreover, volatility of natural gas futures returns is higher on Thursdays and that of near-month heating oil futures returns is higher on Wednesdays than other days. Finally, it is found that storage announcement for natural gas significantly affects near-month and far-month natural gas futures returns. Furthermore, both natural gas and heating oil futures returns are affected more by the weighted average temperature reported by multiple weather reporting stations than that reported by a single weather reporting station. PMID:25133233

Emergency Room Sudden Death: What Can be Done for the Survivors?

ERIC Educational Resources Information Center

Jones, William H.

1978-01-01

Persons called to a hospital emergency room as the result of a sudden death of a relative or friend are usually in need of emotional support while still at the emergency room. This article identifies characteristics of an effective emotional support model for use in such situations. (Author)

Relationship Between Auditory Context and Visual Distance Perception: Effect of Musical Expertise in the Ability to Translate Reverberation Cues Into Room-Size Perception.

PubMed

Etchemendy, Pablo E; Spiousas, Ignacio; Vergara, Ramiro

2018-01-01

In a recently published work by our group [ Scientific Reports, 7, 7189 (2017)], we performed experiments of visual distance perception in two dark rooms with extremely different reverberation times: one anechoic ( T ∼ 0.12 s) and the other reverberant ( T ∼ 4 s). The perceived distance of the targets was systematically greater in the reverberant room when contrasted to the anechoic chamber. Participants also provided auditorily perceived room-size ratings which were greater for the reverberant room. Our hypothesis was that distance estimates are affected by room size, resulting in farther responses for the room perceived larger. Of much importance to the task was the subjects' ability to infer room size from reverberation. In this article, we report a postanalysis showing that participants having musical expertise were better able to extract and translate reverberation cues into room-size information than nonmusicians. However, the degree to which musical expertise affects visual distance estimates remains unclear.

Air Cleaning Technologies

PubMed Central

2005-01-01

Executive Summary Objective This health technology policy assessment will answer the following questions: When should in-room air cleaners be used? How effective are in-room air cleaners? Are in-room air cleaners that use combined HEPA and UVGI air cleaning technology more effective than those that use HEPA filtration alone? What is the Plasmacluster ion air purifier in the pandemic influenza preparation plan? The experience of severe acute respiratory syndrome (SARS) locally, nationally, and internationally underscored the importance of administrative, environmental, and personal protective infection control measures in health care facilities. In the aftermath of the SARS crisis, there was a need for a clearer understanding of Ontario’s capacity to manage suspected or confirmed cases of airborne infectious diseases. In so doing, the Walker Commission thought that more attention should be paid to the potential use of new technologies such as in-room air cleaning units. It recommended that the Medical Advisory Secretariat of the Ontario Ministry of Health and Long-Term Care evaluate the appropriate use and effectiveness of such new technologies. Accordingly, the Ontario Health Technology Advisory Committee asked the Medical Advisory Secretariat to review the literature on the effectiveness and utility of in-room air cleaners that use high-efficiency particle air (HEPA) filters and ultraviolet germicidal irradiation (UVGI) air cleaning technology. Additionally, the Ontario Health Technology Advisory Committee prioritized a request from the ministry’s Emergency Management Unit to investigate the possible role of the Plasmacluster ion air purifier manufactured by Sharp Electronics Corporation, in the pandemic influenza preparation plan. Clinical Need Airborne transmission of infectious diseases depends in part on the concentration of breathable infectious pathogens (germs) in room air. Infection control is achieved by a combination of administrative, engineering, and personal protection methods. Engineering methods that are usually carried out by the building’s heating, ventilation, and air conditioning (HVAC) system function to prevent the spread of airborne infectious pathogens by diluting (dilution ventilation) and removing (exhaust ventilation) contaminated air from a room, controlling the direction of airflow and the air flow patterns in a building. However, general wear and tear over time may compromise the HVAC system’s effectiveness to maintain adequate indoor air quality. Likewise, economic issues may curtail the completion of necessary renovations to increase its effectiveness. Therefore, when exposure to airborne infectious pathogens is a risk, the use of an in-room air cleaner to reduce the concentration of airborne pathogens and prevent the spread of airborne infectious diseases has been proposed as an alternative to renovating a HVAC system. Airborne transmission is the spread of infectious pathogens over large distances through the air. Infectious pathogens, which may include fungi, bacteria, and viruses, vary in size and can be dispersed into the air in drops of moisture after coughing or sneezing. Small drops of moisture carrying infectious pathogens are called droplet nuclei. Droplet nuclei are about 1 to 5μm in diameter. This small size in part allows them to remain suspended in the air for several hours and be carried by air currents over considerable distances. Large drops of moisture carrying infectious pathogens are called droplets. Droplets being larger than droplet nuclei, travel shorter distances (about 1 metre) before rapidly falling out of the air to the ground. Because droplet nuclei remain airborne for longer periods than do droplets, they are more amenable to engineering infection control methods than are droplets. Droplet nuclei are responsible for the airborne transmission of infectious diseases such as tuberculosis, chicken pox (varicella), measles (rubeola), and dessiminated herpes zoster, whereas close contact is required for the direct transmission of infectious diseases transmitted by droplets, such as influenza (the flu) and SARS. The Technology In-room air cleaners are supplied as portable or fixed devices. Fixed devices can be attached to either a wall or ceiling and are preferred over portable units because they have a greater degree of reliability (if installed properly) for achieving adequate room air mixing and airflow patterns, which are important for optimal effectiveness. Through a method of air recirculation, an in-room air cleaner can be used to increase room ventilation rates and if used to exhaust air out of the room it can create a negative-pressure room for airborne infection isolation (AII) when the building’s HVAC system cannot do so. A negative-pressure room is one where clean air flows into the room but contaminated air does not flow out of it. Contaminated room air is pulled into the in-room air cleaner and cleaned by passing through a series of filters, which remove the airborne infectious pathogens. The cleaned air is either recirculated into the room or exhausted outside the building. By filtering contaminated room air and then recirculating the cleaned air into the room, an in-room air cleaner can improve the room’s ventilation. By exhausting the filtered air to the outside the unit can create a negative-pressure room. There are many types of in-room air cleaners. They vary widely in the airflow rates through the unit, the type of air cleaning technology used, and the technical design. Crucial to maximizing the efficiency of any in-room air cleaner is its strategic placement and set-up within a room, which should be done in consultation with ventilation engineers, infection control experts, and/or industrial hygienists. A poorly positioned air cleaner may disrupt airflow patterns within the room and through the air cleaner, thereby compromising its air cleaning efficiency. The effectiveness of an in-room air cleaner to remove airborne pathogens from room air depends on several factors, including the airflow rate through the unit’s filter and the airflow patterns in the room. Tested under a variety of conditions, in-room air cleaners, including portable or ceiling mounted units with either a HEPA or a non-HEPA filter, portable units with UVGI lights only, or ceiling mounted units with combined HEPA filtration and UVGI lights, have been estimated to be between 30% and 90%, 99% and 12% and 80% effective, respectively. However, and although their effectiveness is variable, the United States Centers for Disease Control and Prevention has acknowledged in-room air cleaners as alternative technology for increasing room ventilation when this cannot be achieved by the building’s HVAC system with preference given to fixed recirculating systems over portable ones. Importantly, the use of an in-room air cleaner does not preclude either the need for health care workers and visitors to use personal protective equipment (N95 mask or equivalent) when entering AII rooms or health care facilities from meeting current regulatory requirements for airflow rates (ventilation rates) in buildings and airflow differentials for effective negative-pressure rooms. The Plasmacluster ion technology, developed in 2000, is an air purification technology. Its manufacturer, Sharp Electronics Corporation, says that it can disable airborne microorganisms through the generation of both positive and negative ions. (1) The functional unit is the hydroxyl, which is a molecule comprised of one oxygen molecule and one hydrogen atom. Plasmacluster ion air purifier uses a multilayer filter system composed of a prefilter, a carbon filter, an antibacterial filter, and a HEPA filter, combined with an ion generator to purify the air. The ion generator uses an alternating plasma discharge to split water molecules into positively and negatively charged ions. When these ions are emitted into the air, they are surrounded by water molecules and form cluster ions which are attracted to airborne particles. The cluster ion surrounds the airborne particle, and the positive and negative ions react to form hydroxyls. These hydroxyls steal the airborne particle’s hydrogen atom, which creates a hole in the particle’s outer protein membrane, thereby rendering it inactive. Because influenza is primarily acquired by large droplets and direct and indirect contact with an infectious person, any in-room air cleaner will have little benefit in controlling and preventing its spread. Therefore, there is no role for the Plasmacluster ion air purifier or any other in-room air cleaner in the control of the spread of influenza. Accordingly, for purposes of this review, the Medical Advisory Secretariat presents no further analysis of the Plasmacluster. Review Strategy The objective of the systematic review was to determine the effectiveness of in-room air cleaners with built in UVGI lights and HEPA filtration compared with those using HEPA filtration only. The Medical Advisory Secretariat searched the databases of MEDLINE, EMBASE, Cochrane Database of Systematic Reviews, INAHATA (International Network of Agencies for Health Technology Assessment), Biosis Previews, Bacteriology Abstracts, Web of Science, Dissertation Abstracts, and NIOSHTIC 2. A meta-analysis was conducted if adequate data was available from 2 or more studies and where statistical and clinical heterogeneity among studies was not an issue. Otherwise, a qualitative review was completed. The GRADE system was used to summarize the quality of the body of evidence comprised of 1 or more studies. Summary of Findings There were no existing health technology assessments on air cleaning technology located during the literature review. The literature search yielded 59 citations of which none were retained. One study was retrieved from a reference list of a guidance document from the United States Centers for Disease Control and Prevention, which evaluated an in-room air cleaner with combined UVGI lights and HEPA filtration under 2 conditions: UVGI lights on and UVGI lights off. Experiments were performed using different ventilation rates and using an aerosolized pathogen comprised of Mycobaterium parafortuitum, a surrogate for the bacterium that causes tuberculosis. Effectiveness was measured as equivalent air changes per hour (eACH). This single study formed the body of evidence for our systematic review research question. Experimental Results The eACH rate for the HEPA-UVGI in-room air cleaner was statistically significantly greater when the UV lights were on compared with when the UV lights were off. (P < .05). However, subsequent experiments could not attribute this to the UVGI. Consequently, the results are inconclusive and an estimate of effect (benefit) is uncertain. The study was reviewed by a scientific expert and rated moderate for quality. Further analysis determined that there was some uncertainty in the directness of the outcome measure (eACH); thus, the GRADE level for the quality of the evidence was low indicating that an estimate of effect is very uncertain. There is uncertainty in the benefits of using in-room air cleaners with combined UVGI lights and HEPA filtration over systems that use HEPA filtration alone. However, there are no known risks to using systems with combined UVGI and HEPA technology compared with those with HEPA alone. There is an increase in the burden of cost including capital costs (cost of the device), operating costs (electricity usage), and maintenance costs (cleaning and replacement of UVGI lights) to using an in-room air cleaner with combined UVGI and HEPA technology compared with those with HEPA alone. Given the uncertainty of the estimate of benefits, an in-room air cleaner with HEPA technology only may be an equally reasonable alternative to using one with combined UVGI and HEPA technology Conclusions In-room air cleaners may be used to protect health care staff from air borne infectious pathogens such as tuberculosis, chicken pox, measles, and dessiminated herpes zoster. In addition, and although in-room air cleaners are not effective at protecting staff and preventing the spread of droplet-transmitted diseases such as influenza and SARS, they may be deployed in situations with a novel/emerging infectious agent whose epidemiology is not yet defined and where airborne transmission is suspected. It is preferable that in-room air cleaners be used with a fixed and permanent room placement when ventilation requirements must be improved and the HVAC system cannot be used. However, for acute (temporary) situations where a novel/emerging infectious agent presents whose epidemiology is not yet defined and where airborne transmission is suspected it may be prudent to use the in room air cleaner as a portable device until mode of transmission is confirmed. To maximize effectiveness, consultation with an environmental engineer and infection control expert should be undertaken before using an in-room air cleaner and protocols for maintenance and monitoring of these devices should be in place. If properly installed and maintained, in room air cleaners with HEPA or combined HEPA and UVGI air cleaning technology are effective in removing airborne pathogens. However, there is only weak evidence available at this time regarding the benefit of using an in-room air cleaner with combined HEPA and UVGI air cleaner technology instead of those with HEPA filter technology only. PMID:23074468

Meniscus repair: the role of accelerated rehabilitation in return to sport.

PubMed

Kozlowski, Erick J; Barcia, Anthony M; Tokish, John M

2012-06-01

With increasing understanding of the detrimental effects of the meniscectomized knee on outcomes and long-term durability, there is an ever increasing emphasis on meniscal preservation through repair. Repair in the young athlete is particularly challenging given the goals of returning to high-level sports. A healed meniscus is only the beginning of successful return to activity, and the understanding of "protection with progression" must be emphasized to ensure optimal return to performance. The principles of progression from low to high loads, single to multiplane activity, slow to high speeds, and stable to unstable platforms are cornerstones to this process. Emphasis on the kinetic chain environment that the knee will function within cannot be overemphasized. Communication between the operating surgeon and rehabilitation specialist is critical to optimizing effective return to sports.

Instrument-Aided Assessment of the Effect of Natural and Technogenic Factors on the Geomechanical State of a Massif Enclosing an HPP Turbine Room

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

Abramov, N. N., E-mail: Abramov@goi.kolasc.net.ru; Epimakhov, Yu. A.

2016-05-15

A package of geophysical criteria has been developed using seismic spatiotemporal tomography (SST) of a rock massif to perform an instrument-aided assessment of the effect of natural and technogenic factors on the geomechanical state of a rock massif enclosing an underground turbine room at an HPP. Results are presented for a detailed assessment for the underground turbine room at the Verkhnyaya Tuloma HPP on the Kola peninsula.

Forecasting stock return volatility: A comparison between the roles of short-term and long-term leverage effects

NASA Astrophysics Data System (ADS)

Pan, Zhiyuan; Liu, Li

2018-02-01

In this paper, we extend the GARCH-MIDAS model proposed by Engle et al. (2013) to account for the leverage effect in short-term and long-term volatility components. Our in-sample evidence suggests that both short-term and long-term negative returns can cause higher future volatility than positive returns. Out-of-sample results show that the predictive ability of GARCH-MIDAS is significantly improved after taking the leverage effect into account. The leverage effect for short-term volatility component plays more important role than the leverage effect for long-term volatility component in affecting out-of-sample forecasting performance.

Two occurrences of delayed epidural hematoma in different areas following decompressive craniectomy for acute subdural hematoma in a single patient: a case report.

PubMed

Wu, Ruhong; Shi, Jia; Cao, Jiachao; Mao, Yumin; Dong, Bo

2017-12-04

Delayed epidural hematoma (DEH) following evacuation of traumatic acute subdural hematoma (ASDH) or acute epidural hematoma (EDH) is a rare but devastating complication, especially when it occurs sequentially in a single patient. A 19-year-old man who developed contralateral DEH following craniotomy for evacuation of a traumatic right-side ASDH and then developed a left-side DEH of the posterior cranial fossa after craniotomy for evacuation of the contralateral DEH. He was immediately returned to the operating room for additional surgeries and his neurological outcome was satisfactory. Although DEH occurring after evacuation of ASDH or acute EDH is a rare event, timely recognition is critical to prognosis.

The return of the smiley face.

PubMed

Douglas, Kathy S

2012-01-01

The iconic, ubiquitous smiley face of the 1960s and 70s represented happiness that could be taken in and felt deeply, even if only for a moment. Today we are in a much different world, one in which the understanding of the value of happiness can seem distant. Talking about "feelings" does not go over well in the board room, in setting workforce management strategies, or in budget discussions. That could all be changing and we may finally be getting the attention of leadership on this long neglected and important topic. The cost and quality implications of an unhappy workforce seem immense. We can keep trying to squeeze more out of our health care workforce or we can invest in their wellbeing and get more out of them.

KSC-06pd0924

NASA Image and Video Library

2006-05-23

KENNEDY SPACE CENTER, FLA. -- From inside the payload changeout room on the rotating service structure on Launch Pad 39B, the multi-purpose logistics module Leonardo is being moved into Space Shuttle Discovery's payload bay. The payload ground-handling mechanism (PGHM) is used to transfer the module into the payload bay. Leonardo is a reusable logistics carrier. It is the primary delivery system used to resupply and return station cargo requiring a pressurized environment. Leonardo is part of the payload on mission STS-121. Other payloads include the integrated cargo carrier with the mobile transporter reel assembly and a spare pump module, and the lightweight multi-purpose experiment support structure carrier. Discovery is scheduled to launch in a window extending from July 1 through July 19. Photo credit: NASA/Jack Pfaller

KSC-06pd0927

NASA Image and Video Library

2006-05-23

KENNEDY SPACE CENTER, FLA. -- From inside the payload changeout room on the rotating service structure on Launch Pad 39B, the multi-purpose logistics module Leonardo is lowered into Space Shuttle Discovery's payload bay. The payload ground-handling mechanism (PGHM) is used to transfer the module into the payload bay. Leonardo is a reusable logistics carrier. It is the primary delivery system used to resupply and return station cargo requiring a pressurized environment. Leonardo is part of the payload on mission STS-121. Other payloads include the integrated cargo carrier with the mobile transporter reel assembly and a spare pump module, and the lightweight multi-purpose experiment support structure carrier. Discovery is scheduled to launch in a window extending from July 1 through July 19. Photo credit: NASA/Jack Pfaller

[A nursing experience with a child with rape trauma by using therapeutic play in an emergency room].

PubMed

Kao, Ying-Fen; Liu, Shu-Hua

2005-02-01

This article conceptualized a therapeutic game theory to discuss the pickings process of a preschool sexually violated victim with respect to nursing care delivery in our department of emergency medicine. In cooperation with the victim, we offered support to prevent her from fearing loss of her capacity for self-defense when facing a similar scenario. The overall exercise included observation time, a return outpatient visit and a follow-up phone interview. By using observation, role-play, leading drawing and interviews, we used Piaget's Cognitive Child Development model and game therapy theory to reduce the victim's sense of fear and shame, inducing the victim to eliminate her confusion by talking and to complete the whole pickings process.

KSC-2014-4116

NASA Image and Video Library

2014-09-25

CAPE CANAVERAL, Fla. – NASA astronaut Rick Mastracchio, standing at left, illustrates the fine points of conducting the Slosh experiment on the International Space Station for employees attending the Launch Services Program's All Hands meeting in the Neil Armstrong Operations and Checkout Building Mission Briefing Room at NASA's Kennedy Space Center in Florida. An Expedition 38/39 crew member, Mastracchio launched to the station from the Baikonur Cosmodrome in Kazakhstan on Nov. 6, 2013, and returned to Earth on May 13, 2014, after 188 days in space. To read Mastracchio's biography, visit http://www.jsc.nasa.gov/Bios/htmlbios/mastracc.html. For more information on the Slosh experiment, visit http://www.nasa.gov/content/slosh-experiment-designed-to-improve-rocket-safety-efficiency/. Photo credit: NASA/Daniel Casper

KSC-08pd3237

NASA Image and Video Library

2008-10-16

CAPE CANAVERAL, Fla. - In the Payload Hazardous Servicing Facility, or PHSF, at NASA's Kennedy Space Center in Florida, the Super Lightweight Interchangeable Carrier, or SLIC, is placed on a work platform after its return to the clean room from Launch Pad 39A. The payload for Hubble servicing mission 4 comprises four carriers holding various equipment for the mission. In the PHSF, the carriers will be stored until a new target launch date in 2009 can be set for Atlantis’ STS-125 mission. Atlantis’ October target launch date was delayed after a device on board Hubble, used in the storage and transmission of science data to Earth, shut down on Sept. 27. Replacing the broken device will be added to Atlantis’ servicing mission to the telescope. Photo credit: NASA/Jim Grossmann

Transcatheter closure of a sinus venosus atrial septal defect using 3D printing and image fusion guidance.

PubMed

Thakkar, Akanksha N; Chinnadurai, Ponraj; Breinholt, John P; Lin, C Huie

2018-06-13

A 63-year-old man with cirrhosis, hepatocellular carcinoma, and coagulopathy was diagnosed with a sinus venosus atrial septal defect (ASD) and partial anomalous pulmonary venous return (PAPVR) of the right upper pulmonary vein (RUPV). Transcatheter repair by positioning a stent graft in the superior vena cava was planned. Based on three-dimensional (3D) reconstruction of gated cardiac CTA, a 28 mm × 7 cm Endurant II ® aortic extension stent graft (Medtronic, MN) was chosen. A 3D model printed from the CTA was used to simulate device deployment, demonstrating successful exclusion of the sinus venosus ASD with return of the RUPV to the left atrium (LA). Post simulation, the 3D model was used for informed consent. The patient was then taken to the hybrid operating room. On-table cone beam CT was performed and registered with the CTA images. This enabled overlay of 3D regions of interest to live 2D fluoroscopy. The stent graft was then deployed using 3D regions of interest for guidance. Hemodynamics and angiography demonstrated successful exclusion of the sinus venosus ASD and unobstructed return of RUPV to the LA. This is the first report of comprehensive use of contemporary imaging for planning, simulation, patient consent, and procedural guidance for patient-centered complex structural intervention in repair of sinus venosus ASD with PAPVR. We propose this as a process model for continued innovation in structural interventions. © 2018 The Authors Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.

Evaluation of Ultra High Pressure (UHP) Firefighting in a Room-and-Contents Fire

DTIC Science & Technology

2017-03-15

Burn Room and Hangar Temperature Prior to Ignition ............................................... 18 Figure 12. Effect of Temperature on Normalized...Figure 20. Maximum Average Temperature and Heat Flux ......................................................... 22 Figure 21. Effect of Maximum Average...Aspirated Ceiling Temperature .................................... 23 Figure 22. Effect of Maximum Average Floor Heat Flux on Extinguishment Quantity

Effects of Different Tillage and Straw Return on Soil Organic Carbon in a Rice-Wheat Rotation System

PubMed Central

Zhu, Liqun; Hu, Naijuan; Yang, Minfang; Zhan, Xinhua; Zhang, Zhengwen

2014-01-01

Soil management practices, such as tillage method or straw return, could alter soil organic carbon (C) contents. However, the effects of tillage method or straw return on soil organic C (SOC) have showed inconsistent results in different soil/climate/cropping systems. The Yangtze River Delta of China is the main production region of rice and wheat, and rice-wheat rotation is the most important cropping system in this region. However, few studies in this region have been conducted to assess the effects of different tillage methods combined with straw return on soil labile C fractions in the rice-wheat rotation system. In this study, a field experiment was used to evaluate the effects of different tillage methods, straw return and their interaction on soil total organic C (TOC) and labile organic C fractions at three soil depths (0–7, 7–14 and 14–21 cm) for a rice-wheat rotation in Yangzhong of the Yangtze River Delta of China. Soil TOC, easily oxidizable C (EOC), dissolved organic C (DOC) and microbial biomass C (MBC) contents were measured in this study. Soil TOC and labile organic C fractions contents were significantly affected by straw returns, and were higher under straw return treatments than non-straw return at three depths. At 0–7 cm depth, soil MBC was significantly higher under plowing tillage than rotary tillage, but EOC was just opposite. Rotary tillage had significantly higher soil TOC than plowing tillage at 7–14 cm depth. However, at 14–21 cm depth, TOC, DOC and MBC were significantly higher under plowing tillage than rotary tillage except for EOC. Consequently, under short-term condition, rice and wheat straw both return in rice-wheat rotation system could increase SOC content and improve soil quality in the Yangtze River Delta. PMID:24586434

The hardware and software implications of hospital birth room design: a midwifery perspective.

PubMed

Hammond, Athena; Foureur, Maralyn; Homer, Caroline S E

2014-07-01

to explore the impacts of physical and aesthetic design of hospital birth rooms on midwives. the design of a workplace, including architecture, equipment, furnishings and aesthetics, can influence the experience and performance of staff. Some research has explored the effects of workplace design in health care environments but very little research has examined the impact of design on midwives working in hospital birth rooms. a video ethnographic study was undertaken and the labours of six women cared for by midwives were filmed. Filming took place in one birth centre and two labour wards within two Australian hospitals. Subsequently, eight midwives participated in video-reflexive interviews whilst viewing the filmed labour of the woman for whom they provided care. Thematic analysis of the midwife interviews was undertaken. midwives were strongly affected by the design of the birth room. Four major themes were identified: finding a space amongst congestion and clutter; trying to work underwater; creating ambience in a clinical space and being equipped for flexible practice. Aesthetic features, room layout and the design of equipment and fixtures all impacted on the midwives and their practice in both birth centre and labour ward settings. the current design of many hospital birth rooms challenges the provision of effective midwifery practice. Changes to the design and aesthetics of the hospital birth room may engender safer, more comfortable and more effective midwifery practice. Copyright © 2013 Elsevier Ltd. All rights reserved.

The research and application of green computer room environmental monitoring system based on internet of things technology

NASA Astrophysics Data System (ADS)

Wei, Wang; Chongchao, Pan; Yikai, Liang; Gang, Li

2017-11-01

With the rapid development of information technology, the scale of data center increases quickly, and the energy consumption of computer room also increases rapidly, among which, energy consumption of air conditioning cooling makes up a large proportion. How to apply new technology to reduce the energy consumption of the computer room becomes an important topic of energy saving in the current research. This paper study internet of things technology, and design a kind of green computer room environmental monitoring system. In the system, we can get the real-time environment data from the application of wireless sensor network technology, which will be showed in a creative way of three-dimensional effect. In the environment monitor, we can get the computer room assets view, temperature cloud view, humidity cloud view, microenvironment view and so on. Thus according to the condition of the microenvironment, we can adjust the air volume, temperature and humidity parameters of the air conditioning for the individual equipment cabinet to realize the precise air conditioning refrigeration. And this can reduce the energy consumption of air conditioning, as a result, the overall energy consumption of the green computer room will reduce greatly. At the same time, we apply this project in the computer center of Weihai, and after a year of test and running, we find that it took a good energy saving effect, which fully verified the effectiveness of this project on the energy conservation of the computer room.

Different forms, reasons and motivations for return migration of persons who voluntarily decide to return to their countries of origin.

PubMed

Callea, S

1986-03-01

Although the 1973 oil crisis did not have the drastic effects on immigration which were originally feared, it did end a period of quasi-liberal immigration policy, establish intense and effective international cooperation on immigration, and arouse great interest in immigration studies and research. This paper analyzes the situations arising as a result of the petroleum shortage and focuses on the conditions relating to the return of emigrants to Southern European countries. This new research draws attention to the following fundamental aspects of the immigration problem: 1) the emigrant's return to his homeland cannot be considered a factor in development; it is a positive element in development only if the right socioeconomic conditions exist in the country of origin. 2) Concern for children's education is one of the most common reasons for return. 3) A large percentage of emigrants are satisfied with their work abroad. 4) An emigrant's return potential is wasted due to the slight use that is made of the resources he offers. 5) Returning workers most often want to set up an independent enterprise. 6) Savings are generally used to buy a house or farm. 7) Vocational level does not increase significantly between emigration and returning, though this increase becomes greater the longer the emigrant stays abroad. 8) The number of returning emigrants is too slight to bring about any change in the country of origin. 9) Incentives and subsidies to encourage return have not had a considerable impact on the decision to return. Callea recommends that officials of the country of origin posted abroad be assigned to counsel returning emigrants on finding employment, attending vocational development courses, obtaining housing, accruing interests and savings, and on the problems and perspectives of sociocultural reintegration.

Long-term return behavior of Chinese whole blood donors.

PubMed

Guo, Nan; Wang, Jingxing; Yu, Qilu; Yang, Tonghan; Dong, Xiangdong; Wen, Guoxin; Tiemuer, Mei-hei-li; Li, Julin; He, Weilan; Lv, Yunlai; Ma, Hongli; Wen, Xiuqiong; Huang, Mei; Ness, Paul; Liu, Jing; Wright, David J; Nelson, Kenrad; Shan, Hua

2013-09-01

It is important to understand donor return behavior to maintain sufficient numbers of blood donors in developing countries where blood supplies are often inadequate. A total of 54,267 whole blood (WB) donors who donated between January 1 and March 31, 2008, at the five blood centers in China were followed for 2.5 years. Logistic regression was conducted to identify factors associated with their return behavior. A recurrent-event Cox proportional-hazard model was used to evaluate the overall effect of demographic variables and return behavior among first-time donors. Donors with previous donation history were more likely to return and the number of previous returns was positively associated with future return (odds ratios, 3.31, 4.82, and 8.16 for one, two to three, and more than three times compared to none). Thirty-four percent of donors (first-time donor, 21%; repeat donor, 54%) made at least one return donation, with 14% returning in the first 9 months. The multivariable logistic regression model for all WB donors and the Cox proportional hazard model for first-time donors showed consistent predictors for return: female sex, older age (≥ 25 years), larger volume (300 or 400 mL), and donating in satellite collection site. Encouraging first-time donors to make multiple donations is important for keeping adequate blood supply. The finding that first-time and repeat donors shared the same predictors for return indicates that retention strategies on repeat donors may be effective on first-time donors. Studies on motivators and barriers to return are needed, so that successful retention strategies can be tailored. © 2013 American Association of Blood Banks.

Changes in patient satisfaction related to hospital renovation: experience with a new clinical building.

PubMed

Siddiqui, Zishan K; Zuccarelli, Rebecca; Durkin, Nowella; Wu, Albert W; Brotman, Daniel J

2015-03-01

There is an increasing trend toward designing hospitals with patient-centered features like reduced noise, improved natural light, visitor friendly facilities, well-decorated rooms, and hotel-like amenities. It has also been suggested that because patients cannot reliably distinguish positive experiences with the physical environment from positive experience with care, an improved hospital environment leads to higher satisfaction with physicians, nursing, food service, housekeeping, and higher overall satisfaction. To characterize changes in patient satisfaction that occurred when clinical services (comprised of stable nursing, physician, and unit teams) were relocated to a new clinical building with patient-centered features. We hypothesized that new building features would positively impact provider, ancillary staff, and overall satisfaction, as well as improved satisfaction with the facility. Natural experiment utilizing a pre-post design with concurrent controls. Academic tertiary care hospital. We included all patients discharged from 12 clinical units that relocated to the new clinical building who returned surveys in the 7.5-month period following the move. Premove baseline data were captured from the year prior to the move. Patients on unmoved clinical units who returned satisfaction surveys served as concurrent controls. Patient-centered design features incorporated into the new clinical building. All patients during the baseline period and control patients during the study period were located in usual patient rooms with standard hospital amenities. The primary outcome was satisfaction scores on the Press Ganey and Hospital Consumer Assessment of Healthcare Providers and Systems survey, dichotomized at highest category versus lower categories. We performed logistic regression to identify predictors of "top-box" scores. The move was associated with improved room- and visitor-related satisfaction without significant improvement in satisfaction with clinical providers, ancillary staff, and only 1 of 4 measures of overall satisfaction improved. The most prominent increase was with pleasantness of décor (33.6% vs 64.8%) and visitor accommodation and comfort (50.0% vs 70.3%). Patients responded positively to pleasing surroundings and comfort, but were able to discriminate their experiences with the hospital environment from those with physicians and nurses. The move to a new building had significant impact on only 1 of the 4 measures of overall patient satisfaction, as clinical care is likely to be the most important determinant of this outcome. Hospital administrators should not use outdated facilities as an excuse for suboptimal provider satisfaction scores. © 2014 Society of Hospital Medicine.

Operating room metrics score card-creating a prototype for individualized feedback.

PubMed

Gabriel, Rodney A; Gimlich, Robert; Ehrenfeld, Jesse M; Urman, Richard D

2014-11-01

The balance between reducing costs and inefficiencies with that of patient safety is a challenging problem faced in the operating room suite. An ongoing challenge is the creation of effective strategies that reduce these inefficiencies and provide real-time personalized metrics and electronic feedback to anesthesia practitioners. We created a sample report card structure, utilizing existing informatics systems. This system allows to gather and analyze operating room metrics for each anesthesia provider and offer personalized feedback. To accomplish this task, we identified key metrics that represented time and quality parameters. We collected these data for individual anesthesiologists and compared performance to the overall group average. Data were presented as an electronic score card and made available to individual clinicians on a real-time basis in an effort to provide effective feedback. These metrics included number of cancelled cases, average turnover time, average time to operating room ready and patient in room, number of delayed first case starts, average induction time, average extubation time, average time to recovery room arrival to discharge, performance feedback from other providers, compliance to various protocols, and total anesthetic costs. The concept we propose can easily be generalized to a variety of operating room settings, types of facilities and OR health care professionals. Such a scorecard can be created using content that is important for operating room efficiency, research, and practice improvement for anesthesia providers.

The effects of perceiving color in living environment on QEEG, oxygen saturation, pulse rate, and emotion regulation in humans.

PubMed

Sroykham, Watchara; Wongsathikun, J; Wongsawat, Y

2014-01-01

Light and color have been shown to have substantial physical, psychological and sociological effects on humans. Hence, an investigation on the effect of changes in light and color to the biological signals is a challenging problem. Five participants were measured the oxygen saturation (SpO2), pulse rate, and quantitative electroencephalogram (QEEG) in six colors (white, blue, green, yellow, red and black) of living environment for 5 minutes per color. Then all participants were asked to answer the emotional questionnaire of BRUMS and color performance for each color environment. The results showed brain activity of high beta wave (25-30 Hz) that associated with alertness, agitation, mental activity, and general activation of mind and body functions (at frontal lobes and temporal lobes) in red and yellow colored rooms were higher than blue, green, white and black colored rooms, respectively. It also had the relationship with the psychological effect (BRUMS). The amplitude asymmetry of beta wave (12-25 Hz) was highly attenuated in warm color (red and yellow colored rooms), moderately attenuated in cool color (green and blue colored room) and little attenuated in white and black colored rooms. The BRUMS showed that red and yellow yielded significant effect on anger (F = 4.966, p = 0.002) and confusion (F=3.853, p=0.008). Red and green color yielded high effect on vigor. Green color did not affect the depression. Blue color yielded moderate effect on confusion, tension and fatigue. White and black colors yielded low effect on any mood, but black color had no effect on vigor. In addition, we cannot observe any significant changes of pulse rate and blood oxygen saturation in each color. The results can possibly be used as the recommendation to design the room for either normal people or patients.

Self-Irradiation Effects on 99Mo Reagents and Products

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

Carson, S.D.; Garcia, M.J.; McDonald, M.J.

1998-10-07

produced in 1996 and shipped to pharmaceutical houses for evaluation of compatibility with oxime solution used to precipitate `?vfo as the oxime complex is both air and light-sensitive, and containing a black precipitate that forms during shipment, presumably as a result of self- irradiation. Addition of sodium hypochlorite to the product solution prior to shipment prevents precipitate formation, indicating the precipitate is a reduced form of `%lo. to remove any precipitate. Duplicate aliquots of the filtered samples were titrated to a phenolphthalein irradiation and afler standing at room temperature for 86.4 hours. Precipitates were washed to a FTIR analysis ofmore » the white precipitate showed it to be alpha benzoin oxime. Since the basic After 86.4 hours, no precipitate had formed in bottles containing sodium hypochlorite. Black precipitate had formed in all bottles that did not contain sodium hypochlorite after 14.4 hours. The precipitate appeared to initially form on the surface of the HDPE sample bottles and Black precipitate was first noticed in sample set 1 after 28.8 hrs' irradiation. No visible sample containing precipitate was kept at room temperature in the original bottle. Precipitate in sample sets 2 and 3. Since no precipitate formed in these bottles, this was equivalent to duplicate samples. Once the precipitate in the 20-mL aliquots that had been set aside had returned to sample sets 1 through 3 and the samples with redissolved precipitate all experienced an average decrease in base strength of 0.013 meq mL-l. Sample 1-C had a decrease of 0.004 meq mL-l and sample 1-D had returned to the initial value of 0.198 meq mL-l. Raman spectra for the black precipitate from samples l-C, 1-D and supplemental sample set 1 Fig. 2. Raman spectra of the black precipitate formed in 9%40 product solutions after 28.8,43.2, 72 and 86.4 hours of `oCo irradiation in Sandia's Gamma Irradiation Facility. increase with time, as seen in the titration of 1-C and 1-D samples. The precipitate does not expect to see precipitate in the glass bottles. The fact that no precipitate is observed when the no precipitate is observed in a glass container is an indication that the rates of molybdenum that precipitate does not form when the solution is in a glass bottle. A hydrogen source other« less

Flow analysis of airborne particles in a hospital operating room

NASA Astrophysics Data System (ADS)

Faeghi, Shiva; Lennerts, Kunibert

2016-06-01

Preventing airborne infections during a surgery has been always an important issue to deliver effective and high quality medical care to the patient. One of the important sources of infection is particles that are distributed through airborne routes. Factors influencing infection rates caused by airborne particles, among others, are efficient ventilation and the arrangement of surgical facilities inside the operating room. The paper studies the ventilation airflow pattern in an operating room in a hospital located in Tehran, Iran, and seeks to find the efficient configurations with respect to the ventilation system and layout of facilities. This study uses computational fluid dynamics (CFD) and investigates the effects of different inflow velocities for inlets, two pressurization scenarios (equal and excess pressure) and two arrangements of surgical facilities in room while the door is completely open. The results show that system does not perform adequately when the door is open in the operating room under the current conditions, and excess pressure adjustments should be employed to achieve efficient results. The findings of this research can be discussed in the context of design and controlling of the ventilation facilities of operating rooms.

26 CFR 1.6045B-1 - Returns relating to actions affecting basis of securities.

Code of Federal Regulations, 2012 CFR

2012-04-01

... measured for the action. (v) Effect of the action. The quantitative effect of the organizational action on... issuer may file the return before the organizational action if the quantitative effect on basis is determinable beforehand. (ii) Reasonable assumptions. To report the quantitative effect on basis by the due...

26 CFR 1.6045B-1 - Returns relating to actions affecting basis of securities.

Code of Federal Regulations, 2011 CFR

2011-04-01

... measured for the action. (v) Effect of the action. The quantitative effect of the organizational action on... issuer may file the return before the organizational action if the quantitative effect on basis is determinable beforehand. (ii) Reasonable assumptions. To report the quantitative effect on basis by the due...

26 CFR 1.6045B-1 - Returns relating to actions affecting basis of securities.

Code of Federal Regulations, 2013 CFR

2013-04-01

... measured for the action. (v) Effect of the action. The quantitative effect of the organizational action on... issuer may file the return before the organizational action if the quantitative effect on basis is determinable beforehand. (ii) Reasonable assumptions. To report the quantitative effect on basis by the due...

The risks and returns of stock investment in a financial market

NASA Astrophysics Data System (ADS)

Li, Jiang-Cheng; Mei, Dong-Cheng

2013-03-01

The risks and returns of stock investment are discussed via numerically simulating the mean escape time and the probability density function of stock price returns in the modified Heston model with time delay. Through analyzing the effects of delay time and initial position on the risks and returns of stock investment, the results indicate that: (i) There is an optimal delay time matching minimal risks of stock investment, maximal average stock price returns and strongest stability of stock price returns for strong elasticity of demand of stocks (EDS), but the opposite results for weak EDS; (ii) The increment of initial position recedes the risks of stock investment, strengthens the average stock price returns and enhances stability of stock price returns. Finally, the probability density function of stock price returns and the probability density function of volatility and the correlation function of stock price returns are compared with other literatures. In addition, good agreements are found between them.

Is the pulsed xenon ultraviolet light no-touch disinfection system effective on methicillin-resistant Staphylococcus aureus in the absence of manual cleaning?

PubMed

Jinadatha, Chetan; Villamaria, Frank C; Restrepo, Marcos I; Ganachari-Mallappa, Nagaraja; Liao, I-Chia; Stock, Eileen M; Copeland, Laurel A; Zeber, John E

2015-08-01

Methicillin-resistant Staphylococcus aureus (MRSA) has been shown to survive on ambient surfaces for extended periods of time. Leftover MRSA environmental contamination in a hospital room places future patients at risk. Manual disinfection supplemented by pulsed xenon ultraviolet (PX-UV) light disinfection has been shown to greatly decrease the MRSA bioburden in hospital rooms. However, the effect of PX-UV in the absence of manual disinfection has not been evaluated. Rooms that were previously occupied by a MRSA-positive patient (current colonization or infection) were selected for the study immediately postdischarge. Five high-touch surfaces were sampled, before and after PX-UV disinfection, in each hospital room. The effectiveness of the PX-UV device on the concentration of MRSA was assessed employing a Wilcoxon signed-rank test for all 70 samples with MRSA in 14 rooms, as well as by surface location. The final analysis included 14 rooms. Before PX-UV disinfection there were a total of 393 MRSA colonies isolated from the 5 high-touch surfaces. There were 100 MRSA colonies after disinfection by the PX-UV device and the overall reduction was statistically significant (P < .01). Our study results suggest that PX-UV light effectively reduces MRSA colony counts in the absence of manual disinfection. These findings are important for hospital and environmental services supervisors who plan to adapt new technologies as an adjunct to routine manual disinfection. Published by Elsevier Inc.

Inhibition of return in the archer fish.

PubMed

Gabay, Shai; Leibovich, Tali; Ben-Simon, Avi; Henik, Avishai; Segev, Ronen

2013-01-01

Inhibition of return is the inhibitory tagging of recently attended locations or objects. It was previously suggested that inhibition of return is a foraging facilitator in visual search. Inhibition of return was first discovered in humans and was demonstrated also in monkeys, yet it has never been demonstrated in non-primates. Here we report the presence of inhibition of return in the archer fish, which shoots down prey on overhanging vegetation, using squirts of water spouted from its mouth. Moreover, we find similar attentional effects for fish as for human participants. Our results show that the generation of inhibition of return does not require a fully developed cortex and strengthen the view that inhibition of return functions as a foraging facilitator.

Thermal responses from repeated exposures to severe cold with intermittent warmer temperatures.

PubMed

Ozaki, H; Enomoto-Koshimizu, H; Tochihara, Y; Nakamura, K

1998-09-01

This study was conducted to evaluate physiological reaction and manual performance during exposure to warm (30 degrees C) and cool (10 degrees C) environments after exposure to very low temperatures (-25 degrees C). Furthermore, this experiment was conducted to study whether it is desirable to remove cold-protective jackets in warmer rooms after severe cold exposure. Eight male students remained in an extremely cold room for 20 min, after which they transferred into either the warm room or the cool room for 20 min. This pattern was repeated three times, and the total cold exposure time was 60 min. In the warm and cool rooms, the subjects either removed their cold-protective jackets (Condition A), or wore them continuously (Condition B). Rectal temperature, skin temperatures, manual performance, blood pressure, thermal, comfort and pain sensations were measured during the experiment. The effects of severe cold on almost all measurements in the cool (10 degrees C) environment were greater than those in the warm (30 degrees C) environment under both clothing conditions. The effects of severe cold on all measurements under Condition A except rectal temperature and toe skin temperature were significantly greater than those under Condition B in the cool environment but, not at all differences between Condition A and Condition B in the warm environments were significant. It was recognized that to remove cold-protective jackets in the cool room (10 degrees C) after severe cold exposure promoted the effects of severe cold. When rewarming in the warm resting room (30 degrees C), the physiological and psychological responses and manual performance were not influenced by the presence or absence of cold-protective clothing. These results suggest that it is necessary for workers to make sure to rewarm in the warm room outside of the cold storage and continue to wear cold-protective clothing in the cool room.

Effect of wheat-maize straw return on the fate of nitrate in groundwater in the Huaihe River Basin, China.

PubMed

Li, Rongfu; Ruan, Xiaohong; Bai, Ying; Ma, Tianhai; Liu, Congqiang

2017-08-15

Straw return is becoming a routine practice in disposing of crop residues worldwide. However, the potential effect of such operation on the chemistry of local groundwater is not well documented. Here, shallow groundwater in an area where wheat-maize straw return is practiced was analyzed, and the seasonal changes in the nitrate concentration and the isotope compositions of NO 3 - and H 2 O were determined along two flow paths. Measured δD and δ 18 O in waters indicated that the groundwater was mainly recharged by atmospheric precipitation, while measured δ 15 N and δ 18 O in nitrate suggested that the sources for groundwater NO 3 - included urea fertilizer, soil nitrogen, and sewage/manure. Reduced NO 3 - concentrations coincided with an enrichment of organic matter in the groundwater of the straw return area, revealing an environmental condition that facilitates nitrate reduction, whereas increased δ 15 N-NO 3 - and δ 18 O-NO 3 - along the flow path suggested the occurrence of denitrification. Further analyses showed that, compared to the cases in the absence of straw return, as much as 80% and 90% of groundwater nitrate was removed in low and high water seasons in the straw return area, pointing to a potential positive effect of straw return to groundwater quality. Copyright © 2017 Elsevier B.V. All rights reserved.

Comparison among the efficacy of interventions for the return rate to receive the pap test report: randomized controlled clinical trial 1

PubMed Central

Vasconcelos, Camila Teixeira Moreira; Pinheiro, Ana Karina Bezerra; Nicolau, Ana Izabel Oliveira; Lima, Thaís Marques; Barbosa, Denise de Fátima Fernandes

2017-01-01

ABSTRACT Objective: to test the effects of a behavioral, an educative and a comparative intervention on women's adherence to the return appointment to receive the pap test report. Methods: randomized controlled clinical trial at a Primary Health Care Service, involving three groups: EG (educative session and test demonstration), BG (recall ribbon) and standard intervention (card containing the return appointment - graphical reminder), called comparative group here (CG). To select the sample, the following was established: having started sexual activity and undergoing the pap smear during the study, resulting in 775 women. Results: among the 775 women, 585 (75.5%) returned to receive the test result within 65 days. The educative group presented the highest return rate (EG=82%/CG=77%/BG=66%), statistically significant only when compared to the behavioral group (p=0.000). The educative group obtained the smallest interval (p<0.05) concerning the mean number of days of return to receive the test result (EG:M=43days/BG:M=47.5days/CG:M=44.8 days). Conclusion: the educative group reached higher return rates and the women returned earlier, but the behavioral intervention showed to be the least effective. Brazilian Clinical Trial Register: RBR-93ykhs. PMID:28301035

The overnight effect on the Taiwan stock market

NASA Astrophysics Data System (ADS)

Tsai, Kuo-Ting; Lih, Jiann-Shing; Ko, Jing-Yuan

2012-12-01

This study examines statistical regularities among three components of stocks and indices: daytime (trading hour) return, overnight (off-hour session) return, and total (close-to-close) return. Owing to the fact that the Taiwan Stock Exchange (TWSE) has the longest non-trading periods among major markets, the TWSE is selected to explore the correlation among the three components and compare it with major markets such as the New York Stock Exchange (NYSE) and the National Association of Securities Dealers Automated Quotation (NASDAQ). Analysis results indicate a negative cross correlation between the sign of daytime return and the sign of overnight return; possibly explaining why most stocks feature a negative cross correlation between daytime return and overnight return [F. Wang, S.-J. Shieh, S. Havlin, H.E. Stanley, Statistical analysis of the overnight and daytime return, Phys. Rev. E 79 (2009) 056109]. Additionally, the cross correlation between the magnitude of returns is analyzed. According to those results, a larger magnitude of overnight return implies a higher probability that the sign of the following daytime return is the opposite of the sign of overnight return. Namely, the predictability of daytime return might be improved when a stock undergoes a large magnitude of overnight return. Furthermore, the cross correlations of 29 indices of worldwide markets are discussed.

An integrated system for dynamic control of auditory perspective in a multichannel sound field

NASA Astrophysics Data System (ADS)

Corey, Jason Andrew

An integrated system providing dynamic control of sound source azimuth, distance and proximity to a room boundary within a simulated acoustic space is proposed for use in multichannel music and film sound production. The system has been investigated, implemented, and psychoacoustically tested within the ITU-R BS.775 recommended five-channel (3/2) loudspeaker layout. The work brings together physical and perceptual models of room simulation to allow dynamic placement of virtual sound sources at any location of a simulated space within the horizontal plane. The control system incorporates a number of modules including simulated room modes, "fuzzy" sources, and tracking early reflections, whose parameters are dynamically changed according to sound source location within the simulated space. The control functions of the basic elements, derived from theories of perception of a source in a real room, have been carefully tuned to provide efficient, effective, and intuitive control of a sound source's perceived location. Seven formal listening tests were conducted to evaluate the effectiveness of the algorithm design choices. The tests evaluated: (1) loudness calibration of multichannel sound images; (2) the effectiveness of distance control; (3) the resolution of distance control provided by the system; (4) the effectiveness of the proposed system when compared to a commercially available multichannel room simulation system in terms of control of source distance and proximity to a room boundary; (5) the role of tracking early reflection patterns on the perception of sound source distance; (6) the role of tracking early reflection patterns on the perception of lateral phantom images. The listening tests confirm the effectiveness of the system for control of perceived sound source distance, proximity to room boundaries, and azimuth, through fine, dynamic adjustment of parameters according to source location. All of the parameters are grouped and controlled together to create a perceptually strong impression of source location and movement within a simulated space.

[Effects of acaoustic adaptation of classrooms on the quality of verbal communication].

PubMed

Mikulski, Witold

2013-01-01

Voice organ disorders among teachers are caused by excessive voice strain. One of the measures to reduce this strain is to decrease background noise when teaching. Increasing the acoustic absorption of the room is a technical measure for achieving this aim. The absorption level also improves speech intelligibility rated by the following parameters: room reverberation time and speech transmission index (STI). This article presents the effects of acoustic adaptation of classrooms on the quality of verbal communication, aimed at getting the speech intelligibility at the good or excellent level. The article lists the criteria for evaluating classrooms in terms of the quality of verbal communication. The parameters were defined, using the measurement methods according to PN-EN ISO 3382-2:2010 and PN-EN 60268-16:2011. Acoustic adaptations were completed in two classrooms. After completing acoustic adaptations the reverberation time for the frequency of 1 kHz was reduced: in room no. 1 from 1.45 s to 0.44 s and in room no. 2 from 1.03 s to 0.37 s (maximum 0.65 s). At the same time, the speech transmission index increased: in room no. 1 from 0.55 (satisfactory speech intelligibility) to 0.75 (speech intelligibility close to excellent); in room no. 2 from 0.63 (good speech intelligibility) to 0.80 (excellent speech intelligibility). Therefore, it can be stated that prior to completing acoustic adaptations room no. 1 did not comply and room no. 2 barely complied with the criterion (speech transmission index of 0.62). After completing acoustic adaptations both rooms meet the requirements.

New Studies Track Community College Effects on Students.

ERIC Educational Resources Information Center

Pascarella, Ernest T.

1999-01-01

Argues for the importance of systematically studying the effects of community colleges on students. Research findings are reported on the following effects: attaining a bachelor's degree, labor market returns, economic returns, and developmental impact. Concludes that community colleges may be fostering student talent with the same degree of…

77 FR 57189 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-09-17

... currently approved collection. Title: TD 8560 (CO-30-92) Consolidated Returns--Stock Basis and Excess Loss...) allocating items between returns. The information will facilitate enforcement of consolidated return... completed prior to the effective data and to stop an election to use a historic loss payment pattern...

14 CFR 47.41 - Duration and return of Certificate.

Code of Federal Regulations, 2010 CFR

2010-01-01

... AIRCRAFT REGISTRATION Certificates of Aircraft Registration § 47.41 Duration and return of Certificate. (a) Each Certificate of Aircraft Registration issued by the FAA under this subpart is effective, unless... Certificate of Aircraft Registration, with the reverse side completed, must be returned to the FAA Aircraft...

Effects of reduced nocturnal temperature on pig performance and energy consumption in swine nursery rooms.

PubMed

Johnston, L J; Brumm, M C; Moeller, S J; Pohl, S; Shannon, M C; Thaler, R C

2013-07-01

The objective of this investigation was to determine the effect of a reduced nocturnal temperature (RNT) regimen on performance of weaned pigs and energy consumption during the nursery phase of production. The age of weaned pigs assigned to experiments ranged from 16 to 22 d. In Exp. 1, 3 stations conducted 2 trials under a common protocol that provided data from 6 control rooms (CON; 820 pigs) and 6 RNT rooms (818 pigs). Two mirror-image nursery rooms were used at each station. Temperature in the CON room was set to 30°C for the first 7 d, then reduced by 2°C per week through the remainder of the experiment. Room temperature settings were held constant throughout the day and night. The temperature setting in the RNT room was the same as CON during the first 7 d, but beginning on the night of d 7, the room temperature setting was reduced 6°C from the daytime temperature from 1900 to 0700 h. The use of heating fuel and electricity were measured weekly in each room. Overall, ADG (0.43 kg), ADFI (0.62 kg), and G:F (0.69) were identical for CON and RNT rooms. Consumption of heating fuel [9,658 vs. 7,958 British thermal units (Btu)·pig(-1)·d(-1)] and electricity (0.138 vs. 0.125 kilowatt-hour (kWh)·pig(-1)·d(-1)] were not statistically different for CON and RNT rooms, respectively. In Exp. 2, 4 stations conducted at least 2 trials that provided data from 9 CON rooms (2,122 pigs) and 10 RNT rooms (2,176 pigs). Experimental treatments and protocols were the same as Exp. 1, except that the RNT regimen was imposed on the night of d 5 and the targeted nighttime temperature reduction was 8.3°C. Neither final pig BW (21.8 vs. 21.5 kg; SE = 0.64), ADG (0.45 vs. 0.44 kg; SE = 0.016), ADFI (0.61 vs. 0.60 kg; SE = 0.019), nor G:F (0.75 vs. 0.75; SE = 0.012) were different for pigs housed in CON or RNT rooms, respectively. Consumption of heating fuel and electricity was consistently reduced in RNT rooms for all 4 stations. Consumption of heating fuel (10,019 vs. 7,061 Btu·pig(-1)·d(-1); SE = 1,467) and electricity (0.026 vs. 0.021 kWh·pig-1·d-1; SE = 0.004) were lower (P < 0.05) in the RNT rooms compared with CON rooms. This represents a 30% reduction in heating fuel use and a 20% reduction in electrical use with no differences in pig growth performance or health. From these experiments, we conclude that imposing a RNT regimen from 1900 to 0700 h is effective in reducing energy costs in the nursery without compromising pig performance, which will reduce production costs and decrease emissions of greenhouse gases.

Bridging the gap between health and non-health investments: moving from cost-effectiveness analysis to a return on investment approach across sectors of economy.

PubMed

Sendi, Pedram

2008-06-01

When choosing from a menu of treatment alternatives, the optimal treatment depends on the objective function and the assumptions of the model. The classical decision rule of cost-effectiveness analysis may be formulated via two different objective functions: (i) maximising health outcomes subject to the budget constraint or (ii) maximising the net benefit of the intervention with the budget being determined ex post. We suggest a more general objective function of (iii) maximising return on investment from available resources with consideration of health and non-health investments. The return on investment approach allows to adjust the analysis for the benefits forgone by alternative non-health investments from a societal or subsocietal perspective. We show that in the presence of positive returns on non-health investments the decision-maker's willingness to pay per unit of effect for a treatment program needs to be higher than its incremental cost-effectiveness ratio to be considered cost-effective.

Fire safety in the operating room.

PubMed

Rinder, Christine Stowe

2008-12-01

Elimination of flammable anesthetic gases has had little effect on operating-room fires except to change their etiology. Electrocautery and lasers, in an oxygen-enriched environment, can ignite even the most fire-resistant materials, including the patient, and the fire triad possibilities in the operating room are nearly limitless. This review will: identify operating room contents capable of acting as ignition/oxidizer/fuel sources, highlight operating room items that are uniquely potent fire triad contributors, and operating room identify settings where fire risk is enhanced by proximity of triad components in time or space. Anesthesiologists are cognizant of the risk of airway surgery fires due to laser ignition of the endotracheal tube and/or its contents. Recently, however, head/neck surgery under monitored anesthesia care has emerged as a high-risk setting for operating room fires; burn injuries represent 20% of monitored anesthesia care-related malpractice claims, 95% of which involved head/neck surgery. Operating room fires are infrequent but catastrophic. Operating room fire prevention depends on: (a)understanding how fire triad elements interact to create a fire, (b) recognizing how standard operating-room equipment, materials, and supplemental oxygen can become one of those elements, and (c) vigilance for circumstances that bring fire triad elements into close proximity.

Impact of imaging room environment: staff job stress and satisfaction, patient satisfaction, and willingness to recommend.

PubMed

Quan, Xiaobo; Joseph, Anjali; Ensign, Janet C

2012-01-01

The built environment significantly affects the healthcare experiences of patients and staff. Healthcare administrators and building designers face the opportunity and challenge of improving healthcare experience and satisfaction through better environmental design. The purpose of the study was to evaluate how a novel environmental intervention for imaging rooms, which integrated multiple elements of healing environments including positive distractions and personal control over environment, affects the perceptions and satisfactions of its primary users-patients and staff. Anonymous questionnaire surveys were conducted to compare patient and staff perceptions of the physical environment, satisfaction, and stress in two types of imaging rooms: imaging rooms with the intervention installed (intervention rooms) and traditionally designed rooms without the intervention (comparison rooms). Imaging technologists and patients perceived the intervention rooms to be significantly more pleasant-looking. Patients in the intervention rooms reported significantly higher levels of environmental control and were significantly more willing to recommend the intervention rooms to others. The environmental intervention was effective in improving certain aspects of the imaging environment: pleasantness and environmental control. Further improvement of the imaging environment is needed to address problematic areas such as noise.

Pilot study of a sensory room in an acute inpatient psychiatric unit.

PubMed

Novak, Theresa; Scanlan, Justin; McCaul, Damien; MacDonald, Nathan; Clarke, Timothy

2012-10-01

The use of sensory rooms (also known as comfort rooms) to reduce seclusion rates has generated a great deal of interest. This study examined the outcomes associated with the introduction of a sensory room in an acute inpatient psychiatric unit. Consumers rated distress and staff rated a variety of disturbed behaviours before and after each use of the room. Items used during each episode were recorded. Use of the room was associated with significant reductions in distress and improvements in a range of disturbed behaviours. Those individuals who used the weighted blanket reported significantly greater reductions in distress and clinician-rated anxiety than those who did not. No changes were noted in rates of seclusion or aggression. The sensory room was an effective intervention to ameliorate distress and disturbed behaviour, although this did not translate into reductions in overall rates of seclusion or aggression. Weighted blankets appear to be particularly useful.

Communication and collaboration among return-to-work stakeholders.

PubMed

Russell, Elizabeth; Kosny, Agnieszka

2018-05-17

Workers who are injured or become ill on the job are best able to return-to-work when stakeholders involved in their case collaborate and communicate. This study examined health care providers' and case managers' engagement in rehabilitation and return-to-work following workplace injury or illness. In-depth interviews were conducted with 97 health care providers and 34 case managers in four Canadian provinces about their experiences facilitating rehabilitation and return-to-work, and interacting with system stakeholders. A qualitative thematic content analysis demonstrated two key findings. Firstly, stakeholders were challenged to collaborate as a result of: barriers to interdisciplinary and cross-professional communication; philosophical differences about the timing and appropriateness of return-to-work; and confusion among health care providers about the workers' compensation system. Secondly, these challenges adversely affected the co-ordination of patient care, and consequentially, injured workers often became information conduits, and effective and timely treatment and return-to-work was sometimes negatively impacted. Communication challenges between health care providers and case managers may negatively impact patient care and alienate treating health care providers. Discussion about role clarification, the appropriateness of early return-to-work, how paperwork shapes health care providers' role expectations, and strengthened inter-professional communication are considered. Implications for Rehabilitation Administrative and conceptual barriers in workers' compensation systems challenge collaboration and communication between health care providers and case managers. Injured workers may become conduits of incorrect information, resulting in adversarial relationships, overturned health care providers' recommendations, and their disengagement from rehabilitation and return-to-work. Stakeholders should clarify the role of health care providers during rehabilitation and return-to-work and the appropriateness of early return-to-work to mitigate recurring challenges. Communication procedures between health care specialists may disrupt these challenges, increasing the likelihood of timely and effective rehabilitation and return-to-work.

The heat is on: room temperature affects laboratory equipment--an observational study.

PubMed

Butler, Julia M; Johnson, Jane E; Boone, William R

2013-10-01

To evaluate the effect of ambient room temperature on equipment typically used in in vitro fertilization (IVF). We set the control temperature of the room to 20 °C (+/-0.3) and used CIMScan probes to record temperatures of the following equipment: six microscope heating stages, four incubators, five slide warmers and three heating blocks. We then increased the room temperature to 26 °C (+/-0.3) or decreased it to 17 °C (+/-0.3) and monitored the same equipment again. We wanted to determine what role, if any, changing room temperature has on equipment temperature fluctuation. There was a direct relationship between room temperature and equipment temperature stability. When room temperature increased or decreased, equipment temperature reacted in a corresponding manner. Statistical differences between equipment were found when the room temperature changed. What is also noteworthy is that temperature of equipment responded within 5 min to a change in room temperature. Clearly, it is necessary to be aware of the affect of room temperature on equipment when performing assisted reproductive procedures. Room and equipment temperatures should be monitored faithfully and adjusted as frequently as needed, so that consistent culture conditions can be maintained. If more stringent temperature control can be achieved, human assisted reproduction success rates may improve.

Effect of 'PC Game Room' use and polycyclic aromatic hydrocarbon exposure on plasma testosterone concentrations in young male Koreans.

PubMed

Kim, Heon; Kang, Jong-Won; Ku, Seung-Yup; Kim, Seok Hyun; Cho, Soo-Hun; Koong, Sung-Soo; Kim, Yong-Dae; Lee, Chul-Ho

2005-03-01

'PC Game Rooms' were first popularized in Korea, although the concept is now becoming popular worldwide. PC Game Rooms provide users with high-performance PC connected to the high-speed internet, and access to computer games. However, PC Game Room users are exposed to various hazardous agents such as cigarette smoke in a confined environment, and thus it is likely that excessive PC Game Room use involves abnormal exposure to polycyclic aromatic hydrocarbons (PAH) as well as being associated with disturbed sleep or circadian rhythm. In this cross-sectional study, the exposure to PAH was evaluated by measuring urinary 1-hydroxypyrene (1-OHP) and 2-naphthol. The correlations between PC Game Room use and PAH exposure and plasma testosterone and LH levels were analysed in 208 young male Koreans. Urinary 1-OHP concentrations increased (P = 0.0001) and plasma testosterone levels decreased (P = 0.0153) significantly with increased duration of PC Game Room use. Correlation analysis showed that plasma testosterone concentrations were significantly negatively correlated with urinary 1-OHP (r = -0.22, P = 0.0012) and 2-naphthol (r = -0.15, P = 0.0308) concentrations. Moreover, these associations persisted after adjusting for other independent variables. However, the duration of PC Game Room use itself was not found to be an independent significant determinant of plasma testosterone level. Rather, PC Game Room use increased PAH exposure, which decreased plasma testosterone level. The younger age group (15-19 years) showed a more prominent decrease in plasma testosterone concentrations with increasing duration of PC Game Room use than the older age group (20-24 years) (r2 = 0.355, P = 0.0301 versus r2 = 0.213, P = 0.0001). These results imply that the excessive use of PC Game Rooms is related to an adverse impact on sex hormonal status in young male Koreans via PAH exposure. This effect was more prominent in the younger age group.

Separate Medication Preparation Rooms Reduce Interruptions and Medication Errors in the Hospital Setting: A Prospective Observational Study.

PubMed

Huckels-Baumgart, Saskia; Baumgart, André; Buschmann, Ute; Schüpfer, Guido; Manser, Tanja

2016-12-21

Interruptions and errors during the medication process are common, but published literature shows no evidence supporting whether separate medication rooms are an effective single intervention in reducing interruptions and errors during medication preparation in hospitals. We tested the hypothesis that the rate of interruptions and reported medication errors would decrease as a result of the introduction of separate medication rooms. Our aim was to evaluate the effect of separate medication rooms on interruptions during medication preparation and on self-reported medication error rates. We performed a preintervention and postintervention study using direct structured observation of nurses during medication preparation and daily structured medication error self-reporting of nurses by questionnaires in 2 wards at a major teaching hospital in Switzerland. A volunteer sample of 42 nurses was observed preparing 1498 medications for 366 patients over 17 hours preintervention and postintervention on both wards. During 122 days, nurses completed 694 reporting sheets containing 208 medication errors. After the introduction of the separate medication room, the mean interruption rate decreased significantly from 51.8 to 30 interruptions per hour (P < 0.01), and the interruption-free preparation time increased significantly from 1.4 to 2.5 minutes (P < 0.05). Overall, the mean medication error rate per day was also significantly reduced after implementation of the separate medication room from 1.3 to 0.9 errors per day (P < 0.05). The present study showed the positive effect of a hospital-based intervention; after the introduction of the separate medication room, the interruption and medication error rates decreased significantly.

19 CFR 148.84 - Special treatment for returning individuals.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 19 Customs Duties 2 2010-04-01 2010-04-01 false Special treatment for returning individuals. 148... and International Organizations and Special Treatment for Returning Individuals § 148.84 Special... United States from abroad: (1) Shall not have his or her baggage and effects admitted free of duty...

Effects of room temperature aging on two cryogenic temperature sensor models used in aerospace applications

NASA Astrophysics Data System (ADS)

Courts, S. Scott; Krause, John

2012-06-01

Cryogenic temperature sensors used in aerospace applications are typically procured far in advance of the mission launch date. Depending upon the program, the temperature sensors may be stored at room temperature for extended periods as installation and groundbased testing can take years before the actual flight. The effects of long term storage at room temperature are sometimes approximated by the use of accelerated aging at temperatures well above room temperature, but this practice can yield invalid results as the sensing material and/or electrical contacting method can be increasingly unstable with higher temperature exposure. To date, little data are available on the effects of extended room temperature aging on sensors commonly used in aerospace applications. This research examines two such temperature sensors models - the Lake Shore Cryotronics, Inc. model CernoxTM and DT-670-SD temperature sensors. Sample groups of each model type have been maintained for ten years or longer with room temperature storage between calibrations. Over an eighteen year period, the CernoxTM temperature sensors exhibited a stability of better than ±20 mK for T<30 K and better than ±0.1% of temperature for T>30 K. Over a ten year period the model DT-670-SD sensors exhibited a stability of better than ±140 mK for T<25 K and better than ±75 mK for T>25 K.

Status quo and current trends of operating room management in Germany.

PubMed

Baumgart, André; Schüpfer, Guido; Welker, Andreas; Bender, Hans-Joachim; Schleppers, Alexander

2010-04-01

Ongoing healthcare reforms in Germany have required strenuous efforts to adapt hospital and operating room organizations to the needs of patients, new technological developments, and social and economic demands. This review addresses the major developments in German operating room management research and current practice. The introduction of the diagnosis-related group system in 2003 has changed the incentive structure of German hospitals to redesign their operating room units. The role of operating room managers has been gradually changing in hospitals in response to the change in the reimbursement system. Operating room managers are today specifically qualified and increasingly externally hired staff. They are more and more empowered with authority to plan and control operating rooms as profit centers. For measuring performance, common perioperative performance indicators are still scarcely implemented in German hospitals. In 2008, a concerted time glossary was established to enable consistent monitoring of operating room performance with generally accepted process indicators. These key performance indicators are a consistent way to make a procedure or case - and also the effectiveness of the operating room management - more transparent. In the presence of increasing financial pressure, a hospital's executives need to empower an independent operating room management function to achieve the hospital's economic goals. Operating room managers need to adopt evidence-based methods also from other scientific fields, for example management science and information technology, to further sustain operating room performance.

Dependence of sodium laser guide star photon return on the geomagnetic field

NASA Astrophysics Data System (ADS)

Moussaoui, N.; Holzlöhner, R.; Hackenberg, W.; Bonaccini Calia, D.

2009-07-01

Aims: The efficiency of optical pumping that increases the backscatter emission of mesospheric sodium atoms in continuous wave (cw) laser guide stars (LGSs) can be significantly reduced and, in the worst case, eliminated by the action of the geomagnetic field. Our goal is to present an estimation of this effect for several telescope sites. Methods: Sodium atoms precess around magnetic field lines that cycle the magnetic quantum number, reducing the effectiveness of optical pumping. Our method is based on calculating the sodium magnetic sublevel populations in the presence of the geomagnetic field and on experimental measurements of radiance return from sodium LGS conducted at the Starfire optical range (SOR). Results: We propose a relatively simple semi-empirical formula for estimating the effect of the geomagnetic field on enhancing the LGSs photon return due to optical pumping with a circularly polarized cw single-frequency laser beam. Starting from the good agreement between our calculations and the experimental measurements for the geomagnetic field effect, and in order to more realistically estimate the sodium LGSs photon return, we introduce the effect of the distance to the mesospheric sodium layer and the atmospheric attenuation. The combined effect of these three factors is calculated for several telescope sites. Conclusions: In calculating the return flux of LGSs, only the best return conditions are often assumed, relying on strong optical pumping with circularly polarized lasers. However, one can only obtain this optimal return along one specific laser orientation on the sky, where the geomagnetic field lines are parallel to the laser beam. For most of the telescopes, the optimum can be obtained at telescope orientations beyond the observation limit. For the telescopes located close to the geomagnetic pole, the benefit of the optical pumping is much more important than for telescopes located close to the geomagnetic equator.

Changes in CD4 count among persons living with HIV/AIDS following Hurricane Katrina.

PubMed

Robinson, William T; Wendell, Deborah; Gruber, DeAnn

2011-07-01

To examine the effects of Hurricane Katrina on the disease progression of persons living with HIV/AIDS (PLWH/A), CD4 counts during the 18 months immediately prior and subsequent to Katrina were obtained from the Louisiana Office of Public Health. PLWH/A were determined to be either non-residents of the New Orleans area, returning evacuees or evacuees who had returned to the area within 18 months. A mixed model repeated measures ANOVA showed significant effects for race, sex, age, year of diagnosis, and mode of exposure. A significant main effect for residence was found, as well as an interaction of residence by time of CD4 count (pre-Katrina vs. post-Katrina), indicating that, while non-returning evacuees had lower overall CD4 counts, the change in CD4 counts of non-returning evacuees dropped more sharply than those of the returning PLWH/A or non-residents. While these results point to a potential need for the population of PLWH/A who continue to be affected by Katrina, they also provide important data on the effect that large-scale disasters and stressful life events may have on individuals with chronic disease.

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.

Influence of environmental statistics on inhibition of saccadic return

PubMed Central

Farrell, Simon; Ludwig, Casimir J. H.; Ellis, Lucy A.; Gilchrist, Iain D.

2009-01-01

Initiating an eye movement is slowed if the saccade is directed to a location that has been fixated in the recent past. We show that this inhibitory effect is modulated by the temporal statistics of the environment: If a return location is likely to become behaviorally relevant, inhibition of return is absent. By fitting an accumulator model of saccadic decision-making, we show that the inhibitory effect and the sensitivity to local statistics can be dissociated in their effects on the rate of accumulation of evidence, and the threshold controlling the amount of evidence needed to generate a saccade. PMID:20080778

Biomechanical, physiological and psychophysical evaluations of clean room boots.

PubMed

Lin, Chih-Long; Wang, Mao-Jiun J; Drury, Colin G

2007-04-01

The purpose of this study was to evaluate the significance of boot sole properties on reducing fatigue, to evaluate the effects of load carrying and walking (over a 1 h period) on biomechanical, physiological and psychophysical responses, and to investigate the correlations between the measurements. The results indicated that elasticity and shock absorption of the boot had significant effects on outcome variables. Significant load effects were seen in most measurements. All of the significant time period effects gave strong regressions, with no R2 value less than 0.983. The findings of this study provide useful information for the selection and design of clean room boots as well as for job design for load carrying tasks in the clean room environment.

Life-cycle impacts of shower water waste heat recovery: case study of an installation at a university sport facility in the UK.

PubMed

Ip, Kenneth; She, Kaiming; Adeyeye, Kemi

2017-10-18

Recovering heat from waste water discharged from showers to preheat the incoming cold water has been promoted as a cost-effective, energy-efficient, and low-carbon design option which has been included in the UK's Standard Assessment Procedure (SAP) for demonstrating compliance with the Building Regulation for dwellings. Incentivized by its carbon cost-effectiveness, waste water heat exchangers (WWHX) have been selected and incorporated in a newly constructed Sports Pavilion at the University of Brighton in the UK. This £2-m sports development serving several football fields was completed in August 2015 providing eight water- and energy-efficient shower rooms for students, staff, and external organizations. Six of the shower rooms are located on the ground floor and two on the first floor, each fitted with five or six thermostatically controlled shower units. Inline type of WWHX were installed, each consisted of a copper pipe section wound by an external coil of smaller copper pipe through which the cold water would be warmed before entering the shower mixers. Using the installation at Sport Pavilion as the case study, this research aims to evaluate the environmental and financial sustainability of a vertical waste heat recovery device, over a life cycle of 50 years, with comparison to the normal use of a PVC-u pipe. A heat transfer mathematical model representing the system has been developed to inform the development of the methodology for measuring the in-situ thermal performance of individual and multiple use of showers in each changing room. Adopting a system thinking modeling technique, a quasi-dynamic simulation computer model was established enabling the prediction of annual energy consumptions under different shower usage profiles. Data based on the process map and inventory of a functional unit of WWHX were applied to a proprietary assessment software to establish the relevant outputs for the life-cycle environmental impact assessment. Life-cycle cost models were developed and industry price book data were applied. The results indicated that the seasonal thermal effectiveness was over 50% enabling significant energy savings through heat recovery that led to short carbon payback time of less than 2 years to compensate for the additional greenhouse gas emissions associated with the WWHX. However, the life-cycle cost of the WWHX is much higher than using the PVC pipe, even with significant heat recovered under heavy usage, highlighting the need to adopt more economic configurations, such as combining waste water through fewer units, in order to maximize the return on investment and improve the financial viability.

Spatial and temporal variation in evacuee risk perception throughout the evacuation and return-entry process.

PubMed

Siebeneck, Laura K; Cova, Thomas J

2012-09-01

Developing effective evacuation and return-entry plans requires understanding the spatial and temporal dimensions of risk perception experienced by evacuees throughout a disaster event. Using data gathered from the 2008 Cedar Rapids, Iowa Flood, this article explores how risk perception and location influence evacuee behavior during the evacuation and return-entry process. Three themes are discussed: (1) the spatial and temporal characteristics of risk perception throughout the evacuation and return-entry process, (2) the relationship between risk perception and household compliance with return-entry orders, and (3) the role social influences have on the timing of the return by households. The results indicate that geographic location and spatial variation of risk influenced household risk perception and compliance with return-entry plans. In addition, sociodemographic characteristics influenced the timing and characteristics of the return groups. The findings of this study advance knowledge of evacuee behavior throughout a disaster and can inform strategies used by emergency managers throughout the evacuation and return-entry process. © 2012 Society for Risk Analysis.

Modifying cochlear implant design: advantages of placing a return electrode in the modiolus.

PubMed

Ho, Steven Y; Wiet, Richard J; Richter, Claus-Peter

2004-07-01

A modiolar return electrode significantly increases the current flow across spiral ganglion cells into the modiolus, and may decrease the cochlear implant's power requirements. Ideal cochlear implants should maximize current flow into the modiolus to stimulate auditory neurons. Previous efforts to facilitate current flow through the modiolus included the fabrication and use of precurved electrodes designed to "hug" the modiolus and silastic positioners designed to place the electrodes closer to the modiolus. In contrast to earlier efforts, this study explores the effects of return electrode placement on current distributions in the modiolus. The effects of return electrode positioning on current flow in the modiolus were studied in a Plexiglas model of the cochlea. Results of model measurements were confirmed by measurements in the modiolus of human temporal bones. The return electrode was placed either within the modiolus, or remotely, outside the temporal bone, simulating contemporary cochlear implant configurations using monopolar stimulation. Cochlear model results clearly show that modiolar current amplitudes can be influenced significantly by the location of the return electrode, being larger when placed into the modiolus. Temporal bone data show similar findings. Voltages recorded in the modiolus are, on average, 2.8 times higher with the return electrode in the modiolus compared with return electrode locations outside the temporal bone. Placing a cochlear implant's return electrode in the modiolus should significantly reduce its power consumption. Reducing power requirements should lead to improved efficiency, safer long-term use, and longer device life.

The Effects of Interior Design on Communication and Impressions of a Counselor in a Counseling Room

ERIC Educational Resources Information Center

Miwa, Yoshiko; Hanyu, Kazunori

2006-01-01

This study aimed to investigate effects of the interior design of a counseling room on participants' self-disclosure and impressions of a counselor. The authors examined the effects of lighting and decorations. It tested four conditions crossing decorations (with or without home-like decorations) and type of lighting (bright or dim). Eighty…

Update on bispectral index monitoring.

PubMed

Johansen, Jay W

2006-03-01

Since 1997, bispectral index (BIS; Aspect Medical Systems Inc., Natick, MA) has been in clinical practice and a wealth of experimental research has accumulated on its use. Originally, the device was approved only for monitoring hypnosis and has now received an indication for reducing the incidence of intraoperative awareness during anesthesia. Numerous studies have documented the ability of BIS to reduce intermediate outcomes such as hypnotic drug administration, extubation time, postoperative nausea and shortened recovery room discharge. Two recent large-scale outcome studies using BIS (one randomized controlled trial and one prospective, nonrandomized historical cohort study) identified an approximately 80% reduction in the incidence of recall after anesthesia. BIS provides clinicians with unique information that can be used to tailor hypnotic drug doses to individual patient requirements. BIS does not predict movement or hemodynamic response to stimulation, nor will it predict the exact moment consciousness returns. This review will also discuss other BIS applications including use in pediatrics, intensive care and for procedural sedation. Some limitations exist to the use of BIS and it is not useful for some individual hypnotic agents (ketamine, dexmedetomidine, nitrous oxide, xenon, opioids). BIS technology is moving out of the operating room and into diverse environments where conscious and deep sedation are provided. Anesthesiologists need to be actively involved in promoting patient safety and helping transition this technology into broader use.

KSC-2010-4454B

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This is a printable version of space shuttle Endeavour's orbiter tribute, or OV-105, which hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. It features Endeavour soaring into orbit above the sailing vessel HMS Endeavour for which it was named. The Cupola, delivered to the International Space Station by Endeavour on STS-130, frames various images that represent the processing and execution of the Space Shuttle Program. Clockwise from top, are the first-ever use of a drag chute during the STS-49 landing, rollout to a launch pad, a ferry flight return to Kennedy, rolling into an orbiter processing facility, docking to the International Space Station, and lifting operations before being mated to an external fuel tank and solid rocket boosters in the Vehicle Assembly Building. The background image was captured by the Hubble Space Telescope and signifies the first shuttle servicing mission, which was performed by Endeavour's STS-61 crew. Crew-designed patches from Endeavour’s maiden voyage through its final mission are shown ascending toward the stars. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo. NASA publication number: SP-2010-08-165-KSC

KSC-2010-4454A

NASA Image and Video Library

2010-07-29

CAPE CANAVERAL, Fla. -- This is a version of space shuttle Endeavour's orbiter tribute, or OV-105, which hangs in Firing Room 4 of the Launch Control Center at NASA's Kennedy Space Center in Florida. It features Endeavour soaring into orbit above the sailing vessel HMS Endeavour for which it was named. The Cupola, delivered to the International Space Station by Endeavour on STS-130, frames various images that represent the processing and execution of the Space Shuttle Program. Clockwise from top, are the first-ever use of a drag chute during the STS-49 landing, rollout to a launch pad, a ferry flight return to Kennedy, rolling into an orbiter processing facility, docking to the International Space Station, and lifting operations before being mated to an external fuel tank and solid rocket boosters in the Vehicle Assembly Building. The background image was captured by the Hubble Space Telescope and signifies the first shuttle servicing mission, which was performed by Endeavour's STS-61 crew. Crew-designed patches from Endeavour’s maiden voyage through its final mission are shown ascending toward the stars. Five orbiter tributes are on display in the firing room, representing Atlantis, Challenger, Columbia, Endeavour and Discovery. Graphic design credit: NASA/Amy Lombardo. NASA publication number: SP-2010-08-165-KSC

A practical indoor context-aware surveillance system with multi-Kinect sensors

NASA Astrophysics Data System (ADS)

Jia, Lili; You, Ying; Li, Tiezhu; Zhang, Shun

2014-11-01

In this paper we develop a novel practical application, which give scalable services to the end users when abnormal actives are happening. Architecture of the application has been presented consisting of network infrared cameras and a communication module. In this intelligent surveillance system we use Kinect sensors as the input cameras. Kinect is an infrared laser camera which its user can access the raw infrared sensor stream. We install several Kinect sensors in one room to track the human skeletons. Each sensor returns the body positions with 15 coordinates in its own coordinate system. We use calibration algorithms to calibrate all the body positions points into one unified coordinate system. With the body positions points, we can infer the surveillance context. Furthermore, the messages from the metadata index matrix will be sent to mobile phone through communication module. User will instantly be aware of an abnormal case happened in the room without having to check the website. In conclusion, theoretical analysis and experimental results in this paper show that the proposed system is reasonable and efficient. And the application method introduced in this paper is not only to discourage the criminals and assist police in the apprehension of suspects, but also can enabled the end-users monitor the indoor environments anywhere and anytime by their phones.

European cardiovascular nurses' experiences of and attitudes towards having family members present in the resuscitation room.

PubMed

Axelsson, Asa B; Fridlund, Bengt; Moons, Philip; Mårtensson, Jan; Op Reimer, Wilma Scholte; Smith, Karen; Strömberg, Anna; Thompson, David R; Norekvål, Tone M

2010-03-01

To investigate cardiovascular nurses' experiences of and attitudes towards the presence of family members during resuscitation of adult patients. A 36-item questionnaire exploring the experiences of and attitudes towards family members being present in the resuscitation room was distributed to a convenience sample of nurses attending three national and one international cardiovascular nursing conferences held in Europe during 2007. Of 820 questionnaires distributed, 411(50%) completed ones were returned. Of these 411 respondents, 178 (44%) had experienced at least one situation of families being present. Positive (23%) and negative (21%) experiences of family presence were equally distributed. Only 28 (7%) respondents stated that their unit had a protocol covering family presence. Nurses in Ireland (n=30; 59%) and the UK (n=18; 55%) were most likely to have experienced family presence and protocols relating to this were most commonly found in the UK (n=4; 14%). Less than half of the included European cardiovascular nurses had experienced a situation of families being present during resuscitation and protocols pertaining to this were rare. There was no clear attitude towards family presence, though experience in nursing made nurses more favourable towards it. Copyright (c) 2009 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.

An assessment of resuscitation quality in the television drama Emergency Room: guideline non-compliance and low-quality cardiopulmonary resuscitation lead to a favorable outcome?

PubMed

Hinkelbein, Jochen; Spelten, Oliver; Marks, Jörg; Hellmich, Martin; Böttiger, Bernd W; Wetsch, Wolfgang A

2014-08-01

Two earlier studies found that outcome after cardiopulmonary resuscitation (CPR) in the television medical drama Emergency Room (ER) is not realistic. No study has yet evaluated CPR quality in ER. Retrospective analysis of CPR quality in episodes of ER. Three independent board-certified emergency physicians trained in CPR and the American Heart Association (AHA) guidelines reviewed ER episodes in two 5-year time-frames (2001-2005 and 2005-2009). Congruency with the corresponding 2000 and 2005 AHA guidelines was determined for each CPR scene. None. None. To evaluate whether CPR is in agreement with the specific algorithms of the AHA guidelines. Fisher's exact test and Mann-Whitney-U-test were used to evaluate statistical significance (P<0.05). A total of 136 on-screen cardiac arrests occurred in 174 episodes. Trauma was the leading cause of cardiac arrest (56.6%), which was witnessed in 80.1%. Return of spontaneous circulation occurred in 38.2%. Altogether, 19.1% of patients survived until ICU admission, and 5.1% were discharged alive. Only one CPR scene was in agreement with the published AHA guidelines. However, low-quality CPR and non-compliance with the guidelines resulted in favorable outcomes. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Evidence for speckle effects on pulsed CO2 lidar signal returns from remote targets

NASA Technical Reports Server (NTRS)

Menzies, R. T.; Kavaya, M. J.; Flamant, P. H.

1984-01-01

A pulsed CO2 lidar was used to study statistical properties of signal returns from various rough surfaces at distances near 2 km. These included natural in situ topographic materials as well as man-made hard targets. Three lidar configurations were used: heterodyne detection with single temporal mode transmitter pulses, and direct detection with single and multiple temporal mode pulses. The significant differences in signal return statistics, due largely to speckle effects, are discussed.

Fluid inclusions in Martian samples: Clues to early crustal development and the hydrosphere

NASA Technical Reports Server (NTRS)

Brown, Philip E.

1988-01-01

Major questions about Mars that could be illuminated by examining fluid inclusions in Martian samples include: (1) the nature, extent and timing of development (and decline) of the hydrosphere that existed on the planet; and (2) the evolution of the crust. Fluid inclusion analyses of appropriate samples could provide critical data to use in comparison with data derived from analogous terrestrial studies. For this study, sample handling and return restrictions are unlikely to be as restrictive as the needs of other investigators. The main constraint is that the samples not be subjected to excessively high temperatures. An aqueous fluid inclusion trapped at elevated pressure and temperature will commonly consist of liquid water and water vapor at room temperature. Heating (such as is done in the laboratory to fix P-V-T data for the inclusion) results in moderate pressure increases up to the liquid-vapor homogenization temperature followed by a sharp increase in pressure with continued heating because the inclusion is effectively a fixed volume system. This increased pressure can rupture the inclusion; precise limits are dependent on size, shape, and composition as well as the host material.

Targeting VEGF in canine oxygen-induced retinopathy - a model for human retinopathy of prematurity.

PubMed

McLeod, D Scott; Lutty, Gerard A

2016-01-01

Development of the dog superficial retinal vasculature is similar to the mechanism of human retinal vasculature development; they both develop by vasculogenesis, differentiation, and assembly of vascular precursors called angioblasts. Canine oxygen-induced retinopathy (OIR) was first developed by Arnall Patz in an effort to experimentally determine the effects of hyperoxia on the development of the retinal vasculature. The canine OIR model has many characteristics in common with human retinopathy of prematurity. Exposure of 1-day-old dogs to hyperoxia for 4 days causes a vaso-obliteration throughout the retina. Vasoproliferation, after the animals have returned to room air, is robust. The initial small preretinal neovascular formations anastomose to form large preretinal membranes that eventually cause tractional retinal folds. The end-stage pathology of the canine model is similar to stage IV human retinopathy of prematurity. Therefore, canine OIR is an excellent forum to evaluate the response to drugs targeting VEGF and its receptors. Evaluation of an antibody to VEGF-R2 and the VEGF-Trap demonstrated that doses should be titered down so that preretinal neovascularization is inhibited but retinal revascularization is able to proceed, vascularizing peripheral retina and preventing it from being a source of VEGF.

Antinociception induced by chronic exposure of rats to cigarette smoke.

PubMed

Anderson, Kenton L; Pinkerton, Kent E; Uyeminami, Dale; Simons, Christopher T; Carstens, Mirela Iodi; Carstens, E

2004-08-05

To investigate if chronic exposure to cigarette smoke induces analgesia, rats were exposed to concentrated cigarette smoke in an environmental chamber over four successive 5-day blocks (6 h/day), with 2 smoke-free days between blocks. A control group was exposed to room air. Tail flick latencies increased significantly (analgesia) during each smoke exposure block, with a relative decline in analgesia across blocks (tolerance) and a return to control levels during the first three smoke-free interludes while remaining higher after the conclusion of the 4-week exposure period. Mechanical (von Frey) withdrawal thresholds declined over time in smoke-exposed and control groups, with the smoke-exposed group showing significantly lower thresholds. Plasma nicotine reached 95.4 +/- 32 (S.D.) ng/ml at the end of weekly smoke exposure and declined to 44.9 +/- 10.6 ng/ml 24 h after withdrawal. Rats lost weight during smoke exposure and quickly regained weight during smoke-free interludes and at the cessation of smoke exposure. Analgesia may contribute to the initiation of smoking, and rapid reversal of the analgesic effect following acute exposure may contribute to the difficulty in quitting smoking.

Cold Blooded: Evaluating Brain Temperature by MRI During Surface Cooling of Human Subjects.

PubMed

Curran, Eric J; Wolfson, Daniel L; Watts, Richard; Freeman, Kalev

2017-10-01

Targeted temperature management (TTM) confers neurological and survival benefits for post-cardiac arrest patients with return of spontaneous circulation (ROSC) who remain comatose. Specialized equipment for induction of hypothermia is not available in the prehospital setting, and there are no reliable methods for emergency medical services personnel to initiate TTM. We hypothesized that the application of surface cooling elements to the neck will decrease brain temperature and act as initiators of TTM. Magnetic resonance (MR) spectroscopy was used to evaluate the effect of a carotid surface cooling element on brain temperature in healthy adults. Six individuals completed this study. We measured a temperature drop of 0.69 ± 0.38 °C (95% CI) in the cortex of the brain following the application of the cooling element. Application of a room temperature element also caused a measurable decrease in brain temperature of 0.66 ± 0.41 °C (95% CI) which may be attributable to baroreceptor activation. The application of surface cooling elements to the neck decreased brain temperature and may serve as a method to initiate TTM in the prehospital setting.

Retrofitting coils

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

Merrill, D.G.

1995-12-01

This article provides guidelines for maintaining efficiency by determining which coils require replacement and the selection of replacement coils to match the originals in terms of size, performance, materials, and material thickness. Coils in the Rio Hondo College have been in use 24 years. The author recently found an installation where the coils installed 20 years ago look like new, which is the result of a highly effective preventive maintenance program. But these exceptions are countered by some installations lasting considerably less time. Periodic coil inspections are the best way to find leaks and deterioration. Leaking coils have an unhappymore » way of announcing their presence through unwanted water on ceilings, walls, and machine room floors. Minuscule streams of water impinge on nonwater-tight housings or are picked up in the air stream to leak out of the ductwork. Coil return bends and headers seem to have the greater incidence of failure and should be checked first for pinhole or joint leaks. Also, check along the points where the tubes penetrate the tube sheets. The coil headers should be checked as should the tubes along the front and backside of the coil. The more rows the coil has, the more difficult this latter assignment becomes.« less

Body mass, composition, and food intake in rabbits during altered acceleration fields

NASA Technical Reports Server (NTRS)

Katovich, M. J.; Smith, A. H.

1978-01-01

Mature male Polish rabbits were subjected to varying gravitational fields in an animal centrifuge in order to evaluate the effects of acceleration and deacceleration on body mass, body composition, and food intake. The acceleration field intensity was increased by 0.25-G increments to a maximum of 2.5 G at intervals which permitted physiological adaptation at each field. Control animals of the same age were maintained at earth gravity under identical conditions of constant-light environment at a room temperature of 23 + or - 5 C. It is shown that increasing the acceleration-field intensity leads to a decrease in body mass. The regulated nature of this decreased body mass is tested by the response to an additional three-day fasting of animals adapted physiologically to 2.5 G. Ad libitum food intake per kg body mass per day tends to increase in chronically accelerated animals above 1.75 G. Increase in water content in centrifuged animals after physiological adaptation to 2.5 G is the result of decreasing body fat. Body mass and food intake returned to the precentrifuged levels of control animals within six weeks after cessation of centrifugation.

Amplitude modulation detection by human listeners in reverberant sound fields: Effects of prior listening exposure.

PubMed

Zahorik, Pavel; Anderson, Paul W

2013-01-01

Previous work [Zahorik et al., POMA, 15, 050002 (2012)] has reported that for both broadband and narrowband noise carrier signals in a simulated reverberant sound field, human sensitivity to amplitude modulation (AM) is higher than would be predicted based on the acoustical modulation transfer function (MTF) of the listening environment. These results may be suggestive of mechanisms that functionally enhance modulation in reverberant listening, although many details of this enhancement effect are unknown. Given recent findings that demonstrate improvements in speech understanding with prior exposure to reverberant listening environments, it is of interest to determine whether listening exposure to a reverberant room might also influence AM detection in the room, and perhaps contribute to the AM enhancement effect. Here, AM detection thresholds were estimated (using an adaptive 2-alternative forced-choice procedure) in each of two listening conditions: one in which consistent listening exposure to a particular room was provided, and a second that intentionally disrupted listening exposure by varying the room from trial-to-trial. Results suggest that consistent prior listening exposure contributes to enhanced AM sensitivity in rooms. [Work supported by the NIH/NIDCD.].

Collaborative Research: Polymeric Multiferroics

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

Ren, Shenqiang

2017-04-20

The goal of this project is to investigate room temperature magnetism and magnetoelectric coupling of polymeric multiferroics. A new family of molecular charge-transfer crystals has been emerged as a fascinating opportunity for the development of all-organic electrics and spintronics due to its weak hyperfine interaction and low spin-orbit coupling; nevertheless, direct observations of room temperature magnetic spin ordering have yet to be accomplished in organic charge-transfer solids. Furthermore, room temperature magnetoelectric coupling effect hitherto known multiferroics, is anticipated in organic donor-acceptor complexes because of magnetic field effects on charge-transfer dipoles, yet this is also unexplored. The PI seeks to fundamentalmore » understanding of the control of organic crystals to demonstrate and explore room temperature multiferroicity. The experimental results have been verified through the theoretical modeling.« less

Long-Term Cost-Effectiveness and Return-on-Investment of a Mindfulness-Based Worksite Intervention: Results of a Randomized Controlled Trial.

PubMed

van Dongen, Johanna M; van Berkel, Jantien; Boot, Cécile R L; Bosmans, Judith E; Proper, Karin I; Bongers, Paulien M; van der Beek, Allard J; van Tulder, Maurits W; van Wier, Marieke F

2016-06-01

The aim of this study was to conduct a cost-effectiveness and return-on-investment analysis comparing a mindfulness-based worksite intervention to usual practice. Two hundred fifty-seven governmental research institute employees were randomized to the intervention or control group. Intervention group participants received an eight-week mindfulness training, e-coaching, and supporting elements. Outcomes included work engagement, general vitality, job satisfaction, work ability, and costs. Cost-effectiveness analyses were conducted from the societal and employer's perspective, and a return-on-investment analysis from the employer's perspective. After 12 months, a significant but not clinically relevant adverse effect on work engagement was found (-0.19; 95% confidence interval: -0.38 to -0.01). There were no significant differences in job satisfaction, general vitality, work ability, and total costs. Probabilities of cost-effectiveness were low (≤0.25) and the intervention did not have a positive financial return to the employer. The intervention was neither cost-saving nor cost-effective. Poor e-coaching compliance might partly explain this result.

A Comparative Study to Evaluate the Effectiveness of Computer Assisted Instruction (CAI) versus Class Room Lecture (RL) for Computer Science at ICS Level

ERIC Educational Resources Information Center

Kausar, Tayyaba; Choudhry, Bushra Naoreen; Gujjar, Aijaz Ahmed

2008-01-01

This study was aimed to evaluate the effectiveness of CAI vs. classroom lecture for computer science at ICS level. The objectives were to compare the learning effects of two groups with class room lecture and computer assisted instruction studying the same curriculum and the effects of CAI and CRL in terms of cognitive development. Hypothesis of…

A Comparative Study to Evaluate the Effectiveness of Computer Assisted Instruction (CAI) versus Class Room Lecture (CRL) for Computer Science at ICS Level

ERIC Educational Resources Information Center

Kausar, Tayyaba; Choudhry, Bushra Naoreen; Gujjar, Aijaz Ahmed

2008-01-01

This study was aimed to evaluate the effectiveness of CAI vs. classroom lecture for computer science at ICS level. The objectives were to compare the learning effects of two groups with class room lecture and computer assisted instruction studying the same curriculum and the effects of CAI and CRL in terms of cognitive development. Hypothesis of…

Femoroacetabular Impingement in Professional Football Players: Return to Play and Predictors of Career Length After Hip Arthroscopy.

PubMed

Menge, Travis J; Bhatia, Sanjeev; McNamara, Shannen C; Briggs, Karen K; Philippon, Marc J

2017-07-01

Previous studies have shown hip arthroscopy to be a highly effective treatment for symptomatic femoroacetabular impingement (FAI) in a wide range of athletes; however, the rate of return to play and length of career after hip arthroscopy in professional football players are unknown. To determine how many athletes returned to professional football and the number of seasons they played after surgery. Case series; Level of evidence, 4. Fifty-one professional football players (60 hips) underwent hip arthroscopy for FAI between 2000 and 2014 by a single surgeon. Return to play was defined as competing in a preseason or regular season professional football game after surgery. Data were retrospectively obtained for each player from NFL.com , ESPN.com , individual team websites, and/or CFL.ca . We found that 87% (52/60) of the arthroscopic procedures allowed professional football players to return to play in a preseason or regular season game. Athletes who returned played an average of 38 games during 3.2 seasons after arthroscopy, with an average total career length of 7.4 seasons. Ninety-two percent (48/52) of players who returned had a minimum total career length of 3 years. When participants were analyzed by position, linemen were less likely to return after hip arthroscopy compared with other players (odds ratio 5.6; 95% CI, 1.1-35; P = .04). All quarterbacks and tight ends returned to play after surgery. No significant difference in return to play rate was found between athletes who underwent microfracture and those who did not (25% vs 38%, P = .698). Hip arthroscopy for treatment of FAI and associated pathologic abnormalities in professional football players resulted in a high rate of return to play. The study's findings demonstrate that 87% of the arthroscopic procedures allowed professional football players to return to play, linemen were less likely to return compared with other positions, and the presence of microfracture did not significantly affect the return to play rate. These findings support hip arthroscopy as an effective procedure to treat FAI and related pathologic abnormalities in the professional football player, and this information is important for proper counseling of athletes with FAI.

DISTRIBUTION OF 2,4-DICHLOROPHENOXYACETIC ACID IN FLOOR DUST THROUGHOUT HOMES FOLLOWING HOMEOWNER AND COMMERICAL LAWN APPLICATIONS: QUANTITATIVE EFFECTS OF CHILDREN, PETS, AND SHOES

EPA Science Inventory

Transport of lawn-applied 2,4-D into 13 actual homes was measured following both homeowner and commercial application of this herbicide to residential lawns. Collection of floor dust in five rooms of each house, corresponding to an entryway, living room, dining room, kitchen, a...

Virtual visual effect of hospital waiting room on pain modulation in healthy subjects and patients with chronic migraine.

PubMed

de Tommaso, Marina; Ricci, Katia; Laneve, Luigi; Savino, Nicola; Antonaci, Vincenzo; Livrea, Paolo

2013-01-01

Environmental context has an important impact on health and well being. We aimed to test the effects of a visual distraction induced by classical hospital waiting room (RH) versus an ideal room with a sea view (IH), both represented in virtual reality (VR), on subjective sensation and cortical responses induced by painful laser stimuli (LEPs) in healthy volunteers and patients with chronic migraine (CM). Sixteen CM and 16 controls underwent 62 channels LEPs from the right hand, during a fully immersive VR experience, where two types of waiting rooms were simulated. The RH simulated a classical hospital waiting room while the IH represented a room with sea viewing. CM patients showed a reduction of laser pain rating and vertex LEPs during the IH vision. The sLORETA analysis confirmed that in CM patients the two VR simulations induced a different modulation of bilateral parietal cortical areas (precuneus and superior parietal lobe), and superior frontal and cingulate girus, in respect to controls. The architectural context may interfere with pain perception, depending upon the status of subject. Many variables may change patients' outcome and support the use of VR technology to test the best conditions for their management.

Barriers to Rural Induced Abortion Services in Canada: Findings of the British Columbia Abortion Providers Survey (BCAPS)

PubMed Central

Norman, Wendy V.; Soon, Judith A.; Maughn, Nanamma; Dressler, Jennifer

2013-01-01

Background Rural induced abortion service has declined in Canada. Factors influencing abortion provision by rural physicians are unknown. This study assessed distribution, practice, and experiences among rural compared to urban abortion providers in the Canadian province of British Columbia (BC). Methods We used mixed methods to assess physicians on the BC registry of abortion providers. In 2011 we distributed a previously-published questionnaire and conducted semi-structured interviews. Results Surveys were returned by 39/46 (85%) of BC abortion providers. Half were family physicians, within both rural and urban cohorts. One-quarter (17/67) of rural hospitals offer abortion service. Medical abortions comprised 14.7% of total reported abortions. The three largest urban areas reported 90% of all abortions, although only 57% of reproductive age women reside in the associated health authority regions. Each rural physician provided on average 76 (SD 52) abortions annually, including 35 (SD 30) medical abortions. Rural physicians provided surgical abortions in operating rooms, often using general anaesthesia, while urban physicians provided the same services primarily in ambulatory settings using local anaesthesia. Rural providers reported health system barriers, particularly relating to operating room logistics. Urban providers reported occasional anonymous harassment and violence. Conclusions Medical abortions represented 15% of all BC abortions, a larger proportion than previously reported (under 4%) for Canada. Rural physicians describe addressable barriers to service provision that may explain the declining accessibility of rural abortion services. Moving rural surgical abortions out of operating rooms and into local ambulatory care settings has the potential to improve care and costs, while reducing logistical challenges facing rural physicians. PMID:23840578

KSC-05PD-1265

NASA Technical Reports Server (NTRS)

2005-01-01

KENNEDY SPACE CENTER, FLA. This locker reveals a long-lost spacesuit recently uncovered at the Cape Canaveral Air Force Station (CCAFS) in Florida. A recent venture into a long-locked room at CCAFS uncovered interesting artifacts of a bygone era: retired space suits from Americans who trained in the 1960s to be astronauts aboard an Air Force orbiting reconnaissance laboratory. Two security officers were doing a check of a facility at Launch Complex 5/6 blockhouse. NASA Special Agent Dan E. Oakland and Security Manager Henry Butler, who is with Delaware North Parks and Resorts, the company that oversees the museum, discovered a locked room. Space suits from the Air Forces planned Manned Orbiting Laboratory (MOL) program were found in the room Begun in 1964, the MOL program was an Air Force initiative that would have sent Air Force astronauts to a space station in a Gemini capsule. After spending a few weeks in orbit, the crew would undock and return to Earth. A test launch from Complex 40 on Nov. 30, 1966, of a MOL was conducted with an unmanned Gemini capsule. The MOL was constructed from tankage of a Titan II rocket. The operational MOL was planned to be launched into a polar orbit from Vandenberg Air Force Base in California. The Air Force abandoned the program in 1969, but the program produced a great deal of technological development, and three groups of military officers trained to be MOL astronauts. When the program was cancelled, seven of the younger astronauts were transferred to the agencys human space flight program and went on to have standout careers. Among them were Robert Crippen, pilot of the first Space Shuttle mission, and Richard H. 'Dick' Truly, who later became NASA Administrator.

KSC-05PD-1267

NASA Technical Reports Server (NTRS)

2005-01-01

KENNEDY SPACE CENTER, FLA. This is Launch Complex 5/6 blockhouse, now a museum at the Cape Canaveral Air Force Station (CCAFS) in Florida, where long-lost space suits were found. A recent venture into a long-locked room at CCAFS uncovered interesting artifacts of a bygone era: retired space suits from Americans who trained in the 1960s to be astronauts aboard an Air Force orbiting reconnaissance laboratory. Two security officers were doing a check of a facility at Launch Complex 5/6 blockhouse. NASA Special Agent Dan E. Oakland and Security Manager Henry Butler, who is with Delaware North Parks and Resorts, the company that oversees the museum, discovered a locked room. Space suits from the Air Forces planned Manned Orbiting Laboratory (MOL) program were found in the room Begun in 1964, the MOL program was an Air Force initiative that would have sent Air Force astronauts to a space station in a Gemini capsule. After spending a few weeks in orbit, the crew would undock and return to Earth. A test launch from Complex 40 on Nov. 30, 1966, of a MOL was conducted with an unmanned Gemini capsule. The MOL was constructed from tankage of a Titan II rocket. The operational MOL was planned to be launched into a polar orbit from Vandenberg Air Force Base in California. The Air Force abandoned the program in 1969, but the program produced a great deal of technological development, and three groups of military officers trained to be MOL astronauts. When the program was cancelled, seven of the younger astronauts were transferred to the agencys human space flight program and went on to have standout careers. Among them were Robert Crippen, pilot of the first Space Shuttle mission, and Richard H. 'Dick' Truly, who later became NASA Administrator.

KSC-05PD-1266

NASA Technical Reports Server (NTRS)

2005-01-01

KENNEDY SPACE CENTER, FLA. NASA Special Agent Dan Oakland holds up a long-lost spacesuit recently uncovered at the Cape Canaveral Air Force Station (CCAFS) in Florida. A recent venture into a long-locked room at CCAFS uncovered interesting artifacts of a by-gone era: retired space suits from Americans who trained in the 1960s to be astronauts aboard an Air Force orbiting reconnaissance laboratory. Two security officers were doing a check of a facility at Launch Complex 5/6 blockhouse. Oakland and Security Manager Henry Butler, who is with Delaware North Parks and Resorts, the company that oversees the museum, discovered a locked room. Space suits from the Air Forces planned Manned Orbiting Laboratory (MOL) program were found in the room Begun in 1964, the MOL program was an Air Force initiative that would have sent Air Force astronauts to a space station in a Gemini capsule. After spending a few weeks in orbit, the crew would undock and return to Earth. A test launch from Complex 40 on Nov. 30, 1966, of a MOL was conducted with an unmanned Gemini capsule. The MOL was constructed from tankage of a Titan II rocket. The operational MOL was planned to be launched into a polar orbit from Vandenberg Air Force Base in California. The Air Force abandoned the program in 1969, but the program produced a great deal of technological development, and three groups of military officers trained to be MOL astronauts. When the program was cancelled, seven of the younger astronauts were transferred to the agencys human space flight program and went on to have standout careers. Among them were Robert Crippen, pilot of the first Space Shuttle mission, and Richard H. 'Dick' Truly, who later became NASA Administrator.

KSC-05PD-1274

NASA Technical Reports Server (NTRS)

2005-01-01

KENNEDY SPACE CENTER, FLA. This is Launch Complex 5/6 blockhouse, now a museum at the Cape Canaveral Air Force Station (CCAFS) in Florida, where long-lost spacesuits were found. A recent venture into a long-locked room at CCAFS uncovered interesting artifacts of a bygone era: retired space suits from Americans who trained in the 1960s to be astronauts aboard an Air Force orbiting reconnaissance laboratory. Two security officers were doing a check of a facility at Launch Complex 5/6 blockhouse. NASA Special Agent Dan E. Oakland and Security Manager Henry Butler, with Delaware North Parks and Resorts, which oversees the museum, discovered a locked room. Space suits from the Air Forces planned Manned Orbiting Laboratory (MOL) program were found in the room Begun in 1964, the MOL program was an Air Force initiative that would have sent Air Force astronauts to a space station in a Gemini capsule. After spending a few weeks in orbit, the crew would undock and return to Earth. A test launch from Complex 40 on Nov. 30, 1966, of a MOL was conducted with an unmanned Gemini capsule. The MOL was constructed from tankage of a Titan II rocket. The operational MOL was planned to be launched into a polar orbit from Vandenberg Air Force Base in California. The Air Force abandoned the program in 1969, but the program produced a great deal of technological development, and three groups of military officers trained to be MOL astronauts. When the program was cancelled, seven of the younger astronauts were transferred to the agencys human space flight program and went on to have standout careers. Among them were Robert Crippen, pilot of the first Space Shuttle mission, and Richard H. 'Dick' Truly, who later became NASA Administrator.

[Effect of Bt rice straw returning in soil on the growth and reproduction of Eisenia fetida.

PubMed

Cheng, Miao Miao; Shu, Ying Hua; Wang, Jian Wu

2016-11-18

Bacillus thuringiensis (Bt) protein can enter the soil through Bt crops straw returning to field, which may affect the growth and reproduction of soil animals, such as earthworms. Here, Bt rice (b2B138) and conventional rice (Anfeng A) straw were returned in soil to evaluate the impact of Bt rice on Eisenia fetida. Two varieties of rice straw were added into soil to breed E. fetida at the rates of 2.5%, 5%, 7.5% and 10%. The survival rate, relative growth rate, reproduction of earthworm, the Cry1Ab content in soil-straw mixture and earthworm were detected after 7, 15, 30, 45, 60, 75, 90 d. The results showed that Bt rice straw returning at higher concentrations (7.5% and 10%) inhibited the survival rate of E. fetida. Bt rice straw returning had no adverse effect on relative growth rate (RGR) of E. fetida. Bt rice straw treatment improved the reproduction of earthworms under 5%, 7.5% and 10% straw returning in soil. Enzyme-linked immunosorbent assay (ELISA) results indicated that immunoreactive Cry1Ab was detectable in soil-straw mixture and E. fetida from Bt rice treatments, and a strong decline was observed in soil-straw mixture with the increase of treated time. Therefore, Cry1Ab released from Bt rice straw returning at 2.5% and 5% concentration had no adverse effects on the growth and reproduction of E. fetida.